Each individual, each face, is unique and tells his or her own story.
We always strive to make that story a happy ending.”
-Dr. Jeffrey S. Rosenthal
 Fairfield, Connecticut

When is the optimal time for my cosmetic surgery?
Being in the best shape, mentally, physically and skin wise, as well as
being close to your optimal weight is always best. The bulging and laxity
you see will not improve with exercise. The position of fat on the body is
genetically determined. You may not be able to recontour areas that
bulge with diet and exercise.

Will there be loose skin after my cosmetic surgery ?
The quality of skin before cosmetic surgery determines how the skin tightens or
shrinks during the year after healing. The more stretched the skin is before
the procedure the less it will tighten.

Will I have all the bulges smoothed out?
Every effort will be made to sculpt and contour your body. Not every
area will have the same result. Once in a while a second sculpting or
liposuction procedure will give added results. We would not contemplate
this for 6 months to a year after the first cosmetic surgery, as healing takes at least 1
year to be complete. There will be additional fees for the second cosmetic surgery procedure.

Can I have only one area suctioned?
Usually, it is necessary to contour multiple areas to offer you the best
results. The body is uneven on both sides and needs to be made more
symmetrical where possible.

What are the common areas that require liposuction?
Usually, the problematic areas are the hips, inner and outer thighs, inner
knees, abdomen, upper back below the bra, upper arms and under the
chin. Men require the spare tire and occasionally the breast areas.

Where is the cosmetic surgery performed?
Cosmetic surgery is either at a private surgical facility or at Bridgeport Hospital.

What will I need before cosmetic surgery?
You may be asked to obtain a medical evaluation by your family
physician to ensure that you are in the best possible health.
Will I stay overnight?
No, you will go home the same day.

Will there be drainage?
Fluid is placed under the skin to aide in fat removal and to afford you the
greatest comfort during and after cosmetic surgery. Some of this pink or bloodtinged
fluid will leak out from the small cut for 2-3 days following surgery.

Will I wear a garment?
You will be given two supportive garments to be worn for at least 3 weeks.
You may shower the following day after surgery. When you resume more
active exercise in 3-4 weeks, it is recommended that you wear an elastic
sports garment for support.

Will smoking effect my healing?
Yes- The effect of each cigarette lasts 12 hours on the blood vessels, and
the smoke is toxic. Consequently, smoking causes the skin to heal poorly
and the complications associated with smoking are tremendous. Even
second hand smoke during the weeks before and after cosmetic surgery will
adversely affect your results. Stopping is a must before and after any operation.

Type of Anesthesia:
You are gently put to sleep so that you will be comfortable throughout the
operation. Once asleep, I will place a local anesthetic under the skin so
that you will feel no discomfort and the amount of medicine you receive
during the operation will be minimized. By putting you to sleep your heart
rate, blood pressure, and amount of oxygen will be optimized. Rest
assured that being asleep for hours is generally very safe, so the 2.5-3.5
hours you sleep will be just fine.

How long will the cosmetic surgery take?
I take my time and like to be meticulous. That means not rushing through
your cosmetic surgery to work on another patient. In addition, there are many
things that must be done before the operation can even start, including
washing and preparing the area, making sure that your body is well
cushioned, and placing your legs in special boots to compress them
during the surgery. Likewise, at the end of surgery I need to wash you and
apply a special well padded dressing. I will also wait in recovery after the
surgery to be certain that all is going well before I leave.

What can I expect?
Within a few weeks you will note an improvement in your shape. Large
bulging areas will be smoother and better contoured. Clothing that used
to bind you in these spots will fit much better. The improvement will be
evident in weeks, but the final results from this cosmetic surgery will take
at least one year.

When can I shower?
The day after cosmetic surgery.

Where are the scars?
The scars are scattered about the areas to be suctioned. Where possible
they are placed in areas less visible. These scars take one year to finish
healing. They are permanent but on the small side.

Will I hurt?
Generally, there is moderate discomfort for the first week that is relieved
with pain medication that I will prescribe for you. The second week after your
cosmetic surgery, the discomfort is minimal.

When I can resume activities?
It is best to relax for the first 10 days. Bruising is variable and usually
located in the areas suctioned. However, do to gravity, the swelling and
bruising may descend to lower positions. After 3 weeks you should be
almost back to your old self except with a new and improved body. It is
not a good idea to exercise or increase your heart rate for 3 weeks from
the time of your cosmetic surgery, and no vigorous lifting or exercise for 6 weeks from
surgery. This will help to diminish your swelling and improve the rate at
which you heal.

When can I drive again?
When you can move about without any discomfort and are not on any
pain or muscle relaxant medications. This is usually, between 7 and 10 days.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay
away from and which vitamins to take. Not allowing anyone to smoke in
your presence for several weeks after your cosmetic surgery, using ice often, resting, maintaining a low salt diet, and having a positive attitude all go a long way to assisting
your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will revisit the office
within 7-8 days. There will be multiple visits (which are included in your
care) to evaluate your progress and support your healing needs.

Are there any additional fees to what was quoted?
If your cosmetic surgery takes a bit longer (as there is never a rush) you may owe a
bit more for the operating room and anesthesia. If future surgery or
procedures are necessary there will be additional fees for anesthesia, the
operating room, and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your
trust and confidence in us and do not take it lightly. My aim is to refresh,
smooth out, and brighten your appearance. A natural look is always best,
especially one that maintains your personal facial identity. Looking as
good on the outside as you feel on the inside is what we will accomplish
together.
If you have additional questions we are available to answer them.

top

What are some of the reasons woman have a breast augmentation?
The stories are varied but the common theme is to enhance body image and
shape. Often, women are either born less endowed or they lose breast
shape and volume after pregnancy or due to gravity. Anatomical shaped
implants resemble the breast most closely in order to fill the hollows and help
to support the skin and nipple. The size and shape improvement gives a
physical and psychological boost

When is the optimal time for my cosmetic surgery?
Being in the best shape mentally and physically, including being close to your
optimal weight is best. Surgery may be something you have been
contemplating for some time. Reading about the procedure and having
realistic expectations will serve you well. It is best to wait a few months after
breast feeding has stopped so that the shape of the breast is closer to
normal.

Will my nipple position change?
If you start out with a very low nipple then it will not be raised without
additional skin removal (mastopexy).

What will the shape look like?
The shape will continue to improve over six weeks with the emergence of the
final appearance requiring 1 year. The upper portion of the breast usually
swells to a greater degree and slowly takes on a better shape. The larger the
implant, the more permanent this will be.

Do you place the implant above or under the chest muscle?
In most instances, the implant is placed below the muscle. The lower 1/3 of
the implant is only covered by the breast tissue and skin. The muscle helps to
pad the implant in case it becomes firm, and it aides in separating the breast
from the implant during future mammography exams.

Where is the scar?
The scar is placed near the lower breast fold. It is usually about 2 ½ inches
long, located at the bottom of the breast. This is better than going through
the areola or axilla, as the implants can be placed more precisely.

What type of implant is used?
Anatomical or tear drop shaped saline filled implants are used in the majority
of procedures in order to give a natural appearance.
Is there a warranty for the implants in case they rupture or deflate?
The implant company offers you a warranty for the implants. You will be
registered with the company after your cosmetic surgery.


Will I be symmetrical after the cosmetic surgery?
Everyone is uneven. One breast is always higher, fuller, lower or less full than the
other. After your cosmetic surgery the symmetry of the breasts should be more even, but will never be the exactly the same. All efforts will be made to match the breasts.

Can the implants become hard or distorted?
The implants are man-made and as such the body forms a wall of scar tissue
around them in all instances. Sometimes this wall of scar is overabundant and the
implants become firm or hard. One side may be firmer than the other. If this
occurs then the implants can be removed or left alone. The firmness is not a
danger to you. In the majority of cases, the scar tissue is mild.

Where is the cosmetic surgery performed?
osmetic surgery is performed either at Health South Surgical Center or at Bridgeport
Hospital.

What will I need before surgery?
You may be asked to obtain a mammogram and a medical evaluation by your
family physician to ensure that you are in the best possible shape.

Will I stay overnight?
You will go home the same day as the procedure.

Will I wear a garment?
You will be given two supportive garments to be worn for at least 3 weeks. A
plastic dressing is placed over the stitches so that you may shower the day after
cosmetic surgery. When you resume more active exercise in 3-4 weeks, it is recommended
that you wear an elastic sports garment for support.

Will smoking effect my healing?
Yes--each cigarette’s effect lasts 12 hours on the blood vessels of the body.
Smoking causes the skin to heal poorly and the complications associated with
smoking are tremendous. Even second hand smoke during the weeks before and
after surgery will adversely affect your results. Stopping is a must before and after
any operation.

Type of Anesthesia:
You are gently put to sleep so that you will be comfortable throughout the
operation. Once asleep, I will place a local anesthetic under the skin so that you
will feel no discomfort and the amount of medicine you receive during the
operation will be minimized. By putting you to sleep your heart rate, blood
pressure and amount of oxygen will be optimized.

How long will the surgery take?
My objective is to give you my best effort. That means not rushing through
your surgery to do someone else. I take my time and like to be
meticulous. There are many things that must be done before the
operation can even start. These include washing and preparing the
area, making sure that your body is well cushioned and your legs are
placed in special boots to compress them during the surgery. Likewise, at
the end of surgery I need to wash you and apply a special well padded
dressing. But rest assured that being asleep for hours is generally very safe
so the 2.5- 3.5 hours you sleep will be just fine. I will also wait around in
recovery after the surgery to be certain that all is going well before I leave.

What can I expect?
Within a few weeks you will note an improvement in your shape, as well as
a better fit in your clothing.

Will I hurt?
Generally, there is moderate discomfort. A prescription to help alleviate
pain, should it arise, will be given before your cosmetic surgery.

When I can resume activities?
It is best to relax for the first 10 days. Bruising is variable and usually
located along the lower breast. Due to gravity, the swelling and bruising
may descend to lower positions. After 3 weeks you should be almost back
to your old self except with a new and improved body. It is not a good
idea to exercise or increase your heart rate for 3 weeks from the time of
surgery and no vigorous lifting or exercise for 6 weeks from your cosmetic surgery. This
will help to diminish your swelling and improve the rate at which you heal.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay
away from and which vitamins to take before and after the surgery. Do
not allow anyone to smoke in your presence for weeks. Using ice often,
resting, maintaining a low salt diet and having a positive attitude all go a
long way to assisting your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office
within 4-8 days. There will be multiple visits (which are included in your
care) to evaluate your progress and support your healing needs.

Are there any additional fees to what was quoted?
If the surgery takes a bit longer (as there is never a rush), a bit more may
be owed for the operating room and anesthesia. However, if future
cosmetic surgery or procedures are necessary, there will be additional fees for
anesthesia, the operating room and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your
trust and confidence in us and do not take it lightly. My aim is to refresh,
smooth out, and brighten your appearance. A natural look is always best,
especially one that maintains your personal facial identity. Looking as
good on the outside as you feel on the inside is what we will accomplish
together.
If you have additional questions we are available to answer them.

top

Will I stay overnight?
After surgery you will stay overnight in the hospital for your comfort and so
that the nurses can monitor you. The following morning I will visit you and see
you off to your home.

What will I need before cosmetic surgery?
You may be asked to obtain a mammogram and possibly a medical
evaluation by your family physician.

Will I have drains?
There are usually two drains placed on the sides of the breasts to remove fluid
that the body produces. These drains are removed after 2-5 days. They are
easy to care for. I will give you instructions before leaving the hospital.

Does it hurt to have the drains removed?
There is minimal, if any, discomfort. You may feel a little pulling but no pain. I
remove them quickly.

Will smoking effect my healing?
Yes--each cigarette’s effect lasts 12 hours on the blood vessels of the body.
Smoking causes the skin to heal poorly, and the complications associated
with smoking are tremendous. Even second hand smoke during the weeks
before and after surgery will adversely affect your results. Stopping is a must
before and after any operation.

Type of Anesthesia:
You are gently put to sleep so that you will be comfortable throughout the
operation. Once asleep, I will place a local anesthetic under the skin so that
you will feel no discomfort and the amount of medicine you receive during
the operation will be minimized. By putting you to sleep your heart rate,
blood pressure and amount of oxygen will be optimized.

How long will the cosmetic surgery take?
My objective is to give you my best effort. That means not rushing through
your cosmetic surgery to do someone else. I take my time and like to be
meticulous. There are many things that must be done before the
operation can even start. These include washing and preparing the
area, making sure that your body is well cushioned and your legs are
placed in special boots to compress them during the surgery. Likewise, at
the end of surgery I need to wash you and apply a special well padded
dressing. Rest assured, being asleep for hours is generally very safe so the
5-6 hours you sleep will be just fine. I will also wait in recovery after the
surgery to be certain that all is going well before I leave.

What can I expect?
Your breast shape will be improved. The position of the nipples and
surrounding areola will also be highly improved.

Will I hurt?
Generally, there is moderate discomfort. A prescription to help alleviate
pain, should it arise, will be given before your cosmetic surgery. By the second
week after surgery this discomfort is much diminished, and by the third
week there should be no discomfort.


Where are the scars?
The scar will run along around the areola and then follow the contour of
the breast to the fold beneath the breast. Imagine an anchor and you will
be able to visualize the scar. Since the scars are on the lower portion of
the breast you will be able to wear low cut garments and hardly see them.

How long will I wear a bandage?
At the end of your cosmetic surgery I will wrap a soft, cottony bandage around your
chest. This bandage is held in place with a bra. Wear the bra for 3-4
weeks in order to keep the swelling down.

When can I shower?
Showering can usually take place the day after the drains are removed;
however, you can wash yourself prior to this. Baths and hot tubs are not
permitted for 4 weeks after surgery in order to keep swelling down.

When I can resume activities?
It is best to relax for the first 10 days. Bruising is variable and usually
located along the lower breast or chest. Due to gravity, the swelling and
bruising may descend to lower positions. After 3 weeks you should be
almost back to your old self except with a new and improved body. It is
not a good idea to exercise or increase your heart rate for 3 weeks from
the time of your cosmetic surgery, and no vigorous lifting or exercise for 6 weeks from
surgery. This will help to diminish your swelling and improve the rate at
which you heal.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay
away from and which vitamins to take before and after the surgery. Do
not allow anyone to smoke in your presence for weeks. Using ice often,
resting, maintaining a low salt diet and having a positive attitude all go a
long way to assisting your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office
within 4-8 days. There will be multiple visits (which are included in your
care) to evaluate your progress and support your healing needs.
Are there any additional fees to what was quoted?
If your cosmetic surgery takes a bit longer (as there is never a rush), a bit more may
be owed for the operating room and anesthesia. However, if future
surgery or procedures are necessary, there will be additional fees for
anesthesia, the operating room and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your
trust and confidence in us and do not take it lightly. My aim is to tighten,
tone, and reshape your breasts. Won’t it be nice to wear clothing that
fits? Looking as good on the outside as you feel on the inside is what we
will accomplish together.
If you have additional questions we are available to answer them.

top

With normal age, affects of gravity, pregnancy and childbirth the breast shape and position is altered. The fullness seen in the upper portion of the breast is lost and replaced by indentations or hollowed areas. The nipples and areola (pigmented portion) also change position and are now usually pointing southward. Usually, the nipples were not facing in the same direction prior to their downward drift. This is important because after the mastopexy (uplifting), they will be closer in position and shape but will never be identical. No two breasts are ever perfectly the same either before or after surgery.

The object is to move breast tissue from the bottom of the breast upward while elevating the nipples and areolas. Loose skin is tightened and the breast shape is fashioned to resemble more of a tear drop.

If there is insufficient breast tissue to give you upper breast fullness, then the mastopexy is combined with an augmentation. An anatomic saline implant is placed under the chest muscle (pectoralis) to add volume and shape to the breast.

Where are the scars?
The scar will run along around the areola and then follow the contour of the breast to the fold beneath the breast. Imagine an anchor and you will be able to visualize the scar. Since the barely-visible scars are on the lower portion of the breast, you will be able to wear any fashionable garment.

Will I lose sensation to the nipples or areolas?
Often, if not always, the sensation to both the nipples and areolas are absent when touched lightly. This is because the nerves have been stretched and have lost the ability to transmit sensation. Prior to the surgery your sensation will be tested with a wisp of cotton.

Will I be able to breast feed after the mastopexy?
The ducts to the nipple are often disrupted during this contouring procedure and thus the milk line is no longer intact. Some milk may come out after pregnancy but often not in sufficient quantities.

What will happen if I get pregnant after the mastopexy?
During the nine months of pregnancy your breasts enlarge, swell and change shape. Glands are enlarged and then diminish after delivery (you do not breast feed). So the skin will be stretched and altered again as will the shape and contour of the breast and nipples.

When is the optimal time for my cosmetic surgery?
Being in the best shape, mentally, physically and skin wise. Being close to your optimal weight is always best.

Where is the surgery performed?
Bridgeport Hospital or a Private Surgical Facility

Will I stay overnight?
After your cosmetic surgery you may either stay overnight in the hospital or go home. If you stay overnight nurses will monitor your progress and you will go home the following morning after I visit you.

What will I need before cosmetic surgery?
You may be asked to obtain a mammogram and possibly a medical evaluation by your family physician.

Will I have drains?
There may be two drains placed on the sides of the breasts to remove fluid that the body produces. These drains are removed after 2-5 days. They are easy to care for. I will give you instructions before leaving the hospital.

Does it hurt to have the drains removed?
There is minimal, if any, discomfort. You may feel a little pulling but no pain. I remove them quickly.

Will smoking effect my healing?
Yes--Each cigarette lasts 12 hours on the blood vessels of the body and smoke is toxic. So, smoking causes the skin to heal poorly and the complications associated with smoking are tremendous. Even second hand smoke during the weeks before your cosmetic surgery and after will adversely affect your results. Stopping is a must before and after any operation.

Type of Anesthesia:
You are gently put to sleep so that you will be comfortable throughout the operation. Once asleep, I will place a local anesthetic under the skin so that you will feel no discomfort and the amount of medicine you receive during the operation will be minimized. By putting you to sleep your heart rate, blood pressure and amount of oxygen will be optimized.

How long will the surgery take?
My objective is to give you my best effort. That means not rushing through your surgery to do someone else. I take my time and like to be meticulous. There are many things that must be done before the operation can even start, such as washing and preparing the area, making sure that your body is well cushioned and your legs are placed in special boots to compress them during the surgery. Likewise, at the end of surgery I need to wash you and apply a special well padded dressing. But rest assured that being asleep for hours is generally very safe, so the 5-6 hours you sleep will be just fine. I will also wait around in recovery after your cosmetic surgery to be certain that all is going well before I leave.

What can I expect?
Your breast shape will be improved. The position of the nipples and surrounding areola will be much better.

How long will I wear a bandage?
At the end of surgery I will wrap a soft cottony bandage which is held in place with a bra. You will wear bra for 3-4 weeks in order to keep the swelling down.

When can I shower?
Usually the day after the drains are removed but you can wash yourself prior to this. Baths and hot tubs are not a good idea for 4 weeks after surgery so as to keep your swelling down.

Will my breasts hurt?
Generally, there is moderate discomfort for the first week that is relieved with pain medication that I will prescribe for you. The second week after surgery the discomfort is much diminished and by the third week there should be no discomfort.

When I can resume activities?
It is best to relax for the first 10 days. Bruising is variable and usually located in the lower breast or chest. Seeing your best friends after 10 days is good, but I would wait at least 2 weeks before meeting new acquaintances. After 2 weeks you will feel more normal. After 3 weeks you should be almost back to your old self except with a new and improved body. It is not a good idea to exercise or increase your heart rate for 3 weeks from the time of your cosmetic surgery and no vigorous lifting or exercise for 6 weeks from surgery. This will help to diminish your swelling and improve the rate at which you heal.

When can I buy new and exciting clothing that finally fit?
The breast shape continues to improve over the first six weeks. Waiting a few weeks before purchasing the Victoria Secret line is probably a good idea.


What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay away from and which vitamins to take. Not allowing anyone to smoke in your presence for weeks, using ice often, resting, a low salt diet and having a positive attitude go a long way to assisting your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office within 4-8 days. There will be multiple visits, 4-5 which are included in your care, to evaluate your progress and support your healing needs.

Are there any additional fees to what was quoted?
If the cosmetic surgery takes a bit longer, as there is never a rush, you may owe a bit more for the operating room and anesthesia. If future surgery or procedures are necessary then there are additional fees for anesthesia, the operating room and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your trust and confidence in us and do not take it lightly. My aim is to tighten, tone and reshape your breasts. Won’t it be nice to wear clothing that fits? Looking as good on the outside as you feel on the inside is what we will accomplish together.

If you have additional questions we are available to answer them.

top

Eyebrows:
Shape them, pluck them, tease them or tint them--the eyebrows often need more than a camouflage job.

Low lying brows, especially the outer 1/3- 2/3, often require a surgical fix. A unique brow lifting procedure called the BELL Technique (Brow Elevation Lid Lift) is performed with eyelid surgery (Blepharoplasty).

The outer brows are repositioned through the eyelids and sides of the scalp. The combined brow & lid lift creates a lovely separation between the eyelid and eyebrow. A refreshed, awake appearance is the end result. Delay the signs of aging around your eyes by lifting, tightening and smoothing your eyebrows and eyelids all in one operation.

Advantages:
The eyebrow repositioning is performed at the same time as the eyelid reshaping. The outer brow is elevated, creating a lovely separation between the thicker brow skin and thin delicate eyelid tissue. Not only are the brows lifted, but the muscles causing those deep lines and furrows in the forehead are softened, eliminating many of the lines and wrinkles.

Scars are kept to a minimum without the need to remove excessive hair or to scar the top of the scalp. Eyelid and brow scars are well hidden, which is especially beneficial for men or women with receding or thin hairlines.

With this unique procedure the upper face is revitalized. Eyebrows and lids look natural and refreshed. It is safe and associated with minimal discomfort.

The end results restore a natural and healthy appearance.

When is the optimal time for my cosmetic surgery?
Being in the best shape, mentally, physically and skin wise is desirable. As the rest of our body ages, so does the skin. The elasticity and thickness diminish over time, therefore, having a procedure when there is something relatively small to correct is better than waiting for everything to fall. An earlier lift lasts longer and gives you added years to look and feel your best.

Why have a Browlift & Blepharoplasty?
Often the outer eyebrows droop causing a stern or harsh appearance. The brows fall below the bone causing a hooding of the over the outer eyelids. You will only notice the hooding if you allow your eyebrows to relax. It is common to keep the forehead wrinkled and thus elevate the outer brow skin. So you may not be aware of your eyebrows low lying position.
When the brows are low they must be gently repositioned immediately prior to correcting the extra lid skin and fat. Otherwise the appearance will not be natural and the lid scar will extend onto the thicker temple skin. Only addressing both the brow position and the lids can you be afforded an optimal look. In order to give a natural appearance after this cosmetic surgery, the lids and brows must all be balanced.

Are there any other treatments that will improve my appearance and results?
Definitely! Good skin care and the proper skin care products will get your skin in the best shape before cosmetic surgery and maintain it afterwards. We have superb skin care aestheticians who will evaluate your skin and recommend the proper care for you.

Where is the cosmetic surgery performed?
A private Surgical Center in Bridgeport or Bridgeport Hospital

What will I need before my cosmetic surgery?
You may be asked to obtain a medical evaluation by your family physician, and/or an eye exam by either your optometrist or ophthalmologist to ensure that you are in the best possible shape.

Type of Anesthesia:
You are gently put to sleep using general anesthesia so that you will be comfortable throughout the operation. Once asleep, I will place local anesthetic under the skin so that you will feel no discomfort. This will also minimize the amount of medicine you receive during the operation. By putting you to sleep your heart rate, blood pressure and levels of oxygen will be optimized. Rest assured that being asleep for hours is generally very safe, and the 5-5 ½ hours you sleep will be just fine.


Will smoking effect my healing?
Yes- Each cigarette’s effects lasts 12 hours on the blood vessels of the body. Smoking causes the skin to heal poorly and the complications associated with smoking are tremendous. Even second hand smoke during the weeks before after and after cosmetic surgery will adversely affect your results. Stopping is a must before and after any operation.


How long will the cosmetic surgery take?
I take my time and like to be meticulous. This means not rushing through your surgery in order to work on another patient. In addition, there are many things that must be done before the operation can even start, including washing and preparing the area, making sure that your body is well cushioned, and placing your legs into special boots in order to compress them during the surgery. Likewise, at the end of surgery I need to clean your face and apply a special dressing. I will also wait around in recovery after the surgery to be certain that all is going well before I leave. The surgery itself lasts between 5- 5 ½ hours.

What can I expect?
The folds of skin and creases in of the upper and lower lids will be smoothed out. Bulging pockets of fat will be softened and re-contoured to yield a refreshed and alert appearance. Your eyes will look much brighter than before. Likewise the low lying eyebrows will be positioned to give a wide awake and natural appearance. Usually, only the outer 1/2 - 2/3 of the brow is altered so that you will not have a frightened or abnormal appearance. The forehead may also be smoothed out so that you will no longer have the need to raise the brows up off your eyelids by wrinkling. The combined procedure will open up your eyes and give you a lovely separation between the brow and lids. Men, too, are benefited by the combined lift; however, the brow position is contoured and tailored specifically for males to leave a masculine and rested look.

Where are the scars?
The scars are well hidden in the upper lid crease and just below the lower eyelashes. Often an invisible scar is placed inside the lower lid to remove unwanted fat. The browlift scars are in the hair bearing temple regions of the face. The scars are a few inches long and have a curve to match the contour of your head.

Do you shave my head?
There is not need to shave the area. A fine strip of hair will be trimmed, but this is usually the area to be removed. So you will lose very little hair.


Can I have a noticeable bald area?
Although the cutting is between the hair follicles to allow growth over the scar, there are occasions where the hair does not grow sufficiently. However, the surrounding hair is usually sufficient to cover the scar.

How long will I wear a bandage?
At the end of your cosmetic surgery I will place paper strips along the upper lid and across the outer lower lids. These will support the lids and keep the tread clean. When you awaken in recovery you will have a cotton pad over the lids for 30 minutes to keep the swelling to a minimum. I will then remove the pads while you eat and drink. Your head will be wrapped with a soft comfortable dressing for 24 hours. You will be instructed to remove it the next day.

Do I clean anything?
The paper strips on the lids are best left alone. You will have clips in the scalp to support the skin and afford a better scar. These clips are washed in the shower with shampoo, cleaned with a q-tip and peroxide and then covered with a very thin layer of antibiotic ointment (Bacitracin). At times you may need to place a gauze pad or sanitary napkin over the clips if there is any oozing. This would be for the first few days, if necessary.

When can I shower?
Usually the day after surgery you can shower; however, it is best to not let the water hit your face. Bathes, hot tubs, and steam rooms are not a good idea for 3 weeks after your cosmetic surgery so as to keep your swelling down. Washing your hair the day after your cosmetic surgery is perfectly fine. But you must either towel dry the area gently or use a hair blower on the cool setting. No heat to the area for 2 weeks.

When can I get my hair colored?
Coloring your hair a week prior to your cosmetic surgery and 3-4 weeks afterwards is good. If there are any small open areas in the scalp then you might have to wait a bit longer after surgery to recolor.

Will my lids or forehead hurt?
Generally, there is minimal discomfort. You may note snugness where the extra skin was, but there should be very mild or no discomfort. A prescription to help alleviate pain, should it arise, will be given before surgery. Occasionally, there is mild discomfort over the temple area for the first two nights. This is easily relieved with the pain medicines supplied.

When can I resume activities?
It is best to relax for the first 7-10 days. Bruising is variable and usually located around the lids. Seeing your best friends after 10 days is good, but I would wait at least 2 weeks before meeting new acquaintances. After 2 weeks you will look presentable. After 3 weeks you will look much better than before your cosmetic surgery, but you still have another 3-4 weeks for 50% of the swelling to subside. It is not a good idea to exercise or increase your heart rate for 3 weeks from the time of surgery. This will help to diminish your swelling and improve the rate at which you heal.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay away from and which vitamins to take. Do not allow anyone to smoke in your presence for weeks. Using ice often, rest, maintaining a low salt diet and having a positive attitude all go a long way to assisting your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office within 4-8 days. There will be multiple visits (which are included in your care) to evaluate your progress and support your healing needs.

Are there any additional fees to what was quoted?
Occasionally, the surgery takes a bit longer (as there is never a rush), but you may owe an additional fee for the operating room and anesthesia. However, if future surgery or procedures are necessary then there are additional fees for anesthesia, the operating room and the surgeon.


Conclusion:
My staff and I will strive to take the best care of you. We appreciate your trust and confidence in us and do not take it lightly. My aim is to refresh, smooth out, and brighten your appearance. A natural look is always best; especially one that maintains your personal facial identity. Looking as good on the outside as you feel on the inside is what we will accomplish together.
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Adults and children that present with protruding ears that may also have lost many of the curves and contours can benefit from an otoplasty. It is truly a work of art to reshape the delicate contours of the ear and prevent them from protruding from the sides of the head. This surgery produces a positive psychological boost.

Although an attempt is made to balance the ears, there can only be relative symmetry obtained between the ears. Producing a perfect match is impossible as both ears are totally different. But then again, we only see one ear at a time; so they need only to resemble one another, which they will.


How long will it take for the ears to heal?
It takes at least 6 weeks for 50% of the swelling to diminish, 80% within six months, and one year for the final shape to be obtained. However, within 2-3 weeks your ears will look remarkably better. The shape and contour will be readily seen and appreciated after this short period of time.

What are some of the potential complications?
All surgery has some risk, but these are usually minimal for ear reshaping. They include bleeding, infection, poor healing, areas of numbness, thickened scarring behind the ear, and visualization of the cartilage edge that has been cut to reshape the ear. One of the most problematic complications is if the ear is pulled upon before properly healed. If this occurs the shape will be altered.

How do you get the new ear shape?
Using a combination of techniques developed by Dr. Rosenthal, the entire ear is sculpted and reshaped. Portions of the protruding cartilage are removed and the flat upper portion of the ear is tailored with threads or stitches to produce a pleasing curve. Stitches are also permanently placed in the ear cartilage to reinforce and hold the cartilage in place.

What happens if the threads or stitches break?
One or more of these stitches may break due to excessive pulling or trauma. This would result in return of some of the ear deformity and require additional surgical intervention. But a good deal of the new shape is determined by the permanent removal of cartilage which will allow the ear to maintain a good deal of the new position and shape.


When is the optimal time for my cosmetic surgery?
Being in the best shape, mentally, physically and skin wise. Having a procedure when there is something to correct is better than waiting forever. Often this cosmetic surgery is performed on 6 year olds and up. By the time the child is 5, the ear is almost fully grown. The determining factor is the ability to cooperate after the procedure. We want to reshape the ears prior to any psychological problems developing; so earlier is better than later. However, adults that have had otoplasty surgery are extremely happy and content with their new look.

Where is the cosmetic surgery performed?
Private Surgical Center or Bridgeport Hospital

What will I need before surgery?
You may be asked to obtain a medical evaluation by your family physician to ensure that you are in the best possible shape.

Type of Anesthesia:
You are gently put to sleep so that you will be comfortable throughout the operation. Once asleep, I will place a local anesthetic under the skin so that you will feel no discomfort and the amount of medicine you receive during the operation will be minimized. By putting you to sleep your heart rate, blood pressure and amount of oxygen will be optimized.

How long will the cosmetic surgery take?
My objective is to give you my best effort. That means not rushing through your surgery to do someone else. I take my time and like to be meticulous. There are many things that must be done before the operation can even start, such as washing and preparing the area, making sure that your body is well cushioned, and placing your legs are in special boots to compress them during the surgery. Likewise, at the end of surgery I need to clean your ears and apply a special dressing. But rest assured that being asleep for a few hours is generally very safe, so the 2 ½-3 hours you sleep will be just fine. I will also wait around in recovery after the surgery to be certain that all is going well before I leave.

What can I expect?
The ears have to be balanced so that they resemble one another. They will never be identical. In fact, one may protrude more than the other or be longer or narrower. Some of these factors have to do with the cartilage and skin available for reshaping. In general, a very pleasing appearance is produced. The protruding ears are closer to the sides of the head. Both woman and men of all ages find that they are no long inhibited by the appearance of the protruding ears. Hair styles are altered to show off the ears and hats that expose them are now worn proudly. There is a smile that lasts forever after this cosmetic surgery.

Will I bruise and swell after surgery?
With any surgery there is a degree of swelling and bruising. Usually, the bruising and discoloration starts to fade turning green, then yellow and is gone between 2 and 3 weeks.

Where are the scars?
There is a scar on the bottom of the back of the ear and occasionally on the front surface within one of the folds...

How long will I wear a bandage?
It is crucial to hold the ears in position for the first week. A bulky dressing is wrapped around your head to cushion the ears and protect them. The dressing will be changed over the first 7-10 days. Thereafter, you will need to sleep with a headband and pads over the ears for the next 3-4 weeks. During the day you may need to wear a head band and pads for 7-10 days.

When can I shower?
You can shower the next day as long as your head is kept dry. The ears may get wet after 7-10 days. Baths are not a good idea until 3 weeks after your cosmetic surgery to keep your swelling down.

Will my ears hurt?
Generally, there is minimal discomfort. You will note a small amount of soreness but this should be very mild and relieved with either Tylenol or a pain medication prescribed for you.

Will I take antibiotics?
Yes, preventing an infection of the other ears is very important. You will use an antibiotic for 4-7 days after surgery and be given antibiotics during the cosmetic surgery, too.

When I can resume activities?
It is best to relax for the first 7-10 days. Bruising is variable and usually located in the around the eats. Seeing your best friends after 10 days is good, but I would wait at least 2 weeks before meeting new acquaintances. After 2 weeks you will look presentable. After 3 weeks much better than before surgery but you still have another 3-4 weeks for 50% of the swelling to subside. It is not a good idea to exercise or increase your heart rate for 3 weeks from the time of surgery. This will help to diminish your swelling and improve the rate at which you heal. Likewise, you must keep away from contact sports to prevent the ears from being injured or bent for the first 3-6 months.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay away from and which vitamins to take. Not allowing anyone to smoke in your presence for week, using ice and cool compresses often, resting, a low salt diet, and having a positive attitude go a long way to assisting your recovery.

Will smoking effect my healing?
Obviously this is for adults: Yes--Each cigarette lasts 12 hours on the blood vessels of the body and smoke is toxic. Smoking causes the skin to heal poorly and the complications associated with smoking are tremendous. Even second hand smoke during the weeks before this cosmetic surgery and after will adversely affect your results. Stopping is a must before and after any operation

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office within 6-8 days. There will be multiple visits, 3-4 which are included in your care, to evaluate your progress and support your healing needs.

Are there any additional fees to what was quoted?
If the surgery takes a bit longer (as there is never a rush) you may owe a bit more for the operating room and anesthesia. However, if future cosmetic surgery or procedures are necessary there are additional fees for anesthesia, the operating room and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your trust and confidence in us and do not take it lightly. My aim is to refine your ears by blending them with your other features. Looking as good on the outside as you feel on the inside is what we will accomplish together.

If you have additional questions we are available to answer them.

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When is the optimal time for my cosmetic surgery?
Being in the best shape, mentally, physically and skin wise is desirable. As
the rest of our body ages, so does the skin. The elasticity and thickness
diminish over time, therefore, having a procedure when there is
something relatively small to correct is better than waiting for everything
to fall. An earlier lift lasts longer and gives you added years to look and
feel your best.

Can I have only my two lids smoothed out?
Usually, there is loosening of the skin and bulging of extra lid fat in all four
eyelids. Only addressing two lids will not afford you the optimal look. The
other lids, not worked upon, will look that much worse. In order to give a
natural appearance after surgery, the lids must all be balanced together.

Are there any other treatments that will improve my appearance and results?
Definitely! Good skin care and the proper skin care products will get your
skin in the best shape before surgery and maintain it afterwards. We have
superb skin care aestheticians who will evaluate your skin and
recommend the proper care for you.

Where is the cosmetic surgery performed?
Health South Surgical Center in Bridgeport or Bridgeport Hospital

What will I need before surgery?
You may be asked to obtain a medical evaluation by your family
physician, and/or an eye exam by either your optometrist or
ophthalmologist to ensure that you are in the best possible shape.

Type of Anesthesia:
You are gently put to sleep using general anesthesia so that you will be
comfortable throughout the operation. Once asleep, I will place local
anesthetic under the skin so that you will feel no discomfort. This will also
minimize the amount of medicine you receive during the operation. By
putting you to sleep your heart rate, blood pressure and levels of oxygen
will be optimized. Rest assured that being asleep for hours is generally very
safe, and the 5-6 hours you sleep will be just fine.

Will smoking effect my healing?
Yes- Each cigarette’s effects lasts 12 hours on the blood vessels of the
body. Smoking causes the skin to heal poorly and the complications
associated with smoking are tremendous. Even second hand smoke
during the weeks before and after your cosmetic surgery will adversely affect your
results. Stopping is a must before and after any operation.

How long will the surgery take?
I take my time and like to be meticulous. This means not rushing through
your surgery in order to work on another patient. In addition, there are
many things that must be done before the operation can even start,
including washing and preparing the area, making sure that your body is
well cushioned, and placing your legs into special boots in order to
compress them during the surgery. Likewise, at the end of surgery I need
to clean your face and apply a special dressing. I will also wait around in
recovery after the cosmetic surgery to be certain that all is going well before I
leave. The surgery itself lasts between 2 ½ to 3 hours.

What can I expect?
The folds of skin and creases in of the upper and lower lids will be
smoothed out. Bulging pockets of fat will be softened and re-contoured
to yield a refreshed and alert appearance. Your eyes will look much
brighter than before.

Where are the scars?
The scars are well hidden in the upper lid crease and just below the lower
eyelashes. Often an invisible scar is placed inside the lower lid to remove
unwanted fat.

How long will I wear a bandage?
At the end of this cosmetic surgery I will place paper strips along the upper lid and
across the outer lower lids. These will support the lids and keep the tread
clean. When you awaken in recovery you will have a cotton pad over
the lids for 30 minutes to keep the swelling to a minimum. I will then
remove the pads while you eat and drink.

When can I shower?
Usually the day after surgery you can shower; however, it is best to not let
the water hit your face. Bathes, hot tubs, and steam rooms are not a
good idea for 3 weeks after surgery so as to keep your swelling down.


Will my lids hurt?
Generally, there is minimal discomfort. You may note snugness where the
extra skin was, but there should be very mild or no discomfort. A
prescription to help alleviate pain, should it arise, will be given before
surgery.

When I can resume activities?
It is best to relax for the first 7-10 days. Bruising is variable and usually
located around the lids. Seeing your best friends after 10 days is good,
but I would wait at least 2 weeks before meeting new acquaintances.
After 2 weeks you will look presentable. After 3 weeks you will look much
better than before surgery, but you still have another 3-4 weeks for 50% of
the swelling to subside. It is not a good idea to exercise or increase your
heart rate for 3 weeks from the time of your cosmetic surgery. This will help to diminish
your swelling and improve the rate at which you heal.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay
away from and which vitamins to take. Do not allow anyone to smoke in
your presence for weeks. Using ice often, rest, maintaining a low salt diet
and having a positive attitude all go a long way to assisting your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office
within 4-8 days. There will be multiple visits (which are included in your
care) to evaluate your progress and support your healing needs.
Are there any additional fees to what was quoted?
If the surgery takes a bit longer (as there is never a rush), you may owe a
bit more for the operating room and anesthesia. However, if future cosmetic
surgery or procedures are necessary then there are additional fees for
anesthesia, the operating room and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your
trust and confidence in us and do not take it lightly. My aim is to refresh,
smooth out, and brighten your appearance. A natural look is always best;
especially one that maintains your personal facial identity. Looking as
good on the outside as you feel on the inside is what we will accomplish
together.
If you have additional questions we are available to answer them.

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Aging
Aging is a gradual process of volume loss and skin alteration.  As part of the normal aging process, we find our muscles, fat and bones of the face losing fullness and contour.  The overlying skin begins to suffer a loss of firmness and elasticity.

Fillers
Restylane, Perlane and Juvéderm are purified natural products that act as plumpers.  They are similar to the normal (Hyaluronic Acid or HA) found within our healthy skin which enhance volume and tone by grasping onto water and holding it like a sponge. Since HA products are purified and are synthesized, they carry a much lower risk of allergies or rejection by your body. 

With the aging of the skin there is a loss of the HA resulting in sagging and volume depletion. Imagine a partially filled balloon.  Without the extra water in our skin and loss of the deeper tissue fullness, our skin starts to show lines, creases and deep folds.
 

How do the HA products produce a contour improvement?

They work in two ways to fill and shape lips, lines and creases.
 
The HA products come in various forms depending upon the number of particles suspended in the solution.  Perlane and Juvaderm Ultra Plus are best for the deeper creases and contour changes around the mouth, jaw and cheeks.  These act a as platform onto which the smoother and slightly thinner Restylane or Juvaderm can then be added to complete the process.  Imagine the bottom layer as the bottom of a cake.  It rises up to form the base of the cake.  The top HA layer is like the icing used to finish off the shape and make the cake look pretty.
 

How many syringes of product will you need?
Typically, most patients require at least two syringes to start the process, but this will depend upon how many areas are to be softened and contoured. The more areas of concern require additional volumes to fill.  It is like waxing your floor.  Put a bit of wax in the middle of the floor and spread it out.  If the floor is small, you will be able to cover the entire area.  Larger floors will be inadequately covered or only have a very thin veneer of wax.  So too, the HA products can only be spread so far.  You may have a procedure and after a few weeks require additional HA to complete the contouring. 
 

How long does it last?
The manufactures note that the HA products may last 6-9 months.  However, certain areas of the face, such as the lips will have faster volume depletion due to their movement.  Each person is an individual, so predicting precise longevity is difficult.
 

Does it hurt?
Most physicians will only place a cream or ointment on the top the skin and then inject the HA products.  As you can imagine, this would be less than comfortable.
 
The process of numbing your mouth requires up to 1 hour by Dr. Rosenthal.  First, an ointment is put on to decrease the sensitivity and potential later bruising.  Secondly, a gel is placed on your gums and inner lips to numb these areas before a numbing liquid is injected, similar to a dentist.  Thirdly, more numbing liquid is placed deep under the skin to allow you the most comfort during the HA procedure.  Generally, the areas to be injected with the HA products are fairly numb to afford you the most comfort during the sculpting procedure.
 

Will I be bruised and swollen?
Since the HA products draw fluid into the skin, one can expect swelling for a few days.  They also affect clotting in the areas of injection causing some bruising.  The degree and extent of swelling varies and may last between 3-7 days on average.  Makeup can be used the day after the procedure to camouflage these areas. 
 

Are there potential risks?
With any procedure there are potential risks of complications.  These are generally few and infrequent.  Bruising that lasts a bit longer (longer than 7-10 days) than expected with swelling can occur.  The injections to sculpt your face require multiple entry points with a very fine needle (after the area is numb).  These pin points may stay around for more than 1-2 weeks, and there is always the rare occurrence where the mark(s) does not disappear.

The face is not even or symmetrical, and thus only relative symmetry can be obtained. No face is symmetrical before or after the HA products. Since the products fill the skin and hold fluid, there is a chance of having extra fullness or small thickenings in or under the skin.  Usually they disappear with time and massage, but there is the rare chance of their staying.  Allergic reaction or the HA products causing temporary or permanent discoloration to the skin is another rare complication.
 

What to expect:
The HA products enable Dr. Rosenthal the opportunity to artistically sculpt your face to a softer, fuller and more youthful appearance. By taking the time to properly numb your face, mouth and lips, Dr. Rosenthal can produce a natural fullness.  This transformation comes about by layering the products in such a way to lift, contour and augment your own tissues.
 

Lips
The pink lining of the lips began to sag and lose taughtness.  This is due to loss of muscle volume of the lips.  Restylane or Juvaderm can be used to build up and enhance your lip line and lip fullness. 
 

Corners of the mouth
These droop like other areas of face.  The HA products can subtlety elevate these folds.

Lip lines
Vertical and horizontal lines in the upper and lower lips can be softened and contoured.
 

Creases next to the mouth
Folds extending from the nose to the corners of the mouth and beyond are attributable do to the laxity of the cheek tissues. The HA products act as a scaffolding to re-support and contour these folds.  The deep folds are pleasingly softened with great care to not overfill them which would result in unsightly bulge.
 

Jaw line
When the jaw line sags a bit and is no long crisp and smooth, HA products can build up some of the depressions adjacent to the chin. 
 

Cheek-Forehead-Temples
Hollows in this area can be softened with HA products; however, deep cavities will require another product called Sculptra.
 

Sculptra
Unlike other fillers, actually causes your own skin to build up thickness.  The process requires 3-5 treatments which are spaced at 4-8 week intervals.  This product may last up to 3 years.  When contouring with Sculptra it can be used in the temple, cheeks, jaw and junction of the nose and cheek.  Sculptra is the best product for large area contouring. 
 

When do I see Dr. Rosenthal again?
We have a complimentary follow-up evaluation 2-4 weeks after the first treatment session.  This is to judge the contour improvement and to see if additional filling with the HA products is necessary to achieve the desired results.
 

Conclusion
HA products have revolutionized how Dr. Rosenthal can build up, create and rejuvenate your face in a caring and gentle manner.  A consultation with Dr. Rosenthal prior to the procedure allows for a proper evaluation and treatment plan.  The HA products do not replace good skin care, treatments and products supplies by our professional staff, nor are they a solution for those who are in need of surgically lifting and re-supporting your face and eyelids. 
We hope you will find the HA products as satisfying as those patients who have already benefited from Dr. Rosenthal’s artistic handing of these fillers.
 
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When is the optimal time for my cosmetic surgery?
Being in the best shape, mentally, physically and skin wise is desirable.
Having a procedure when there is something to correct is better than
waiting. Often, teenagers do well with having their noses reshaped
before it becomes a psychological problem. However, adults of all ages
will also benefit from nasal reshaping.

Are there any other treatments that will improve my appearance and results?
Definitely! Good skin care and the proper skin care products will get your
skin in the best shape before cosmetic surgery and maintain it afterwards. We have
superb skin care aestheticians who will evaluate your skin and
recommend the proper care for you.

Where is the cosmetic surgery performed?
Health South Surgical Center in Bridgeport or Bridgeport Hospital

What will I need before my cosmetic surgery?
You may be asked to obtain a medical evaluation by your family
physician to ensure that you are in the best possible shape. This may
include an EKG and blood work.

Type of Anesthesia:
You are gently put to sleep using general anesthesia so that you will be
comfortable throughout the operation. Once asleep, I will place local
anesthetic under the skin so that you will feel no discomfort. This will
minimize the amount of medicine you receive during the operation. By
putting you to sleep your heart rate, blood pressure and levels of oxygen
will be optimized.

Will smoking effect my healing?
Yes- Each cigarette’s effects lasts 12 hours on the blood vessels of the
body. Smoking causes the skin to heal poorly and the complications
associated with smoking are tremendous. Even second hand smoke
during the weeks before after and after this cosmetic surgery will adversely affect your
results. Stopping is a must before and after any operation.

How long will the surgery take?
I take my time and like to be meticulous. This means not rushing through
your surgery in order to work on another patient. In addition, there are
many things that must be done before the operation can even start,
including washing and preparing the area, making sure that your body is
well cushioned and placing your legs in special boots to compress them
during the surgery. Likewise, at the end of surgery I need to clean your
face and apply a special dressing. The surgery itself, however, generally
lasts between 2 ½ to 3 hours. I will also wait in recovery after the surgery to
be certain that all is going well before I leave.

What can I expect?
The nose has to be balanced to match the features of your face. Usually,
the top of the nose is lowered, the width is brought in, and the tip is
sculpted to give a better shape. The object is not to change your identity,
but to make your nose blend with your other features.

Will I bruise and swell after cosmetic surgery?
With any surgery there is a degree of swelling and bruising. The areas next
to the nose will bruise, and although not everyone gets lower lid bruising,
do not be surprised if it happens. Usually, the discoloration fades to green
and then yellow, and is gone between 1 and 2 weeks.

Where are the scars?
There is a scar on the bottom of the nose. Occasionally, I need to bring in
the nostril which places a scar in the grooves of where the nose meets the cheeks.

How long will I wear a bandage?
I will put a splint on top of the nose which will be in place for 6-8 days.
There will be a small pad under your nose for the first 2-3 days to catch
any drippings. You will change this pad as necessary over this time period.
Sometimes the splint loosens after a few days. Place a piece of paper
tape, skin tape, over the splint. Even if it falls off, just replace it with tape.

When can I shower?
Usually the day after this cosmetic surgery you can shower; however, it is best to not let
the water hit you face or the splint will loosen. Baths are not a good idea
for 3 weeks after surgery so as to keep your swelling down. In 6-8 days,
when the splint is removed, you can wash your entire face.

Will my nose hurt?
Generally, there is minimal discomfort. You will note stuffiness, but there
should be very mild to no discomfort. A prescription for medicine to
alleviate any discomfort will be given prior to surgery.

When I can resume activities?
It is best to relax for the first 7-10 days. Bruising is variable and usually
located in the around the lids. Seeing your best friends after 10 days is
good, but I would wait at least 2 weeks before meeting new
acquaintances. After 2 weeks you will look presentable. After 3 weeks
much better than before surgery but you still have another 3-4 weeks for
50% of the swelling to subside. It is not a good idea to exercise or increase
your heart rate for 3 weeks from the time of surgery. This will help to
diminish your swelling and improve the rate at which you heal.

What can I do to expedite my healing?
We will give you a set of guidelines that tells you what medicines to stay
away from and which vitamins to take. Do not allow anyone to smoke in
your presence for weeks. Using ice often, rest, maintaining a low salt diet
and having a positive attitude all go a long way to assisting your recovery.

When will I see you again?
Depending upon the combination of surgeries, you will re-visit the office
within 6-8 days. There will be multiple visits (which are included in your
care) in order to evaluate your progress and support your healing needs.

Are there any additional fees to what was quoted?
If this cosmetic surgery takes a bit longer (as there is never a rush), you may owe a
bit more for the operating room and anesthesia. However, if future
surgery or procedures are necessary, there will be additional fees for
anesthesia, the operating room and the surgeon.

Conclusion:
My staff and I will strive to take the best care of you. We appreciate your
trust and confidence in us and do not take it lightly. My aim is to refine
your nose by blending it with your other features. A natural look is always
best; especially one that maintains your personal facial identity. Looking
as good on the outside as you feel on the inside is what we will
accomplish together.
If you have additional questions we are available to answer them.

top

Can I have only a mini-Abdominoplasty?
Usually, there is loosening of skin along the entire abdomen. In order to give an
athletic and natural appearance after surgery the entire abdomen must be
balanced. A mini-abdominoplasty is only good for small amounts of skin localized
to the lower abdomen.

Will I stay overnight?
Generally, patients have what is known as a “23 hour stay”. This means that while
you technically stay overnight, you are not charged for an overnight visit. Prior to
the cosmetic surgery, I will place you in a bed that is brought into the operating room. The
bed is contoured like a chair to take tension off your belly. The following morning I
will visit you and see you off to your home.

Will I have drains?
There are usually two drains placed in the lower abdomen to remove fluid that the
body produces. These drains are removed after 5-8 days. They are easy to care for.
I will give you instr