Attaching Ears

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Ear lobe surgery, or otoplasty, is a relatively unknown, but common surgical procedure to change the shape, proportion or size of the ear. It also can correct birth defects and repair ears that are damaged from wearing heavy earrings, or ears that have been torn, pulled or snagged by earrings.


Ear surgery can recreate the natural shape of the ear which will bring balance and portion of the facial features. It can correct protruding earlobes and is often used to treat a rare condition called macrotia, or overly large ears. It can also correct lop ear, where the ear tip folds down and bends forward and shell ear, in which parts of the ear are missing or deformed.

Most insurance plans will not cover this surgery if it is being performed strictly for cosmetic purposes. Some companies may cover part of the surgery, or in some cases, the entire procedure if it is a congenital defect or the result of trauma. You should check with your insurance company to see if you are eligible for coverage.

What to discuss at your initial consultation

During your first meeting with your plastic surgeon, you will want to discuss your desired results. Your doctor will ask you about your medical history including any illnesses, previous surgeries, past and present medical condition, allergies and what medications you are currently taking. The doctor will then assess if you are a good candidate for ear surgery and discuss your options.


How is the surgery performed?

The surgery is usually performed under general anesthesia for children and local for adults and usually takes between one to two hours. The doctor will make a small incision just behind the ear in the fold where the ear is connected to the head. They will then remove the skin and cartilage needed to get the desired effect. In some instances, they will trim and shape the cartilage into the desired form and then pin it back with permanent sutures to ensure that it remains securely attached. The surgery will not have any effect on hearing.

Post Surgery

After the surgery, the doctor will apply a soft dressing to the ears which must remain in place for a few days. You may experience some minor pain or discomfort. Sleeping might be a challenge if you are used to sleeping on your side until recovery. Your doctor may recommend using a headband to hold the ears in place for about two weeks after the surgery.

About a week following your surgery, you will have your stitches removed by your surgeon and he will asses your progress. If you are healing properly you may return to work or light activity at this time.

There are little to no risks with this earlobe surgery but there are rare instances of infection, recurrence of the original issue or poor healing. There will be a very thin white scar that may remain. If you experience any visual issues after your surgery, you should seek immediate medical attention. You should also contact your surgeon if you experience severe pain, excessive bleeding, a fever over 101 degrees or persistent swelling or redness after two weeks.









Breast Augmentation

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Breast Augmentation, What actually it is?

Breast augmentation, commonly known as augmentation mammaplasty, is a type of surgery that uses breast implants or fat to increase breast size or restore volume and fullness after weight loss, weight reduction surgery or childbirth. It can increase the fullness and firmness of breasts, improve fullness and proportion of figure and increase self-esteem. It is also used a reconstructive surgery after a mastectomy or severe breast injury. Some women opt for breast augmentation if one of their breasts is not proportionally sized with the other.

Breast augmentation will not repair breasts that are drooping severely. In this case you will also need breast lift surgery, which may be performed at the same time as breast augmentation. Your plastic surgeon will discuss your options with you at your initial consultation.

Is breast augmentation surgery safe?

Medical and scientific improvements are being made every day and breast augmentation surgery has come a long way over the years. According to the FDA, breast augmentation surgery is safe, but not guaranteed for life. Reconstructive surgery and/or replacement may be needed over time.  Factors such as pregnancy, menopause, and weight gain or loss may affect the surgery. You also need to have regular breast examinations to make sure that your implants and breasts are in good health.

However, there are some risks involved with breast augmentation surgery. You will want to take all of these risk factors into careful consideration and discuss them with your doctor during your initial consultation. Some of the possible risks include the following:

  • possible infection
  • bleeding
  • scarring
  • faulty or improper positioning
  • leakage or rupture
  • scar tissue formation
  • persistent pain
  • noticeable changes in breast and/or nipple sensitivity and overall sensation
  • accumulation of fluids
  • wrinkling or creasing of skin near or over the implant
  • anesthesia issues during surgery

Am I a good candidate for breast augmentation?

Basically, if you are in good health and are going into the surgery with both realistic expectations and an overall healthy and positive attitude, you are considered a good candidate for breast augmentation surgery. You are not a candidate for this breast augmentation if you are under the age of 18, have had radiation therapy or are pregnant, nursing or have any type of serious illness or infection.

Other factors that are taken into consideration are as follows:

  • small or asymmetrical breasts
  • drooping or sagging breasts as a result of pregnancy, breastfeeding or aging
  • changes in size or shape from weight loss
  • reconstructive surgery
  • cosmetic surgery (post breast reduction surgery)
  • other deformities or irregularities

What is the average recovery time after the procedure?

After your surgery you will be closely monitored for a few hours and may be permitted to go home shortly after your surgery. Your breasts will be wrapped in gauze and an elastic bandage or support bra. You will want to wear a proper support bra constantly for the first few weeks. You need to strictly follow your doctor’s orders regarding follow-up care. Average recovery time is about four to six weeks. You will need to limit physical activity during this time and keep any follow-up appointments. Stay in close contact with your surgeon regarding any complications you may have post-surgery.










Deep Peels

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Deep chemical peels are a popular cosmetic procedure used to repair and rejuvenate the overall appearance of skin. They are most often performed on the face, hands and neck. The purpose of a chemical peel is to reduce the appearance of scars. sun damage and  deep facial wrinkles, as uneven pigmentation. It can also be to treat pre-cancerous growth as well as severe acne and other skin conditions.

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Deep Peels

Deep peels result in the most effective results of the various types of chemical peels and usually use a chemical called phenol, or carbolic acid, which is the strongest type of acid that can be used. While it can be used in its natural form it can also be combined with soap and/or water and oils like olive or croton oil to increase its overall effectiveness.

Common uses for chemical peels

  • reduce the appearance of wrinkles and aging lines
  • brighten complexion
  • even out skin tone and color
  • treat acne
  • reduce age spots
  • reduce fine lines around eyes and mouth
  • reduce freckles
  • treat melasma
  • soften hard or rough skin
  • reduce sun damage

Pros and Cons of Chemical Peels


  • improves skin tone and texture
  • no anesthesia or sedation required
  • long lasting effects unlike botox and other treatments


  • may cause dryness, redness and irritation
  • skin may develop a sensitivity to sun exposure
  • inability to tan
  • skin lightening
  • may make pore appear larger
  • may have a bleaching effect on skin
  • may  intensify skin disorders, allergic reactions and cold sores
  • may cause problems for those at risk of heart disease



Deep Peels

What is the process for a deep chemical peel?

Deep peels generally require pretreatment, which prepares your skin for the process and aids in speeding up the healing process. Clients will be prescribed a retinoic acid gel or cream, which is derived from Vitamin A and aids in thinning out the surface layer of the skin, which allows the phenol to penetrate deeper and more evenly. The pretreatment process usually lasts for about eight weeks prior to the procedure.

After consultation with your doctor and the pre-treatment period, you will schedule your procedure and be given a mild sedative along with a local anesthetic. First your face will be thoroughly cleansed.  Next the deep chemical, most likely Phenol, will be applied to the specific area and neutralized with water. Then a thick ointment is applied to your skin to prevent pain and dryness. The surgeon may cover your skin with tape or gauze instead of the ointment, but this must stay in place until you are instructed to remove it. Once your procedure is completed and you are cleared by your surgeon you may go home.

Recovery time is about two weeks before you can return to work and resume a normal level of activity. You should not wear any makeup nor apply anything to your skin other than what is prescribed by your doctor until otherwise stated by your surgeon. You may experience some peeling, redness, and discomfort a few days after your procedure. You will be prescribed painkillers to ease any discomfort. Any swelling should be gone within two weeks, but you may have redness for 2-3 months following the procedure. You should contact your surgeon immediately if you experience severe side effects.


Axillary Hyperhidrosis

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What is Axillary Hyperhidrosis?


Axillary Hyperhidrosis

Axillary hyperhidrosis is excessive sweating of the underarms. It can start as early as adolescence and continue throughout adulthood if not treated properly. It can cause humiliation and even isolation. But if you are among those who suffer from this disorder, there is hope as there are treatments available.

Are there treatment options available?

Over the counter or prescription treatments  


Axillary Hyperhidrosis

The most common way to treat axillary hyperhidrosis is of course with antiperspirants. You can try over the counter antiperspirants to self-treat axillary hyperhidrosis and there are even clinical strength antiperspirants available over the counter. Antiperspirants are different from ordinary deodorants. Deodorant simply masks underarm odor while antiperspirants block sweat from coming through your pours through the use of aluminum salts.  While antiperspirants work for many, there are some who develop a severe allergic reaction and yet others for whom they are not effective. If you are one of these, you can ask your doctor for a prescription antiperspirant, but some of these contain higher amounts of aluminum and thus cause even more severe allergic reactions and side effects.

If antiperspirants are not a solution, your doctor may prescribe medications such as aluminum chloride which is a topical medication that is applied to the armpits for six hours a night for a few days to a week. The purpose of aluminum chloride is to obstruct the sweat glands and pores. This can cause severe irritation and may only provide short-term results.


Another method of treatment is Botox injections at the site, which is actually an FDA approved treatment for axillary hyperhidrosis. Botox results have been proven to last for up to a year, but need to be repeated with follow up injections once the effects wear off. The injection of Botox will block the nerve endings from producing sweat.

Surgical Options

For severe cases of axillary hyperhidrosis, you doctor may recommend sweat gland removal surgery. It can either performed either traditional surgery or by a less invasive procedure known as suction curettage, which is similar to liposuction. Suction curettage is an outpatient procedure in which the sweat glands and armpits are numbed by a local anesthesia. Small incisions are then made both above and under the armpit region and the sweat glands are removed via scraping and suction. The procedure lasts about an hour to an hour and a half. The side effects are minimal as about 95% of patients report minimal discomfort. Some may experience scarring and compensatory sweating, which occurs in other areas such as the legs or back, for a time after the surgery.

Some doctors may recommend endoscopic thoracic sympathectomy (ETS) surgery, but it is not usually recommended for axillary hyperhidrosis, but rather other forms of hyperhidrosis such as face, arms and feet. During this surgery, tiny incisions are made that cut the nerves in the sweat glands, thus stopping production of sweat.

You will want to discuss your options in detail with your doctor before opting for any of these treatments. If antiperspirants do not work, make an appointment with your doctor to discuss which of these treatments will be most beneficial for your specific needs.