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Procedures
Virtually every person
has natural beauty. At Matheson Plastic Surgery our goal
is to correct the features which detract from that
natural beauty, leaving our patients with a well
balanced and beautiful appeararance.
FACELIFT
This procedure should
probably be called the face and neck lift because it
improves the neck even more than it does the face.
The incisions are in
front of or just inside the ears, behind the ears, and
hidden in the hair behind the ears. The lower face and
neck are lifted upward and backward and the extra skin
is removed in front of and behind the ears. The jowls
are diminished and the area below the chin is flattened.
Deep work on the
muscles of the face and neck improve the contour,
leaving the face looking younger and refreshed.
Improvements in medical
technique over recent years have revolutionized this
operation.
Our experienced skin
care consultant will help hide the healing areas. She
will also teach you how to take care of your skin so the
good results will last.
BROW LIFT/ FOREHEAD LIFT
In medical terms this
is called the coronal face lift and involves lifting up
the forehead and eyebrows and diminishing the frown
lines above the nose. This also improves the laugh lines
around the eyes.
This operation is
probably the least known and understood of all cosmetic
procedures. It gives the upper part of the face a fresh
open look and complements a lower face lift.
The incision for this
operation may be entirely hidden in the hair or for
people with a high forehead the incision can be made at
the hairline.
The people who benefit
most from this procedure are those with heavy frown
lines or those in whom the dropping eyebrows are
crowding the upper eyelid and producing wrinkles beside
the eyes.
EYELID SURGERY
Although this is
popular with women, it is my number one procedure in
men.
Excessive skin and
eyelid fat bags are surgically removed, resulting in
fresher, more rested appearance.
The incisions are
minimal. In the lower lid, they are just below the
eyelashes and extend out into the laugh line beside the
eye. In the upper eyelid, the scar is in the crease that
is not seen with the eye open. It also extends out to
the side in the laugh line. Once a fat bag is removed,
it does not recur.
Eyelid bagging and
degeneration is a problem that tends to run in families.
It is not necessarily a sign of aging.
For those who need to
get back into the work force, our fully qualified skin
care consultant can apply camouflage make-up to cover
the healing areas.
BREAST ENHANCEMENT
This is one of the most
popular procedures performed at Matheson Plastic
Surgery.
The prostheses can be
the silicone shell filled with saline (salt water). This
saline is the same concentration as that of the body
fluids, thus assuring safety, should it ever leak. The
other choice of prosthesis is the silicone shell filled
with silicone.
The prostheses may be
placed below or above the chest muscle. The incision can
be just below the nipple areola, under the breast or
under the arm. Sometimes placing the incision above the
nipple areola produces a more youthful nipple position.
I will explain in
detail each of these options to each of my patients, so
that they may make a well informed decision.
This operation does much to improve the self esteem and
appearance of those who were not gifted by nature in
this area.
BREAST REDUCTION
People who have mammary
hypertrophy, or in every day language, large breasts can
be greatly inconvenienced.
The size can be such as
to class it as a major deformity. The breasts are quite
heavy and can produce severe back ache, neck ache and
strain and cutting of brassiere straps into the shoulder
to such and extent that grooves are produced. The
patient can suffer excoriation the skin under the
breasts due to the moisture build up. This often leads
to fungus infections. The extreme weight of the breasts
can produce a posture that cramps the thoracic cage,
resulting in difficult breathing and pressure in the
upper diaphragm.
The breast reduction
patients are amongst my most grateful patients, and the
remark I hear most frequently is, “This is great! I wish
I had known about it ten years earlier”.
LIP AUGMENTATION
One of our most popular
surgeries involves enlarging the lips. Usually it is
just the upper lip, but it can be both upper and lower
lips. This procedure is most prevalent in women. This
can be done with many materials, but I prefer to take
tissue from another site on the body. The most permanent
result is achieved by using the patients own tissue.
Often I do this in association with another operation
such as a breast operation of facelift where I can
harvest excess tissue to augment the lips.
Often one of my
patients will try the more temporary solution of using
injectables such as collagen, hylaform or restylene
which lasts about 4 to 6 months. This will allow her to
see how bigger lips look on her face. If the patient
likes, the look later we can produce a more permanent
result.
No matter which of the
many methods I use to achieve this goal, lips appear
fuller and more youthful.
CHIN AUGMENTATION
A receding or “weak
chin” can be a problem which spoils an otherwise
attractive profile. Developmentally it is not uncommon
to have a “hooked nose” associated with the under
developed chin, or the chin alone can be the problem.
There are a number of
different types of implants available which can advance
the receding chin. I carefully and meticulously explain
and demonstrate to my patients each and every option
available prior to making our decision.
LIPOSUCTION - (Fat Suction)
Liposuction is the most
frequently performed cosmetic surgery procedure in the
United States today.
To understand the
concept of liposuction, compare the fat to a block of
hard cheese. The suction removes tunnels of fat until
the area resembles Swiss cheese. Just standing on a
block of Swiss cheese would compress the holes. A girdle
or compression garment is worn to compress the fat, fill
the holes and narrow the silhouette. Other fat cells are
damaged. They shrink and atrophy over the post-operative
period. Improvement is seen up to 3 months following
liposuction.
The most common areas
suctioned in men are the abdomen and “love handles”.
In women, the thighs,
abdomen and hips are the most common areas improved with
fat suction.
ABDOMINOPLASTY – (Tummy
Tuck)
Many patients are
troubled by excess skin that hangs and can be unsightly.
This can be the result of excess weight loss or
pregnancy which has stretched the skin. We can remove
this excess skin and tissue, tighten the stomach muscles
with sutures in the fascia and leave the patient with a
flat abdomen. This procedure is often used by patients
who have undergone weight loss surgery.
RHINOPLASTY - (Nasal Surgery)
This was the surgery
which started Plastic Surgery in Italy in the 16th
century. The nose can be too big or too small. It can
have a big hump or be crooked. A surgeon certified by
the American Board of Plastic Surgery is trained to
diagnose exactly what the structural problems are.
I like to explain to my
patients exactly what I feel the problem is and how I
plan to remedy it.
An improved nose with
the defects corrected can make an immense difference in
the patient’s confidence and self image.
PROTRUDING EARS
Having ears which stick
out too far can detract from what would otherwise be a
handsome or beautiful person. Protruding ears are
missing several developmental folds which the surgeon
reconstructs producing the normal appearing ears.
If possible, it is best
to fix protruding ears before a child starts school. I
have performed this procedure on patients of all ages,
including a 50 year old man. He looked extremely
handsome after the procedure. It was a shame he had gone
through that much of his life without looking his best.
This is a further
example of correcting a feature which detracts from a
patient’s natural beauty.
INJECTABLES
Injectables are divided
into two categories. The first is the type which relaxes
the muscles and because the muscles are not contracting
the wrinkles over these muscles diminish and over time
can disappear. These injectables are in the BOTOX
(see below) family.
The second type of
injectable is a filler and they serve to plump out
wrinkles and thus help to diminish them. These fillers
are such things as collagen, hylaform, restylene and
many others. Used correctly these can accomplish a great
deal.
BOTOX
BOTOX®
Cosmetic is a simple, non-surgical,
physician-administered treatment that can temporarily
smooth moderate to severe frown lines between the brows
in people from 18 to 65 years of age. It is the only
treatment of its type approved by the Food and Drug
Administration (FDA).
One 10-minute
treatment—a few tiny injections—and within days there's
a noticeable improvement in moderate to severe frown
lines between the brows, which can last up to 4 months.
Results may vary.
BOTOX® Cosmetic is a
purified protein produced by the Clostridium botulinum
bacterium, which reduces the activity of the muscles
that cause those frown lines between the brows to form
over time.
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