Reconstructive Plastic Surgery
We are successful when delivering results that look and feel natural while appearing balanced in shape. Whether best reconstructive plastic surgery is the right choice is a question that requires some serious deep soul-searching and personal examination as suggested by no prescription group. Of the many terms associated with cosmetic breast surgery Breast Enlargement certainly names itself with an almost dry accuracy. Breast Enlargement patients are typically interested in one vision and that is to simply icrease the size or volume of their breasts. Our patients' motives are born from many roots. One reason women seek larger breasts is to simply fullfill their vision for the ideal femanine contour. Another compelling reason for women to ellect breast enlargement as a cosmetic procedure, here the San Francisco Bay Area, is to better fill-out their garments in way that was not possible prior to their breast enlargement surgery if a patient is appropriate for reconstructive cosmetic surgery. If you are concerned at all about breast enlargement because of the stories associated with unsafe implants, rest assured that we only use safe saline implants.
In addition to diminished breast size, changing breast shape such as drooping (ptosis) can affect breast appearance. After having children, for example, or just because of aging, the breasts may droop or even lose volume. Reshaping the breasts with a lift (mastopexy) -- sometimes to include a volume increase with implants -- can restore (or even create for the first time) a prettier, more youthful breast with a size that is more proportionate to the rest of the body. This aspect of plastic surgery includes liposculpture or liposuction, with or without skin resection and muscle tightening (such as occurs in a tummy tuck). Both men and women commonly tend to accumulate unwanted fat deposits in specific predetermined areas, despite maintaining a healthy weight with regular exercising and proper eating habits. In women, the fat settles primarily in the lower tummy, the hips, the upper inner thighs, and the inner knees. In men, it's the "love handles", or "spare tire" involving the mid-abdomen, sides, and back. Of course, other areas may also be involved. With modern techniques such as tumescence and ultrasonic liposuction, virtually all areas of the body are now accessible to these recontouring methods.
When skin elasticity is reasonably good, localized fat deposits can be reduced and reshaped to better match the surrounding contour. The result is a thinner, more attractive overall appearance.
As experience has increased and surgical techniques improved, liposuction has become the most commonly performed procedure in plastic surgery. However, this technique is not a substitute for dieting and exercise, and liposuction is not generally intended as a treatment for obesity.
Plastic Surgery utilizes the "tumescent" liposuction technique in virtually all cases, reserving the added ultrasonic liposuction technique when specifically indicated (where the fat is particularly fibrous). By instilling large volumes of a diluted anesthetic solution into the areas to be liposuctioned, a profound anesthesia is produced, so "twilight" rather than general anesthesia is now a very acceptable option. Also with this tumescence technique, bleeding is reduced to a minimum, so the need for blood transfusions is virtually eliminated. The tumescence also results in the fat being more easily removed, thereby allowing for very tiny incisions and subsequent scars that generally become practically unnoticeable. Finally, this more refined technique produces smoother overall contours than ever before. Individuals who have undergone major weight reduction or women whose abdominal skin has lost elasticity due to pregnancy or aging may be candidates for "tummy tuck" (abdominoplasty). Utilizing the latest techniques, the scar quality with this procedure is markedly improved. It can also be positioned so it is hidden beneath a bikini line. When appropriate, a tummy tuck can be performed in conjunction with liposuction.
At no time during the doctor-patient relationship is a close, personal bond and confident working connection more important than during the time you are recuperating — the period of post-surgical care. In some plastic surgery practices, staff members other than the doctor remove sutures, change dressings, and generally handle important phases of your recuperative care. Not in Dr. Friedman's office! He believes this is a crucial time — a time when you need and deserve his personal attention. He feels strongly about providing this care himself. Prior to surgery, you are given a customized, easy-to-read packet of explicit information about the particular operation to be performed. This includes detailed instructions for postoperative care and an outline of what to expect as you heal. With a chance to digest all this before surgery, there are no surprises — all of which helps to make you better informed and less anxious after surgery. We want to know that you are comfortable, that you understand all the instructions, and that you are easily able to follow them. We also want to be certain that all your questions are answered. Your first visit to the office is generally within the first few days to check the healing process and to remove some "early" sutures. After this initial check, appointments are appropriately spaced to be sure that healing is progressing as expected and to remove the last of the sutures. We want to be sure that your post-surgical needs are being met to the fullest. Some patients go through various post-surgical emotional swings. It's not unnatural to feel elated one day and then possibly let down the next; to feel excited thinking about all the anticipated improvements one moment, but then to question whether you should have done this at all. Although not everyone experiences these ups and downs, Dr. Friedman and his staff recognize and understand these natural mood swings. They are always available to offer the necessary support should you experience any of these changes.
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