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cosmetic surgery - dermatology - gender reassignment surgery - cosmetic dentistry

 

C o s m e t i c   S u r g e r y

 

Click on the body area of interest below to view procedures and click for a short description of each.

Some procedures described may include "before and after" pictures. Just click to view.

  • Head & Face  
    • Upper Eyelid Surgery (Upper Blepharoplasty)
      • It is a very popular procedure done among Asians and Orientals, especially Chinese who wish to have a double eyefold.  It creates a natural deep set effect. Aging people who develop excess skin that partially obstructs their vision will greatly benefit from this.

      • indications:  no double eyefold; excess fat and skin of upper eyelid

      • confinement: not needed

      • anesthesia: local with or without sedation

      • duration of procedure: 1 1/2 to 2 hours

      • post-operative care: special adhesive tape to maintain eyefold; sutures and tape removed after 4-5 days

      • see before and after picture

    • Lower Eyelid Surgery (Lower Blepharoplasty)
    • Nose Surgery (Rhinoplasty)
      • The incisions are placed on the inner rim of the alar of nose. Soft tissues of the nose are then separated from the underlying structures, the bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem at the time of surgery.

      • indications: oriental nose or any nose deformity disproportion

      • confinement: not needed

      • anesthesia: local anesthesia with sedation

      • duration of procedure: 2 to 2 1/2 hours

      • post-operative care: tape and plaster of paris; stitches, tapes and plaster of paris removed after 4-5 days

      • see before and after picture

    • Ear Surgery (Otoplasty)
      • it is the procedure that repairs or adjusts wide set ears. it is done as outpatient under local anesthesia and entails incising the ear cartilage from the back allowing the ear to be adjusted backwards in a more less conspicuous position. The skin incision is at the back of the ear thus will not be noticed

      • indications: wide set ears

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 1 1/2 hours

      • post-operative care: gauze dressing; stitches removed after 4-5 days

    • Chin Augmentation (Mentoplasty)
      • This is one of the procedures that is least noticed but greatly enhances the proportional beauty of the face.  This is also done as out patient under local anesthesia.  The incision will be inside the mouth near the gumline thus making it very unnoticeable.  A silicone implant will be trimmed according to the contour of your face and inserted in front of the jaw bone. 

      • indications: small chin

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 1 1/2 hours

      • post-operative care: antiseptic gargle and oral medications; stitch removal not needed, absorbable sutures used.

    • Browlift Procedure
      • This is a relatively new technique that uses special sutures that will pull the outer third of the eyebrow upwards creating a "bolero eyebrow" look.  Done under local anesthesia,  very small incisions are done near the hairline and over the brows that easily hides the scar.

      • indications: creation of "bolero" eyebrows

      • confinement: not needed

      • anesthesia: local anesthesia with or without sedation

      • duration of procedure: 1 hour

      • post-operative care: local wound care; stitches removed after 4-5 days

    • Facelift (Rhytidectomy)
      • This procedure is recommended to people 50 years old and above who have aging face with some amount of loss in skin elasticity and fat accumulation.  A facelift tightens the skin around your neck and face, removes deep creases especially around the cheeks and mouth that are common with aging. It results in a younger, fresher looking face with tighter skin tone that lasts 5 to 10 years.

      • indications: patients usually above 50 years old-looking and aging face

      • confinement: yes

      • anesthesia: general anesthesia

      • duration of procedure: 3-4 hours

      • post-operative care: gauze dressing with elastic bandage; a small tube may be placed for 1-2 days to prevent swelling and accumulation of blood; stitches removed after 4-5 days

    • Mini-facelift Suture Technique
      • This procedure has the advantages of no long incisions around the ears, and relatively shorter recovery period. This is highly recommended in patients who are not that old and still have relative elasticity of skin.  Similar to the "Aptos" technique, special sutures are used to pull the skin and soft tissues of the face backwards making the face look more youthful with less wrinkles.  The procedure is combined with mini-liposuction of the jowl area (near the angle of the jaw with fat accumulation).

      • indications: patients above 40 years old with aging face (but still with some amount of skin elasticity)

      • confinement: yes

      • anesthesia: local anesthesia with sedation or general anesthesia

      • duration of procedure: 2 hours

      • post-operative care: local wound care; stitches removed in 4-5 days

    • Dermal Filler for Wrinkles
      • The answer to those who do not have time for operation and recovery period.  Dermal fillers have a variety of uses but are mainly used to treat passive wrinkles or wrinkles that are visible even without facial expression.  There are temporary fillers that last for about 6 months to 1 year, and those that are permanent.  wrinkles commonly treated are those of the forehead, glabella, crowsfeet of the eyes, and nasolabial fold.  Use of Botox complements this as they take care of the active wrinkles or wrinkles that show upon facial expression.

      • indications: passive wrinkles, lip augmentation, deep nasolabial fold

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 15-30 minutes

      • post-operative care: none. patients may go back to work right after the procedure

    • Lip Reduction/Augmentation
      • Lip reduction is done in patients who have very thick lips. The incision is done at the inner portion of the lip thus concealing it.  Lips heal very nicely so scars are virtually imperceptible to the naked eye.

      •  Lip augmentation is becoming very popular because it uses dermal fillers and is done instantly creating full, kissable lips.  Use of temporary fillers is recommended initially. If you like the result, then the permanent filler is used for a lasting effect.   Both done under local anesthesia, patients may go home right away after surgery.

      • indications: thick or thin lips, lips with lack of projection

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 15-30 minutes

      • post-operative care: none. patients may go back to work right after the procedure

    • Hair Restoration/Transplant Procedure
      • Hair loss is a big problem among a lot of males.  This is called "male pattern baldness" which is inherited.  This type of baldness makes people look 10 to 20 older!  They result to the use of wigs that very rarely looks natural to them.  What better way to treat this than using your own hair to be transplanted to bald areas of the head.  The best thing is it will grow for the rest of your life.

      • Donor hair follicles are taken from the hair at the back and is distributed and implanted over the bald areas.  It is done under local anesthesia so we can actually converse while we do the procedure.  Don't worry about the pain because local anesthesia is very effective on this procedure. The number of sessions would depend on the amount of bald areas to be covered. Usually, the time between sessions is about 6 months to get the desired results.

      • indications: male-pattern baldness usually at 40 years and older; other types of baldness

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 3-4 hours; may need a subsequent procedure after 6 months for better results

      • post-operative care: minimal or no hair manipulation initially

  • Breast
    • Breast Augmentation
      • Breast augmentation increases breast size and can also balance your body proportions using saline filled or gel implants. For many women, including those who may have undergone a mastectomy, the invisible results, your self-esteem and confidence will also increase.

      • indications: small breasts

      • confinement: yes

      • anesthesia: local anesthesia with sedation or general anesthesia

      • duration of procedure: 1 1/2 to 2 hours

      • post-operative care: gauze dressing with elastic bandage to maintain shape; stitches removed after 4-5 days; regular massaging of breasts advised

      • see before and after picture

    • Breast Reduction
      • Breast reduction decreases overly sized breasts to balance your body proportions. In some women, their breasts are to large and these interfere with daily work activities and at times cause back pain due to its weight. 

      • indications: oversized breasts; sagging breasts

      • confinement: yes

      • anesthesia: local anesthesia with sedation or general anesthesia

      • duration of procedure: 1 1/2 to 2 hours

      • post-operative care: gauze dressing with elastic bandage to maintain shape; stitches removed after 4-5 days

    • Breast lift (Mastopexy)
      • Breasts that are sagging may also have a low projection.  This happens in both small and large breasts.  In some women, mere augmentation with implants will improve the projection.  However, there are cases wherein a special procedure is done to adjust the nipple-areolar projection or even reduce its size to achieve the desired results

      • indications: oversized breasts; sagging breasts; breasts with low nipple-areolar projection; large nipple-areolar complex

      • confinement: yes

      • anesthesia: local anesthesia with sedation or general anesthesia

      • duration of procedure: 1 1/2 to 2 hours

      • post-operative care: gauze dressing with elastic bandage to maintain shape; stitches removed after 4-5 days

    • Male Breast Liposuction (Gynecomastia)
      • certain men have enlarged or noticeable breasts which are at times embarrasing.  This can now be treated by liposuction of breast tissue underneath.

      • indications:  gynecomastia in men

      • confinement: not necessary

      • anesthesia:  local or general anesthesia

      • duration of the procedure:  1 - 1 1/2hours

      • post-operative care:  gauze dressing with elastic bandage; stitches removed after 4-5 days

  • Body
    • Liposculpture
      • Liposculpture is one of the most popular cosmetic surgery operations. The small cannula is placed deep into the fatty layer and suction is applied until the fat is removed.  After the surgery is complete, pressure dressing must be worn to the suction site to keep body contour in shape.

      • indications: presence of unwanted fat deposits in certain areas of the body

      • Circumferential Thighs & Buttocks (Liposuction)
        Abdomen (Liposuction)
        Arms or Calves (Liposuction)
        Under Chin (Liposuction)

      • confinement: yes; not needed if only a small area is done

      • anesthesia: local or spinal/regional anesthesia depending on the area

      • duration of procedure: depends on the area to be done

      • Pre Operative Care: Your surgeon will begin with a physical examination to evaluate your overall weight, your skin and muscle tone, and the pattern of distribution of fat deposits. He/she will also record a complete medical history, including your diet, exercise, and weight history. You will need to let him or her know about any medications that you are currently taking.

      • After Care: Pressure garment have to apply for a few days after surgery to keep body contour to be in shape and to reduce the post operative bruises. You should avoid strenuous activities for several weeks as your body heals, but within 4 to 6 weeks you should be able to resume all normal activities. It’s important to continue wearing the compression garment, which should be easily hidden under your clothing, until your doctor tells you that it is no longer necessary.

      • Recovery: Pain because of the surgery is very limited and patient can go back to work within two days.

      • Risks and Complications: Bruise over the liposuction site usually seen on the first few days after surgery and will be disappear in the first week. Rarely, waving skin due to excess fat removal happens.

      • Results: You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible.

    • Tummy Tuck (Abdominoplasty)
      • Abdominoplasty is the procedure that removes excess fat and skin and tighten the muscles of the abdomen. This is usually combined with liposuction of of the upper and lower abdomen and results of which are immediately noticeable.  It helps flatten the stomach and can dramatically reduce the appearance of a protruding abdomen.

      • indications: presence of unwanted fat deposits and skin in a protruding abdomen

      • confinement: yes

      • anesthesia: spinal/regional or general anesthesia

      • duration of procedure: about 3-4 hours

      • After Care: Pressure garment have to apply for a few days after surgery to keep body contour to be in shape and to reduce the post operative bruises. You should avoid strenuous activities for several weeks as your body heals, but within 4 to 6 weeks you should be able to resume all normal activities. It’s important to continue wearing the compression garment, which should be easily hidden under your clothing, until your doctor tells you that it is no longer necessary.

      • Recovery: Pain and slight uncomfortable breathing is expected but the patient will be able to adjust in the ensuing days after. In a few weeks, he/she will be able to go back to his/her normal activities.

      • Results: You will see a noticeable difference right after the procedure. A flatter tummy is noted immediately although elastic garments will have to be worn. Improvement will become even more apparent after about four to six weeks, when most of the swelling and bruising has subsided.

  • Other Cosmetic Surgery Procedures
    • Axillary Scraping/Liposuction (for hair removal and treatment of excessive underarm sweating)
      • A lot of people have excessive sweating of the underarms which is a very bothersome problem causing social embarrassment with the wet and smelly armpits.  

      • The procedure is done under local anesthesia. small incisions are done  and sweat glands are suctioned and scraped using special instruments.  Incisions are closed and pressure gauze paddings are placed on both armpits.  Paddings are removed after a week.

      • Not only does it prevent excessive sweating but it also stops growth of axillary hair!

      • indications: excessive axillary sweating; unwanted axillary hair

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 1 1/2 hours

      • post-operative care: compression dressing over armpits, removed after a week

    • Sclerotherapy for varicose and spider veins
      • Ever wished you had flawless legs?  Well, for people who have varicose veins, this was a problem. Not anymore.  Special medications are injected into the veins that will cause the veins to close. 

      • indications: varicose veins

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 30 minutes to an hour depending on number and size of varicosities; may need subsequent sessions to treat completely

    • Scar revision
      • A relatively simple procedure that removes the scar and converts it into a more favorable and less conspicuous one. Done under local anesthesia, patients can go home right after the surgery.

      • indications: unsightly or unwanted visible scars

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of procedure: 30 minutes, depending on size and location of scar

      • post-operative care: local wound care; stitches removed in 4-5 days

    • Penile Elongation
      • a minor procedure for the male patients who wish to have a longer penis.  This procedure can make the penis longer by about 2-4 inches!

      • indications: for males with short penis or who wish to have longer penis

      • confinement: not needed

      • anesthesia: local anesthesia

      • duration of the procedure: 1 hour