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SURGICAL PROCEDURES: |
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Facial
Rejuvenation: |
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Contour Surgery: |
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Skin Cancer: |
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SURGICAL PROCEDURES
F acial Rejuvenation Procedures:
Facial Rejuvenation
Dr. Fernandez often
performs Facial Rejuvenation for patients that have multiple areas to
improve upon. The continued development of new techniques and
technologies allows for shorter procedures, less anesthesia, shorter
recovery and often, less cost. The procedures can be performed
individually and staged when necessary to better accommodate your
schedule or in combination when it is appropriate.
With more traditional
approaches designed to improved the facial contour, a facelift is
designed to improve sagging facial skin, jowls and loose neck skin.
During this procedure Dr. Fernandez removes excess fat, tightens
muscles, and redrapes the skin.
To improve the facial
appearance in regards to skin tone and texture, Dr. Fernandez may also
use an Ultrapulse Carbon Dioxide Laser that treats layers of damaged
skin. Laser resurfacing is designed to even out the skin of the face and
smooth fine wrinkles. It softens lines around the eyes and mouth and
minimizes facial scars and uneven pigmentation. Laser resurfacing can be
done all over the surface of the face when done as a single procedure or
just in certain areas (such as the eyelids or the mouth) in combination
with a facelift.
In Facial Rejuvenation
surgery, Dr. Fernandez addresses the appearance of the eyes as well. A
blepharoplasty (eyelid surgery) is designed to correct drooping upper
eyelids and puffy skin below the eyes by removing excess skin and
adjusting the position of the fat. Sometimes a forehead lift will also
help to achieve reduction of frown lines and creases in the brow area.
All of these procedures
when combined into Facial Rejuvenation take several hours. During your
Facial Rejuvenation you will be under general anesthesia provided by a
Board Certified Anesthesiologist. Dr. Fernandez will perform the surgery
at Florida Plastic Surgery Center
sm our accredited in-office surgery
facility.
After the procedure you
will remain in our recovery suite until you are cleared by the
physicians for discharge. You then will be transferred to an overnight
recovery facility for your safety and optimal initial recovery. The
following day Dr. Fernandez will examine you and you will be released to
recuperate in the comfort of your own home, with the assistance of a
responsible adult. The average time off work is ten to fourteen days.
These procedures can also be done individually when desired.
Rhytidectomy (Facelift)
Procedure: Improving
sagging facial skin, jowls, and loose neck skin by removing excess fat,
tightening muscles, redraping skin. Most often done on men and women
over 40.
Length: Several hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Some patients may require short
inpatient stay.
Side Effects: Temporary bruising, swelling, numbness and tenderness of
skin; tight feeling, dry skin. For men, permanent need to shave behind
ears, where beard-growing skin is repositioned.
Risks: Injury to the nerves that control facial muscles or feeling
(usually temporary but may be permanent). Infection, bleeding. Poor
healing; excessive scarring. Asymmetry or change in hairline.
Recovery: Back to work: 10 to 14 days. More strenuous activity: 2 weeks
or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several
months.
Duration of
Results: Usually 5 to 10 years.
Source: American Society of Plastic Surgeons
Brow Lift (Forehead Lift)
Procedure: Minimize forehead
creases, drooping eyebrows, hooding over eyes, furrowed forehead and
frown lines by removing excess tissue, altering muscles and tightening
the forehead skin. May be done using the traditional technique, with an
incision across the top of the head just behind the hairline; or with
the use of an endoscope, which requires 3 to 5 short incisions. Most
often done on people over 40.
Length: 1 to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, numbness, headaches, bruising. Traditional method:
Possible itching and hair loss.
Risks: Injury to facial nerve, causing loss of motion, muscle weakness, or
asymmetrical look. Infection. Broad or excessive scarring.
Recovery: Back to work: 7 to 10 days, usually sooner for endoscopic forehead lift.
More strenuous activity: several weeks. Full recovery from bruising: 2
to 3 weeks. Limit sun exposure for several months.
Duration of
Results: Usually 5 to 10 years.
Blepharoplasty (Eyelid Surgery)
Procedure: Correct
drooping upper eyelids and puffy bags below the eyes by removing excess
fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance
if used to correct visual field defects)
Length: 1 to 3 hours.
Anesthesia: Usually locally with sedation or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary discomfort, tightness of lids, swelling,
bruising. Temporary dryness, burning, itching of eyes. Excessive
tearing, sensitivity to light for first few weeks.
Risks: Temporary blurred or double vision. Infection, bleeding. Swelling
at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight
asymmetry in healing or scarring. Difficulty in closing eyes completely
(rarely permanent). Pulling down of the lower lids (may require further
surgery). Blindness (extremely rare).
Recovery: Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact
lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks.
Bruising and swelling gone: several weeks.
Duration of
Results: Several years. Sometimes permanent.
Source: American Society of Plastic Surgeons
Laser Skin Resurfacing
Procedure: Smooth the
face and smooth fine wrinkles using a carbon dioxide (CO2) laser device
that treats layers of damaged skin. Softens lines around the eyes and
mouth and minimizes facial scars and unevenly pigmented areas.
Length: A few minutes to 1 hour. May require more than 1 session.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient, unless combined with other surgical
procedures that require hospitalization.
Side Effects: Temporary swelling, discomfort. Lightening of treated
skin. Acute sun sensitivity. Increased sensitivity to makeup. Pinkness
or redness in skin that may persist for up to 6 months.
Risks: Burns or injuries caused by laser heat. Scarring. Abnormal
changes in skin color. Flare-up of viral infections ("cold sores") and
other infections (rare).
Recovery: Back to work: 2 weeks. More strenuous activities: 4-6 weeks.
Complete fading of redness: 6 months or less. Return of
pigmentation/light sun exposure: 6-12 months.
Duration of
Results: Long-lasting, but does not stop aging. New wrinkles, expression
lines may form as skin ages.
Source: American Society of Plastic Surgeons
Rhinoplasty (Nose Reshaping)
Procedure: Reshape nose
by reducing or increasing size, removing hump, changing shape of tip or
bridge, narrowing span of nostrils, or changing angle between nose and
upper lip. May also relieve some breathing problems. (May be covered by
insurance.)
Length: 1 to 2 hours or more.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, bruising around eyes, nose and
headaches. Some bleeding and stiffness.
Risks: Infection. Small burst blood vessels resulting in tiny, permanent
red spots. Incomplete improvement, requiring additional surgery.
Recovery: Back to work: 1 to 2 weeks. More strenuous activities: 2 to 3
weeks. Avoid hitting nose or sunburn: 8 weeks. Final appearance: 1 year
or more.
Duration of
Results: Permanent
Source: American Society of Plastic Surgeons
Otoplasty (Ear Reshaping)
Procedure: Set
prominent ears back closer to the head, or reduce the size of large
ears. Most often done on children between the ages of 4 and 14 years.
(Occasionally covered by insurance.)
Length: 2 to 3 hours.
Anesthesia: Young children: usually general. Older children or adults:
general or local, with sedation.
In/Outpatient: Usually outpatient.
Side Effects: Temporary throbbing, aching, swelling, redness, numbness.
Risks: Infection of cartilage. Excessive scarring. Blood clot that may
need to be drained. Mismatched or artificial- looking ears. Recurrence
of the protrusion, requiring repeat surgery.
Recovery: Back to work or school: 5 to 7 days.
Strenuous activity, contact sports: 1 to 2 months.
Duration of
Results: Usually permanent
Source: American Society of Plastic Surgeons
Fat Injections
Procedure: Plump up
creased, furrowed, or sunken facial skin; add fullness to lips and backs
of hands. Works best on thin, dry, light-colored skin. This is done by
harvesting fat from another area of the body such as sites from the
abdomen, flanks, hips or thighs.
Length: 15 minutes to 1 hour per session.
Anesthesia: Local.
In/Outpatient: Outpatient.
Side Effects: Temporary stinging, throbbing, or burning sensation. Faint
redness, swelling, excess fullness.
Risks: Contour irregularities, infection.
Duration of
Results: Some patients have results that can last a year of more; most
patients report that at least half of the injected fullness disappears
within 3-6 months. Repeated injections may be necessary to maintain your
results.
Scar Revision
Procedure: Improve the
appearance of unsightly scars.
Length: One-half to one hour.
Anesthesia: Usually local.
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness.
Risks: Infection, recurrence of unsightly scarring.
Recovery: Back to work: 1-3 days.
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Facial Rejuvenation
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