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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
 Body Contour Surgery:
Breast Augmentation
Procedure: Enhance the
size of breasts using inflatable implants filled with saline.
Length: 1 to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary soreness, swelling, change in nipple sensation,
bruising. Breast sensitive to stimulation for a few weeks.
Risks: Lack of implant permanence -- surgical removal or replacement of
the implants may be required to treat problems, including: deflation;
the formation of scar tissue around the implant (capsular contracture),
which may cause the breast to feel tight or hard; bleeding or infection.
Increase or decrease in sensitivity of nipples or breast skin,
occasionally permanent. Mammography after breast augmentation requires a special technique. (Note:
Some women have reported symptoms similar to those of immune disorders.
Ask your doctor about these and other FDA concerns.)
Recovery: Back to work: a few days. Physical contact with breasts: 3 to
4 weeks. Fading of scars: several months to a year or more.
Duration of
Results: Variable. Implants may require removal or replacement.
Source: American Society of Plastic Surgeons
Mastopexy (Breast Lift)
Procedure: Raise and
reshape sagging breasts by removing excess skin and repositioning
remaining tissue and nipples.
Length: 1 to 3 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Sometimes inpatient.
Side Effects: Temporary bruising, swelling, discomfort, numbness, dry
breast skin. Permanent scars.
Risks: Thick, wide scars; skin loss; infection. Unevenly positioned
nipples. Permanent loss of feeling in nipples or breast.
Recovery: Back to work: 1 week or more. Strenuous activities: 1 month.
Fading of scars: several months to a year.
Duration of
Results: Variable; gravity, pregnancy, aging, and weight changes may
cause new sagging. Results may last longer or be enhanced when breast
implants are inserted as part of the procedure.
Source: American Society of Plastic Surgeons
Reduction Mammaplasty (Breast Reduction)
Procedure: Reduce and
reshape the breasts due to symptoms such as heaviness, discomfort of
chest and shoulders.
Length: 3-4 hours.
Anesthesia: General.
In/Outpatient: Usually outpatient. Extensive procedures may require
short inpatient stay.
Side Effects: Temporary bruising, swelling, numbness, soreness.
Risks: Bleeding, infection, permanent loss of sensation, asymmetry,
difficulty healing.
Recovery: Back to work: 10-14 days.
Male Breast Reduction (Gynecomastia)
Procedure: Reduce
enlarged, female-like breast in men using liposuction and/or cutting out
excess glandular tissue. (Sometimes covered by medical insurance.)
Length: 1 hour or more.
Anesthesia: General or local.
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness, burning
sensation.
Risks: Infection. Fluid accumulation. Injury to the skin. Rippling or
bagginess of skin. Asymmetry. Pigmentation changes (may become permanent
if exposed to sun). Excessive scarring if tissue was cut away. Need for
second procedure to remove additional tissue.
Recovery: Back to work: 3 to 7 days. More strenuous activity: 2 to 3
weeks. Swelling and bruising: 3 to 6 months.
Duration of
Results: Permanent
Source: American Society of Plastic Surgeons
Liposuction
Procedure: Improve body
shape by removing exercise-resistant fat deposits with a tube and vacuum
device. Can be performed using the tumescent technique, in which
targeted fat cells are infused with saline containing solution with a
local anesthetic before liposuction to reduce post-operative bruising
and swelling. Common locations for liposuction include chin, cheeks,
neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees,
calves, ankles.
For larger volumes of fat or for fibrous body areas, ultrasound-assisted
lipoplasty (UAL) may be used. UAL is a new technique in which a
ultrasound probe is inserted beneath the skin to "liquify" the fat
before it is suctioned.
Length: 1 to 2 hours or more. UAL: 20-40 percent longer than traditional
liposuction.
Anesthesia: Local, epidural, or general.
In/Outpatient: Usually outpatient. Extensive procedures may require
short inpatient stay.
Side Effects: Temporary bruising, swelling, numbness, soreness, burning
sensation. Tumescent: Temporary fluid drainage from incision sites. UAL:
Larger incisions for cannula.
Risks: Asymmetry. Rippling or bagginess of skin. Pigmentation changes.
Skin injury. Fluid retention. Excessive fluid loss leading to shock.
Infection. UAL: thermal burn injury caused by the heat from the
ultrasound device.
Recovery: Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4
weeks. Full recovery from swelling and bruising: 1 to 6 months or more.
Use of tumescent technique or UAL may decrease post-operative bruising
and swelling.
Duration of
Results: Permanent, with sensible diet and exercise.
Source: American Society of Plastic Surgeons
Abdominoplasty (Tummy Tuck)
Procedure: Flatten
abdomen by removing excess fat and skin and tightening muscles of
abdominal wall.
Length: 2 to 5 hours.
Anesthesia: General, or local with sedation.
In/Outpatient: Either depending on individual circumstances and extent
of surgery.
Side Effects: Temporary pain. Swelling, soreness, numbness of abdominal
skin, bruising, tiredness for several weeks or months.
Risks: Blood clots. Infection. Bleeding under the skin flap. Poor
healing resulting in conspicuous scarring or skin loss. Need for a
second operation.
Recovery: Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6
weeks or more. Fading and flattening of scars: 3 months to 2 years.
Source: American Society of Plastic Surgeons
Brachioplasty (Arm Lift)
Procedure: Remove
excess skin and fat of the arm.
Length: 1-2 hours.
Anesthesia: General.
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness, visible
scarring.
Risks: Excessive bleeding, infection
Recovery: Back to work: 7-10 days.
Source: American Society of Plastic Surgeons
Buttock Augmentation with Fat
Procedure: Augment
buttocks with fat from patient’s own body.
Length: 3-4 hours.
Anesthesia: General.
In/Outpatient: Usually outpatient.
Side Effects: Following butt augmentation, patients may experience temporary bruising, swelling, numbness, soreness.
Risks: Bleeding, infection, blood clots, pneumonia, irregular contour,
fluid in the site of surgery.
Recovery: Back to work: 10-14 days.
Hand Rejuvenation
Procedure: Augment
thinned tissues of back of hand with fat from patient’s own body. This
can be supplemented by treating skin that is discolored by sun damage.
Length: 1 hour.
Anesthesia: Local.
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness.
Risks: Bleeding, infection, irregular contour.
Recovery: Back to work: 2-3 days.
Skin Cancer:
Diagnosis & Treatment
What is skin
cancer? There are three main types of skin cancer: basal cell
carcinomas, squamous cell carcinomas, and malignant melanomas. Of these
three, basal and squamous cell are more common, and seldom are life
threatening. Malignant melanoma is less frequent but can be very
dangerous if not treated promptly.
What is melanoma?
Melanoma is a cancer that begins in the skin cells that produce melanin,
which produces skin coloring or pigment. When your skin is exposed to
sunlight, the melanin increases and your skin darkens to protect you.
Melanoma cells are cancerous melanin-containing cells that grow rapidly.
Melanomas are still able to produce melanin, which is why they may
appear varying shades of tan, brown, and black, with irregular borders.
Melanoma can spread to other parts of the body if not detected at an
early stage, so early detection is important.
What does a
melanoma look like? Melanoma may appear on the skin without
warning, particularly beginning near a mole or other dark spot in the
skin. An ordinary mole is an evenly colored brown, tan, or flesh colored
spot in the skin. It can be either flat or raised, with a round or oval
and has clearly defined borders. There are several warning signs that a
mole may be malignant:
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Asymmetry:
one half of the spot does not match the other.
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Border
irregularity: uneven or notched edges.
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Color:
melanomas may have several colors with an irregular pattern.
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Diameter:
melanomas may be 1/8 to 1/4 inch, but may be larger.
Dr. Fernandez performs
skin cancer evaluations and surgeries on the face and body.
Dr. Fernandez gives
complimentary seminars about Skin Cancer upon request to members of the
local community. Should you care to make a request for an informative
seminar, please contact our office. Please call well in advance should
you have a specific date in mind to reserve a position on Dr.
Fernandez's schedule.
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Facial Rejuvenation
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