The field of cosmetic surgery is dynamic and is evolving all the time. From new generation silicone and saline breast implants to high-tech sutures used in tummy tucks and breast lifts, from new liposuction techniques to Botox and facial fillers, today's advances allow plastic surgeons to deliver better, more consistent and longer lasting results often with less down time. Innovative financing options make cosmetic surgery more affordable than ever. Located in a Boston, Massachusetts suburb of Wellesley we specialize in silicone and saline breast implants, liposuction, tummy tucks, breast lifts and eyelid and nose cosmetic plastic surgery. To schedule a consultation call 781-239-0680 today!
If you're considering breast augmentation with silicone or saline breast implants in Boston...
No matter what the reason for wanting breast implants is, the goal is a larger, more youthful breast. To achieve this breast augmentation goal, several options are available: saline and silicone breast implants.
Saline implants are placed into the surgically created breast pocket and are filled to the desired size by the surgeon, using a normal saline solution - a salt solution used for intavenous injections in a variety of surgical procedures. Each saline implant has a specific minimum and maximum volume of saline that can be infused before advancing to the thex size. Unlike saline implants, silicone implants come pre-filled to specific sizes.
Both types of breast implants increase breast size nicely, but if a natural feel is important to you, then silicone breast implants are the the best choice. Modern silicone gel implants provide the best simulation of actual breast tissue possible.
If you're considering a breast lift in Boston...
Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume for example, after pregnancy breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. If you're considering a breast lift, this brochure will give you a basic understanding of the procedure when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don't understand. A breast lift can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.
Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you're planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure. Over time, a woman's breasts begin to sag and the areolas become larger.
Mastopexy does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts.
In your initial consultation, it's important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient--and every physician, as well--has a different view of what is a desirable size and shape for breasts.
The surgeon will examine your breasts and measure them while you're sitting or standing. He or she will discuss the variables that may affect the procedure such as your age, the size and shape of your breasts, and the condition of your skin and whether an implant is advisable. You should also discuss where the nipple and areola will be positioned; they'll be moved higher during the procedure, and should be approximately even with the crease beneath your breast.
Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. He or she should also explain the anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.
Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.
Depending on your age and family history, your surgeon may require you to have a mammogram (breast x-ray) before surgery. You'll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While you're making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.
Cosmetic surgeries are performed at the state-of-the-art operating suite at Wellesley Cosmetic Surgery, under the watchful care of our Board Certified anesthesiologist.
Breast lifts are usually performed under general anesthesia, which means you'll sleep through the operation. In selected patients particularly when a smaller incision is being made the surgeon may use local anesthesia, combined with a sedative to make you drowsy. You'll be awake but relaxed, and will feel minimal discomfort.
Mastopexy usually takes one and a half to three and a half hours. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.
The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.
Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "doughnut (or concentric) mastopexy," in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed. If you're having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.
After surgery, you'll wear an elastic bandage or a surgical bra over gauze dressings. Your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn't be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon. Within a few days, the bandages or surgical bra will be replaced by a soft support bra. You'll need to wear this bra around the clock for three to four weeks, over a layer of gauze. The stitches will be removed after a week or two.
If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. Be careful not to tug at your skin in the process, and keep the moisturizer away from the suture areas.
You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.
Healing is a gradual process. Although you may be up and about in a day or two, don't plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for three to four weeks. If you have any unusual symptoms, don't hesitate to call your surgeon.
Your surgeon will give you detailed instructions for resuming your normal activities. You may be instructed to avoid sex for a week or more, and to avoid strenuous sports for about a month. After that, you can resume these activities slowly. If you become pregnant, the operation should not affect your ability to breast-feed, since your milk ducts and nipples will be left intact.
Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that mastopexy scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.
You should also keep in mind that a breast lift won't keep you firm forever the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again. Women who have implants along with their breast lift may find the results last longer.
Your satisfaction with a breast lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic. If your expectations are realistic, chances are you'll be satisfied with your breast lift.
If you're considering breast reduction in Boston...
Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body.
If you're considering breast reduction in Boston, this will give you a basic understanding of the procedure- when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your Boston doctor if there is anything about your plastic surgery procedure you don't understand.
If you're considering liposuction in Boston...
Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. During the past decade, liposuction, which is also known as "lipoplasty" or "suction lipectomy," has benefited from several new refinements.
Today, a number of new techniques are helping many plastic surgeons to provide selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.
If you're considering liposuction in Boston, this page will give you a basic understanding of this plastic surgery procedure, when it can help, how it is performed and how you might look and feel after surgery. It won't answer all of your questions, but will help you to discuss your surgery with your plastic surgeon during your consultation. Please ask your Boston doctor if there is anything about your cosmetic surgery procedure you don't understand.
Tummy Tuck (Abdominoplasty)
If you're considering a tummy tuck in Boston...
Abdominoplasty, known more commonly as a "tummy tuck," is a major cosmetic plastic surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen.
If you're considering abdominoplasty in Boston, this will give you a basic understanding of this plastic surgery procedure-when it can help you, how it is performed and what results are possible. It can't answer all of your questions, but this information will guide you during your consultation with your plastic surgeon. Please ask your Boston surgeon about anything you don't understand about this plastic surgery procedure.
Our face is our most visible feature. Through it we convey to the world what and how we feel. Facial ageing includes a loss of skin elasticity and firmness, sagging tissue and wrinkles. These visible signs of ageing greatly impact how we feel about ourselves and how others see us. The loss of youthful contours of the midface, jaw line and neck may cause us to appear sad, angry, or tired even when we are full of energy and excited about life.
If you are bothered by the signs of ageing in your face, then a facelift in our Boston center may right for you. In general, face lifting tightens sagging facial skin to restore a more youthful and vibrant appearance.
Modern facelifting techniques make the procedure safer than ever. In our Boston office, the patients have a choice of anesthesia. Facelifts can be performed under oral sedation and local anesthesia, reducing your operative time and office stay, as well as providing for more flexible scheduling. For those who want deeper sedation, intravenous anesthesia is always available with our Board certified anesthesiologists. As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck. A facelift (technically known as rhytidectomy) can't stop this aging process. What it can do is "set back the clock," improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. The goal is always to give you the most natural result possible.
If you're considering a facelift, this page will give you a basic understanding of the procedure when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don't understand. The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well. A facelift can make you look younger and fresher, and it may enhance your self- confidence in the process. But it can't give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. All surgery carries some uncertainty and risk. When a facelift is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable.
Complications that can occur include hematoma (a collection of blood under the skin that must be removed by the surgeon), injury to the nerves that control facial muscles (usually temporary), infection, and reactions to the anesthesia. Poor healing of the skin is most likely to affect smokers. You can reduce your risks by closely following your surgeon's advice both before and after surgery. Facelifts are very individualized procedures. In your initial consultation the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery. Your surgeon will check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting. If you decide to have a facelift, your surgeon will explain the techniques and anesthesia he or she will use, the type of facility where the surgery will be performed, and the risks and costs involved. Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results. Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it's especially important to stop at least a week or two before and after surgery; smoking inhibits blood flow to the skin, and can interfere with the healing of your incision areas. If your hair is very short, you might want to let it grow out before surgery, so that it's long enough to hide the scars while they heal. Whether your facelift is being done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two if needed. Cosmetic surgeries are performed at the state-of-the-art operating suite at Wellesley Cosmetic Surgery, under the watchful care of our Board Certified anesthesiologist. A facelift may be performed in a surgeon's office-based facility, an outpatient surgery center, or a hospital. It's usually done on an outpatient basis, but some surgeons may hospitalize patients for a day when using general anesthesia. Certain conditions such as diabetes or high blood pressure should be monitored after surgery, and may also require a short inpatient stay.
Most facelifts are performed under local anesthesia, combined with a sedative to make you drowsy. You'll be awake but relaxed, and your face will be insensitive to pain. (However, you may feel some tugging or occasional discomfort.)
Some patients prefer general anesthesia. In that case, you'll sleep through the operation. A facelift usually takes two hours, or somewhat longer if you're having more than one procedure done.
Every surgeon approaches the procedure in his or her own way. Some complete one side of the face at a time, and others move back and forth between the sides. The exact placement of incisions and the sequence of events depends on your facial structure and your surgeon's technique.
Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin.
In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure the layers of tissue and close the incisions; metal clips may be used on the scalp.
Following surgery, a small, thin tube may be temporarily placed under the skin behind your ear to drain any blood that might collect there. The surgeon may also wrap your head loosely in bandages to minimize bruising and swelling. There isn't usually significant discomfort after surgery; if there is, it can be lessened with the pain medication prescribed by your surgeon. (Severe or persistent pain or a sudden swelling of your face should be reported to your surgeon immediately.) Some numbness of the skin is quite normal; it will disappear in a few weeks or months. Your doctor may tell you to keep your head elevated and as still as possible for a couple of days after surgery, to keep the swelling down.
If you've had a drainage tube inserted, it will be removed one or two days after surgery. Bandages are usually removed after two days. Don't be surprised at the pale, bruised, and puffy face you see. Just keep in mind that in a few weeks you'll be looking normal.
Most of your stitches are absorbable and will dissolve on their own. Your scalp may take longer to heal, and the stitches in your hairline could be left in a few days longer. You should be up and about in a day or two, but plan on taking it easy for the first week after surgery. Be especially gentle with your face and hair, since your skin will be both tender and numb, and may not respond normally at first. Your surgeon will give more specific guidelines for gradually resuming your normal activities. They're likely to include these suggestions: Avoid strenuous activity, including sex and heavy housework, for at least two weeks (walking and mild stretching are fine) Above all, get plenty of rest and allow your body to spend its energy on healing.
At the beginning, your face may look and feel rather strange. Your features may be distorted from the swelling, your facial movements may be slightly stiff and you'll probably be self-conscious about your scars. Some bruising may persist for two weeks, and you may tire easily. It's not surprising that some patients are disappointed and depressed at first.
By the second week, you'll look and feel much better. Most patients are back at work about ten days to two weeks after surgery. If you need it, special camouflage makeup can mask most bruising that remains. The chances are excellent that you'll be happy with your facelift-especially if you realize that the results may not be immediately apparent. Even after the swelling and bruises are gone, the hair around your temples may be thin and your skin may feel dry and rough for several months. Men may find they have to shave in new places-behind the neck and ears-where areas of beard- growing skin have been repositioned.
You'll have some scars from your facelift, but they're usually hidden by your hair or in the natural creases of your face and ears. In any case, they'll fade with time and should be scarcely visible.
Having a facelift doesn't stop the clock. Your face will continue to age with time, and you may want to repeat the procedure one or more times-perhaps five or ten years down the line. But in another sense, the effects of even one facelift are lasting; years later, you'll continue to look better than if you'd never had a facelift at all.
Xeomin or Botox
If you are considering Xeomin or Botox treatments in Boston....
The cosmetic form of botulinum toxin, often referred to by its product names
BOTOX« COSMETIC, is a popular non-surgical injection that temporarily reduces or
eliminates frown lines, forehead creases, crows feet near the eyes and thick
bands in the neck.
Recently, Botox has been used to reduce the pain in temporo-mandibular joint (TMJ) associated with nighttime teeth grinding (bruxism).
Taking a dietary supplement of organic zinc and the enzyme phytase four days before receiving botulinum toxin injections made the toxin more effective in 93 percent of patients tested in a recent study at The Methodist Hospital in Houston. This research has resulted in a patent-pending dietary supplement combining zinc and phytase (trademarked as ZYTAZE┬ä┬ó) to be available to patients as early as this month. Forty-one of the 44 patients who took the oral supplements prior to botulinum toxin injections (Botox┬«, Dysport┬«, or Myobloc┬«) showed improved results.
Juvederm, Restylane, Radiesse and fat injections
If you're considering fat injections/ fillers in Boston...
Soft-tissue fillers, such as Restylane, Juvederm, Radiesse or your own fat, can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Restylane, Juvederm, Radiesse and fat may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.
If you're considering a facial-rejuvenation treatment with Restylane, Juvederm, Radiesse or fat in Boston, this brochure will give you a basic understanding of the procedure - when injectables can help, how the procedure is performed, and what results you can expect. It may not answer all of your questions, since a lot depends on your individual circumstances. Please ask your doctor if there is anything about the procedure you don't understand.
Cosmetic eyelid surgery ( blepharoplasty )
The eyes are our most intriguing and revealing facial feature. They draw attention and convey expression. Through them we see others and others see us. Often, our emotional and physical wellbeing is reflected in the eyes. Unfortunately, signs of ageing can greatly impact the appearance of the eyes.
If you are bothered by upper eyelids with excess, drooping skin, or by the puffy, baggy lower eyelids - all of which can make you look angry, sad, or tired even when you are not - then cosmetic eyelid surgery in our Boston center may be right for you. In general, eyelid surgery (blepharoplasty) corrects the redundant skin and/or fat in the upper and lower eyelids for a more youthful and energetic appearance.Continue reading about boston blepharoplasty >>
The nose is the most prominent aspect of the face. It defines balance and harmony amongst facial features. When the nose is out of proportion with the rest of the face, it affects self-image and confidence.
If you are bothered by the appearance of your nose, cosmetic rhinoplasty in our Boston center may be right for you. In general, rhinoplasty improves the appearance and proportions of the nose, enhancing facial harmony and self-confidence.
Labiaplasty - cosmetic vaginal surgery in our Boston center
As modern women became more aware of differences in genital appearance, the popularity of cosmetic vaginal surgery increased significantly. The most common aesthetic complaint is enlarged inner vaginal lips known as Labia Minora. If a woman considers her Labia Minora too prominent or deformed, she may develop diminished self-esteem and even become sexually inhibited. Additionally, women with enlargement of Labia Minora often complain of discomfort with physical activities and clothing. Vaginal cosmetic surgery, or Labiaplasty is designed to help women overcome these problems.
A torn ear lobe usually occurs after the pierced hole widens over time from the weight of earrings or plugs. Once the ear lobe is weakened, continuing to wear heavy earrings can result in a tear. Other types of tears can also occur, such as earrings being accidentally pulled through the lobe. When your ear lobe is torn, it usually requires surgery to repair the wound. The surgery itself is not long. It takes about fifteen minutes per side. At our Boston, Massachusetts surgical center the earlobe repairs are done under local anesthesia with minimal post-operative discomfort. And when you are ready, we can re-pierce your ears for you.