403 S 11th St. Ste #300, Boise, ID 83702 | info@michaelbaileymd.com
 
 
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Surgical Procedures in Boise, ID

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Surgical Procedures

 

Body Procedures

If you're considering procedures to help you achieve your goals, set back the clock, or treatment for skin cancer, please follow the links at the top of this page.

Fat Transfer

Before and After pictures

fattrans1
Fat transfers can provide beautiful, natural-looking results. The technique involves removing fat from one part of the body, such as the thigh, and painlessly injecting it in the same individual in another part of the body. Using your own fat reduces the risks of an allergic reaction. The injected fat can fill in furrows or depressions, or can enhance areas such as the lips, cheeks, and back of the hands.

How is a fat transfer done?

The donor area will be numbed using a local anesthesia, and then the fat is removed by using small syringes. It is then prepared to be immediately injected into the areas to be treated. Excess fat can be frozen for future fat transfer procedures. Patients usually feel minimal discomfort during the removal of fat and when the fat is injected. You may have swelling and bruising at the site afterwards but any minimal pain can usually be controlled with oral medication.

Specifications

Medical Name: Fat Transfers
Common Name: Fat Transfers
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: 1 hour or less
Recovery Time: 1-2 weeks
Discomfort Level: Mild
Procedure Location: Our Office Surgical Suite

Liposculpting

Before and After pictures

lipo1
For some people, stubborn areas of excess fat can't seem to disappear even with a strict diet or disciplined exercise. If you're looking for a more trim or better-proportioned body contour, liposuction may be the answer.

Liposculpting, also called liposuction, is a surgical procedure that removes deposits of excess fat from specific areas of the body, face or neck. Liposuction can be used to trim hips and thighs, flatten the abdomen, shape the calves and ankles or eliminate a double chin. The procedure can produce excellent results, smoothing areas of excessive fat that appear disproportionate to the rest of the body. Although liposuction is not a treatment for obesity, it sometimes is the only way to eliminate fat deposits that do not respond to diet and exercise.

People of almost any age can undergo liposuction. Patients with good skin elasticity will achieve the smoothest contour after the fat is removed. Liposculpting can be performed on several areas of the body at the same time or be done along with other cosmetic surgery procedures, as long as you understand that there is increased risk and Dr. Bailey feels that having multiple areas treated is a safe option for you. Liposuction can also be used to treat some cases of gynecomastia, or male breast enlargement, which occurs in both teens and adult men. Liposuction cannot effectively treat cellulite, the dimpling in the skin of thighs or the buttocks.

Liposuction may be complicated by existing medical conditions such as diabetes, high blood pressure, or heart disease. It's important to discuss any medical conditions such as these with Dr. Bailey beforehand.

Where will my procedure be done and how long will it last?

Liposculpting is usually performed in our office surgical suite on an outpatient basis. It's important that you have another person assist you with your care for the first 24 hours. Surgery time depends on the number of areas performed and the amount of fat to be removed.

How is liposculpting done?

Under general anesthesia, Dr. Bailey will make one or more small incisions near the area to be suctioned. A slim, hollow tube called a cannula is placed through the incision so that the tip penetrates the underlying fat. Then the cannula is connected to the suction pump and the surgeon moves the cannula back and forth through the fat as it's vacuumed through the tube. Sometimes the power-assisted liposuction device is used particularly in the areas that have more fibrous tissue.

What are the risks of liposculpting?

In some cases, patients experience mild scarring from the incisions. However, this is fairly minimal because the incisions themselves are very small. Dr. Bailey attempts to place these incisions in areas that are usually not obvious. Probably the most significant issue with liposuction is the amount of fat to be removed: the more fat removed, the more the risk increases, particularly with regard to bleeding underneath the surface where the liposuction was performed.

The other significant risk factor is related to skin tone. Young people in their 20's and 30's tend to have very nice skin tone with good levels of elasticity that allow the skin to retract back into a nice position and contour (the exception is stretch marks from pregnancy). The older the patient the less likely the skin will have a smooth contour. This is particularly important for patients to realize as they undergo significant volume reductions in fat and need to realize the tradeoff with the possibility of loose skin in those areas. You will have some numbness in the skin areas underneath the areas of liposuction. This is an unavoidable condition of liposuction and almost always improves itself within 3-4 months.

Liposuction can involve complications such as bleeding or infection. There have been many studies done in the area of bleeding and it appears that in general bleeding is directly related to the amount of fat removed. Infection is very rare in liposuction and this could present itself as a very devastating complication. However, because of the sterile technique used by Dr. Bailey and the type of instrumentation used this is a very, very rare occurrence. Other extraordinarily rare complications, such as pulmonary embolus, can occur. Again, these extremely rare events would require hospitalization and treatment by other specialists.

Specifications

Medical Name: Liposculpting
Common Name: Liposculpting, liposuction
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: varies
Recovery Time: 2 weeks
Discomfort Level: Moderate
Procedure Location: Our Office Surgical Suite
 

Smartlipo®

You've worked hard. You deserve to have the body you've always wanted. Smartlipo can help you get it now with less trauma and less downtime. Recovery time is faster than with traditional liposuction and the cost is very competitive.
You've worked hard. You deserve to have the body you've always wanted. Smartlipo can help you get it now with less trauma and less downtime. Recovery time is faster than with traditional liposuction and the cost is very competitive.

How is Smartlipo different from traditional liposuction?

Smartlipo uses laser technology to melt and liquefy the fat within the fat cells. In addition, it smoothes and tightens the skin to decrease the looseness that is sometimes seen with traditional liposuction. It can be utilized alone to treat smaller areas of fat, such as below the chin, or in combination with liposuction to remove larger areas of fat such as in the abdomen, flanks and thighs.

How is the procedure performed?

The first step is to utilize tumescent anesthesia which instills dilute solutions of lidocaine and epinephrine into the fatty areas to be treated. This fluid anesthetizes the areas to be treated, plus it decreases bleeding significantly. The procedure can thus be performed while the patient is awake or with sedation. Many people can return to work and normal activities within a few days.

Is Smartlipo FDA approved?

Introduced in 2007, Smartlipo was the first laser to be approved by the FDA to be used for fat dissolution and removal with tumescent liposuction. This laser technology targets red blood cells and thus results in less blood loss. In addition, it produces a burst of energy as it enters the fatty tissue that dissolves the fat so it can be removed by suctioning. This improves the safety of the procedure by being able to melt the fat without heating the tissue excessively. Smaller areas of melted fat can actually reabsorb into the body and may not even need suctioning for optimal results.

Where is the procedure done?

By utilizing the tumescent technique, these liposuction procedures can be performed in our office while you are awake. No longer will you have to be put to sleep using general anesthetics nor do you need to be admitted to the hospital for the procedure. Moreover, Smartlipo allows you to return to normal activities more rapidly than the older liposuction methods. It is safer and provides improved results for smoother and tighter skin. Thus, Smartlipo is the procedure of choice for most physicians and patients.

Is Smartlipo right for me?

A cutting-edge, highly effective method to significantly improve the safety and efficiency of liposuction with minimal downtime and discomfort while also providing skin tightening to the treatment area. The ideal candidate for Smartlipo is in good health; exercises regularly; is within 25 lbs. of his or her ideal weight; has one or more areas of local body fat deposits that have responded poorly to diet and exercise; and is bothered by these fatty areas and motivated to get rid of them permanently.

Specifications

Medical Name: Laser-assisted Liposuction
Common Name: Smartlipo
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: varies
Recovery Time: 2 weeks
Discomfort Level: Mild
Procedure Location: Our Office Surgical Suite

Smartlipo is a trademark of El. En., S.p.A

Skin Cancers

What Are the Symptoms of Skin Cancer?

The most common warning sign of skin cancer is a change on the skin, typically a new mole or skin lesion or a change in an existing mole. Basal cell carcinoma may appear as a small, smooth, pearly or waxy bump on the face ears and neck, or as a flat pink, red or brown lesion on the trunk or arms and legs. Squamous cell carcinoma can appear as a firm, red nodule, or as a rough, scaly flat lesion that may bleed and become crusty. Both basal cell and squamous cell cancers mainly occur on areas of the skin frequently exposed to the sun, but can occur anywhere. The third type of skin cancer is melanoma.

Melanoma usually appears as a pigmented patch or bump. It may resemble a normal mole, but usually has a more irregular appearance. When looking for melanoma, think of ABCD rule of signs to watch for:

  • Asymmetry - the shape of one half doesn't match the other
  • Border - edges are ragged or blurred
  • Color - uneven shades of brown, black, tan, red, white or blue.
  • Diameter - A significant change in size (greater than 6mm)

How can Dr. Bailey help me if I think, or know, I have a skin cancer?

First you will need a consultation where you and Dr. Bailey discuss the necessary treatment. Next, you will be given pre-operative instructions, a written estimate of all charges, and we will schedule your procedure.

What is a biopsy?

A biopsy is a sample of tissue taken from the body in order to examine it more closely. If Dr. Bailey determines a need for a biopsy, it can be performed in our office to verify whether or not you have skin cancer. Dr. Bailey then closes the defect for the best possible aesthetic result. Next, your specimen will be sent by mail or courier to a lab and we will receive your results within a few days. If the biopsy is positive for skin cancer, the correct course of treatment will be discussed with you by Dr. Bailey.

I have been told I need a "frozen section". What is that?

A frozen section involves excising a small portion of the suspected area of skin cancer and sending it by courier to a laboratory for review under a microscope. After reviewing the speciment, the lab calls our office with the diagnosis, and Dr. Bailey and his staff then remove a larger area of tissue if necessary. The process is repeated until all specimens are determined to be cancer-free. Dr. Bailey then closes the defect for the best possible aesthetic result.

I am worried how I will look after surgery.

Dr. Bailey will work tirelessly to leave you with best possible, aesthetically-pleasing result. Please feel free to ask questions or share your concerns during your consultation.

Will my insurance cover the removal and repair of a skin cancer?

We will make every effort to determine if your insurance will cover your course of treatment as well as your approximate cost at your consultation.

Face and Neck Procedures

As people age, their faces begin to show the effects of gravity, exposure to the sun, and the stress and strain of daily life. Although it is impossible to stop the aging process, Dr. Bailey offers procedures that can "set back the clock," minimizing visible signs of aging on the face and neck.

The best candidates for many of the procedures Dr. Bailey offers are men or women whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined.

These procedures can make you look younger and fresher, and may enhance your self confidence in the process. Before you decide on any of these procedures, make an appointment with Dr. Bailey and discuss your expectations.

If you're considering procedures to help set back your clock, please follow the links at the top of this page.

Endoscopic brow/forehead lift

Before and After pictures

brow1
You may feel that your eyes have a tired or heavy appearance. Or, you've noticed that you have excess upper eyelid skin. You may feel that you look angry, upset, or tired when you really do not feel this way. Additionally, you may be concerned with horizontal forehead creases. In these and other cases, a browlift might correct these issues. Browlifts are usually done for these reasons:

  • To elevate eyebrows because they are congenitally low or low from changes associated with aging
  • To remove excess skin and/or fullness from the upper eyelid
  • To improve symmetry of the eyebrows
  • To change the shape of the eyebrows
  • To decrease the function of muscles in the brow that cause frowning and associated wrinkling

How is an endoscopic brow lift done?

An endoscopic brow lift is performed using a small microsurgery device called an endoscope (a small tube with a tiny camera at one end). The endoscope is inserted through one of five small incisions at the hairline. The endoscope is connected to a video screen that allows Dr. Bailey to visualize the surgery by using the images from the video screen as a guide.

The actual surgery involves loosening muscles and "lifting" the eyebrows. The lift is held in place with an endotine device placed behind the hairline. The incisions are closed with sutures under the skin and staples for the skin.

Where will my brow lift surgery be done and how long will it take?

A browlift can be done in the office or hospital depending on the patient's desires and health.

What are the risks of brow lift surgery?

There are risks attached to any invasive surgery, such as reactions to the anesthetic, bleeding, nerve damage or hematoma (blood collecting under the skin).

Eyes or eyebrows may not be symmetrical. It is possible, though unlikely, that nerves controlling facial muscles or eyebrow movement could be damaged, either temporarily or permanently. If damaged permanently, you might need further surgery to correct the problem. Hair sometimes comes out around the incisions, but usually grows back. Scars should fade until they're scarcely visible, and be hidden by hair, but occasionally wider, thicker scar tissue develops. After the swelling and bruising subsides, the full effect appears, which can last 5-10 years.

How should I prepare for my brow lift surgery?

In your initial consultation, Dr. Bailey will ask you what your goals are and discuss the possibilities with you. Dr. Bailey can show you, using computer imaging technology, an approximation of what you'll look like after your surgery. You should also look at before and after photographs and speak with previous patients (ask Dr. Bailey for referrals to previous patients and where to contact them).

Dr. Bailey will give you specific instructions on how to prepare for your surgery, including guidelines on physical activity, eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. In addition, it is important that you let Dr. Bailey know about any allergies and serious medical conditions you may have. And be sure you let him know about any medications you're taking. If you smoke, it's especially important to stop at least a month before and after surgery. You may be advised to grow your hair out so that it will cover the healing incisions.

Here are some questions you should ask:

  • Are my expectations realistic?
  • What kind of anesthesia will be used during the surgery?
  • How much does the procedure cost and what other elements factor into that cost (i.e., hospital fee, anesthesia, etc)?
  • What percentage of patients experience complications with this procedure?
  • What is the policy in regards to correcting or repeating the procedure if the surgery does not meet agreed upon goals?
  • What should I expect, post-operatively, in terms of soreness, scarring, activity level and so on?

What should I expect after my brow lift surgery?

The discomfort after browlift surgery can be mild to moderate, but effectively minimized with the pain medication prescribed by Dr. Bailey. (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. There may be some itching sensation but it is usually less than the amount felt by patients who have had the classic forehead lift.

The stitches or staples used to close the incisions are usually removed within a week to ten days. Your scalp may take longer to heal, and the stitches or metal clips in your hairline could be left in a few days longer.

Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed. Dr. Bailey will give more specific guidelines for gradually resuming your normal activities.

You'll need to avoid:

  • Strenuous activity for at least two weeks (walking and mild stretching are fine).
  • Prolonged exposure to sun.
  • Drinking alcohol for several months.

Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup. You may feel a bit tired at first, but your energy level will increase as you begin to look and feel better.

Specifications

Medical Name: Browlift
Common Name: Browlift
Type of Anesthesia: Intravenous (twilight sleep)
Length of Procedure: 2 hours
Recovery Time: 2 weeks
Discomfort Level: Mild - moderate
Procedure Location: Our Office Surgical Suite

Chin and Cheek Implants

Before and After pictures

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Chin Implant
A recessed chin or flat cheekbones can affect your overall facial appearance. Enhancing your bone structure can improve the balance and symmetry of your face dramatically. Both chin implants and cheek implants are made from special medical-grade materials that, when placed, look and feel like normal bone. Every year, the availability of synthetic materials used in cheek and chin implants increases, offering patients more options for their surgery. However, we insist that the chin and cheek implants materials we use be proven durable and safe before we introduce them into our practice.

How is chin implant surgery done?

The chin implant procedure can be performed while you're under intravenous anesthesia or local anesthesia. Dr. Bailey will determine which is the best option in your particular case. First, Dr. Bailey will make an incision in the skin just beneath your chin. Then, he'll create a pocket over the front of your jawbone. A chin implant, specially selected to be the correct size and shape to give you your desired results, will be placed in the pocket. After surgery, your chin may be taped to provide support and to minimize swelling and discomfort. A chin implant operation can be combined with the removal of fat from the chin and neck area to eliminate a double chin or the appearance of a "turkey wattle." Sutures will be removed during a follow-up visit to Dr. Bailey's office, about a week after your chin implant surgery.

Where will my chin/cheek implant surgery be done and how long will it take?

These procedures are usually performed on an outpatient basis in our office surgical suite. The procedures usually take about 1 hour.

Cheek implant surgery

The incisions for cheek implants are made inside your mouth, just above the gum lines of the upper teeth, so that no scars will be visible. Dr. Bailey will then slip the implant into a small pocket over the cheekbone, and then close the incision. Like chin surgery, cheek implant surgery will be performed under intravenous anesthesia.

After chin or cheek implant surgery, you will be taken to a recovery room and monitored until you are discharged to go home. You will need a ride home, and you may want to arrange to have someone look after you for a day or two after your surgery.

What should I expect after my chin/cheek surgery?

You'll experience some swelling or discomfort in the days following surgery. Dr. Bailey will give you instructions about activities to avoid during your recovery. Because of the nature of cheek or chin implants, which fundamentally change your facial structure, it may take some time to become accustomed to your new look. However, after several months, you should be used to your appearance, and happy with the new balance and proportion of your features.

Specifications

Medical Name: Facial augmentation
Common Name: Chin Implant, Cheek Implant
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: 1 hour
Recovery Time: 2 weeks
Discomfort Level: Mild
Procedure Location: Our Office Surgical Suite

Eyelid Lift

Before and After pictures

eyes1
Upper and Lower Blepharoplasty
Eyelid surgery is intended to remove the excess fat, along with skin and muscle, from the upper and lower eyelids. A properly performed procedure will help restore a more youthful appearance. An eyelid lift won't remove the wrinkles around the eyes nor will it elevate a droopy eyebrow. There are other procedures designed for these purposes. In some patients the procedure will improve peripheral vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision.

You'll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Where will my eyelid surgery be done and how long does it take?

The procedure is most often performed on an outpatient basis in our office surgical suite. The procedure usually takes about 1 hour.

How is eyelid surgery done?

Eyelid surgery can be performed on the upper or lower eyelids separately or both at the same time. The upper eyelid incision is made in the natural skin fold. The lower eyelid incision may be made directly under the eyelash line or on the inside of the lower lid. The excess skin and fatty tissue is removed and the incisions are carefully closed. The external incisions blend in beautifully and are minimally noticeable after a short time.

What are the risks involved with eyelid surgery?

Complications are infrequent and minor. All patients will experience some bruising and swelling for a few days after the surgery. In addition, a temporary problem with closure of the eyelids can be seen. Some patients may have temporary blurring of their vision, usually due to the ointments applied to the incisions post operatively. In rare instances, the lower eyelid may be pulled down. If this does not resolve on its own, further surgery may be necessary. The theoretical complications of any surgical procedure, such as bleeding, infection, wound disruption and heavy scarring are also possible, but rare.

How should I prepare for my eyelid surgery?

In your initial consultation, Dr. Bailey will ask you what your goals are and discuss the possibilities with you. You should look at before and after photographs and speak with previous patients (ask Dr. Bailey for referrals to previous patients and where to contact them).

Note: Most insurance policies don't cover eyelid surgery, unless you can prove that drooping upper lids interfere with your vision. Check with your insurer.

Dr. Bailey will give you specific instructions on how to prepare for your surgery, including guidelines on physical activity, eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. In addition, it is important that you let Dr. Bailey know about any allergies and serious medical conditions you may have. And be sure you let him know about any medications you're taking. If you smoke, it's especially important to stop at least one month before and after surgery.

Here are some questions you should ask:

  • Are my expectations realistic?
  • What kind of anesthesia will be used during the surgery?
  • How much does the procedure cost and what other elements factor into that cost (i.e., hospital fee, anesthesia, etc)?
  • What percentage of patients experience complications with this procedure?
  • What is the policy in regards to correcting or repeating the procedure if the surgery does not meet agreed upon goals?
  • What should I expect, post-operatively, in terms of soreness, scarring, activity level and so on?

Specifications

Medical Name: Blepharoplasty
Common Name: Eyelid lift
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: 1 to 1 1/2 hours
Recovery Time: 2 weeks
Discomfort Level: Mild
Procedure Location: Our Office Surgical Suite

Facelift & S-Lift

Before and After pictures

 
Facelift
Facelift, Platysmaplasty, and Upper Blepharoplasty
 
S-Lift
S-Lift
 
A facelift can improve the most visible signs of aging by removing excess fat, tightening the underlying muscles, and then redraping the skin of your face and neck. A facelift can be done alone, or with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. Most patients are in their forties to sixties, but facelifts can be done on people in their seventies or eighties, too.

Where will my facelift surgery be done and how long does it take?

The surgery can be done in the office or hospital depending on the patient's desires or health. It will take several hours and longer if you're having other procedures done at the same time. The location of incisions and the surgeon's technique depends on your facial structure, your skin condition and your goals.

How is the facelift surgery done?

The actual surgery involves separating 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 an underlying layer of tissue just above the muscle, pulls the skin back, and removes any excess skin. Stitches are put in to secure the layers of tissue and close the incisions.

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.

What are the risks of facelift surgery?

When a facelift is performed by a qualified 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.

How should I prepare for my facelift surgery?

In your initial consultation, Dr. Bailey will ask you what your goals are and discuss the possibilities with you. Dr. Bailey can show you, using computer imaging technology, a reasonable approximation of what you'll look like after your surgery. You should also look at before and after photographs and speak with previous patients (ask Dr. Bailey for referrals to previous patients and where to contact them).

Dr. Bailey will give you specific instructions on how to prepare for your surgery, including guidelines on physical activity, eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. In addition, it is important that you let Dr. Bailey know about any allergies and serious medical conditions you may have. And be sure you let him know about any medications you're taking. If you smoke, it's especially important to stop at least one month before and after surgery.

Here are some questions you should ask:

  • Are my expectations realistic?
  • What kind of anesthesia will be used during the surgery?
  • How much does the procedure cost and what other elements factor into that cost (i.e., hospital fee, anesthesia, etc)?
  • What percentage of patients experience complications with this procedure?
  • What is the policy in regards to correcting or repeating the procedure if the surgery does not meet agreed upon goals?
  • What should I expect, post-operatively, in terms of soreness, scarring, activity level and so on?

Specifications

Medical Name: Rhytidectomy
Common Name: Facelift
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: 4-5 hours
Recovery Time: 2 weeks
Discomfort Level: Mild to moderate
Procedure Location: Our Office Surgical Suite

Nasal Reshaping

Before and After pictures

nosejob1
Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Nasal surgery can:

  • Reduce or increase the size of your nose.
  • Change the shape of the tip or the bridge.
  • Narrow the span of the nostrils.
  • Change the angle between your nose and your upper lip.
  • Help relieve some breathing problems.

The best candidates for nasal reshaping are people who are looking for improvement, not perfection, in the way they look.

Many surgeons prefer not to operate on teenagers until after they've completed their growth spurt which is around 15 for girls, a bit later for boys.

Where will my nasal surgery be done and how long does it take?

Nasal surgery may be performed in our office surgical suite on an outpatient basis. The procedure usually takes an hour or two, though complicated procedures may take longer.

How is nasal surgery done?

Nasal surgery is performed under intravenous anesthesia. You'll be sedated, and your nose and the surrounding area will be numbed. You'll be relaxed during the surgery and insensitive to discomfort.

During surgery, the skin of the nose is separated from its bone and cartilage and then the bone and cartilage are sculpted to the desired shape. After that's completed, the skin is redraped over the new framework. Dr. Bailey performs an "open" procedure during which he makes a small incision across the columella, the vertical strip of tissue separating the nostrils. The rest of the incisions are made inside the nose.

When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.

What are the risks of nasal surgery?

When nasal surgery is performed by a qualified surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.

After surgery, small burst blood vessels may appear as tiny red spots on the skin's surface near the junction of the nose and face; these are usually minor but may be permanent. As for scarring, when nasal surgery is performed from inside the nose, there is no visible scarring at all. When an "open" technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are minimally visible.

How should I prepare for my nasal surgery?

In your initial consultation, Dr. Bailey will ask you what you'd like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. Dr. Bailey can show you, using computer imaging technology, an approximation of what you'll look like after your surgery. You should also look at before and after photographs and speak with previous patients (ask Dr. Bailey for referrals to previous patients and where to contact them).

He'll also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations. Be sure to tell Dr. Bailey if you've had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties and if you're taking any medications.

Dr. Bailey will give you specific instructions on how to prepare for your surgery, including guidelines on physical activity, 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 one month before and after surgery.

Specifications

Medical Name: Rhinoplasty
Common Name: Nasal reshaping
Type of Anesthesia: Intravenous anesthesia
Length of Procedure: 1-3 hours
Recovery Time: 2 weeks
Discomfort Level: Mild to moderate
Procedure Location: Our Office Surgical Suite

Neck Lift

Before and After pictures

Necklift, Cervicofacial Liposuction, and a Platysmaplasty
Having a fleshy neck can make some individuals feel self-conscious about their appearance. A neck lift can address various cosmetic issues, including:

  • Lack of definition in the neck
  • Excess fat and/or skin in the neck, as well as muscle banding
If you are self-conscious about these issues, you can be considered a good candidate for a neck lift. During the neck lift procedure, excess fat and skin are removed from the neck and the neck muscles are either altered or tightened. This results in a more defined neck and jaw line appearance.

How is a neck lift done?

The neck lift takes about three hours for the doctor to perform. If multiple procedures are performed, it takes longer. The neck lift is actually a combination of procedures. The first is cervicoplasty, where excess skin is removed. The other is platysmaplasty, where neck muscles are tightened. Surgeons may also perform liposuction on the neck to remove fat deposits from the neck.

During cervicoplasty, two incisions are made under and behind the ear. When combined with a platysmaplasty, a small incision is made under the chin. Sections of skin are trimmed, lifted into place and sutured. Then, a section of fat and muscle is removed and the ends are sutured together at the mid-anterior (front) section of the neck. The skin can be brought together under or behind the ear to further firm up appearance of the neck.

Where will my neck lift surgery be done?

A neck lift may be performed in our office surgical suite. This procedure is usually done on an outpatient basis and performed under intravenous anesthesia, allowing the patient to sleep during the operation.

What are the risks of neck lift surgery?

With any cosmetic procedure, there is always the possibility of risks. A neck lift may involve multiple procedures, so there is an increased risk. The most common risk for any cosmetic procedure is allergic reaction to the anesthesia and infection. Another potential complication is accumulation of blood under the skin (hematoma). Yet another risk is injury to the nerves that control muscles in the treated area. Excessive scar tissue is another possible cause for concern, however, scar revision procedures can help.

These risks can be reduced when the procedure is performed by a qualified surgeon, with extensive experience in performing neck lifts and if patients follow their doctor's pre-op and post-op instructions. Note: Smokers should stop smoking one month before and after surgery because this contributes to poor healing of the skin.

How should I prepare for my neck lift surgery?

In your initial consultation, Dr. Bailey will ask you what your goals are and discuss the possibilities with you. Dr. Bailey can show you, using computer imaging technology, a reasonable approximation of what you may look like after your surgery. You should also look at before and after photographs and speak with previous patients (ask Dr. Bailey for referrals to previous patients and where to contact them).

Dr. Bailey will give you specific instructions on how to prepare for your surgery, including guidelines on physical activity, eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. In addition, it is important that you let Dr. Bailey know about any allergies and serious medical conditions you may have. And be sure you let him know about any medications you're taking. If you smoke, it's especially important to stop at least a month before and after surgery.

Here are some questions you should ask:

  • Are my expectations realistic?
  • What kind of anesthesia will be used during the surgery?
  • How much does the procedure cost and what other elements factor into that cost (i.e., hospital fee, anesthesia, etc)?
  • What percentage of patients experience complications with this procedure?
  • What is the policy in regards to correcting or repeating the procedure if the surgery does not meet agreed upon goals?
  • What should I expect, post-operatively, in terms of soreness, scarring, activity level and so on?

Here are some questions you should ask:

Medical Name: Cervicoplasty
Common Name: Neck Lift
Type of Anesthesia: Intravenous anesthesia (twilight sleep)
Length of Procedure: 3 hours
Recovery Time: 2 weeks
Discomfort Level: Mild
Procedure Location: Our Office Surgical Suite

Neck liposuction

Cervicofacial liposuction involves using suction to remove undesirable fat deposits in the face and neck
necklift9
necklift, cervicofacial liposuction and a platysmaplasty