February 26

A Guide on Recovery and Cost for Labiaplasty Surgery

download (2)A Labiaplasty surgery is one that is carried out on the female genital region. The most common surgeries consist of a Labia minora reduction and a Labia majora reduction. It is very easy to comprehend just by looking at the names of these procedures, the surgery mostly involves the reduction of the amount of tissue in either the minor labia or the major labia. The major is the pair of outer lips while the minor is for the inner ones.

Reason for a Labia surgery

The most common reasons that women give for availing this surgery is that they are unhappy with their vulva appearance. This procedure is for cosmetic reasons commonly. Women who have an elongated or an enlarged labia may sometimes feel very conscious when they are wearing tight clothing and certain types of swimwear. This is because the outline of the labia is visible very easily. This can also cause many women to feel extremely self- conscious during an intimate amount contact.

Discomfort of Labia surgery

After the surgery more often than not, women experience discomfort during various activities. These activities include walking, cycling, jogging, horse riding, sexual intercourse and exercising. Hence in order to recover as soon as possible, doctors recommend to avoid any type of physical activity even thought it might not be painful. Other instances of discomfort arise when clothing like bikinis, thongs and tight pants are worn.

Causes of a large labia

The most primary cause of a labia can be bought down to genetics. It is natural for some women to have an elongated labia. As she ages, she will lose her skin tone and muscles. Also some women may notice that their labia becomes even more elongated as time passes by. A women may also undergo a few physical changes to her labia pre or post pregnancy and/or childbirth. This labia can also undergo changes in the shape or size due to the trauma that is related to some type’s pf accidents.

Before you move on and proceed with the surgery, you will have to take references of good and experienced doctors. An experienced doctor can perform the surgery and you can get best results as soon as possible. Thus go ahead and visit a surgeon whom you feel can do the job. References can go a long way as far as your doctor is concerned. It is one of the important things to remember.

 

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February 22

Tips to Recover From a Labiaplasty Surgery

download (1)Many women in recent times are giving in to the Labiaplasty surgery. More often than not it is for cosmetic reasons. They are basically unhappy with the appearance of their vulva and they want to change it completely. Any women with an elongated or an enlarged labia will obviously feel conscious about it. Hence are now giving you a few important tips that can help you to recover from this surgery.

1. Ask for help

This is an outpatient surgery which means that you need someone to drive you around. There must always be someone with you, preferably a family member who must do all the work for you at least for a day or two. Do not smoke, drink or take any vitamins during this period.

2. Start activities

You need to start physical activities as soon as possible. This can help in reduction of swelling and also lowers the chance of a few blood clots. However, avoid driving and sex for at least 6 weeks as there is always a risk of some complications.

3. Care of incision

You need to avoid any type of infection. Thus take care of your incision. There must not be any drainage or oozing as these are signs of an infection. Also place dry and clean dressings over the incision to wick away the moisture and to prevent irritation.

4. What should your expect

There will be some amount of discoloration and swelling for around 2 weeks and in some cases longer. There can also be some numbness around the area and in some cases pain. Don’t get worried about all these because they are completely normal.

5. When to contact the doctor

You will need to contact your surgeon or doctor when any situation reaches a point where it is unbearable. If you have an increase bruising or swelling also, redness along the incision, if there is an increase amount of pain and if there are side effects to your medication.

6. Appearance of the area

You need to take care of the appearance of your area as well. A good appearance means that things are going well down there. There should be less tissue accumulated there. The scars will be reddened for around 3 months after which they will soften and fade gradually. Don’t worry about the redness as it is normal and there are no problems associated with it.

 

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February 12

What Treatment Options Exist For Correcting A Capsular Contracture After Breast Augmentation?

images (1)What is a Capsular Contracture?

Capsular contracture is a rare, but concerning complication of breast augmentation. While breast augmentation continues to be one of the most common aesthetic procedures undertaken in the USA, capsular contractors can and do occur. Capsular contracture refers to a process where your body forms an abnormally hard shell around your implant, causing pain, discomfort, and loss of the breast shape. While this complication is obviously concerning, we routinely treat this unfortunate complication at our facility for all types of patients. As with all types of plastic surgery, treatment of this problem begins with defining the problem and how it specifically effects you.

4 Stages of Capsular Contracture

Grade I Capsular Contracture

To begin, all breast implants cause creation of a capsule. The magnificent machine that is the human body recognizes the presence of a foreign body internally. It then creates a soft capsule around the breast implant that is completely organic and physiologic. This capsule is actually quite helpful for both patient and plastic surgeon, as it creates a permanent “home” for the breast implant. This type of capsule is considered a Grade I capsule. No treatment or surveillance is necessary at this stage. This is actually what both patient and plastic surgeon want to have. Grade I breast is normally soft and appears natural in size and shape

Grade II Capsular Contracture

When the capsule begins to thicken up, and the implant feels slightly firmer, but does not change its overall shape, the capsule is then considered a Grade II capsule. The good news is that surgery is usually NOT indicated. In these instances, we treat the capsule through medical and mechanical means only. Lymphatic massage, ultrasound therapy, and the use of Zafirlukast can often reverse thickening at this stage, and salvage your augmentation. Grade II breast is a little firm, but appears normal.

Grade III Capsular Contracture

The next stage of capsular contracture involves continued hardening of the implant capsule, but now the hardening has changed the overall shape of your implant and/or breast. Grade III breast is firm and appears abnormal. This type of contracture is considered Grade III, and is obviously extremely distressing to women, but it can be treated!! Treatment involves a careful balance of medical and surgical management, and as always, it relies upon wide open communication between our staff and you. In this stage, the capsule has created a mechanical compression of the implant. These patients do require surgical revision. As always, the type of surgery used is individualized to the patient, and we have a number of different approaches to choose from:

    • Partial Capsulectomy – This procedure involves removal of only a portion of the capsule. This is our least common procedure for treatment of contracture, but it does play a role for some patients who have a focused area of scar contracture. Typically, this type of procedure is done on patients who have not had appropriate unilateral descent of their implant. Surgery involves removing only the offending area of capsule. Post-operatively, patients are started on lymphatic massage and medical therapy. In appropriately selected patients, this treatment is very effective, but not all patients are candidates for this approach. We do not use surgical drains with this procedure.

 

    • Total Capsulectomy – This operation removes the entire capsule and all associated scar tissue with your existing implant. Once the implant and capsule are removed, a new implant is placed after the entire area is irrigated with a triple antibiotic solution. This type of procedure may also require a breast lift be done simultaneously, depending on the shape and size of the breast.

 

    • Neopectoral Pocket – This operation uses the abnormal capsule to our advantage! In this procedure the capsule is meticulously dissected free from the surrounding breast tissue and muscle. Once this is complete, the capsule is then collapsed down to the chest wall and oversewn to provide more projection and volume to the new implant. This is a fantastic approach to contracture, and it provides some of our best results. Unfortunately, a small 8mm surgical drain is required on each side for this procedure. The drain usually removed between days 3-5 after surgery. This is a highly specialized procedure that we perform.

 

    • Implant Plant Exchange with Strattice – There is a great deal of long-term clinical data that suggests that implants placed above the muscle may have more capsular contracture than implants placed below the muscle. If you have an above the muscle implant with contracture, the treatment of choice is total capsulectomy, removal of your current implant, and placement of a new implant beneath the muscle with a Strattice sling. This procedure is our most common form of revision, as it provides a soft, natural look to your breast. Strattice is a type of biologic mesh that revascularizes once inside your body. It essentially becomes part of the breast structure, providing a permanent internal support bra for your implant in its new position.

 

  • Implant Removal Only – This is a very viable approach to treating contracture, and while most clients wish to save their augmentation, many do not want to keep their implant. Removal of the entire implant without capsulectomy can be done with local anesthesia only. In this approach, the capsule is left behind, but it will commonly soften up over time. In cases where it continues to be hardened, secondary capsulectomy can be used at a later date to reduce internal scar burden.

Grade IV Capsular Contracture

The last stage of capsular contracture, Grade IV, involves a permanent dull throbbing pain, and commonly, a sense that the breast feels cooler to the touch. As with Grade III, your treatment options are the same. Patients again are maintained post-operatively on maximal medical therapy (massage, Zafirlukast). Use of total capsulectomy with Strattice sling is very common in this group. Grade IV – the breast is hard, painful to the touch, and appears abnormal

In summary, there are multiple treatment options available for women who have experienced capsular contracture of their breast implants. Treatment options vary from non-surgical treatment options to implant removal. Capsular contracture does not necessarily require permanent removal of the implant.

 

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February 6

Factors to Consider When Choosing a Rhinoplasty Surgeon

downloadThe key aspect of determining the cost of rhinoplasty is the surgeon’s professional fee. But figuring out how to choose a rhinoplasty surgeon who could deliver the desired outcome and compensate every cent paid for this surgery is usually the hard part.

When you are trying to find a rhinoplasty surgeon, much care should be considered before finally selecting your doctor. You should be in a position to list and know their qualification as a surgeon to determine if they are capable of performing rhinoplasty surgery.

Education and Training – This is the most critical qualification of a rhinoplasty surgeon. His education and learning ought to be extensive from a trustworthy institution and should finish them with flying colors. Their ability and expertise should be perfected from practical experience with their residency in outstanding facilities under the wing of reputable doctors.

Accreditations – Training ought not to stop after finishing of medical school as well as never even after acquiring a medical board accreditation. A medical expert who professes to be skilled in his domain needs to have accreditations, which confirms his taking part in extensive training and workshops relevant to rhinoplasty surgery.

Adept on Current Technology – He has to be familiar with the new discoveries in surgical strategies. Clinical knowledge also has to reveal that the surgeon will be able to participate in a number of operations fairly often.

Set an open communication – The right surgeon is one who can communicate well with his clients. In this manner, you will not hesitate to tell him of something that you believe towards the surgery. There will be a straightforward flow of advice and familiarity with every critical element relating to the procedure.

Referred by Others – The best way to look into the personal characteristics of a nose reshaping cosmetic surgeon is to definitely know a reference individual who has gone through the treatment with that doctor. Find out about his personal expertise, of course, if whether or not she/he recommends the physician to you personally and her friends.

Customer Feedbacks – Testimonies from recent patients are all essential. They sum up the skills of the doctor through their assurance that they had and achieved the envisioned end results without any subsequent issue. Many of these customer feedbacks are posted on the doctor’s site as your reference.

 

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