Procedures

Breast Reconstruction

The purpose of breast reconstruction surgery is to rebuild one or both breasts following mastectomy, lumpectomy or other trauma.  Breast reconstruction may involve multiple stages and can be done at the time of the mastectomy (direct to implant or one-step) or delayed until a later time.

Breast Reconstruction FAQ

1. What should I expect at my initial consultation?

During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments and current medications. Your Plastic Surgical Arts surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit.  Your surgical options will be discussed as well as the recommended course of treatment, likely outcome, risk factors and any potential complications.

Your surgeon will examine your breasts and take photographs for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples).

Some important things to remember in preparing for your breast reconstruction surgery:

• You may have a choice between having immediate reconstruction at the time of your mastectomy or at a later time (delayed reconstruction).  There may be factors that cause your surgeon to suggest waiting for the reconstruction process and some women are overwhelmed while coping with a new cancer diagnosis and choose to wait for the reconstruction surgery.   Breast forms or prosthetics worn inside the bra are available for women who opt not to have immediate reconstruction and this is typically covered by insurance.
• Healing could be affected by previous surgery, chemotherapy, or radiation therapy.  Smoking, diabetes, some medications and other factors may also affect your healing.
• A rebuilt breast will not have the same sensation and feeling as your natural breast.  In time, the skin may become more sensitive, but it likely won’t feel the same as before surgery.
• Breast skin or flaps occasionally do not survive the reconstruction process resulting in necrosis, or tissue death, and more surgery would be needed to correct this.
• Not all reconstructive surgery is a total success and the end result will be much different than your previous, natural breast(s).

For a wealth of information on the reconstruction process and types of surgeries as well as breast cancer diagnosis and treatment in general, click here:  http://www.breastcancer.org/treatment/surgery/reconstruction/types

2. What should I expect on the day of the surgery?

Your breast reconstruction may be performed at Lincoln Surgical Hospital, Saint Elizabeth Regional Medical Center, or BryanLGH Medical Center.  Prior to the procedure, a general anesthetic is administered; this type of anesthetic ensures you are asleep throughout the procedure.  Once the surgery is completed, you will be required to remain in the recovery area where you will continue to be closely monitored.  You will stay in the hospital or surgical facility overnight.

Following the procedure, your incisions will be covered with steri-strips and you will be provided with a surgical bra that you can wear throughout your recovery. The stern-strips are to be left on for up to 10 days, or until your surgeon opts to remove them. It is fine to shower with them in place.  You may also wish to wear a soft dressing or unscented sanitary pad over them to keep them dry as well as absorb any drainage.

Depending on the type of surgery performed, you will most likely be discharged from the hospital in a day or two.  Expect to have drains (small tubes) in place that will aid in the removal of extra fluid from the breasts.  You will be instructed on how to empty them and measure the amount of fluid that is draining in each 24 hours period, which will then determine when your drains can be removed. You will be prescribed medication for pain control.

3. What should I expect in the days following the surgery?

You’re likely to feel tired and sore for a week or two after surgery, longer if you’ve had reconstruction with flap but the typical recovery period is about 6 to 8 weeks depending on the type of surgery performed.  Your surgeon will instruct you on limits and restrictions which should be followed closely to aid in optimal healing.

Shooting pains, burning, spasms, and numbness are common and temporary sensations most women experience the few weeks following surgery.  Taking minimal pain medicine can help relieve these post-surgical effects.  Sleeping in a reclining position may be most comfortable and will help relieve pressure on your reconstructed breasts.

Some things to keep in mind during the healing process:

• It may take up to 8 weeks for bruising and swelling to dissipate.
• It’s imperative that you follow your surgeons advice on when to begin massage techniques, stretching exercises and when to resume your normal activities.  As a basic rule, you’ll be instructed to avoid overhead lifting, strenuous sports and sexual activities for 4 to 6 weeks following your reconstruction.
• You may experience a period of emotional adjustment after reconstruction while getting used to the loss of a breast and your newly reconstructed breast(s).  Talking with other women who have also had breast reconstruction or a mental health professional may be beneficial while adjusting.

Infections are uncommon, but can occur. If you are experiencing high fevers, excessive drainage from the incisions, redness, or swelling that is not symmetrical with your other breast, you should contact our office at 402-483-2572.   Follow the prompts when calling after hours to reach the surgeon on call.

4. How will my breasts look and feel if breast implants have been placed?

Initially you will have some swelling and discoloration; this should disappear quickly, although residual swelling may occur for up to a month’s time. Within two days after your surgery, you should be up and around, although your breasts may feel tight and appear high on your chest, over time, your breasts will drop into position.   Since the nipple is typically removed during mastectomy you will have a breast mound without a nipple or areola and you’ll have a scar midline across each reconstructed breast.  Nipple reconstruction is the final stage of the reconstruction process and can be done in our office under a local anesthetic after you’ve healed entirely from the reconstruction surgery.  Some women elect to have nipple tattooing to create the appearance of an areola and this can be done either in our office under local or by a tattoo artist depending on your personal preference.  Insurance will cover for the tattooing if done by an MD but not if done in a tattoo parlor.

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Breast Lift (Mastopexy)

Poor skin elasticity, gravity and other factors such as weight loss, pregnancy, and breast-feeding can lead to a loss of breast firmness and shape. A mastopexy, or breast lift, corrects these changes, giving the breast a more youthful appearance and texture. This procedure can be performed alone or in combination with an augmentation or reduction to improve contour and volume.

Reasons to Consider Mastopexy

• Elevate the sagging breasts caused by the effects of aging and gravity.
• Restore firmness to the breasts after weight loss, pregnancy, or breast-feeding.
• Reposition nipples that point downward or to the side.

Breast Lift FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for breast lift surgery?

Your surgeon will examine your breasts and take photographs for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples).

During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, pregnancy, history, and current medications. Your Plastic Surgical Arts surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit. You will be asked whether you have a family history of breast cancer, and about results of any mammograms and breast biopsies.

If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He may recommend that you stabilize your weight prior to undergoing surgery. If you are smoking, your surgeon will not perform this surgery. Smoking cessation is necessary for 3 weeks prior to surgery.

2. What will the day of surgery be like?

Your breast lift surgery may be performed at the Lincoln Surgical Hospital, Nebraska Surgery Center, Saint Elizabeth Regional Medical Center, or BryanLGH Medical Center. Prior to the procedure, a general anesthetic is administered; this type of anesthetic ensures you are asleep throughout the procedure.

Once the surgery is completed, you will be required to remain in the recovery area where you will continue to be closely monitored.  You will be sent home with a surgical bra and in some instances, small drain tubes will be placed in your breasts to avoid the accumulation of fluids. You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

3. What should I expect in the days following surgery?

Following the procedure, your breasts may feel firm or tight as a result of swelling. This is common and may take several weeks to fully resolve. Many women use over-the-counter pain medication to relieve any discomfort associated with the swelling, but it is strongly recommended that you not apply ice to reduce the swelling. You should continue to wear a soft and supportive bra; one is generally distributed after surgery.

It is common to have minor complications associated with your incisions. Usually this is due to tension on the skin or the internal sutures working up to the top of the skin. They are easily treated with washing with soap and water daily, applying antibiotic ointment, and covering with a clean dressing or unscented sanitary napkin.

Smoking delays healing and increases the risk of complications. We ask that you delay smoking for at least three weeks prior and three weeks after surgery.

Infections are uncommon, but can occur. If you are experiencing high fevers, excessive drainage from the incisions, redness, or swelling that is not symmetrical with your other breast, you should contact our office at 402-483-2572.

4. How long will the results last?

Unless you gain or lose a significant amount of weight, the results of your breast lift surgery will be long lasting. Gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a second breast lift to restore a more youthful contour.

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Breast Reduction

Breast Reduction is designed to relieve the physical discomfort associated with large breasts while improving overall breast appearance. Elevating the breast and reducing nipple size is an integral portion of this procedure. This procedure is frequently covered by insurance if certain criteria are met.

Reasons to Consider Breast Reduction

• Back, neck, or shoulder pain caused by the weight of heavy breasts.
• Sagging, painful bra-strap marks on your shoulders
• Restricted movement due to large, heavy breasts.
• Breasts are not proportional to the rest of the body.

Breast Reduction FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for breast reduction surgery?

Your surgeon will examine, measures and take photographs of your breasts for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with your reduction.

During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, pregnancy, history, and current medications. Your Plastic Surgical Arts surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit. You will be asked whether you have a family history of breast cancer, and about results of any mammograms and breast biopsies.

If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He may recommend that you stabilize your weight prior to undergoing surgery. If you are smoking, your surgeon will not perform this surgery. Smoking cessation is necessary for 3 weeks prior to surgery.

2. What will the day of surgery be like?

Your breast lift surgery may be performed at the Lincoln Surgical Hospital, Nebraska Surgery Center, Saint Elizabeth Regional Medical Center, or BryanLGH Medical Center. Prior to the procedure, a general anesthetic is administered; this type of anesthetic ensures you are asleep throughout the procedure. This procedure may also be performed using a local anesthesia and intravenous sedation.

Once surgery is complete, you will be required to remain in the recovery area where you will continue to be closely monitored. Your breasts will be covered with gauze dressings and a surgical bra. In some instances, small drain tubes will be placed in your breasts to avoid the accumulation of fluids. You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

3. What should I expect the days following surgery?

Following the procedure, your surgeon will place surgical tape over your incisions. These are to be left on for up to 10 days, or until your surgeon opts to remove them. It is safe to wear the intact tapes while showering and if necessary, to place a soft dressing or sanitary pad over the tapes and incisions to absorb drainage.  You may notice some ‘puckering’ along the incision – this is due to the absorbable sutures and will dissolve and even out over the next few weeks.

Your breasts may feel firm or tight as a result of swelling. This is common and may take several weeks to fully resolve. Many women use over-the-counter pain medication to relieve any discomfort associated with the swelling, but it is strongly recommended that you not apply ice to reduce the swelling. You should continue to wear a soft and supportive bra; one is generally distributed after surgery.

It is common to have minor complications associated with your incisions. Usually this is due to tension on the skin or the internal sutures working up to the top of the skin. They are easily treated with washing with soap and water daily, applying antibiotic ointment, and covering with a clean dressing.

Smoking delays healing and increases the risk of complications. We ask that you delay smoking for at least three weeks prior and three weeks after surgery.

Infections are uncommon, but can occur. If you are experiencing high fevers, excessive drainage from the incisions, redness, or swelling that is not symmetrical with your other breast, you should contact our office at 402-483-2572.

4. When can I resume my normal activities?

It is often possible to return to work within a few of weeks of your breast reduction surgery depending on your responsibilities at work. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Any severe pain should be reported to your doctor.

Any sexual activity should be avoided for a minimum of one week, and in some cases your plastic surgeon may advise you to wait longer. Care must be taken to be extremely gentle with your breasts for at least six weeks following the procedure.

5. How long will the results last?

Unless you gain or lose a significant amount of weight, the results of your breast lift surgery will be long lasting. Gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift to restore a more youthful contour.

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Male Breast Reduction (Gynecomastia)

Gynecomastia is a benign enlargement of the male breast and affects an estimated 40-60 percent of men. There is no real known cause in most cases, although certain drugs and medical issues have been known to be linked with male breast overdevelopment.

Surgery to remove fat and/or glandular tissue will result in a flatter, firmer, and more contoured chest.

Gynecomastia Correction FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for surgery?

Your surgeon will examine the breast tissue and take photographs for your medical record. He will consider the quality of your skin and elasticity for reshaping to match your body’s new contours.

During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, history, and current medications. Your Plastic Surgical Arts surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit. Your surgeon may, in some cases, recommend a mammogram, or x-ray, to rule out other causes.

If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He may recommend that you stabilize your weight prior to undergoing surgery. If you are smoking, your surgeon will not perform this surgery. Smoking cessation is necessary for 3 weeks prior to surgery, as well as three weeks following surgery.

2. What will the day of surgery be like?

Your gynecomastia surgery may be performed at the Lincoln Surgical Hospital, Nebraska Surgery Center, Saint Elizabeth Regional Medical Center, or BryanLGH Medical Center. Prior to the procedure, a general anesthetic is administered; this type of anesthetic ensures you are asleep throughout the procedure. This procedure may also be performed using a local anesthesia and intravenous sedation.

Once the surgery is completed, you will be required to remain in the recovery area where you will continue to be closely monitored. Your chest will be wrapped in gauze dressings, or an elastic bandage. In some instances, small drain tubes will be placed to avoid the accumulation of fluids. You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

3. What should I expect in the days following surgery?

Following the procedure, you may have some swelling. You may be instructed to wear an elastic pressure garment for a few weeks. The majority of the swelling should dissipate in the first few weeks, however, it may be three months or longer, before the final results of your surgery are apparent. Should you experience fluid collections, or seromas, aspirations may be required.

It is common to have minor complications associated with your incisions. Usually this is due to tension on the skin or the internal sutures working up to the top of the skin. They are easily treated with washing with soap and water daily, applying antibiotic ointment, and covering with a clean dressing.

Smoking delays healing and increases the risk of complications. We ask that you delay smoking for at least three weeks prior and three weeks after surgery.

Infections are uncommon, but can occur. If you are experiencing high fevers, excessive drainage from the incisions, redness, or swelling, you should contact our office at 402-483-2572.

4. How long will the results last?

Unless you gain or lose a significant amount of weight, the results of your surgery will be long lasting. Gravity and the effects of aging may cause some changes in your outcome.

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Liposuction

Liposuction creates a more pleasing contour by removing deposits of excess fat. It can be used to reshape hips and thighs, flatten abdomens, reduce love handles and improve double chins. Liposuction is safe for virtually any part of the body. In certain circumstances, liposuction can be performed under a local anesthetic and is frequently combined with other cosmetic procedures.

Reasons to Consider Liposuction

• Desire for a smoother, more proportional figure.
• Reduce fat deposits on target areas of the body.

Liposuction FAQ

1. What areas can be treated with Liposuction?

• Ankles and Calves
• Back
• Buttocks and Hips
• Chin and Neckline
• Knees and Thighs
• Stomach and Waistline
• Upper Arms

2. How will my Plastic Surgical Arts surgeon evaluate me for liposuction?

During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, pregnancy history and current medications. Your Plastic Surgical Arts surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit.

Your current weight along with your plans to gain or lose weight in the future are both factors in evaluating you for liposuction. Please be prepared to discuss with your surgeon the effects of prior weight loss on the appearance of those areas which you have indicated for contouring. The elasticity of your skin will be considered when estimating the amount of fat to be removed for optimal results.

3. What will the day of surgery be like?

The liposuction procedure will be performed at a location that is most convenient; our in-office surgical suite, the Lincoln Surgical Hospital, Saint Elizabeth Regional Medical Center or BryanLGH Health System, depending on the areas being treated and the extent of the procedure.

Prior to the procedure, a decision will be made on what form of anesthesia will be used. Generally, for liposuction, local anesthesia, intravenous sedation, an epidural block or general anesthesia are chosen by both you and your Plastic Surgical Arts surgeon. The use of monitors, during and after the liposuction, is imperative to check your vitals and oxygen levels throughout the procedure.

After the completion of the procedure, compressive dressing will be provided. This elasticized bandage, sponge or specially designed garment should be worn over the area that was suctioned for a length of time determined by your surgeon. You will be moved to a recovery area where your vitals and oxygen levels will continue to be monitored. Once the anesthesia wears off, you may experience some discomfort, which can be controlled by prescription medication. In most cases, patients are released after a few hours, although some patients may stay overnight in the hospital or surgical facility.

The liposuction does cause a lot of swelling. Initially, it may appear that no fat deposits were removed; this is a result of the swelling in the target area. The swelling may appear to be more dramatic in the evenings and less apparent earlier in the day. It generally takes three to four months for the final contour to appear and all of the swelling to disappear.

4. When can I resume my normal activities?

You should be able to return to work in just a few short days following the procedure. In many instances, you can resume most of your normal activities within one or two weeks, and begin some form of exercise following that two weeks time period. The timing of your recovery depends largely on the extent of your surgery.

5. How long will the results last?

The results of liposuction will be permanent, as long as you maintain your post-operative weight. Even if you gain a few extra pounds, you may find that the weight is distributed more evenly instead of accumulating in the areas that were problematic for you in the past.

Occasionally, a touchup may be desired to further improve an area that has been suctioned. A touchup is considered to be less invasive and can usually be performed under local anesthesia in your plastic surgeon’s office. More extensive revisions may require a return to the operating room.

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Upper Arm Reduction (Brachioplasty)

Underarm reduction results in a smoother and better-proportioned contour of the upper arm — this procedure removes any excess fat and skin that is wrinkled or sagging from the underarm region from the armpit to the elbow.

Reasons to Consider Brachioplasty

• Weight fluctuation
• Aging or hereditary that reduces skin elasticity in the underarm region
• Excessive skin or wrinkles in the upper arm

Brachioplasty FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for aesthetic arm surgery?

During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, pregnancy history and current medications. Your surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit.

You can expect your surgeon will examine your body and photographs will be taken for your medical record. Your surgeon will consider factors such as the size and shape of your arms as well as the elasticity of your skin.

Your current weight, along with your plans to gain or lose weight in the future are both factors in evaluating you for underarm reduction surgery. Your Plastic Surgical Arts surgeon may recommend that you stabilize your weight prior to undergoing surgery.

2. What will the day of surgery be like?

The underarm reduction surgery may be performed at either the Lincoln Surgical Hospital, BryanLGH Health System, or Saint Elizabeth Regional Medical Center.  General anesthesia will be used when undergoing the brachioplasty procedure. The use of monitors during the surgery is imperative to check your vitals and oxygen levels throughout the procedure.

Once the surgery is completed, you will be required to remain in the recovery area where you will continue to be closely monitored. You should expect to have your upper arm region either wrapped in gauze dressings or in a garment. In most cases, patients are released after a few hours, although some patients may stay overnight in the hospital or surgical facility.

Do not submerge the incision in water until it is completely healed; this includes a bathtub, Jacuzzi and swimming pool. A shower may be taken the morning after the surgery, and we encourage you to have someone available for assistance if needed. Please keep your dressings clean and dry and it is permissable to change them as often as necessary.

3. How long will the results last?

The results of aesthetic arm surgery are long lasting, however the results may be affected by your heredity and lifestyle factors. At some point the skin laxity, along the fine wrinkling of the arm area may return, as the skin will continue to age. The loss of muscle tone can cause additional sagging of skin in the upper arm region.

Even though the aging process continues, patients are generally happy with their appearance for many years following underarm reduction surgery. Some patients find that they may want to make additional improvements at a later time.

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Thigh Reduction (Thighplasty)

Cosmetic thigh surgery results in a smoother and better-proportioned contour of the thigh — this procedure removes excess fat and wrinkled, sagging skin from the inner thighs. This procedure can be performed under local anesthetic for many patients.

Reasons to Consider Thighplasty

• Fitness and weight loss efforts have not achieved your goals.
• Excessive skin or wrinkles in the inner or medial thigh region.
  

   

  Thighplasty FAQ

  1. How will my Plastic Surgical Arts surgeon evaluate me for aesthetic thigh surgery?

  During the consultation, you should be prepared to discuss your comprehensive medical history. Relevant information includes current and previous medical conditions, drug allergies, previous medical treatments, pregnancy history and current medications. Your surgeon’s recommendation is based largely on the complete and accurate information you provide during this initial visit.

  You can expect your surgeon will examine your body and photographs will be taken for your medical record. Your surgeon will consider factors such as the size and shape of your thighs as well as the elasticity of your skin.

  Your current weight, along with your plans to gain or lose weight in the future are both factors in evaluating you for thigh reduction surgery. Your Plastic Surgical Arts surgeon may recommend that you stabilize your weight prior to undergoing surgery.

  2. What will the day of surgery be like?

  The thigh reduction surgery may be performed at either the Lincoln Surgical Hospital, BryanLGH Health System, Nebraska Surgery Center or Saint Elizabeth Regional Medical Center.  General anesthesia will be used when undergoing the thighplasty procedure. The use of monitors during the surgery is imperative to check your vitals and oxygen levels throughout the procedure.

  Once the surgery is completed, you will be required to remain in the recovery area where you will continue to be closely monitored. You should expect to have your thigh region either wrapped in gauze dressings or in a garment. In most cases, patients are released after a few hours, although some patients may stay overnight in the hospital or surgical facility.

  Do not submerge the incision in water until it is completely healed; this includes a bathtub, Jacuzzi and swimming pool. A shower may be taken the morning after the surgery, and we encourage you to have someone available for assistance if needed. Please keep your dressings clean and dry and it is permissable to change them as often as necessary.

  3. How long will the results last?

  The results of aesthetic thigh surgery are long lasting, however the results may be affected by your heredity and lifestyle factors. At some point the skin laxity may return, as the skin will continue to age. The loss of muscle tone can cause additional sagging of skin in the thigh region.

  Even though the aging process continues, patients are generally happy with their appearance for many years following thigh reduction surgery. Some patients find that they may want to make additional improvements at a later time.

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  Pain Control:

  • Your physician will prescribe the appropriate pain medication for your procedure.
  • Do not drink alcohol while taking prescribed pain medications.
  • Do not drive while taking pain medications/narcotics.
  • Take pain medications as prescribed.
  • Do not take additional over-the-counter pain medications (aspirin, ibuprofen, Tylenol) unless directed by a physician. If having pain control issues while taking prescribed medications, please contact our office at 402-483-2572.

  Incision Care:

  • You may shower the next day following your procedure.
  • No submerging the surgical site under any water until incision is completely healed.
  • Your physician may discuss massage to improve scar quality at the appropriate time of your healing process.
  • Avoid exposing scars to the sun for at least one year from date of surgery.
  • Always use a sunblock with a SPF 30 or greater.

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Mini-Facelift

Cheek wrinkles and deepening creases from the nose to the corner of mouth (nasolabial folds) are common changes associated with early aging. Plastic Surgical Arts provides a solution that is less invasive than a full facelift and longer lasting than facial fillers. Under a local anesthetic in our office, incisions are placed in front of the ears and the skin is re-draped, resulting in tightening of the skin. A mini-facelift provides faster recovery time than a full facelift and striking results.

Contact our office for your complimentary consultation with one of our board-certified surgeons today.

Reasons to consider Mini-facelift

• Wrinkles of the cheek
• Prominent nasolabial folds
• Desire to avoid extent of full facelift
• Longer-lasting results than facial fillers

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MINI-FACELIFT VIDEO – WATCH ONE PATIENT’S MINI-FACELIFT EXPERIENCE.

Eyelid Surgery (Blepharoplasty)

Cosmetic eyelid surgery removes the excess fat and wrinkled, drooping skin of the upper eyelids that can result in a tired or sad-looking face. A lower lid blepharoplasty tightens the lower eyelid skin and can also eliminate bags under the eyes. Cosmetic eyelid surgery can correct problems resulting from aging, as well as inherited traits that can effect some patients as early as their 20s or 30s. This procedure can sometimes be performed in our office under local anesthetic.

Reasons to Consider Blepharoplasty

• Dark circles or large bags below the eyes.
• Excessive skin or wrinkles around the eyelids leading to a puffy appearance.

Blepharoplasty FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for aesthetic eyelid surgery?

You should come to the consultation prepared to discuss your medical history including previous surgeries, past and present medical conditions and current medications. It is important for you to provide complete information. High blood pressure, thyroid problems or diabetes are among the medical conditions that may increase the risks associated with eyelid surgery.

Your surgeon will want to know if you have allergies, especially if they affect your eyes. He may ask whether you have ever tried and were unable to wear contact lenses.

We will need to know if you have ever been told by an ophthalmologist that you have a condition called “dry eye” or if you have any other problems with your eyes.

One of several surgical techniques may be suggested to improve the appearance of your eyelids. The particular technique that your surgeon recommends will depend on many factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of the muscles around your eyelids.

2. What will the day of surgery be like?

Your eyelid surgery may be performed in our in-office surgical suite, the Lincoln Surgical Hospital, Nebraska Surgery Center, St. Elizabeth Regional Medical Center or Bryan LGH.

Frequently, local anesthesia is used for patients undergoing eyelid surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your vision will be blurry as a result of ointment used to soothe and protect the eye during surgery and swelling is normal after your eyelid procedure. There is surprisingly little discomfort, however, from the surgery.

You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

3. How long will the results last?

The results of aesthetic eyelid surgery are long lasting, but they may be affected by your heredity and lifestyle factors.

Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may, at some point, return. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows that mimics a recurrence of drooping upper eyelids. If this happens, correction may require a forehead lift or a secondary eyelid procedure.

Even though the aging process continues, patients are usually happy with their appearance for many years following eyelid surgery. Some patients find that they want to make additional improvements at a later time.

Your incisions will be closed utilizing absorbable sutures.  They will be trimmed or removed in the office 5-10 days after surgery. You should wash your face, but do not “scrub” the incisions. Do not use peroxide because this could irritate the eye and dry out the incisions.

You will need to keep your head elevated between 48-72 degrees at at times even while sleeping. You may use extra pillows or a reclining chair for this purpose. You will be very swollen and bruised for several days after your surgery. You may use ice packs for 20 minutes at a time (i.e., 20 minutes on and 40 minutes off). Frozen vegetables make excellent ice packs. PLEASE NOTE: it will be several weeks before all the swelling has subsided. If you have a considerable increase in swelling, or if one side swells significantly more than the other, please call the office.

If you have any redness that spreads away from the incision/surgical area, if the area feels “hot” to the touch, if you run a fever of 101.5 degrees or higher, (it is normal to run a low-grade fever after surgery), or if you hanve any green, black, yellow or ordorous discharge from the incision area, please call the office. Sometimes you may have a foreign body sensation in the eye particularly after lower eyelid surgery. If it is severe or getting worse or you have any sudden vision changes please call the office.

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Browlift

A browlift repositions the eyebrows to a more youthful position and corrects a somewhat tired or sad look. This procedure can also soften the horizontal forehead wrinkles associated with the lifting of your eyebrows. This procedure is often combined with blepharoplasty to significantly improve the look of the eyes.

Reasons to Consider a Browlift

• Excessive skin or wrinkles around the eyelids leading to a puffy appearance.
• Dramatic change is possible, but a browlift is less extreme than a full facelift.

Browlift FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for my browlift?

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, medical treatments you have received, previous surgeries including aesthetic eyelid or facial surgery, and medications that you currently take. It is important for you to provide complete information.

There are a variety of ways to elevate the brows and correct aging changes in the forehead area. Your surgeon will closely examine your entire forehead and upper eyelid region, noting the muscle activity when you assume various facial expressions. The particular surgical technique that your surgeon recommends will depend on many factors such as the position of your eyebrows, the amount of excess upper eyelid skin and the height of your hairline.

2. What will the day of surgery be like?

Your browlift will be performed in our fully certified on-site surgery center.

Medications are administered for your comfort during the procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing a browlift, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be led to a recovery area where you will continue to be closely monitored. Extensive swelling may be present for a week.

You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

3. How long will the results last?

This depends on many variables including your heredity and lifestyle factors. Even though the aging process continues, patients are usually happy with their appearance for many years following a forehead lift. Some patients find that they want additional improvements at a later time.

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Ear Reshaping (Otoplasty)

Otoplasty, or ear reshaping, may be a consideration if you or your child were born with prominent or protruding ears. This surgical procedure can improve the position and shape of the ear by correcting the underlying cartilage structure of the ear. In many situations this can be done with local anesthetic, but it may also be done with general anesthetic.

Ear reshaping procedures can correct:

• Macrotia, a rare condition which causes overly large ears
• Protruding ears occurring on one or both sides in varying degrees — not associated with hearing loss
• Adult dissatisfaction with previous ear surgery

Children who are evaluated for this procedure should:

• Be healthy, without a life-threatening illness, or untreated chronic ear infections
• Have stable ear cartilage to withstand correction, which is generally 5 years old
• Be cooperative and follow instructions well
• Be able to communicate their feelings and do not voice objections when surgery is discussed

This surgery is highly individualized; please contact our office for your complimentary consultation with one of our board-certified surgeons to discuss your issues and potential methods of correction.

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Autofat Injection

Time causes change to the shape of the face and loss of volume, which can make a person appear older. Autofat can provide a permanent change in the injected area, which is different from other fillers. A person’s own fat cells are used on the face, among other areas, to help restore a more youthful appearance. This procedure has become increasingly popular and can be done under local anesthetic. Due to the use of local anesthetic, the recovery time is generally rapid.

If you have changes in the contour of the face or other areas, autofat may be the best solution for you. Please contact our office for your complimentary consultation with one of our board-certified surgeons

Botox® Injections

Botox temporarily halts the function of the treated muscles, improving the wrinkles associated with these muscles. Selection of appropriate muscles and dosages to achieve optimal results requires thorough knowledge of facial anatomy and function. Botox can be used in many areas and usually requires little downtime. It is the only treatment of its type approved by the FDA.

Reasons to Consider Botox

• Low-impact method for treating facial wrinkles, furrows, crow’s feet and frown lines.

Botox FAQ

1. How does Botox work?

Botox is a purified protein produced by the clostridium botulinum bacterium. It temporarily inhibits the movement of the muscles that cause frown lines and wrinkles to form over time. In 2005, nearly 3.3 million Botox cosmetic procedures were performed.

2. Where are Botox injections performed?

Generally, we administer Botox injections in our office.

3. How long do the results last?

It may take 5-7 days for results to be noticable. The improvement in facial wrinkles after Botox injections usually lasts for around four months. Re-treatments are needed to maintain long-term results.

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Reasons to Consider Facial Fillers

• Undefined facial contours, such as receding chin or indistinct jawline
• Lack of proportion in the face
• Lack of fullness and skin or lip volume

Facial Fillers FAQ

1. How will my Plastic Surgical Arts surgeon evaluate me for facial fillers and implants?

Your surgeon will discuss your desired outcome with you in great detail and evaluate your skin and the symmetry of your face. Fillers are meant to give the face a fuller, more youthful look or improve the fullness of the lips.

2. What is involved in facial fillers?

Plastic Surgical Arts offers an array of facial fillers, which are injected in the face or lips to improve skin texture and fullness. Autofat involves the transplantation of the patient’s own fat from one location in the body to the face—the body cannot have an allergic reaction its own material, so this technique is considered very safe. Filler injections may require multiple session lasting 15 minutes to an hour, and autofat may require some local sedation. These procedures are always performed on an outpatient basis. Most patients briefly experience stinging, faint redness and some swelling.

3. What will the recovery be like?

Recovery from facial filler injections is very rapid, there is generally not prolonged downtime after the procedure.

4. How long will the results last?

The results of facial filler injections are not permanent and can last anywhere from several months to a year, at which point, a second treatment will be required to maintain results.

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OTHER PROCEDURES

Plastic Surgical Arts encompasses more than just cosmetic surgery. We offer a full line of minimally and less invasive procedures and products to restore your skin’s vitality, to renew yourself.

Begin your journey to the body of your dreams — you deserve it.Call 402-483-2572 for a full list of procedures, or to make your complimentary cosmetic consultation appointment today.

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