procedures

An Array of Surgical and Nonsurgical Cosmetic Procedures

Plastic Surgery Procedures

Arm Lift

Fluctuations in weight, growing older, and even heredity can cause your upper arms to have a drooping and sagging appearance. Exercise may strengthen and improve the underlying muscle tone, but it cannot address excess skin that has lost elasticity or underlying weakened tissues and localized fat deposits. An arm lift, also known as a Brachioplasty, is a body contouring procedure designed to remove excess skin and concentrated fat from the upper arm. An arm lift can reshape and define the under portion of your upper arm by tightening and smoothing to create a toned and sculpted appearance.

An arm lift is performed under general anesthesia.

arm-lift

Frequently Asked Questions

Is an arm lift right for me?

If the underside of your upper arms is sagging and loose due to excess skin and fat, then an arm lift may be the right procedure for you. An arm lift is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Individuals who are physically healthy and at a stable weight
  • Individuals with excess soft tissue along the underside of the arms
  • Individuals with significant upper arm skin laxity
  • Non-smokers
  • Individuals with a positive outlook and specific yet realistic goals in mind for an arm lift
Where are the incisions made during an arm lift?

Incisions vary depending on the area(s) to be treated, degree of correction needed, and patient and surgeon preference. You and Dr. Vartany will discuss which incision options are appropriate for your desired outcome. Incision options include:

Inner Arm
This incision is placed along the lower region of the inner arm. It generally extends from the armpit to just above the elbow.

Back of Arm
This incision is placed along the back side of the arm. It generally extends from the bottom portion of the armpit to just above the elbow.

Minimal
This incision is placed within the underarm (axilla) area. The incision is significantly shorter than with the other techniques but only appropriate for minor correction.

How much time should I take off of work or school?

You will need to allow 3-5 days off from work or school for this procedure due to swelling and discomfort.

What are some procedures that may complement an arm lift?
Important facts about the safety and risks of arm lift surgery

Dr. Vartany will explain, in detail, the risks associated with an arm lift surgery. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

The risks include:

  • Bleeding (hematoma)
  • Infection
  • Fluid accumulation
  • Poor wound healing
  • Skin loss
  • Blood clots
  • Numbness or other changes in skin sensation
  • Anesthesia risks
  • Skin discoloration and/or prolonged swelling
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Major wound separation
  • Asymmetry
  • Pain, which may persist
  • Unsatisfactory results such as highly visible surgical scar location, unacceptable visible deformities, bunching and rippling in the skin near the suture lines or at the ends of the incisions
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Recurrent looseness of skin
  • Sutures may spontaneously surface through the skin, become visible, or produce irritation that require removal
  • Possibility of revisional surgery

Breast Augmentation

Breast implants are one of the most popular cosmetic surgeries performed in the United States and around the globe. There are many reasons why you may be considering breast enhancement surgery. Maybe you feel that increasing your breast size will improve the balance of your figure or give you that “hourglass” shape that you have always desired. You may be looking to increase the tissue volume that you once had prior to extensive weight loss, pregnancy, or the natural aging process. Whatever your reason for wanting to improve the fullness of your breasts, a breast augmentation, also known as augmentation mammaplasty, is a procedure that can give you more ample, voluptuous breasts. With the use of FDA-approved saline filled or silicone gel implants, your breasts are enhanced with a more projected and rounded shape

Breast augmentation is performed under general anesthesia.

breast-aug-surgery

Frequently Asked Questions

Is breast augmentation right for me?

If you feel that you could benefit from larger and shapelier breasts, then breast implants may be the right procedure for you. Breast augmentation is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Good candidates are:

  • Physically healthy
  • Do not smoke
  • Have realistic expectations
  • Have breasts that are fully developed
  • Are bothered by the feeling that your breasts are too small
  • Are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging
  • Have breasts that vary in size or shape
  • Have one or both breasts that have failed to develop normally
  • Are there any additional aspects of my consultation specific to breast augmentation?

    During your consultation, you will try on different size implants so that you can see how the “NEW YOU” will look. It is a very fun and exciting part of the consultation process. You will follow by having a final discussion with Dr. Vartany, where he will discuss the risks involved and explain your implant options. Additionally, he will share actual patient before and after photos with you so that you can see what the surgery can do for your appearance.

    Special note: While a breast augmentation does not usually affect breast function, if you are planning to become pregnant, discuss this with Dr. Vartany.

    Where are the incisions made during a breast augmentation?

    Incisions are made in inconspicuous areas to minimize visible scarring. You and Dr. Vartany will discuss which incision options are appropriate for your desired outcome.

    Incision options include:

    • Peri-areolar - This incision is placed along the bottom of the areola.
    • Inframammary - This incision is placed under the breast falling within the natural crease.

    Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

    What are my choices for implants?

    Implant type and size will be determined based on several factors. Considerations include your breast anatomy, skin elasticity, and body type. Your desired increase in size will also play an important role in selecting the right implant for you.

    Saline Implants
    Saline implants are filled with sterile salt water. They can be filled with varying amounts of saline, which can affect the shape, firmness, and feel of the breasts. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.

    Silicone Implants
    Silicone implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell or may escape into the breast implant pocket. Regular mammograms are a necessary aspect of post-surgery maintenance.

    Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available. Currently, saline implants are FDA-approved for augmentation in women 18 years of age and older. Currently, silicone implants are FDA-approved for augmentation in women 22 years of age and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

    Where will the implant be placed?

    After the incision is made, a breast implant is inserted into a pocket, either under the pectoral muscle (a sub muscular placement), or directly behind the breast tissue, over the pectoral muscle (a sub mammary/sub glandular placement). Dr. Vartany prefers placing the implant under the muscle as this method usually achieves more natural results. Dr. Vartany will determine what will be the appropriate placement for your body type to achieve optimal results.

    Are there additional instructions for my breast augmentation recovery?

    After your breast implant procedure is complete, dressings and/or bandages will be applied to the incisions. On the day of your surgery, a medical support bra will be provided. You will need to wear this bra, morning and night, for 4-8 weeks after surgery. The bra is designed to minimize swelling and support your breasts as they heal. If you would like to purchase additional support bras, it is important to find something that provides compression, support, and opens in the front with a zipper or Velcro. No underwire garments may be worn for 6-8 weeks after surgery.

    You may shower 3 days after surgery. Gently wash your breasts and pat the incisions dry. Immediately replace your support bra.

    It is extremely important that you limit the use of your arms for 10-14 days after surgery. Do not extend your arms over your shoulder level.

    You may not sleep on your stomach for 4-6 weeks after surgery.

    You may not drive a vehicle until you have been permitted to do so.

    How much time should I take off of work or school?

    You will need to allow 4 to 7 days off from work or school for this procedure due to swelling and discomfort.

    What are some procedures that may complement a breast augmentation?
    Important facts about the safety and risks of breast augmentation surgery

    Dr. Vartany will explain, in detail, the risks associated with a breast augmentation. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Poor healing of incisions
    • Changes in nipple or breast sensation, may be temporary or permanent
    • Capsular contracture, which is the formation of firm scar tissue around the implant
    • Implant leakage or rupture
    • Wrinkling of the skin over the implant
    • Anesthesia risks
    • Fluid accumulation
    • Blood clots
    • Pain, which may persist
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Possibility of revisional surgery

    Other important considerations:

    • Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants.
    • Pregnancy, weight loss, and menopause may influence the appearance of augmented breasts over the course of your lifetime.

    Breast Lift

    There are many reasons why you may be considering a breast lift. You may have had excessive weight loss after changing to a healthier lifestyle, had a baby, and breast fed one or multiple children, or you may have inherited these breasts due to simple genetics. No matter the reason, you are seeking a solution to lift and replace the volume that you once had or have always desired in your breasts. A breast lift, also known as a mastopexy, raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift surgery is performed under general anesthesia.

    We also offer breast reduction services for women, gynecomastia for men, and breast augmentation for those who want their breasts enhanced.

    breast-lift

    Frequently Asked Questions

    Is a breast lift right for me?

    If you feel that you could benefit from a more youthful and uplifted breast profile, then a mastopexy may be the right procedure for you. Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates:

    • Are physically healthy and maintain a stable weight
    • Do not smoke
    • Have realistic expectations
    • Are bothered by the feeling that breasts sag or have lost shape and volume
    • Breasts have a flatter, elongated shape or are pendulous
    • Nipples fall below the breast crease when unsupported
    • Nipples and areolas point downward
    • Have stretched skin and enlarged areolas
    • Have one breast that is lower than the other
    Where are the incisions made during a mastopexy?

    Our breast lift surgery can be achieved through a variety of incision patterns and techniques. Dr. Vartany typically uses one of three: the Benelli lift, the “keyhole” or “lollipop” lift, or the “anchor” lift. Dr. Vartany will discuss the various types of lifts and advise you during your personalized consultation what approach will be best for you and the results you wish to achieve. The appropriate technique for you will be determined based on a number of factors such as:

    • Breast size and shape
    • The size and position of your areolas
    • The degree of breast sagging
    • Skin quality and elasticity as well as the amount of extra skin

    Once Dr. Vartany makes the appropriate incision, the underlying breast tissue is lifted and reshaped to improve breast contour and firmness. The nipple and areola are repositioned to a natural, more youthful height. If necessary, enlarged areolas are reduced by excising skin at the perimeter. Excess breast skin is removed to compensate for a loss of elasticity. After your breasts are reshaped and excess skin is removed, the remaining skin is tightened as the incisions are closed. Some incision lines resulting from breast lift are concealed in the natural breast contours; however, others are visible on the breast surface. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Absorbable sutures are used to close the skin.

    Are there additional instructions for my breast lift recovery?

    After your breast lift procedure is complete, dressings and/or bandages will be applied to the incisions. On the day of your surgery, a medical support bra will be provided. You will need to wear this bra, morning and night, for 2-4 weeks after surgery. The bra is designed to minimize swelling and support your breasts as they heal. If you would like to purchase additional support bras, it is important to find something that provides compression, support, and opens in the front with a zipper or Velcro.

    Small, thin tubes with drains attached may be temporarily placed under the skin to drain any excess blood or fluid that may collect. If drains are necessary for your procedure, they will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed, in the office, once the fluid output goes down. This is generally 3-5 days after surgery.

    You may not shower while your drains are in place.

    It is extremely important that you limit the use of your arms for 10-14 days after surgery. Do not extend your arms over your shoulder level.

    You may not sleep on your stomach for 4-6 weeks after surgery.

    You may not drive a vehicle until you have been permitted to do so.

    Special note: While a breast lift does not usually affect breast function, if you are planning to become pregnant, discuss this with Dr. Vartany. Changes that occur in the breasts during pregnancy can minimize or reverse the improvement a breast lift provides. Likewise, plans for significant weight loss should also be discussed.

    How much time should I take off of work?

    You will need to allow between 10 to 14 days off from work or school for this procedure due to swelling and discomfort.

    What are some procedures that may complement a mastopexy?
    Important Facts About the Safety and Risks of Breast Lift Surgery

    Dr. Vartany will explain, in detail, the risks associated with a mastopexy. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable.

    You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Poor healing of incisions
    • Changes in nipple or breast sensation, which may be temporary or permanent
    • Anesthesia risks
    • Breast contour and shape irregularities
    • Skin discoloration, permanent pigmentation changes, swelling and bruising
    • Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
    • Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
    • Breast asymmetry
    • Fatty tissue deep in the skin could die (fat necrosis)
    • Fluid accumulation
    • Excessive firmness of the breast
    • Potential partial or total loss of nipple and areola
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Blood clots
    • Pain, which may persist
    • Possibility of revisional surgery

    Breast Reduction

    Excessively large breasts can take a toll on both your physical health and your emotional health. Finding clothing that flatters your unique body type and that you feel comfortable in can be nearly impossible. In addition to self-image issues, you may also experience physical pain and discomfort. Permanent indentations in your shoulders from supportive bra bands and back problems are common issues that women with oversized breasts often suffer from. A breast reduction surgery, also known as a mammaplasty reduction, removes excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with your body. The alleviation of discomfort associated with overly large breasts can be life changing.

    Breast reduction is performed under general anesthesia.

    breast-reduction

    Frequently Asked Questions

    Is a breast reduction right for me?

    If you feel that you could benefit from a more youthful and uplifted breast profile, then a mammaplasty reduction may be the right procedure for you. Breast reduction surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates:

    • Are physically healthy
    • Have realistic expectations
    • Do not smoke
    • Are bothered by the feeling that your breasts are too large
    • Have breasts that limit your physical activity
    • Experience back, neck, and shoulder pain caused by the weight of your breasts
    • Have regular indentations from bra straps that support heavy, pendulous breasts
    • Have skin irritation beneath the breast crease
    • Have breasts that hang low and have stretched skin
    • Have nipples that rest below the breast crease when your breasts are unsupported
    • Have enlarged areolas caused by stretched skin
    Where are the incisions made during a mammaplasty reduction?

    Your breast lift surgery can be achieved through a variety of incision patterns and techniques. Dr. Vartany typically uses one of three.

    • The Benelli lift - A circular pattern around the areola. The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra. This technique is typically used in patients who desire a slight lift.
    • The “keyhole” or “lollipop” lift - A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease. This is a very effective lift for women with low-hanging breasts.
    • The “anchor” lift - An inverted T or anchor-shaped incision pattern. This is the most invasive breast lift procedure but very effective for women with significant breast droop.

    Dr. Vartany will discuss the various types of lifts and advise you during your personalized consultation what approach will be best for you and the results you wish to achieve. The appropriate technique for you will be determined based on a number of factors such as:

    • Breast size and shape
    • The size and position of your areolas
    • The degree of breast sagging
    • Skin quality and elasticity as well as the amount of extra skin

    Once Dr. Vartany makes the appropriate incision, the nipple, which remains tethered to its original blood and nerve supply, is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary.

    Underlying breast tissue is reduced, lifted, and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

    The incisions are brought together to reshape the now smaller breasts. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Absorbable sutures are used to close the skin. Incision lines are permanent but in most cases will fade and significantly improve over time.

    The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

    Are there additional instructions for my mammaplasty reduction recovery?

    After your breast reduction procedure is complete, dressings and/or bandages will be applied to the incisions. On the day of your surgery, a medical support bra will be provided. You will need to wear this bra, morning and night, for 4-8 weeks after surgery. The bra is designed to minimize swelling and support your breasts as they heal. If you would like to purchase additional support bras, it is important to find something that provides compression, support, and opens in the front with a zipper or Velcro. No underwire garments may be worn for 6-8 weeks after surgery.

    Small, thin tubes with drains attached may be temporarily placed under the skin to drain any excess blood or fluid that may collect. If drains are necessary for your procedure, they will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed, in the office, once the fluid output goes down. This is generally 3-5 days after surgery.

    You may not shower while your drains are in place.

    It is extremely important that you limit the use of your arms for 10-14 days after surgery. Do not extend your arms over your shoulder level.

    You may not sleep on your stomach for 4-6 weeks after surgery.

    You may not drive a vehicle until you have been permitted to do so.

    Special note: While a breast lift does not usually affect breast function, if you are planning to become pregnant, discuss this with Dr. Vartany. Changes that occur in the breasts during pregnancy can minimize or reverse the improvement a breast lift provides. Likewise, plans for significant weight loss should also be discussed.

    How much time should I take off of work?

    You will need to allow between 10 to 14 days off from work or school for this procedure due to swelling and discomfort. You may have drains, therefore you may not shower until after the drains are removed, which is typically between 3 to 5 days post-procedure.

    What are some procedures that may complement a mammaplasty reduction?
    Important facts about the safety and risks of breast reduction surgery

    Dr. Vartany will explain, in detail, the risks associated with reduction mammaplasty. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Unfavorable scarring
    • Infection
    • Changes in nipple or breast sensation, which may be temporary or permanent
    • Anesthesia risks
    • Bleeding (hematoma)
    • Blood clots
    • Poor wound healing
    • Breast contour and shape irregularities
    • Skin discoloration, permanent pigmentation changes, swelling, and bruising
    • Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
    • Breast asymmetry
    • Fluid accumulation
    • Excessive firmness of the breast
    • Potential inability to breastfeed
    • Potential loss of skin/tissue of breast where incisions meet each other
    • Potential partial or total loss of nipple and areola
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Pain, which may persist
    • Allergies to tape, suture materials and glues, blood products, topical preparations or injectable agents
    • Fatty tissue deep in the skin could die (fat necrosis)
    • Possibility of revisional surgery

    You also should know that:

    • Breast reduction surgery can interfere with certain diagnostic procedures
    • Breast and nipple piercing can cause an infection
    • Your ability to breastfeed following mammoplasty reduction may be limited; talk to Dr. Vartany if you are planning to nurse a baby
    • The procedure can be performed at any age but is best done when your breasts are fully developed
    • Changes in the breasts during pregnancy can alter the outcomes of previous breast reduction surgery, as can significant weight fluctuations

    Brow Lift

    As you age, the stresses of everyday life can begin to show on your face in the form of forehead creases, vertical frown lines, wrinkles and sagging skin. The effects of aging can take away from the vibrancy in your eyes and make you appear older, tired or even unhappy. A brow lift, also known as a forehead lift, is a surgical procedure that can reposition a low or sagging brow. By raising your eyebrows to a more youthful position, forehead creases and “frown lines” are reduced and smoothed leaving you with a younger and more alert appearance.

    An eyebrow lift is performed under general anesthesia.

    brow-lift

    Frequently Asked Questions

    Is a brow lift right for me?

    If you feel like you could benefit from a raised and smoother forehead, the Brow lift surgery may be the right procedure for you. Brow lift surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the forehead and brow area. As with all cosmetic surgeries, this is a very personal decision and you should only do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for a brow lift
  • Where are the incisions made during a forehead lift?

    Dr. Vartany will make small incisions within the hairline. This allows the tissue and muscle beneath the skin to be repositioned, altered, or removed, correcting the source of visible creases and furrows in the forehead. The incision lines are well concealed within the hair or natural contours of the face unless they are placed at the hairline to shorten the forehead. Results appear gradually as swelling and bruising subside to reveal smoother forehead skin and a more youthful, restful appearance.

    An alternative brow lift technique is the Coronal Brow Lift. The Coronal Brow Lift can pinpoint specific regions of the brow to correct. This technique involves an incision from ear to ear, lifting the forehead and removing excess skin from the scalp. Recovery time is often longer than the typical brow lift due to the size of the incision.

    Are there additional instructions for my eyebrow lift recovery?

    Bruising typically takes 7-10 days to resolve. Incision lines will continue to heal for several weeks as the swelling dissipates and incision lines refine and fade. Cosmetics may be used, once the staples are removed, to camouflage bruising and healing incisions.

    You may gently wash your face and hair 3 days after surgery. Be gentle when washing near the incision line. Pat the incisions dry and allow your hair to dry naturally. Be careful when combing through your hair.

    Staples will be removed, in the office, 6-8 days after surgery.

    Keep your head elevated above your heart for 2 weeks after surgery.

    Avoid getting overheated, sunbathing, exercise, and/or any strenuous activity that could potentially elevate your heart rate or blood pressure for 2 weeks after surgery.

    How much time should I take off of work?

    You will need to allow for about 7 days off from work for this procedure.

    What are some procedures that may complement a forehead lift?
    Important facts about the safety and risks of a brow lift

    Dr. Vartany will explain, in detail, the risks associated with a brow lift. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable.

    You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    Some risks include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Poor wound healing
  • Anesthesia risks
  • Blood clots
  • Correctable hair loss at the incisions
  • Elevated hairline
  • Facial nerve injury with weakness or paralysis
  • Facial asymmetry
  • Skin loss
  • Numbness or other changes in skin sensation or intense itching
  • Changes in skin sensation
  • Eye irritation or dryness
  • Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; Brow lift surgery will not correct these disorders; additional surgery may be required
  • Fluid accumulation
  • Pain, which may persist
  • Skin contour irregularities
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible, or produce irritation that require removal
  • Possibility of revision surgery
  • Chin Augmentation

    A chin augmentation, medically referred to as implant genioplasty, is a common procedure performed to alter the underlying structure of your chin thereby providing better balance to your facial features. If a chin is too small, it can create a neck that appears fatty and undefined. With the insertion of a small surgical implant, a “weak” or receding chin is enhanced providing you with a more attractive,welldefined jawline and a more harmonized facial silhouette. Chin augmentation is increasing in popularity as it is a relatively easy operation and can provide you with significantly noticeable changes.

    Chin augmentation is commonly recommended in conjunction with rhinoplasty to create a more balanced profile.

    Chin augmentation may be performed under local anesthesia or general anesthesia.

    chin-augmentation

    Frequently Asked Questions

    Is a chin augmentation right for me?

    If you are unhappy with your facial profile due to a “weak” chin, then a chin augmentation may be the right procedure for you. As with any cosmetic procedure, you should decide to do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair hearing
    • Non-smokers
    • Individuals with a positive outlook and specific goals in mind for chin augmentation
    Are there any additional aspects of my consultation specific to chin augmentation?

    During your chin augmentation consultation, Dr. Vartany will use the photo taken during your visit to digitally alter your appearance. This is a very fun and exciting part of the consultation process as you are able to see immediately how you will look with your new chin! Dr. Vartany will offer his expert advice, based on your facial structure and desired result. He will explain the details of your surgery, including the risks involved, and discuss your options. As an added bonus, Dr. Vartany will email the digitally created “before and after” photos to you. This will afford you the extra time to review your anticipated results and share your excitement with your family and friends.

    Will I be able to have a visual idea of my anticipated results?

    At your personalized consultation, Dr. Vartany will take a photo of your nose, and with the aid of computer imaging, show what changes are expected from the chin augmentation surgery. This will allow both you and Dr. Vartany to determine what realistic results you can anticipate from your procedure. Although the computer imaging results cannot be guaranteed, they are usually a very accurate depiction of your surgical outcome.

    Where are the incisions made during a chin augmentation?

    At your complementary cosmetic consultation, Dr. Vartany will determine what method will achieve the most aesthetically pleasing outcome for your particular needs and desired results.

    The two incision options are:

    • Internal - An incision is made inside the mouth. This technique offers a scar that is barely visible.
    • External - An incision is made on the outside, under the chin.

    With either technique, a very precise pocket is created in front of the chin bone and under the muscles. The silicone implant is placed inside the carefully constructed, restricted pocket. In rare cases, the implant is secured with sutures. Depending on which technique is performed, dissolvable or removable sutures are then used to close the external surgical incision.

    What is the chin augmentation implant made of?

    Dr. Vartany uses silicone devices to correct a receding chin. Silicone chin implants are one of the most commonly used implants for chin augmentation. They are soft, smooth, and flexible and come in different shapes and sizes. They do not incorporate (stick) to the surrounding tissues, so the pocket must be made precisely. They usually stay in place but may move, buckle, and cause bone resorption where they contact the mandible in some cases. Since they are smooth, they can also be removed easily.

    Are there additional preparations specific to my chin augmentation?

    Eating fresh pineapple may help to reduce pain and swelling associated with your surgery. Avoid pineapple if you have an allergy to pineapple or cardiac arrhythmia.

    Are there additional aspects to my chin augmentation recovery?

    Bruising and swelling are nearly unavoidable after a surgical procedure; however, Dr. Vartany uses very delicate techniques during the procedure to help minimize the bruising and swelling after the surgery.

    Your chin will be wrapped in a dressing after surgery. Under no circumstance are the bandages to be removed except by Dr. Vartany or a member of his nursing staff.

    Using your previously prepared cold compresses during the first 48-72 hours will help to alleviate bruising and swelling.

    Chewing should be kept at a minimum for a few days after your procedure.

    How much time should I take off of work or school?

    You will need to allow 3-5 days off from work or school for this procedure due to swelling and discomfort.

    What are some procedures that may complement a chin augmentation?
    Important Facts About the Safety and Risks of Chin Augmentation

    The decision to have plastic surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of chin augmentation are acceptable. Dr. Vartany will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    Possible risks of chin augmentation surgery include:

    • Anesthesia risks
    • Bruising
    • Bleeding (hematoma)
    • Skin discoloration
    • Swelling
    • Movement of the implant
    • Damage to the teeth
    • Loss of feeling
    • Infection – sometimes the implant will have to be removed
    • Unevenness of the face
    • Irregular contours
    • Poor wound healing or scarring
    • Change in skin sensation (numbness or pain)
    • Possibility of revisional surgery

    Otoplasty (Ear Pinning)

    For the most part, otoplasty, also referred to as ear surgery or “pinning”, is done to set prominent or protruding ears back closer to the head. Ear surgery is also performed for a myriad of other problems. Various conditions include reducing the size of large ears; correction of “lop ear”, when the tip seems to fold down and forward; “cupped ear”, which is usually a very small ear; or “shell ear”, when the curve in the outer rim, as well as the natural folds and creases, are missing. Ear surgery can also improve stretched earlobes or lobes with large creases and wrinkles.

    Ear surgery is typically performed on children between the ages of 7 and 14. Ears are almost fully grown by age 7, and the earlier the surgery, the less teasing and ridicule a child will have to endure, which may significantly affect their self-esteem and self-confidence.

    Dr. Vartany recommends that parents stay alert to their child’s feelings about protruding ears. It is not recommended that a parent insist on the surgery until the child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome.

    Ear surgery may also be performed on adults. There are generally no additional risks associated with ear surgery on an older patient and the outcome is equally as beneficial.

    Ear surgery may be performed under local anesthesia or general anesthesia. Dr. Vartany may recommend general anesthesia for young children so that they may sleep through the procedure.

    otoplasty

    Frequently Asked Questions

    Is otoplasty right for me?

    If you are bothered that your ears project outward or with the size and shape of your lobes, otoplasty may be right for you. Most patients, young and old alike, are thrilled with the results of ear surgery. It is important to keep in mind that the goal is improvement, not perfection. Natural ears are not perfectly symmetrical; therefore, surgically enhanced ears may not match perfectly either. Dr. Vartany will discuss your options and your expectations. Chances are, you will be quite pleased with the results of ear surgery.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Non-smokers
    • Individuals with a positive outlook and specific yet realistic goals in mind for otoplasty
    Where are the incisions made during an otoplasty?

    With one of the more common techniques, Dr. Vartany makes a small incision in the back of the ear to expose the ear cartilage. He will then sculpt the cartilage and bend it back toward the head. Non-removable stitches will be used to help maintain the new shape. Occasionally, Dr. Vartany will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete.

    Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage.

    In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a more symmetrical result.

    Additional Instructions for your otoplasty recovery

    Once the procedure is complete, the patient’s head will be wrapped in a bulky bandage to promote the best molding and healing. Under no circumstance are the bandages to be removed except by Dr. Vartany or one of his nurses. If the bandages are excessively tight, please contact the office.

    The ears may throb or ache a little for a few days. Medication is prescribed to relieve the discomfort.

    Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. The headband must be worn, during the night, for 8 weeks after surgery.

    Once the bandages are removed, the ears will appear swollen and bruised. This is normal and should be explained to young children so that they do not become alarmed.

    Most adults can go back to work about 5 days after surgery. Children can go back to school after 7 days, if they’re careful about playground activity. You may want to ask your child’s teacher to keep an eye on your child for a few weeks.

    Any activity in which the ear might be bent should be avoided for a month or so. Children should be warned against rough playing, which might result in striking the ears, for 6 months after surgery.

    Important Facts About the Safety and Risks of Otoplasty

    The decision to have ear surgery is extremely personal, and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Dr. Vartany will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you or your child will undergo and any risks or potential complications.

    Possible risks of ear surgery include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Poor wound healing
  • Infection
  • Fluid accumulation
  • Blood clots
  • Numbness and other changes in skin sensation
  • Anesthesia risks
  • Pain, which may persist
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible, or produce irritation that require removal
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revision surgery
  • Eyelid Surgery (Blepharoplasty)

    With the eyes being the most expressive feature on your face, they are often one of the first things that people notice about you. The eyes have been referred to as “the windows to the soul” because they are so telling. They are a main indicator if you are tired, not feeling well, or simply showing signs of aging.

    Also known as blepharoplasty, eyelid surgery is a surgical procedure that improves the appearance of the upper eyelids, lower eyelids, or both. Blepharoplasty can provide a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. An upper eyelid blepharoplasty may involve the removal of loose or sagging excess skin that can cause you to look older and appear tired. A blepharoplasty may also require the removal of excess fatty deposits that appear as puffiness or heaviness and that may impair vision. A lower eyelid blepharoplasty may involve the removal of excessive fat or “bags” from under the eye in addition to skin that can cause your eyes to look older, tired, and puffy. With blepharoplasty, the eyes are lifted and opened to reveal life and vitality, creating a refreshed and more youthful appearance.

    An upper eyelid blepharoplasty may be performed under local anesthesia, along with an oral sedative. It is also performed under general anesthesia when performed in conjunction with another procedure. A lower eyelid blepharoplasty, where removal of fat is necessary, is typically done under general anesthesia.

    blepharoplasty_eyelids

    Frequently Asked Questions

    Is blepharoplasty right for me?

    If you feel that you could benefit from a more awake, youthful appearance, then a blepharoplasty may be the right procedure for you. Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.

    As with all cosmetic surgeries, this is a very personal decision and you should only do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Non-smokers
    • Individuals with a positive outlook and specific goals in mind for blepharoplasty
    • Individuals without serious eye conditions
    Are there additional aspects of my consultation specific to blepharoplasty?

    You must advise Dr. Vartany if you have any of these medical conditions:

  • Eye disease such as glaucoma, dry eye, or a detached retina
  • Thyroid disorders such as Graves’ disease and under or overactive thyroid
  • Cardiovascular disease, high blood pressure, or other circulatory disorders or diabetes
  • Where are the incisions made during a blepharoplasty?

    Dr. Vartany positions the incision lines so that scars are well concealed within the natural structures of the eyelid region. Drooping conditions of the upper eyelids can be corrected through an incision within the natural crease of the upper eyelid allowing the repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin. Conditions of the lower eyelid may be corrected with an incision just below the lower lash line to remove excess skin. A trans-conjunctival incision, one hidden inside the lower eyelid, is an alternative technique to correct lower eyelid conditions and redistribute or remove excess fat. There is no visible scar with this technique. Dr. Vartany will advise you, at the time of your personalized consultation, what approach will be best for you and the results you wish to achieve.

    Are there additional instructions for my blepharoplasty recovery?

    Use your previously prepared cold compresses over the eyelids during the first 48 hours after surgery. Allow the compresses to stay on the area in 15-20 minute intervals. Swelling will be at its worst 2-3 days after surgery. Swelling typically dissipates over the first 5-7 days after surgery.

    Bruising typically takes 7-10 days to resolve.

    You may get your face wet 24 hours after surgery. Be gentle when cleansing around the eyes and pat dry.

    Keep your head elevated above your heart for 2 weeks after surgery.

    Avoid getting overheated, sunbathing, exercise, and/or any strenuous activity that could potentially elevate your heart rate or blood pressure for 2 weeks after surgery.

    Sutures will be removed in the office 3-5 days after surgery.

    Additional Procedures for Further Enhancement
    Important Facts About the Safety and Risks of Blepharoplasty

    Dr. Vartany will explain in detail the risks associated with blepharoplasty. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    Possible risks of eyelid surgery include:

  • Unfavorable scarring
  • Temporarily blurred or impaired vision
  • Dry eyes
  • Difficulty closing your eyes
  • Lid lag, a pulling down of the lower eyelid may occur and is often temporary
  • Ectropion, rolling of the eyelid outwards
  • Bleeding (hematoma)
  • Poor wound healing
  • Infection
  • Fluid accumulation
  • Blood clots
  • Numbness and other changes in skin sensation
  • Anesthesia risks
  • Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
  • Pain, which may persist
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible, or produce irritation that require removal
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery
  • Loss of eyesight
  • Facelift

    Your face holds all the unique features that make you, you. One of the biggest compliments that you can receive is for someone to guess you to be younger than you are. But, as the first signs of aging appear in your face, whether it is sagging skin, fine lines, wrinkles and creases, or a loss of volume and muscle tone, the guess becomes more accurate than we prefer. You want your face to portray how you feel inside, sprightly and vivacious. Unfortunately, as time passes, youthful qualities in the skin can diminish due to the loss of elasticity, rapid weight loss, lifestyle, and environmental factors. A rhytidectomy, also known as a facelift, is a surgical procedure to improve visible signs of aging in the face and neck. Wrinkles are tightened and smoothed, while excess and sagging skin are removed. You may not be able to stop the aging process, but a facelift can most certainly result in a more youthful you.

    A rhytidectomy is performed under general anesthesia.

    facelift_couple

    Frequently Asked Questions

    Is a facelift right for me?

    A facelift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results. Alternative rejuvenation treatments may help delay the time at which a facelift becomes appropriate and may complement the results of surgery.

    A facelift is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try and fit any sort of ideal image.

    Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and have specific but realistic goals in mind for the improvement of your appearance
  • Where are the incisions made during a facelift?

    Depending on the degree of change you would like to see, your facelift choices include a traditional facelift, limited incision facelift, or a neck lift. Dr. Vartany will advise you at the time of your personalized consultation which of these options will work best for the result you hope to achieve.

    Traditional Facelift
    A traditional facelift incision often begins in the hairline at the temples, continues around the ear, and ends in the lower scalp. Skin is re-draped over the uplifted contours, and excess skin is trimmed away. A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.

    Limited Incision
    An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip.

    Lift
    Sagging jowls, loose neck skin, and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.

    Are there additional preparations specific to my facelift surgery?

    Beginning five days prior to surgery, thoroughly cleanse your face, neck, and ears three times a day for at least five minutes each time. Make-up and skincare creams may be applied between these cleansings.

    The day before surgery, wash your face, neck, and ears with antibacterial soap (Dial, Safeguard, Phase III, etc.), three times for at least five minutes each time.

    The evening prior to surgery, shampoo your hair with baby shampoo. After the hair is dry, wrap it in a towel, turban, or scarf and wear this to the surgery center. There is no need to set or style your hair. If you tint, dye, or bleach your hair, this should be done no later than 48 hours prior to surgery.

    Will I be bruised or swollen following the procedure?

    Bruising and swelling are nearly unavoidable after a surgical procedure. However, Dr. Vartany uses very delicate techniques during the procedure to minimize the bruising and swelling after the surgery.

    Are there additional aspects to my facelift recovery?

    Once your procedure is complete, you may have a bandage gently placed around your face to minimize swelling and bruising.

    Small, thin tubes with drains attached may be temporarily placed under the skin to drain any excess blood or fluid that may collect. If drains are necessary for your procedure, they will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed, in the office, once the fluid output goes down. This is generally 2-3 days after surgery.

    You may not shower while your drains are in place.

    How much time should I take off of work?

    You will need to allow for approximately 10 - 14 days off from work for this procedure.

    What are some procedures that may complement a facelift?
    Important Facts About the Safety and Risks of Rhytidectomy

    Dr. Vartany will explain, in detail, the risks associated with rhytidectomy. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable.

    You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Poor wound healing
    • Anesthesia risks
    • Correctable hair loss at the incisions
    • Facial nerve injury with weakness
    • Facial asymmetry
    • Skin loss
    • Numbness or other changes in skin sensation
    • Fatty tissue found deep in the skin might die (fat necrosis)
    • Fluid accumulation
    • Pain, which may persist
    • Skin contour irregularities
    • Skin discoloration, sensitivity or swelling
    • Sutures may spontaneously surface through the skin, become visible, or produce irritation that require removal
    • Unsatisfactory results may include asymmetry, unsatisfactory surgical scar location, unacceptable
    • visible deformities at the ends of the incisions (It may be necessary to perform additional surgery to improve your results)
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Possibility of revisional surgery

    Contour Your Body with Liposuction

    Good fitness habits and a healthy lifestyle are often at the forefront of your personal goals. Despite your best intentions, you may still have certain areas of your body that have disproportionate contours due to localized fat deposits. You may have the stubborn “pooch” on the lower portion of your abdomen or excess bulges on your outer thighs. Maybe you suffer from the “love handles” that you don’t love at all. Unwanted and unshapely fat deposits can make you feel self-conscious about your appearance and affect how you look and fit in your clothes. Liposuction, also known as lipoplasty, can slim and reshape specific areas of the body by removing excess fat deposits. Liposuction can improve your body contours and proportion and ultimately enhance your self-esteem.

    What Areas Can Be Treated With Liposuction?
    Areas treatable with the liposuction technique are:

    • Cheeks
    • Chin
    • Neck
    • Chest area
    • Upper arms
    • Abdomen
    • Waist
    • Hips
    • Buttocks
    • Back
    • Thighs
    • Inner Knees
    • Calves
    • Ankles
    liposuction

    Liposuction surgery may be performed under local anesthesia, depending on the area(s) to be treated. Liposuction is also performed under general anesthesia and is often added as an adjunct to other body contouring procedures.

    Special note: Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. Liposuction is also not an effective treatment for cellulite, the dimpled skin that typically appears on the thighs, hips, and buttocks. Substantial weight gain can alter an otherwise permanent result.

    Frequently Asked Questions

    Is liposuction right for me?

    If you are bothered by concentrated and localized fat deposits that may be a result of heredity and not a lack of weight control and fitness, then liposuction may be the right procedure for you. Liposuction is a highly individualized procedure, and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Individuals within 30% of their ideal weight
    • Individuals with firm, elastic skin and good muscle tone
    • Non-smokers
    • Individuals with a positive outlook and specific yet realistic goals in mind for body contouring

    Special considerations may be necessary for individuals with diabetes, high blood pressure, heart disease, or previous surgery to the treatment area. Please discuss these conditions with Dr. Vartany.

    Where are the incisions made during liposuction?

    Very small inconspicuous incisions are made in or near the area to be suctioned for insertion of an appropriately sized cannula. In many cases, incisions may be so small that no stitches are required for closure.

    Are there additional instructions for my liposuction recovery?

    You will be provided with a compression garment on the day of surgery. You will need to wear this garment, morning and night, for approximately 4 weeks after surgery. The garment is designed to minimize swelling and support your new contours.

    You may shower 3 days after surgery. Gently wash and pat the incisions dry. Immediately replace your compression garment.

    You may not drive a vehicle until you have been permitted to do so.

    How much time should I take off of work or school?

    You will need to allow 3-5 days off from work or school for this procedure due to swelling and discomfort. Additional time may be needed for larger areas.

    What are some procedures that may complement liposuction?
    Important facts about the safety and risks of liposuction surgery

    Dr. Vartany will explain in detai the risks associated with liposuction. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Uneven contours
    • Rippling or loose skin
    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Fluid accumulation or fluid loss
    • Poor wound healing
    • Skin loss
    • Blood clots
    • Fat clots
    • Numbness or other changes in skin sensation
    • Anesthesia risks
    • Skin discoloration and/or prolonged swelling
    • Irregular pigmentation
    • Fatty tissue found deep in the skin might die (fat necrosis)
    • Asymmetry
    • Pain, which may persist
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Possibility of revisional surgery

    Male Breast Reduction

    Many men of all ages suffer from gynecomastia. Not just physically but emotionally as well. The discomfort associated with gynecomastia can make you self-conscious and prevent you from enjoying certain activities in your life. Overdeveloped or the enlargement of glandular tissue in the breasts can be a result of hormone changes, heredity, disease, or use of certain drugs. Despite your best efforts of eating healthy and even excessive exercise, this stubborn tissue may require surgical intervention. A correction of gynecomastia removes excess breast fat, glandular tissue, and in some cases, excess skin. A male breast reduction can reshape your chest offering a better proportioned, more masculine contoured upper body and the freedom and self-confidence to enjoy an active life.

    Gynecomastia surgery can be performed as a minor procedure under local anesthesia or under general anesthesia. This will be determined based on the type of procedure needed.

    gynecomastia

    Frequently Asked Questions

    Is gynecomastia surgery right for me?

    Gynecomastia surgery candidates include:

    • Men whose condition cannot be corrected through alternative medical treatments
    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Non-smokers and non-drug users
    • Men with a positive outlook and specific goals in mind for improving the physical symptoms of gynecomastia
    • Men who are physically healthy and of relatively normal weight
    • Men who have realistic expectations
    • Men whose breast development has stabilized
    • Men who are bothered by the feeling that their breasts are too large

    Adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue.

    Where are the incisions made during a gynecomastia surgery?

    Your gynecomastia surgery can be achieved through a variety of techniques. Dr. Vartany will discuss the procedure that will provide you with the most satisfactory results.

    Liposuction Technique
    In cases where gynecomastia is primarily the result of excessive fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow suction tube, through several small incisions.

    Excision Technique
    Excision techniques are recommended where glandular breast tissue or excessive skin must be removed to correct gynecomastia. Excision is also necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

    In some circumstances a combination of both techniques may be used. Dr. Vartany will review your options and determine what will be the best option for your specific needs.

    Are there additional instructions for my gynecomastia recovery?

    After your gynecomastia surgery is complete, dressings or bandages will be applied to your incisions. An elastic bandage or compression garment may also be used to minimize swelling and support your new chest contour as it heals after surgery. You will need to wear your garment for 2-4 weeks after surgery.

    Small, thin tubes with drains attached may be temporarily placed under the skin to drain any excess blood or fluid that may collect. If drains are necessary for your procedure, they will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed in the office once the fluid output goes down. This is generally 3-5 days after surgery.

    You may not shower while your drains are in place.

    If you do not have surgical drains, you may take a shower three days after surgery. Once you have showered, replace your compression garment immediately back on and keep it on, day and night, for two weeks after surgery.

    You may not sleep on your stomach for 4-6 weeks after surgery.

    It is extremely important that you limit the use of your arms for 10-14 days after surgery. Do not extend your arms over your shoulder level.

    You may not drive a vehicle until you have been permitted to do so.

    How much time should I take off of work?

    You will need to allow between 7 to 10 days off from work or school for this procedure due to swelling and discomfort.

    What are some procedures that may complement gynecomastia?
    Important Facts About the Safety and Risks of Gynecomastia Surgery

    Dr. Vartany will explain in detail the risks associated with gynecomastia. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable.

    You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Reactions to tape, suture materials, glues, topical preparations or injected agents
    • Anesthesia risks
    • Bleeding (hematoma)
    • Blood clots
    • Breast asymmetry
    • Breast contour and shape irregularities
    • Changes in nipple or breast sensation may be temporary or permanent
    • Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Fatty tissue found in the breast might die (fat necrosis)
    • Fluid accumulation (seroma)
    • Infection
    • Persistent pain
    • Poor wound healing
    • Possibility of revisional surgery
    • Unfavorable scarring

    Specializing in Rhinoplasty

    Why Choose Dr. Vartany for Your Rhinoplasty?
    With over 20 years of experience and performing over 200 rhinoplasty surgeries per year, Dr. Vartany has extensive expertise in both primary and revision rhinoplasty.  Patients have come from around the globe to have rhinoplasty and corrective or secondary rhinoplasty with Dr. Vartany.

    While rhinoplasty is one of the most popular cosmetic procedures in the United States, it is also the most difficult one for a plastic surgeon to master. The national revision rate, due to dissatisfaction, ranges from 5% to 16%. This is, in part, due to the nose’s extremely delicate anatomy. Large variations in the skin type and skeletal structure of the nose make rhinoplasty a very challenging procedure to perform well. With the lowest revision rate of 5%, Dr. Vartany is classified as a true artisan who has perfected his technique over his many years in practice. Providing balance of a patient’s natural anatomy while never compromising structure stability, Dr. Vartany will provide a beautiful and naturally proportional nose that will not appear “operated.”

    Rhinoplasty
    Commonly referred to as a “nose job,” a rhinoplasty is a surgical procedure performed to improve the cosmetic appearance of one’s nose. The size and shape of the nose are very important to the overall balance of your facial features. A large or wide nose may take attention away from the beauty of your eyes, fabulous bone structure, or well-defined lips. It may simply be your profile or a drooping tip, when you smile, that has you shying away from photos and social interaction. Even small changes in the aesthetics of the nose can make very large improvements to your overall symmetry and bring all your features into harmony.

    A well-performed rhinoplasty not only enhances your face but also improves your self-confidence, self-image, and sometimes even personality. You will live your best life, your most fulfilling life, when you are no longer held back by insecurities.

    If you are considering having a rhinoplasty, you want a surgeon who specializes in this procedure.

    Rhinoplasty is performed under general anesthesia.

    Actual patients.  Individual results may vary.

    Frequently Asked Questions

    Is a nose job right for me?

    If you are unhappy with the overall appearance of your nose or have difficulty breathing, then a rhinoplasty may be the right procedure for you. Rhinoplasty is performed on a wide age range of people, usually those who have healthy facial tissue and muscles and have realistic goals for the improvement of their nose. As with any cosmetic procedure, you should decide to do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Non-smokers
    • Individuals with a positive outlook and specific goals in mind for Rhinoplasty
    Your Personalized Rhinoplasty Consultation

    The success and safety of your surgery depends greatly on your complete candidness during your consultation. Dr. Vartany will ask you several questions about your health, medical history, previous treatments and medications. Gaining an understanding of your general health will assist Dr. Vartany in determining any pre-existing health conditions or risk factors. To thoroughly evaluate your candidacy, it will be important to also discuss your lifestyle, including alcohol, tobacco, and drug use. The best candidates for cosmetic surgery are patients who are physically healthy and who do not smoke.

    Dr. Vartany will also perform an examination, and if necessary, take measurements and photographs for your medical record. Just as important, Dr. Vartany will want to understand why you desire to have the procedure performed so that he may design a surgical plan to meet your personal needs and desired outcome. It is important to go into the procedure with a positive outlook and have specific but realistic goals in mind for the improvement of your appearance.

    Dr. Vartany will offer his expert advice and determine the procedure that is just right for you. He will explain the details of your surgery, including the risks involved, and discuss your options. Dr. Vartany will share actual patient “before and after” photos with you so that you can see what the surgery can do for your appearance. Once a “plan” has been determined, our office will compile a quote based on the actual recommended procedures and the duration of surgery.

    dr-vartany_personalized-consult
    Are there any additional aspects of my consultation?

    During your rhinoplasty consultation, Dr. Vartany will use the photo taken during your visit to digitally alter your appearance. This is a very fun and exciting part of the consultation process, as you are able to see immediately how you will look with your new nose! Dr. Vartany will offer his expert advice, based on your facial structure and desired result. He will explain the details of your surgery, including the risks involved, and discuss your options. As an added bonus, Dr. Vartany will email the digitally created “before and after” photos to you. This will afford you the extra time to review your anticipated results and share your excitement with your family and friends.

    Will I be able to have a visual idea of my anticipated results?

    At your personalized consultation, Dr. Vartany will take a photo of your nose, and with the aid of computer imaging, show what changes are expected from the Rhinoplasty surgery. This will allow both you and Dr. Vartany to determine what realistic results you can anticipate from your procedure. Although the computer imaging results cannot be guaranteed, they are usually a very accurate depiction of your surgical outcome.

    Where are the incisions made during a nose job?

    Your incisions will depend on whether you are receiving a “closed” or “open” rhinoplasty and whether or not you are electing to alter your alar wedges (nostrils). At your complementary cosmetic consultation, Dr. Vartany will determine what method will achieve the most aesthetically pleasing outcome for your particular needs and desired results.

    “Open” rhinoplasty is done through an external incision on the columella, the middle of the nose immediately about the lip. This results in a small external scar that will eventually heal after surgery to be nearly unnoticeable. “Closed” rhinoplasty is done entirely through internal incisions so there is no visible scar from the surgery. Dr. Vartany performs most of his rhinoplasties with the closed method.

    How will I need to prepare for my plastic surgery?

    Be sure to read over all of your instructions thoroughly. This will ensure that all of your questions may be addressed prior to your surgery day.

    Be sure to have your prescriptions filled prior to surgery. You will want to have these available immediately following your surgery.

    Certain procedures require you to cleanse the area with an anti-bacterial soap (Dial, Safeguard, Phase III) beginning 1-2 days prior to surgery. Please review your pre-operative instructions for the exact duration specific to your procedure.

    Begin using your Arnicare (provided during your pre-operative appointment) 2-3 days prior to surgery (rhinoplasty/septoplasty and blepharoplasty patients).

    We recommend purchasing a stool softener (not a laxative) to begin taking the day after surgery. Pain medication may make you constipated.

    It is recommended, with certain procedures, that you begin using cold compresses over the area immediately following your return home. We suggest preparing your cold compresses in advance. Suggestion: Purchase a large bag of frozen green peas or corn and one box of sandwich size Ziploc bags. Fill six to eight of these bags with the frozen vegetables and place them in the freezer. These will be ready to begin using immediately after surgery to decrease the bruising and swelling.

    Please be sure to see additional preparations under your specific surgical procedure.

    Are there additional preparations specific to my rhinoplasty?

    Eating fresh pineapple may help reduce pain and swelling associated with your surgery. Avoid pineapple if you have an allergy to pineapple or cardiac arrhythmia.

    What can I expect during my recovery?

    You have taken exceptional care in choosing the right plastic surgeon. Now, you need to take exceptional care of yourself.

    You must have someone spend the first night with you.

    Return home and go directly to bed, with only assisted bathroom privileges for the first 24 hours. Your only concern should be to rest and recover.

    Take your medications as directed**.  Remember that NO alcohol is permitted for one week to ten days, depending on when you are allowed to cease taking medications.

    If instructed during your pre-operative appointment, start using the previously prepared cold compresses as soon as possible. Use the cold compresses, while awake, for 48-72 hours after surgery. Allow the compresses to stay on the area in 15-20 minute intervals (15 minutes on the area and then 15 minutes off of the area). Do not worry about using the cold compresses on the area while you are sleeping. Getting your rest is important to your recovery.

    For Procedures Performed Under General Anesthesia

    Upon arrival to your home, you may have small quantities of liquids as desired and/or tolerated. It is advised that you eat a very small amount of pudding or yogurt to coat the stomach prior to taking pain medication.  **If you are experiencing any nausea, avoid taking the antibiotic and/or pain medication until the nausea subsides or until the following day when you may progress to a soft diet. After that, you may eat as desired and/or tolerated. Hot and/or spicy foods may cause additional swelling.

    For Procedure Performed Under Local Anesthesia

    You may eat and/or drink as tolerated. Hot and/or spicy foods may cause additional swelling.

    If your procedure requires drains, log sheet will be provided to you on the day of your surgery. This form will be used to log the amount of fluid discarded from each drain, both morning and night. A demonstration will be provided along with instructions on how to empty your surgical drains. Depending on the procedure performed, your drains will be removed in the office when the output reduces. This usually occurs 3 to 10 days after your surgery.

    • Breast Reduction – 3-5 days
    • Abdominoplasty – 6-10 days
    • Facelift – 1-3 day

    Do not shower while the drains are in place. You may have a sponge bath on the second day after surgery, but under no circumstances should the bandages or drains become wet. You will be able to take a shower after your drains have been removed.

    It is important to keep areas elevated to assist with swelling reduction. For procedures involving the face and neck, keep your head elevated above your heart for two weeks post-surgery. Using two, firm pillows or a sleeping wedge while sleeping will help keep your head elevated during the night. Another option is to sleep and rest in a reclining chair.

    If you need to bend over, bend from the knees, NOT the waist.

    Avoid getting overheated, sunbathing, saunas, hot tubs, etc. after surgery. Additionally, avoid any exercise and/or strenuous activity that could potentially elevate your heart rate or blood pressure for two to four weeks after surgery. Please review your post-operative instructions for the exact duration specific to your procedure.

    Do not drive a car until you are given permission.

    If there are any signs of persistent nausea, bleeding, rash, etc., you are to report this to the office.

    If you have any questions or concerns following your procedure, you will be able to contact Dr. Vartany directly.

    Please be sure to see additional instructions and precautions under your specific surgical procedure.

    Are there additional aspects to my recovery?

    Bruising and swelling are nearly unavoidable after a surgical procedure; however, Dr. Vartany uses very delicate techniques during the procedure to help minimize the bruising and swelling after the surgery.

    Using your previously prepared cold compresses during the first 48-72 hours will help to alleviate bruising and swelling.

    There is usually very little pain after a rhinoplasty; however, there is usually some discomfort from stuffiness and pressure sensation of the nose. You will have a splint or cast over your nose, which is removed in our office one week after your procedure during your first post-operative appointment. Dr. Vartany does not use nasal packing, so you will be able to breathe through your nose immediately after the surgery to a certain extent.

    How much time should I take off of work or school?

    Although your cast will only be on for 6-8 days, you will need to allow for about 10 days off from work or school for this procedure.

    When will I see my final results?

    When the splint is removed from the nose 6-8 days after surgery, the nose will be very swollen and people often feel that their noses are wider than before the surgery. This excessive swelling reduces over the first three weeks after surgery, and the remaining swelling, especially of the tip, takes at least a year to completely resolve.

    What are some procedures that may complement a nose job?
    Important Facts About the Safety and Risks of Rhinoplasty

    The decision to have plastic surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of rhinoplasty are acceptable. Dr. Vartany will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    Possible risks of rhinoplasty surgery include:

    • Anesthesia risks
    • Bleeding (hematoma)
    • Infection
    • Poor wound healing or scarring
    • Change in skin sensation (numbness or pain)
    • Nasal septal perforation (a hole in the nasal septum) is rare. Additional surgical treatment may be necessary to repair the septum, but it may be impossible to correct this complication.
    • Difficulty breathing
    • Unsatisfactory nasal appearance
    • Skin discoloration and swelling
    • Possibility of revisional surgery

    Thigh Lift

    When your weight loss efforts are counteracted with the consequence of excess, sagging skin, it can be very frustrating. Equally as disappointing, you may have upper legs that are simply resistant to your diet and exercise attempts and are only becoming more problematic as you get older. Your objective for firmer, more sculpted and toned upper legs simply cannot be met as your skin has lost its elasticity or may have an unforgiving memory of its former, stretched position. A thigh lift or thighplasty can offer a solution by reshaping and tightening the thighs with the removal of excess skin, and in some cases, fat, to provide more proportionate and smoother body contours. The results are more refined and attractive upper legs.

    A thigh lift is performed under general anesthesia.

    thighlift

    Frequently Asked Questions

    Is a thigh lift right for me?

    If you notice an improvement in the appearance of your thighs when you pull up on your excess skin, then a thigh lift may be the right procedure for you. A thigh lift is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Individuals who are physically healthy and at a stable weight
    • Individuals with excess soft tissue along the inner or medial thigh region and/or outer thigh
    • Non-smokers
    • Individuals with a positive outlook and specific yet realistic goals in mind for a thigh lift
    Where are the incisions made during a thigh lift?

    Incisions vary depending on the area(s) to be treated, degree of correction needed, and patient and surgeon preference. You and Dr. Vartany will discuss which incision options are appropriate for your desired outcome. Incision options include:

    Medial Thigh Lift
    This incision is placed along the inner groin area within the natural crease, extending downward and wrapping around the back of the thigh. A minimal incision medial thigh lift would involve an incision only in the groin area. These incisions are generally well concealed with underwear or a bathing suit.

    Vertical Thigh Lift
    This incision is placed vertically from the groin area down and along your inner thigh.  This technique allows for more drastic results; however, it yields a very noticeable scar.  A vertical thigh lift is usually only performed on individuals who have had massive weight loss resulting in a considerable amount of excess skin to be removed. In some cases, a combination of a medial thigh lift and a vertical thigh lift may be necessary.

    Outer Thigh Lift
    This incision is placed in the groin area and extends around the hip. Dr. Vartany carefully positions the incisions in a strategic location where they can be concealed by most types of clothing, a bathing suit or underwear.

    Are there additional instructions for my thigh lift recovery?

    After your thigh lift procedure is complete, dressings and/or bandages will be applied to the incisions. On the day of your surgery, a compression garment will be provided. You will need to wear this garment, morning and night, for 4-8 weeks after surgery. The garment is designed to minimize swelling and support the new contours of your thighs as they heal.

    Small, thin tubes with drains attached may be temporarily placed under the skin to drain any excess blood or fluid that may collect. If drains are necessary for your procedure, they will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed in the office once the fluid output goes down. This is generally 5-7 days after surgery.

    You may not shower while your drains are in place.

    If your procedure does not require surgical drains, you may shower 3 days after surgery. Gently wash and pat the incisions dry. Immediately replace your compression garment.

    You may not drive a vehicle until you have been permitted to do so.

    How much time should I take off of work or school?

    You will need to allow 10-14 days off from work or school for this procedure due to swelling and discomfort.

    What are some procedures that may complement a thigh lift?
    Important facts about the safety and risks of thigh lift surgery

    Dr. Vartany will explain in detail the risks associated with a thigh lift. It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

    The risks include:

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Fluid accumulation
    • Poor wound healing
    • Skin loss
    • Blood clots
    • Numbness or other changes in skin sensation
    • Anesthesia risks
    • Skin discoloration and/or swelling
    • Fatty tissue found deep in the skin might die (fat necrosis)
    • Major wound separation
    • Asymmetry
    • Pain, which may persist
    • Unsatisfactory results such as highly visible surgical scar location, unacceptable visible deformities, bunching and rippling in the skin near the suture lines or at the ends of the incisions
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Recurrent looseness of skin
    • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
    • Possibility of revisional surgery

    Abdominoplasty (Tummy Tuck)

    A flat and well-toned abdomen is something that many of us strive for through exercise and diet. Unfortunately, even our best efforts often leave a stomach that protrudes or is loose and sagging. Trying on clothes becomes a hassle, and nothing fits or seems to look right. It can take an emotional toll on your self-esteem and even prevent you from going places because you have “nothing to wear.” Having body issues can literally prevent you from truly getting the most pleasure and enjoyment out of your life.

    An abdominoplasty, also known as a “tummy tuck,” is a surgical procedure that removes excess skin and/or fat, and in most cases, restores weakened or separated muscles that cause the stomach to extend out. Life may present the most common contributors such as significant fluctuations in weight, pregnancy, aging or simply heredity; however, the result of a tummy tuck can create an abdominal profile that is smoother and firmer leaving you to look and feel your best.

    abdominoplasty

    Frequently Asked Questions

    Is a tummy tuck after massive weight loss right for me?

    A tummy tuck is not a substitution for weight loss or an appropriate exercise program. Although the results of a tummy tuck are technically permanent, significant fluctuations in your weight can significantly diminish the positive results. If you are planning substantial weight loss or if you are a woman considering future pregnancies, you may be advised to postpone a tummy tuck. As with all cosmetic surgeries, this is a very personal decision and you should only do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Individuals who are physically healthy and at a stable weight
    • Non-smokers
    • Individuals with a positive outlook and specific yet realistic goals in mind for abdominoplasty
    Where are the incisions made during a tummy tuck?

    A full tummy tuck requires a horizontally oriented incision in the area between the pubic hairline and navel. Dr. Vartany takes extra care in positioning the incision just below the bikini line to make the healed incision less visible. The length and shape of the incision will be determined by the degree of the correction necessary. Through this incision, Dr. Vartany will repair weakened abdominal muscles and remove excess fat tissue and skin. A second incision around the navel may be necessary to maximize the removal of the excess skin in the upper abdomen.

    A modified or mini-tummy tuck also requires a horizontally oriented incision in the area between the pubic hairline and navel. This incision is typically shorter in length than the full abdominoplasty incision and does not include an incision around the navel. Only the skin between the navel and pubic hairline is pulled down and excised. The abdominal muscles are not tightened during this modified procedure; therefore, it is only the ideal procedure for someone with the stubborn “pooch”. A full tummy tuck is the recommended procedure to optimize your results for flattening and contouring your abdomen.

    Are there additional instructions pertaining to my tummy tuck?

    You will need to discontinue the use of Birth Control pills for two weeks prior to surgery. You may resume taking your Birth Control one week after surgery.

    Are there additional instructions for my body contouring recovery?

    Your surgical drains will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed in the office once the fluid output goes down. This is generally 6-10 days after surgery.

    You may not shower while your drains are in place.

    You will be provided with an abdominal girdle. Your girdle should be worn for six weeks after surgery. Once your drains have been removed, you may remove your girdle just long enough to shower and wash your garment.

    You may not sleep on your stomach or attempt to for 4-6 weeks after surgery.

    You may not drive a car until you are given permission to do so. This is generally after all meds have been discontinued and your drains have been removed. Dr. Vartany will assess you at each post-operative appointment and instruct you on your current restrictions.

    Avoid getting overheated, sunbathing, exercise, and/or any strenuous activity that could potentially elevate your heart rate or blood pressure for 4 weeks after surgery.

    Dr. Vartany uses dissolvable sutures. A running steri-strip will cover the incision and will typically come off on its own. Do not attempt to remove or peel off the steri-strip.

    Complete resolution of your swelling may take up to 6 months.

    Additional Procedures for Further Enhancement
    Important Facts About the Safety and Risks of a Tummy Tuck After Weight Loss

    Dr. Vartany will explain in detail the risks associated with abdominoplasty. You will be asked to sign a consent form to ensure that you fully understand potential risks and complications.

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Fluid accumulation
    • Poor wound healing
    • Skin loss
    • Blood clots
    • Numbness or other changes in skin sensation
    • Anesthesia risks
    • Skin discoloration and/or prolonged swelling
    • Fatty tissue found deep in the skin might die (fat necrosis)
    • Major wound separation
    • Asymmetry
    • Recurrent looseness of skin
    • Pain, which may persist
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Persistent swelling in the legs
    • Nerve damage
    • Possibility of revision surgery
    • Suboptimal aesthetic result

    Tummy Tuck After Massive Weight Loss

    According to the Centers for Disease Control, almost 1 in 3 Americans suffer from obesity. Obesity is not only an emotionally debilitating condition, it is commonly correlated with many health problems such as diabetes, high blood pressure, and heart disease.

    With bariatric surgeries on the rise, patients may be faced with the repercussions of extreme and sudden weight loss. The skin that has been severely stretched often lacks elasticity and cannot conform to the reduced body size. The result is excessive, loose and unsupported skin, affecting many areas of the body. One of the most troubling areas of unwanted skin is the abdominal area. Skin may hang and extend around the sides and into the lower back area, resulting in an apron-like overlap. All your efforts and hard work are diminished by the excessive draping skin that can barely be tucked into your clothing. You have traded one self-esteem reducing problem for another.

    Body contouring with an abdominoplasty or tummy tuck after massive weight loss will improve the shape and tone of your abdomen by eliminating the excess sagging skin and fat. The result is a more normal appearance to the body with smoother contours leaving you to look and feel your best. With stabilized weight loss, the effects are virtually permanent.

    A tummy tuck after massive weight loss is performed under general anesthesia.

    massive-weight-loss

    Frequently Asked Questions

    Is a tummy tuck after massive weight loss right for me?

    If you have undergone major weight loss, are at a stabilized weight, and are bothered by excess abdominal skin and fat, then a tummy tuck may be right for you. If you are planning to continue with substantial weight loss or if you are a woman considering future pregnancies, you may be advised to postpone a tummy tuck. As with all cosmetic surgeries, this is a very personal decision and you should only do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Individuals who are physically healthy and at a stable weight
    • Non-smokers
    • Individuals with a positive outlook and specific yet realistic goals in mind for a tummy tuck after massive weight loss

    Special note: If you rapidly regain the weight, you will traumatically stress your already weakened and thinned skin, causing further stress to the skin, visible stretch marks, and wide scars.

    Where are the incisions made during a tummy tuck?

    A full tummy tuck after massive weight loss requires a horizontally oriented incision in the area between the pubic hairline and navel. The incision length and pattern depend on the amount and location of excess skin to be removed. The incision may extend around the hips and above the buttocks. Dr. Vartany takes extra care in positioning the incision, when possible, just below the bikini line to make the healed incision less visible while wearing most types of clothing. Through this incision, Dr. Vartany will repair weakened abdominal muscles and remove excess fat tissue and skin. A second incision around the navel is necessary to maximize the removal of the excess skin in the upper abdomen.

    Are there additional instructions pertaining to my tummy tuck?

    You will need to discontinue the use of birth control pills for two weeks prior to surgery. You may resume taking your birth control one week after surgery.

    Are there additional instructions for my body contouring recovery?

    Your surgical drains will need to be emptied twice daily. A form will be provided for you to log the amount of fluid being drained from each side, both morning and night. Your drains will be removed in the office once the fluid output goes down. This is generally 6-10 days after surgery.

    You may not shower while your drains are in place.

    You will be provided with an abdominal girdle. Your girdle should be worn for six weeks after surgery, 24 hours a day. Once your drains have been removed, you may remove your girdle just long enough to shower and wash your garment.

    You may not sleep on your stomach or attempt to for 4-6 weeks after surgery.

    You may not drive a car until you are given permission to do so. This is generally after all meds have been discontinued and your drains have been removed. Dr. Vartany will assess you at each post-operative appointment and instruct you on your current restrictions.

    Avoid getting overheated, sunbathing, exercise, and/or any strenuous activity that could potentially elevate your heart rate or blood pressure for 4 weeks after surgery.

    Dr. Vartany uses dissolvable sutures. A running steri-strip will cover the incision and will typically come off on its own. Do not attempt to remove or peel off the steri-strip.

    Complete resolution of your swelling may take up to 6 months.

    Additional Procedures for Further Enhancement
    Important Facts About the Safety and Risks of a Tummy Tuck After Weight Loss

    Dr. Vartany will explain in detail the risks associated with a tummy tuck after massive weight loss. You will be asked to sign a consent form to ensure that you fully understand potential risks and complications.

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Fluid accumulation
  • Poor wound healing
  • Skin loss
  • Blood clots
  • Numbness or other changes in skin sensation
  • Anesthesia risks
  • Skin discoloration and/or prolonged swelling
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Major wound separation
  • Asymmetry
  • Recurrent looseness of skin
  • Pain, which may persist
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Persistent swelling in the legs
  • Possibility of revision surgery
  • Suboptimal aesthetic result
  • Nonsurgical Procedures

    Cosmetic Injections

    Botulinum toxin A, often referred to by its product name of BOTOX® Cosmetic or Dysport® is a prescription, nonsurgical medicine injected into the muscles to temporarily improve the appearance of both moderate to severe frown lines, forehead creases, crow’s feet, and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles and creases thereby giving the skin a smoother, more refreshed and youthful appearance.

    Studies have also suggested that botulinum toxin A is effective in relieving migraine headaches, excessive sweating, and muscle spasms in the neck and eyes. Our injection nurses can recommend botulinum toxin A injections alone or in conjunction with soft tissue fillers depending on the nature and severity of your facial lines. All cosmetic injections of botulinum toxin A and soft tissue injectable fillers are performed by trained, registered nurse injectors, under the supervision of Dr. Vartany.

    Visit botoxcosmetic.com for complete product information.

    Visit dysportusa.com for complete product information.

    Photos courtesy of Galderma
    *Individual results may vary.

    Frequently Asked Questions

    What is the cost of Botulinum Toxin A injections?

    BOTOX® Cosmetic is charged at $11.00 per unit.

    Dysport® is charged at $11.00 per 3 units (equivalent to 1 unit of BOTOX® Cosmetic).

    BOTOX® Cosmetic and Dysport® are both Botulinum Toxin A medications made by different manufacturers.

    How many units will I need?

    The registered nurse that performs your injections will need to determine how many units of Botulinum Toxin A are required for your desired results. The average number of units vary between patients but usually fall between the following ranges:

    • Frown Lines: (between the eyebrows) 12.5 – 25
    • Forehead: 2.5 – 20
    • Crow’s Feet: 5 – 15

    These ranges are for a more natural/conservative look where the movement of the muscle is still visible. If you would like a more “frozen” look, you can discuss this with your nurse at the time of your treatment.

    When will I see results?

    You may begin to notice results as early as 24 to 48 hours after treatment. It may take up to 4 days for moderate to severe frown lines. Final results may be expected 7 to 10 days following treatment. These results can typically last up to 4 months. Results will always vary per individual. In rare cases, you may be resistant to Botulinum Toxin A and may not be a good candidate for this procedure.

    Should I avoid anything before or after treatment?

    Three days before treatment, avoid any blood thinners, including but not limited to aspirin, Motrin®, Advil®, Excedrin®, Aleve®, or any other non-steroidal anti-inflammatories. The intake of certain vitamins such as Vitamins D, E, and C, and Omega-3 may make you more susceptible to bruising.

    You should not receive any facials over the treated areas for 3 – 4 days after your procedure.

    Avoid exercising on the same day as your treatment.

    Keep your head elevated above your heart for 3 – 4 hours following treatment.

    What should I expect after treatment?

    After your treatment, you can resume your day with minimal downtime. You may experience redness, swelling, and/or bruising at the injection site. You may lightly ice the area, immediately following treatment, to reduce initial bruising and swelling.

    What are some procedures that may complement my Botulinum Toxin A treatment?
    Important Facts About the Safety and Risks of Botulinum Toxin A

    Side effects and complications may include:

    • Problems swallowing, speaking, or breathing
    • Bruising and pain at the injection site
    • Swelling
    • Eye problems: double vision, blurred vision, droopy eyelids
    • Flu-like symptoms
    • Allergic reactions
    • Headache
    • Nausea
    • Redness
    • Temporary facial weakness or drooping
    • Very rarely, the toxin can spread beyond the treatment area, which can cause serious symptoms such as breathing problems, trouble swallowing, muscle weakness, and slurred speech.

    Visit botoxcosmetic.com for complete Important Safety Information and Medication Guide.

    Visit dysportusa.com for complete Important Safety Information and Medication Guide.

    Chemical Peels

    Are you bothered by imperfections in your overall skin tone, the seemingly sudden appearance of fine lines, and the diminished elasticity in your face? Does your skin lack the brightness and clarity that it once had? The special blend of pharmaceutical grade, active ingredients in a SkinMedica® Chemical Peel addresses many of the visible skin imperfections that result from sun exposure, the environment, and the natural aging process. The leading-edge solution in a SkinMedica® Chemical Peel accelerates skin exfoliation, ridding your skin of dulling dead skin cells and stimulates cell renewal for a healthier, more uniform complexion. Noticeable results may be achieved after only one peel with compelling results after a series of three to six treatments. Your glowing complexion is but a peel away.

    All chemical peels are performed by a registered nurse under the supervision of Dr. Vartany.

    chemical-peels

    Frequently Asked Questions

    Is a SkinMedica® Chemical Peel right for me?

    If you are bothered by mild to severe imperfections in your skin’s tone, texture, and unevenness, then a SkinMedica® Chemical Peel may be right for you! SkinMedica® Chemical Peels are appropriate for all skin types.

    If you are pregnant or lactating, a chemical peel may not be administered.

    Which SkinMedica® Peels are offered and how much do they cost?

    Our registered nurse will assess your skin and recommend the correct chemical peel unique to your skin care needs in order to provide you with optimum results. Armen Vartany, MD, FACS offers the following chemical peels:

    • Vitalize Peel® - mild to moderate skin imperfections - $150 each
    • Rejuvenize Peel™ - moderate to severe skin imperfections - $200 each

    Discounted packages are available for any combination of 3 peels.

    Prices subject to change without notice.

    How much down time should I allow for my treatment?

    The application of your chemical peel should only take about 20 minutes. You will want to allow approximately 45 minutes for your appointment to allow time to discuss post care and address any questions.

    Your chemical peel can leave a yellowish tinge on the skin, which is expected to last no longer than 2-3 hours.

    Mild to moderate redness is expected after any type of chemical peel procedure. The extent of redness varies from patient to patient. The face may appear redder than usual for some time after the treatment and completely resolves after the peeling is complete.

    Should I avoid anything before or after treatment?

    Any procedure or products, such as Microdermabrasion or Retin-A, that may increase skin sensitivity should be avoided before your SkinMedica® Chemical Peel treatment.

    Since the new skin is more susceptible to sunburn, extra precautions should be taken to limit direct sun exposure for at least one week after your peel treatment. It is imperative to use a broad spectrum sunscreen with an SPF of 30 or higher as part of your ongoing maintenance.

    You may resume the use of your regular skin care products after your skin has completely finished the peeling process. A test spot is suggested, as your skin may be hyper-sensitive during the first 5-10 days.

    Will I peel after my treatment?

    The degree of peeling may vary depending on the individual’s skin condition and degree of damage. Peeling can range from mild flaking to peeling in sheets. Regardless of the amount of peeling, the skin is still sloughing off at an accelerated rate. This process may take 5-10 days to complete.

    How often should I schedule my peels and how many treatments are required?
    • Vitalize Peel® - may be repeated every 3-4 weeks
    • Rejuvenize Peel™ - may be repeated every 4-6 weeks

    Multiple treatments may be required to achieve your desired results. The number of treatments is based on the initial level of skin damage and can vary from 3 to 6. The effect of the peels is cumulative.

    What kind of results should I expect after treatment?

    After a SkinMedica® Chemical Peel, you will notice an improvement in your skin’s condition overall. Fine lines and wrinkles are diminished as your skin’s texture is smoothed and more refined. Your skin’s tone, unevenness, and clarity will be improved as well.

    A good home skincare regimen is recommended to prolong the benefits of your SkinMedica® Chemical Peel treatment.

    What are some procedures that may complement my SkinMedica® Chemical Peel treatment?
    Important Facts About the Safety and Risks of Chemical Peels

    It is important to understand that all chemical peel treatments carry some risks and uncertainties. A chemical peel is usually a very safe procedure when performed by a qualified professional; however, you will have to decide if the benefits will achieve your goals and if the risks are acceptable.

    • It happens infrequently, but you could develop an infection or scarring from chemical peels.
    • For people with certain skin types, there is a risk of developing a temporary or permanent color change in the skin either lightening or darkening.
    • Use of hormone medications or a family history of brownish discoloration on the face may increase the possibility of developing abnormal pigmentation.
    • If you have suffered from cold sores (herpes) in the past, there is a risk of reactivation. Be sure to ask your doctor to prescribe medication to try and avoid an outbreak.
    • Inform your physician if you have a history of keloids (scar tissue overgrowth) or any unusual scarring tendencies.

    Soft Tissue Fillers

    As you age, your skin loses three key, natural ingredients needed for volume, firmness, and an overall youthful appearance. Elastin, a highly elastic protein, diminishes over time and your skin is no longer able to return to its original position. All of those smiles are now permanent marionette lines. Collagen is the main structural support protein. It is vital for skin elasticity, firmness, suppleness, and constant renewal of skin cells. Hyaluronic acid is involved in tissue repair. It has also been promoted as a “fountain of youth.” With its magical ability to hold 1000 times its weight in water, it is the most powerful natural moisturizer available. Once these three main components of your skin begin to dissipate, permanent lines and creases become more noticeable.

    Soft tissue fillers, or injectable fillers, are a popular solution to reversing signs of aging and putting back what nature has lost. Injectable fillers offered by Dr. Vartany include Juvéderm, Restylane, Belotero, and Radiesse. By adding fillers, you are replacing the depleted elements found in younger skin and achieving a more plumped and rejuvenated appearance. Creases and facial lines are diminished and volume is restored for a smoother, more youthful look.

    All dermal filler injections are performed by trained, registered nurse injectors, under the supervision of Dr. Vartany.

    soft-tissue-fillers

    Frequently Asked Questions

    What are soft tissue fillers?

    Soft tissue fillers are injectable gels injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur. Soft tissue fillers are also used to temporarily add volume under the skin.

    Which fillers are offered at Armen Vartany, MD, FACS?

    Armen Vartany, MD, FACS offers a number of soft tissue fillers to best suit your individual needs.

  • Juvéderm® XC – hyaluronic acid
  • Juvéderm Voluma® XC – hyaluronic acid
  • Restylane® - hyaluronic acid
  • Restylane Lyft® - hyaluronic acid
  • Radiesse® - calcium-based microspheres suspended in a water-based gel
  • Belotero® - hyaluronic acid
  • What fillers will I need and how much do they cost?

    The registered nurse that performs the injections will provide you with a consultation to determine which filler treatment and how many syringes will be required for your desired result.

    Juvéderm® XC
    Used primarily in the lips, laugh lines, and marionette lines.  Per company claims, will last up to 1 year. According to our patient average, lasts 2-6 months. Do not use if you are allergic to lidocaine. Visit juvederm.com for complete product information.
    $500 per syringe.*

    Juvéderm Voluma® XC
    Used primarily in the cheek area. Per company claims, will last up to 2 years.  According to our patient average, lasts 9-12 months. Do not use if you are allergic to lidocaine. Visit juvederm.com for complete product information.
    $600 per syringe.*

    Restylane®
    Used primarily in the lips, laugh lines, and marionette lines. Per company claims, maintains improvement for up to 18 months after initial treatment, when each line received a follow-up treatment at 4.5 or nine months. According to our patient average, lasts 2-6 months. Visit restylaneusa.com for complete product information.
    $500 per syringe.*

    Restylane Lyft®
    Used primarily in the cheek area and laugh lines. Per company claims, will last 12-18 months. According to our patient average, lasts 9-12 months. Do not use if you are allergic to lidocaine. Visit restylanelyft.com for complete product information.
    $600 per syringe.*

    Radiesse®
    Used primarily in the laugh lines and marionette lines. Per company claims, will last up to 1 year.  According to our patient average, lasts 6-9 months. Visit radiesse.com for complete product information.
    $500 per syringe.*

    Belotero®
    Used primarily for very fine lines. Per company claims, will last up to 6 months.  According to our patient average, lasts 4-6 months. Visit belotero.com for complete product information.
    $400 per syringe.*

    *Full, half, and quarter syringes available.

    When will I see results?

    You may begin to notice results immediately following treatment; however, the material will need to settle, which takes up to 7 days. Final results may be seen 7 to 10 days following treatment. Results will always vary per individual.

    Should I avoid anything before or after treatment?

    Three days before treatment, avoid any blood thinners, including but not limited to aspirin, Motrin®, Advil®, Excedrin®, Aleve®, or any other non-steroidal anti-inflammatories. The intake of certain vitamins such as Vitamin D, E, and C, and Omega-3 may make you more susceptible to bruising.

    You should not receive any facials over the treated areas for 3 – 4 days after your procedure.

    Avoid exercising the same day as treatment.

    Keep your head elevated above your heart for 3 – 4 hours following treatment.

    What should I expect after treatment?

    After your treatment, you can resume your day with minimal downtime. You may experience redness, swelling, and/or bruising at the injection site. You may lightly ice the area, immediately following treatment, and throughout the day to reduce initial bruising and swelling. Additionally, you may take a non-drowsy antihistamine to reduce initial swelling. Possible side effects include but are not limited to pain, itching, firmness, lumps/bumps, redness, and tenderness. These may last 7 to 14 days. Contact our office if “lumps” are present for massaging instructions. As with all skin-injections, there is a risk of infection.

    What are some procedures that may complement my soft tissue filler treatment?
    Important Facts About the Safety and Risks of Soft Tissue Fillers

    The decision to use soft tissue fillers is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of dermal fillers are acceptable. Complications from dermal fillers are uncommon. Potential risks vary depending on the specific filler used and the relative permanence of the filler substance. These include:

    • Acne-like skin eruptions
    • Asymmetry
    • Bruising, bleeding from the injection site, swelling
    • Damage to the skin that results in a wound and possible scarring
    • Infection at the injection site
    • Lumps
    • Palpability of the filler under the surface of the skin
    • Skin rash with itching
    • Skin redness
    • Under- or over-correction of wrinkles

    These risks and others will be fully discussed prior to your consent.

    It is important that you address all your questions directly with your injection nurse. Although good results are expected from your procedure, there is no guarantee.

    In some situations, it may not be possible to achieve optimal results with a single procedure. Most fillers do dissipate over time. To maintain your correction, you will need to consider repeating the injection process at various time intervals.

    Sclerotherapy for Spider Veins

    Spider veins or telangiectasias are not only an aesthetically undesirable affliction, they can also cause aching pain and chronic swelling. While they are generally a benign condition that occurs in otherwise healthy people, they can also be a sign of a serious illness. Spider veins can appear anywhere within the body but are typically found in the leg and thigh areas. These are most often the areas that bother us the most with their appearance. The causes are unknown; however, they’re believed to be a result of genetic and environmental causes such as chronic exposure to the sun and extreme heat or cold.

    Sclerotherapy is a minimally invasive medical procedure that reduces the appearance of spider veins and improves the overall look of your skin. Sclerotherapy has been safely used since the 1930’s and remains the primary treatment for small-vessel varicose veins today.

    All Sclerotherapy injections are performed by trained, registered nurses, under the supervision of Dr. Vartany.

    sclerotherapy

    Frequently Asked Questions

    Is Sclerotherapy right for me?

    If you are bothered by unattractive small-vessel varicose and spider veins, then Sclerotherapy may be right for you. Prior to scheduling Sclerotherapy, you will need to have an initial consultation with our registered nurse to determine your candidacy. You will not be eligible for treatment if you:

    • Are pregnant
    • Are taking steroids
    • Are an insulin dependent diabetic. If you are on oral medication, a medical release from your primary care physician will be required.
    • Are on anti-coagulant therapy
    • Have crippling osteoarthritis
    • Have severe bronchial asthma
    • Have advanced Lupus or Lupus type diseases
    • Have blood clots

    If you are taking birth control pills, you will need to inform the nurse prior to treatment. If you have had a blood clot in the past, your eligibility will need to be determined on an individual basis. Additionally, veins that are potentially viable for future heart bypass surgery are typically not considered for treatment unless already deemed unusable.

    How does Sclerotherapy work?

    Sclerotherapy involves an injection of a solution, typically a saline solution or sclerosing agent, directly into the spider vein. The injected solution irritates the lining of the vessel causing the vein to swell and stick together. This scarring result forces the blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.

    How many treatments will I need?

    The number of treatments differs from patient to patient, depending on the extent of spider veins present. One to six or more treatments may be needed; the average is three to four. Individual veins usually require one to three treatments. A full assessment will be provided during your initial consultation.

    Does Sclerotherapy work for everyone?

    Most people treated will have good results; however, there is no guarantee that sclerotherapy will be effective in every case. Approximately 10% of patients who undergo sclerotherapy have poor to fair results. (“Poor results” means that the veins have not totally disappeared after six treatments.) In very rare instances, the patient’s condition may become worse after sclerotherapy treatment.

    Should I avoid anything before or after Sclerotherapy treatment?

    Two days before treatment, avoid any blood thinners including but not limited to aspirin, Motrin®, Advil®, Excedrin®, Aleve®, or any other non-steroidal anti-inflammatories. The intake of certain vitamins such as Vitamin D, E, and C, Omega-3, and Gingko Biloba may make you more susceptible to and increase bruising.

    Avoid drinking alcoholic beverages for 2 days prior to and 2 days after treatment.

    Avoid smoking for 2 days prior to and 2 days after treatment.

    Avoid the use of any creams, lotions, oils, or self-tanners on your legs the night before and the day of treatment.

    Avoid standing in a single position for prolonged periods of time.

    Avoid strenuous physical activities such as high-impact aerobics, running, weight lifting, etc. for the first 48-72 hours following your treatment.

    Avoid hot baths for 2 weeks. Cool your legs with cold water after each shower.

    Avoid sunbathing and ultraviolet exposure for at least 1 week.

    Avoid swimming in chlorinated pools for 48 hours following your treatment.

    Avoid flying for 48 hours if treatment involves reticular veins.

    If you develop a fever or other illness prior to your treatment, you must reschedule your appointment.

    What should I expect after treatment?

    Taped compression pads/cotton balls are applied and may be removed after 24 hours.

    You will be required to wear a support hose or a compression garment immediately following treatment. You may bring your own garment or purchase one in our office. Your compression garment must be worn for one week following treatment unless otherwise instructed.

    After your treatment, you can resume your day with minimal downtime. You are encouraged to maintain normal activities and to walk as much as possible.

    Important note: Failure to wear your compression garment or support hose will cause the treated vein(s) to fill back up with blood making the treatment ineffective.

    Important Facts About the Safety and Risks of Sclerotherapy

    The decision to undergo Sclerotherapy is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of Sclerotherapy are acceptable.

    Potential risks include:

  • Bruising
  • Transient hyperpigmentation
  • Pain and swelling
  • Blood accumulation in the treated vessel
  • Burning sensation during injection
  • Swelling of the ankles
  • Hives
  • Skin redness
  • Infection
  • Poor healing or scarring