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frequently asked questions

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Questions regarding treatment of the face
Questions regarding treatment of the body: Liposuction
Questions regarding treatment of the body: Breast Implants
Questions regarding non-surgical treatment

Surgery on the Face

Q: Can laser resurfacing or chemical peels be done at the same time as a facelift?
A: Yes, but resurfacing can only be done on areas where the skin has not been freed from the underlying tissues (i.e. the area of the mouth). Resurfacing around the mouth is a nice addition to a facelift, because the wrinkles around the mouth are not addressed by a facelift.

Q: How long does a facelift last?
A: A facelift that places sutures in the SMAS will last eight to ten years.

Q: Am I too young for a facelift?
A: Everyone ages differently and this is very dependent on your inherited skeletal structure. The trend is towards less aggressive surgery at a younger age to maintain a more natural appearance. I have a large number of patients who have facelifts in their mid 40's for this reason.

Q: Why do you prefer endoscopic over traditional brow lifts?
A: Endoscopes reduce the size and number of incisions. This is important in brow lifts because it reduces the risk of hair loss and other complications of traditional brow lifts.

Q: When would you not do an endoscopic brow lift?
A: Patients who have a high hairline and long forehead are better served by a hairline brow lift so that the hairline can be lowered while also elevating the brows.

Q: Do you do facelifts, brow lifts, and eyelid lifts all at the same time?
A: Yes. Doing all three at once creates better harmony between all areas of the face, because no one area appears much younger than others that have not received treatment.

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Liposuction

Q: What is ultrasonic liposuction?
A: The ultrasonic technique uses a sound wave to liquefy fat prior to its removal.

Q: What are the advantages of ultrasonic liposuction?
A: Greater amounts of fat can be removed more easily, especially from fibrous areas of the body like the love handles or upper abdomen because the sound wave breaks up these fibrous areas prior to fat removal. The liquefied fat also results in a smoother result at the skin's surface.

Q: Does liposuction improve cellulite?
A: No. Liposuction removes fat, but it does not change skin quality.

Q: Do you get close to the internal organs during liposuction or tummy tucks?
A: No. Liposuction is done superficial to the abdominal muscles. During tummy tucks, I tighten the abdominal muscles by placing stitches on the surface of the abdominal muscles, but the abdomen is not entered.

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Breast Implants

Q: Do you place breast implants above or below the muscle?
A: In the vast majority of cases I place implants below the muscle, because I believe this gives you a softer result. The muscle action on the implant breaks up scar tissue around the implant that can result in hardness of the breast. In trim patients with limited breast tissue, the muscle also gives additional coverage for the implant, which make the breast feel more natural.

Q: Do incisions around the nipple result in decreased nipple sensation?
A: It is extremely rare to see decreased sensation of the nipple with this incision. The nerve to the nipple enters the breast in a predictable location and care is taken at the time of surgery to protect his nerve.

Q: Do you offer Silicone implants?
A: Yes. I am on an experimental protocol that allows me to use silicone in certain cases.

Q: When do you think Silicone is a better choice?
A: Patients who are trim with limited breast tissue are at risk for rippling when using saline implants due to the limited amount of tissue they have to cover the implant. In these cases silicone can give a more natural and softer result with decreased rippling.

Q: Do you recommend routine removal and replacements of implants every 10-15 years?
A: No. I only recommend removal if you are having problems with your implants or if they have deflated.

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Non-Surgical Treatment

Q: How long does it take for botox to take effect?
A: It usually takes between 3 and 7 days for botox to take effect on wrinkles.

Q: How long does botox last?
A: Botox lasts between 4 and 6 months.

Q: When will I be able to wear make-up after laser resurfacing?
A: Make-up can be worn 7-10 days after the treatment, and you skin will be red for 3-8 weeks after the treatment.

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ATHERTON · LOS GATOS · MORGAN HILL