Plastic Surgery Guide

Transcript Hi, my name is Dr. Robert Morin and I’m a board certified plastic surgeon. I began my medical career getting my M.D. in New York. I then continued my training in both general surgery and plastic surgery in both New York and New Jersey. I then went down to Miami and did a craniofacial …

Transcript Dr. Robert Morin: We’re discussing the interaction between cigarette smoking and plastic surgery. Everyone is aware of the detrimental medical facts of smoking. What people often aren’t aware of, is that cigarette smoking prevents proper wound healing and it also increases the risk of almost every potential complication within the field of plastic surgery. …

Transcript We’re discussing the idea of staying awake during plastic surgery procedures. There are certain minor plastic surgery procedures where general anesthesia, or going to sleep, is not necessary. however for larger, more invasive procedures, in order to have an excellent result and a comfortable experience, it is important to have anesthesia during these procedures. …

Transcript An important aspect in considering plastic surgery is the cost. High quality things in life tend to be more expensive. There have been a number of patients in my own practice who have attempted to save money on an initial surgery, often by leaving the United States, only to find that, at the end …

Transcript There is several things that everyone should take into consideration when choosing a plastic surgeon. The most important thing to consider is whether or not your plastic surgeon is board certified. Board certification is a very important process in the training and the credentialing of plastic surgeons. Specifically for the field of plastic surgery …

Transcript Man 1: We’re going to discuss fat grafting in terms of plastic surgery. Basically what fat grafting is, is, fat is taken from one part of a patient’s body, and it’s removed by means of liposuction and transferred to another part of the same patient’s body and injected into this other part of the …

Transcript Man 1: We’re discussing non-evasive procedures that can be used to improve the appearance and youthfulness of a patience face. Many products have come onto the market in the last several years. The most well known is probably Botox. Botox is a toxin that is used to prevent the transmission of signals from nerves …

Transcript Were discussing how to create or re-create an ear. There are several different techniques and several reasons why one would need to create or re-create an ear. Most commonly there is a condition called microtia, and this is when a child is born without a normal appearing ear. In this setting, plastic surgeons need …

Transcript We’re discussing genioplasty or chin surgery. Very commonly patients will come in unhappy with their appearance of their chin usually it’s because their chin is too far back and makes their profile not look in line because the chin is far behind the rest of their face. So, there are two general ways in …

Transcript I’m commonly asked by my patients: “Is this going to leave a scar?” The simple answer to the scar question is: anytime an incision is made anywhere on the body, on the skin, there is going to be a scar. Scarring is part of the normal wound-healing process and there is no way for …

Transcript Board certification is one of the most important considerations when choosing a plastic surgeon. The act of board certification has many different requirements and every medical specialty has its own board. So within plastic surgery, there is the American Board of Plastic Surgery. In order to be certified by the American Board of Plastic …

Transcript We’re discussing the recovery time for vaginal plastic surgery procedures. Again, the two main procedures performed on the vagina by plastic surgeons include – Labiaplasty, where we contour the external genitalia and Vaginoplasty, where we tighten the walls of the vagina and tighten the vaginal canal.  The Vaginoplasty is a little bit more invasive and complicated and it …

Transcript There are four risks I would like to discuss involving plastic surgery procedures on the vagina. The first two risks are very well known in all surgical procedures. Infection bleeding, these are certainly a possibility any time surgery is performed, however; there are many things that we do to try to decrease these risks …

Transcript We’re discussing vaginal rejuvenation surgery. In terms of plastic surgical procedures on the vagina, vaginal rejuvenation can be broken up into two different components. The first is vaginoplasty and the second is labiaplasty. Vaginoplasty is a procedure where the vaginal canal is tightened and made smaller. This is performed in women who have commonly …

Transcript We’re discussing labiaplasty, which is commonly known as surgery that is performed on the inner lips of the vagina. In certain individuals, there is an excess of normal, vaginal tissue within the external portion of the vagina, which is known as the labia or labia minora or labia majora. By excising a portion of …

Transcript We’re going to discuss vaginoplasty. Basically this is a term that describes surgical procedures of the vaginal and its surrounding structures. Vaginoplasty specifically involves the vaginal canal and the tightness of the vaginal canal. With age and with childbirth a woman’s vagina tends to increase in laxity and decrease in tightness. There are several …

Transcript We are discussing butt augmentation surgery and as previously discussed the safest way to perform butt augmentation is by taking a patients own fat and transferring to the buttock area. This is called fat graphing or fat transfer procedure. A common question I am asked in my practice is where does this fat come …

Transcript We’re discussing butt augmentation and the question is: “Do you perform silicon buttock augmentation using a silicon implant or fat grafting, which is also commonly known as ‘the Brazilian butt-lift'”. So, the safest way to perform a buttock augmentation is by taking a patient’s own fat and injecting it into the buttock after processing …

Transcript We are discussing butt lift procedures and specifically fat grafting to the butt. When I perform fat grafting to a patients buttock, I am commonly asked how long a patient has to go without sitting down and the answer to that question is based on both the anatomy of sitting and the anatomy of …

Transcript An ideal candidate for a butt lift would be anyone who is interested in increasing the size, shape, or appearance of their buttock. The safest way to perform a butt lift or butt augmentation is by using a patients own tissue. In general, we use fat in order to perform butt lifts and butt …

Transcript Man: A Brazilian Butt lift is the act of using a patient’s own fatty tissue in order to both enlarge and enhance their buttock. So the term Brazilian butt lift commonly refers to the act of performing liposuction on one part of the body, the lower stomach, the upper stomach, or abdomen, the flanks, …

Transcript A butt-lift or a butt augmentation surgery is a plastic surgery procedure that is performed on the buttocks to either lift or augment or enlarge a patient’s buttocks. There are several different ways to perform this procedure. The one way that I do not recommend that this procedure be performed is by using an …

Transcript We’re explaining abdominal etching and what that term commonly means is liposuction is used on a patient’s abdomen or stomach in a way in which the abdominal muscles are recreated by contouring the fatty tissue on the abdominal wall. So, by removing fatty tissue in certain locations and leaving fatty tissue in other locations, …

Transcript We’re discussing the idea of liposuction in the setting of obesity. Liposuction is an excellent procedure for the removal of a limited amount of excess fatty tissue. Ideally, the tissue is located in certain discrete areas, or the liposuction is performed in combination with other surgical procedures. For example, a tummy tuck, or abdominoplasty. …

Transcript We’re discussing the different areas where liposuction can be performed on the human body. As a general rule fat can be removed wherever it exists by means of liposuction. The most common areas where we perform liposuction, however, is the upper and lower abdomen or the upper and lower stomach area, specifically, the lower …

Transcript We’re discussing a very commonly asked question in my practice. Patients often come in and ask if I were to get liposuction I heard that the fat just comes back or the fat comes back somewhere else. So, the answer to that question begins with the fact that every human being has a certain …

Transcript The three risks that I would like to discuss in terms of liposuction are bleeding, infection, and minor contour irregularities. Anytime any surgical procedure is performed any where in the world or in any part of the body there’s a risk of both bleeding and infection. As surgeons, we take great care to try …

Transcript Recovery time after liposuction is relatively quick compared to other plastic surgery procedures. In part this is because the incision that’s made during liposuction is very small. Only a very small incision is needed in order to get the very small cannulas into the correct area. Often these incisions are closed with 1 or …

Transcript We’re discussing who would be the ideal candidate for liposuction. Liposuction works very well in well-selected patients. Patients need to have relatively thick, elastic skin without an abundance of skin. In addition, ideally, patients would not have an enormous excess of fatty tissue, but they would have smaller, locally contained collections of fatty tissue. …

Transcript We’re discussing liposuction and the different types of liposuction. Liposuction may possibly be one of the most confusing aspects of plastic surgery currently. There are so many different techniqueS, and so many different names for each of the techniques that it’s gotten to the point where it’s very hard to keep track of all the …

Transcript We’re discussing the bags under the eyes within the lower eyelids and whether or not plastic surgery can permanently correct this appearance. So, we need to first understand exactly what it is. So, when people say they have bags under their eyes, it’s a combination of several things. First of all, there’s fatty tissue …

Transcript The ideal candidate for eyelid surgery is anyone who has excess upper or lower eyelid tissue. Now this tissue can be a combination of skin, muscle and fat. And during eyelid surgery we tend to remove a combination of these 3 entities, either skin, muscle, fat or all 3. In addition, as we age …

Transcript We’re discussing surgery of the eyelids from a plastic surgery perspective. As we age, with time, and gravity skin on our face and throughout the rest of our body tends to thin and stretch out. We end up with with excess skin pretty much all over the place. Specifically, for this topic, in the …

Transcript We’re discussing what exactly a neck lift is and how it differs from a lower facelift. The neck and the lower face are part of a very similar anatomic structure. The muscles and the support structures of the lower face and the neck are in continuity and when you address one area, you’re often …

Transcript We’re discussing the different types of facelift techniques and which one is best, or which ones are better than the others. Just like anything in life, you get out of life or whatever it is you’re doing, something similar to what you put into it. So, if you are attempting to correct a major …

Transcript We are discussing weather or not one should have a neck lift at the same time as a face lift. In general these two structures are intimately related based on anatomy the soft tissue that covers the face also travels down into the neck. Now, therefore these structures should be thought of as one …

Transcript We’re discussing scarring in facelift surgery. As plastic surgeons, one of our goals is to hide incisions as best we can. We do this by placing incisions in strategic locations: in creases, in the location of pre-existing scars, within the hair.  In a facelift, specifically, the incision tends to start in the vicinity of …

Transcript We’re discussing the best age to have a first face lift. In general a well-performed face lift should last for approximately 10 years. The real answer to the question of when to get anything done in plastic surgery is when you want it done. There’s no good age. There are certainly times that people …

Transcript We’re going to discuss four important risks about ah, to, to think about prior to having a face lift. Ah, just like any other surgical procedure infection is a possibility. Ah, we commonly give antibiotics and use sterile techniques and specific dressing, changes and wound care ah, to help prevent infection, however, infection is …

Transcript If you’re wondering if a face lift or any one surgical procedure is going to get rid of all of the wrinkles on your face, the answer is probably “no.” A face lift is very good at getting rid of excess skin, smoothing out some of the deep lines on the face, and redistributing …

Transcript We are discussing the issue of a face being pulled too tight or having the wind blown appearance an obvious giveaway that someone has had a face lift. We can all think of someone in the media who this may or may not have happened to. So the way to not have that pulled …

Transcript When considering how long a face lift should last one should consider the aspects of that question. First is how is the face lift performed. If it was performed by a board certified plastic surgeon then the technique used was most likely a good technique. If the support structures of the face were correctly …

Transcript Recovery from a face lift involves several different aspects. There is wound healing. Where the incisions are made. Where we keep sutures for a period of approximately a week. There is swelling. There is a little bit of black and blue. Sometimes, surgeons will leave drains in order to make sure that no fluid …

Transcript The ideal candidate for a face lift is a patient who is unhappy with the appearance of his or her face do to the effect that time and gravity has had on all the soft tissue structures. With time and gravity everything on our body stretches out and specifically everything on the face begins …

Transcript We’re discussing tummy tuck drains. After a tummy tuck or an abdominoplasty, there’s often a large amount of fluid that collects between the muscle wall of the abdomen, or stomach, and the skin wall. In order to get rid of that fluid that collects, we insert small drains that go… usually there are two …

Transcript When planning the surgical incision on a tummy tuck or an abdominoplasty, a surgeon needs to take into account how much excess skin and fatty tissue there is in the lower part of the abdomen or of the stomach. If there is not an overwhelming amount of skin and fatty tissue, then commonly the …

Transcript We’re discussing the differences between a tummy tuck – or an abdominoplasty and a liposuction. These are two very different procedures. However, patients frequently come into my office and will say “I want a liposuction” because I don’t like the appearance of my stomach. As soon as I look at them, I actually realize …

Transcript If you are wondering whether or not a tummy tuck or an abdominoplasty will get rid of stretch marks, the answer depends. The answer depends on the location and the extent of the stretch marks. Stretch marks occur in the skin after the skin is stretched. Commonly, that’s either in the setting of a …

Transcript We’re discussing whether or not the results of a tummy tuck or an abdominoplasty are permanent. That depends on surgeon who performs the surgery and exactly what was done, in part, and it also depends on how well the patient has taken care of his or her body after the surgery. So, it’s important …

Transcript There are four important risks to consider before having a tummy tuck surgery – bleeding, infection, a fluid collection (also known as a seroma), and contour irregularities and asymmetry. So, the first potential risk is bleeding. This is a risk any time any surgery is performed. It’s important for the surgeon to take time …

Transcript The recovery time for a tummy tuck is very important. The most well known complication following a tummy tuck procedure is a complication of fluid, known as seroma. The reason why seromas form is all of the abdomen, or the stomach, muscle wall is sitting close to the skin wall. When there is friction …

Transcript A patient who is an ideal candidate for a tummy tuck procedure is a patient who has excess skin in the lower part of their abdomen, or belly. Often, these patients have already had all of their children and their lower skin is stretched out. There are sometimes stretch marks on the lower skin, …

Transcript In discussing the different types of tummy tucks, there are generally two categories of tummy tucks or abdominal plastic. There is a full tummy tuck or a mini tummy tuck. A full tummy tuck involves an incision that goes from one side of the lower abdomen to the other and it removes an area …

Transcript When considering whether or not one need nasal bone in fracturing or breaking of the nasal bones one needs to consider what the goals of the rounds of plastic surgery are? So if a patient is concerned with the width of their nasal bones then the way in which we make a nose thinner …

Transcript The question of whether or not to use packing after rhinoplasty, or a nose job, is different probably in the hands of every single surgeon. Some surgeons do not put packing in the nose. Some surgeons leave packing in the nose for a week. So, first of all, what is packing? There are these …

Transcript When determining whether or not you’re an ideal candidate for rhinoplasty or nose job surgery, it’s important to consider your expectations. There’s no way to replace one’s nose with someone else’s nose. However, if there are certain things about one’s nose that bother a person, then there are often things we can do to …

Transcript Many patients ask me weather or not their insurance companies will pay for their rhinoplasty. It’s a very important question for many reasons and the simple answer is it depends. Insurance companies will not pay for anything that is considered cosmetic therefore if a patients concern is the bump on top of the nose …

Transcript Many people commonly discuss Michael Jackson’s nose when discussing nose jobs and rhinoplasty, in general. While I’m not familiar with the details of his surgical procedures, generally speaking, if someone’s nose is operated on many times, and if the support structures of the nose are not respected and are removed too aggressively, then there’s …

Transcript I’m commonly asked what the best age for a rhinoplasty is and the simple answer to that question is, there really is no best age. The age at which one should get a rhinoplasty is whatever age a person is when he or she is most bothered by the appearance of their nose. There is …

Transcript We’re discussing the main risks of rhinoplasty surgery. In general, there are three important risks that we need to discuss: infection, bleeding, and minor contour irregularities. Infection is a possibility anytime surgery is performed. The nose is not the cleanest part of the body. Therefore, we will often give antibiotics just before a rhinoplasty …

Transcript The recovery time for a nose job or rhinoplasty differs based on the technic that was performed and which procedures were performed during the rhinoplasty. There are two basic techniques. There is the open technic where an incision is made in the skin on the lower part of the nose and the entire nose …

Transcript When considering having a rhinoplasty, there’s a lot of discussion involving whether or not the rhinoplasty should be performed open, which means making a small incision in the skin right here or closed which means making no incisions in the skin and only making incisions on the inside of the nostrils. Different surgeons have …

Transcript If your dealing with a situation where you’ve had a nose job and your unhappy with the appearance. First think you need to is remember that the recovery for a rhinoplasty or nose job especially one that was performed open or with an incision in this part of the nose takes up to one …

Transcript We’re discussing the things to consider when choosing the shape of your desired nose. Many people come into my office with photographs of celebrities, and they tell me that they would like their nose to look like someone else’s nose, and my immediate response to them is, “I cannot give you someone else’s nose, …