Cosmetic and Plastic Surgery | 1300 Andrea Street Suite 105, Bowling Green, KY 42104 P:270.781.0177 F:270.782.6023

Cosmetic & Reconstructive Procedures

Abdominoplasty (Tummy Tuck) | Breast Enlargement | Breast Lift | Chemical Peel | Ear Surgery | Eyelid Surgery | Facelift | Facial Implants | Forehead Lift | Liposuction | Breast Reduction | Nose Surgery


 
ABDOMINOPLASTY (Tummy Tuck) return to top
Procedure: Flatten abdomen by removing excess fat and skin and tightening muscles of abdominal wall
Length: 2 to 5 hours
Anesthesia: General, or local with sedation
In/Outpatient: Either depending on individual circumstances and extent of surgery
Side Effects: Temporary pain.  Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.
Risks: Blood clots, infection, bleeding under skin flap, poor healing resulting in conspicuous scarring or skin loss.  Need for a second operation
Recovery: Back to work: 2 to 4 weeks More strenuous activity: 4 to 6 weeks or more Fading or flattening of scars: 3 months to 2 years.

 

BREAST ENLARGEMENT(Augmentation Mammaplasty) return to top
Procedure: Enhance the size of breasts using inflatable implants filled with saline.
Length: 1 to 2 hours.
Anesthesia: General.
In/Outpatient: Usually outpatient.
Side Effects: Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks.
Risks: Lack of implant permanence -- surgical removal or replacement of the implants may be required to treat problems, including: deflation; the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard; bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent. Mammography requires a special technique. (Note: Some women have reported symptoms similar to those of immune disorders. Ask your doctor about these and other FDA concerns.)
Recovery: Back to work: a few days. Physical contact with breasts: 3 to 4 weeks. Fading of scars: 6 months.
Duration of Results: Variable. Implants may require removal or replacement.

 
BREAST LIFT (Mastopexy) return to top
Procedure: Raise and reshape sagging breasts by removing excess skin and repositioning remaining tissue and nipples.
Length: 1 to 3 hours.
Anesthesia: General.
In/Outpatient: Usually outpatient. Sometimes inpatient.
Side Effects: Temporary bruising, swelling, discomfort, numbness, dry breast skin. Permanent scars.
Risks: Thick, wide scars; skin loss; infection. Unevenly positioned nipples. Permanent loss of feeling in nipples or breast.
Recovery: Back to work: 1 week or more. Strenuous activities: 1 month. Fading of scars: 6 months.
Duration of Results: Variable; gravity, pregnancy, aging, and weight changes may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure.

 
CHEMICAL PEEL (trichloroacetic acid [TCA], Obagi Blue Peel) return to top
Procedure: Restore wrinkled, blemished, unevenly pigmented, or sun-damaged facial skin, using a chemical solution to peel away skin's top layers. Works best on fair, thin skin with superficial wrinkles.
Length: 1 to 2 hours for full face.
Anesthesia: None
In/Outpatient: Usually outpatient.
Side Effects: Temporary throbbing, tingling, swelling, redness; acute sensitivity to sun.
Risks: Tiny whiteheads (temporary); infection; scarring; flare-up of skin allergies, fever blisters, cold sores.
Recovery: New skin within 5 to 10 days
Duration of Results: variable (temporary)

 
EAR SURGERY (Otoplasty) return to top
Procedure: Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 and 14 years. (Occasionally covered by insurance.)
Length: 2 to 3 hours.
Anesthesia: Young children: usually general. Older children or adults: general or local, with sedation.
In/Outpatient: Usually outpatient.
Side Effects: Temporary throbbing, aching, swelling, redness, numbness.
Risks: Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Mismatched or artificial- looking ears. Recurrence of the protrusion, requiring repeat surgery.
Recovery: Back to work or school: 5 to 7 days.
Strenuous activity, contact sports: 1 to 2 months.
Duration of Results: Usually permanent.

 
EYELID SURGERY (Blepharoplasty) return to top
Procedure: Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle.
Length: 1 to 3 hours.
Anesthesia: Usually locally with sedation or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.
Risks: Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).
Recovery: Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks.
Duration of Results: Several years. Sometimes permanent.

 
FACELIFT (Rhytidectomy) return to top
Procedure: Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40.
Length: 3 to 5 hours
Anesthesia: General.
In/Outpatient: Usually outpatient. Some patients may require short inpatient stay.
Side Effects: Temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.
Risks: Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline.
Recovery: Back to work: 10 to 14 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months.
Duration of Results: Usually 5 to 10 years.

 
FACIAL IMPLANTS return to top
Procedure: Change receding chin through use of implant
Length: 30 minutes to 2 hours.
Anesthesia: Local or general.
In/Outpatient: Usually Outpatient in office procedure
Side Effects: Temporary discomfort, swelling, bruising, numbness and/or stiffness.
Risks: Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal.
Recovery: Back to work: about 1 week. Normal appearance: 2 to 4 weeks. Activity that could jar or bump face: 6 weeks or more.
Duration of Results: Permanent.

 
FOREHEAD LIFT (Browlift) return to top
Procedure: Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. May be done using the traditional technique, with an incision across the top of the head just behind the hairline; or with the use of an endoscope, which requires 3 to 5 short incisions. Most often done on people over 40.
Length: 1 to 2 hours.
Anesthesia: General.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, numbness, headaches, bruising. Traditional method: Possible itching and hair loss.
Risks: Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scarring.
Recovery: Back to work: 7 to 10 days, usually sooner for endoscopic forehead lift. More strenuous activity: several weeks. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months.
Duration of Results: Usually 5 to 10 years.

 
LIPOSUCTION (Suction-Assisted Lipectomy) return to top
Procedure: Improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.
Length: 1 to 2 hours or more.
Anesthesia: Local or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness, burning sensation.
Risks: Asymmetry. Possible rippling of skin, pigmentation changes or skin injury.  Excessive fluid loss leading to shock. Infection.
Recovery: Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or more.
Duration of Results: Permanent, with sensible diet and exercise.

 
BREAST REDUCTION (Gynecomastia) return to top
Procedure: Reduce breast in using liposuction and/or cutting out excess glandular tissue. (Sometimes covered by medical insurance.)
Length: 1 hour or more, possible one night stay with 24 hr. observation
Anesthesia: General
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness, burning sensation.
Risks: Infection. Fluid accumulation. Injury to the skin. Rippling or bagginess of skin. Asymmetry. Pigmentation changes (may become permanent if exposed to sun). Excessive scarring if tissue was cut away. Need for second procedure to remove additional tissue.
Recovery: Back to work: 3 to 7 days. More strenuous activity: 2 to 3 weeks. Swelling and bruising: 3 to 6 months.
Duration of Results: permanent

 
NOSE SURGERY (Rhinoplasty) return to top
Procedure: Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. May also relieve some breathing problems. (May be covered by insurance.)
Length: 1 to 2 hours or more.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, bruising around eyes, nose and headaches. Some bleeding and stiffness.
Risks: Infection. Small burst blood vessels resulting in tiny, permanent red spots. Incomplete improvement, requiring additional surgery.
Recovery: Back to work: 1 to 2 weeks. More strenuous activities: 2 to 3 weeks. Avoid hitting nose or sunburn: 8 weeks. Final appearance: 1 year or more.
Duration of Results: Permanent.
ŠTim Hulsey M.D. Page designed by Holland CPAs PSC, a provider of accounting, finance management, web consulting and information technology consulting, serving the South Central Kentucky area since 1935.