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If you are considering Botox Cosmetic for the first time prior to a special event, such as a family or school reunion, or a wedding you should schedule an appointment approximately 4 months prior to the event to allow for an initial consultation and treatment. This will allow you to undergo an initial treatment as a “trial” to see how the treatment will look and to refine any other additional treatment areas if you decide on subsequent treatments. For established patients on Botox, you should schedule a treatment 3 to 4 weeks in advance of a special event.

Click here to learn more about Cosmetic Procedures or Skin Care Treatments prior to reunions, weddings, and other special events.

Breast Reconstruction Surgery itself can be accomplished in three basic ways. One option is to use your own tissue to reconstruct the breast. Another option is to use a man-made device that will allow expansion of your own tissue to make space for a permanent implant that will be placed at a later date.

Other, less common options may include a combination of your own tissue and a permanent implant. Timing is another important decision. Some patients may have their reconstruction at the time of their mastectomy. Others may need to wait. To determine the right option for you, we must consider many issues.

The evening following breast reduction surgery patients generally remains at bed rest, perhaps getting up for meals and trips to the bathroom. Ice should be applied to the chest as much as possible in the first 48 hours after surgery to help reduce swelling and discoloration. Despite your careful efforts to follow these instructions, you will have swelling in your breasts, chest, and possibly your abdomen and trunk. The swelling and discoloration will resolve slowly. Most of your discomfort can be controlled with medication and this should be taken before the pain becomes severe.

You will have gauze dressing in place and perhaps a drain. If you have a drain you will receive post-operative instructions for this. This drain is usually removed within a few days of your surgery and is used to collect any excess blood or fluid. Loose-fitting clothing is the most comfortable and wearing a bra is discouraged for the first week after surgery. Once given the ok to wear a bra, underwires must be avoided.

You can increase your activity on the second day after breast reduction surgery. Mild exercise such as walking and climbing stairs is encouraged; however, heavy lifting activities should be curtailed for the first two weeks. The surgical sites require minimal care. Usually, dissolving sutures are used; however, if removable sutures are used they will be removed in approximately one week. Your first post-operative visit for breast reduction surgery is within five to seven days and your doctor will advise you on scar massaging and the usage of a bra.

Your discomfort will improve rapidly over the first two weeks after breast reduction surgery. Aerobic exercises can begin at this time provided heavy lifting is not involved. At four weeks after your breast reduction surgery, any lifting activity including heavier exercises with the upper extremity would be acceptable. Your surgeon will advise you on wearing a bra. Scar massage is encouraged at about two weeks after surgery until the scars are soft and faded. The final results of your breast reduction will appear over the next few months as breast shape and position continue to settle. Incision lines are permanent but will continue to fade over time. You should expect to see your doctor for another visit in 3 weeks and again in 3 months after your breast reduction surgery.

Neck lift surgery is done under general anesthesia as an outpatient. A neck lift can be performed in conjunction with a facelift if there are midface and lower face aging concerns. During a neck lift procedure, an incision will be made under the chin to remove fatty tissue in that area and smooth the underlying muscle in the neck.

Secondary incisions may be made around the ear lobe to elevate and redrape loose skin. Submental liposuction alone or in conjunction with a neck lift may be used to remove small fat deposits under the chin or anterior neck. Good candidates for submental liposuction are patients with small localized fat deposits but without muscle banding in the neck (turkey gobbler neck).

Drains are often placed to prevent the collection of fluids following the surgery and to reduce bruising. Drains are usually removed in the first 48 hours. You may shower as soon as all drains are removed. Sutures are removed at approximately 5 days. While discomfort may be minimal, any pain you feel can be controlled with medication prescribed by your surgeon. You may return to light activity for 5 days.

Some patients experience a tight sensation around the neck for up to several months following surgery. You should not have any difficulty swallowing or breathing. You will have swelling post-operatively for up to 12 weeks that may mask your final result. You may resume exercise at 2 weeks. You will return to our office for follow-up care at designated intervals to evaluate your progress.