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Facelift Surgery in a Nutshell: What You Should Know

Are you considering facelift surgery? You’re in good company. The American Society of Plastic Surgeons reports that in 2016, more than 131,000 women and men had facelift surgery to banish wrinkles and tighten sagging skin. But what causes facial aging in the first place, and how do facelifts “work” to reverse these signs?

 

Facial aging is caused by a number of factors. For example, sun and other environmental exposures play an especially significant role by causing incremental damage to the internal structure of skin, weakening it and making it more susceptible to the signs of aging. There’s a natural decline in facial volume—especially in the cheeks and around the eyes—which means skin looks and feels less firm and plump. At the same time, there’s a gradual weakening of the facial muscles—especially the large platysma muscle—that results in a “downward drift” that contributes substantially to sagging and wrinkles in the lower face and jowl area.

 

And your overall health and life experience play a role: Chronic disease, stress and even genetics also play significant roles in facial aging.

 

Good skin care routines, including faithful use of sunscreen, can help alleviate some very minor signs of skin aging. But to address more significant signs, like saggy skin and wrinkles, you need a more aggressive and comprehensive approach. That’s where facelift surgery comes in.

 

Facelifts use advanced surgical techniques that focus on correcting age-related issues in the midface and lower facial regions, including sagging skin, droopy jowls, lines and wrinkles around the mouth and chin.

 

During the facelift procedure, your surgeon restores the natural contours associated with a more youthful face. He does this by gently lifting and repositioning weak facial muscles and removing excess skin to create a smoother, former appearance. Plus, facelifts can be combined with other procedures, like a neck lift to eliminate the dreaded “turkey neck” or a forehead lift to elevate your brow area.

 

If you’d like to learn more about facelift surgery and whether it might be a good option for helping you achieve your goals, call The Cosmetic Surgery Center at (216) 264-8100 to schedule your free consultation today.

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An Overview of Face Lift Surgery

Face lifts are among the most popular cosmetic procedures for both men and women in the country. There are many reasons why your face may show signs of aging as early as your thirties. Stress, UV rays from the sun, genetics, contaminants in your environment, alcohol, smoking, and gravity all play a role in the aging of your skin. These factors may cause the skin to loosen and begin to sag. Wrinkles also begin to develop around your mouth and eyes due to the constant muscle movement in those areas. Fat deposits start to move down towards your chin and neck. Over time, all of these effects create an aged look in your face. Facelift surgery can correct all these concerns by lifting and tightening the skin around the middle and lower half of your face.

There are many different types of face lifts that can be performed. A face lift surgery may vary from person to person because our faces don’t all age in the same way. Every facelift is customized for each patient. Some things that contribute to the customization of your surgery include your gender, the condition of your skin, the location of any fat deposits, your age, and/or a variety of other considerations. Your specific facelift procedure will also depend on what your concerns are regarding your appearance. Patients who are more concerned about the wrinkles around their nose and mouth will have a different facelift procedure than those who are concerned about loose skin around their jaw line.

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Recovery from Rhinoplasty (Aesthetic Nasal Surgery)

Here are some tips for your recovery period to make it much easier. Elevate your head at all times to keep swelling to a minimum. Apply ice bags to your eyes and cheeks as much as possible for the first 48 hours after the rhinoplasty. However, make sure not to get the nasal cast wet or put any pressure on it. It is recommended to stick to a liquid diet the day of the surgery. You will be able to resume a regular diet the next day. You will probably have some bloody nasal discharge for two to four days after your rhinoplasty surgery. Change the gauze pad under your nose as often as needed. Do not rub or blot your nose as this will lead to irritation. It is also normal to have a small amount of blood drip down the back of your throat. Should quick/brisk bleeding occur, lie down flat with your head slightly elevated. Apply fresh compresses to the nose. You may also be instructed to use Afrin nasal spray on a limited basis. Call the office if bleeding lasts for longer than 30 minutes. To prevent post-operative bleeding, do not sniff or blow your nose for the first two weeks after surgery. Try not to sneeze, but if you do, sneeze through your mouth. The day after surgery, begin to clean the edges of your nostrils to remove crusts. Use a Q-tip dipped in hydrogen peroxide. Strenuous activity should be restricted for at least two weeks after surgery. After two weeks, you should slowly increase your activities back to normal by the end of the third or fourth week. Avoid contact sports and any direct, physical contact to the nose for four to six weeks.

 

Some more general information for after your rhinoplasty surgery includes coming in around seven days after surgery at the office. At that time, the nose will appear better but still swollen. You will not see the final results right away. Much of the swelling will subside rapidly over the next few days to weeks. However, it usually takes about a year for the last 5 percent of swelling (usually in the tip of the nose) to disappear. The tip of the nose will feel numb and occasionally the front teeth will feel “funny”. These feelings will gradually disappear as well. The inside of the nose will also be swollen. This will result in difficulty breathing which will progressively improve with time. After the cast is removed, the nose can be washed gently with a mild soap and makeup can be applied.

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How Rhinoplasty Surgery Works and What to Expect

On the day of surgery, you will go to the surgery center where you are having the procedure done. There, you will be checked in by the nursing staff. This process consists of you filling out several forms asking for an emergency contact number, current information, and any new pertinent medical information. A member of the medical team will want to ensure you have a driver with you. You will also have to sign a form indicating that you understand and accept the risks of the procedure if you have not already signed this form prior to the surgery day. You will then be asked to change into a gown, go to the bathroom, remove any contact lenses, dentures, or other small items you may be wearing. You will meet with your surgeon before the surgery begins and they will go over the procedure with you again and explain the anesthesia that will be used.

 

After this process, you will have an IV inserted by the nursing staff and they will also administer antibiotics to you as part of readying you for your surgery. Once in the operating room, the staff will prepare you for surgery. . The anesthesia team will then administer medications to relax you and put you to sleep. As you drift off, the anesthesia doctor may ask how you are feeling to provide them with additional feedback on how the anesthesia is working. The surgical team will then cleanse your skin with antibacterial solutions and place sterile drapes and towels around your face to also help prevent infection.

 

A rhinoplasty is designed to reshape the nose and make it appear more aesthetic. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose. During the rhinoplasty surgery, incisions are made to access the bones and cartilage that support the nose. The incisions are made inside the nose so that they are almost invisible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another body party or synthetic filler). After reshaping the bone and cartilage, the skin tissue is redraped over the structure of the nose. A splint is then placed outside the nose to support the new shape of the nose as it heals. Most patients prefer general anesthesia but some may elect to have a “twilight sedation” or intravenous sedation. Rhinoplasty surgeries can change the size, shape, and angle of your nose and bring it into better proportion with the rest of your face. Rhinoplasty can also correct structural problems with the nose that cause chronic congestion and breathing problems.

If you are interested in scheduling a rhinoplasty surgery, please call Dr. Goldschmidt at (216)-264-8100 or fill out the contact form at the top of the page.

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Preparing for Rhinoplasty Surgery (Aesthetic Nose Surgery, aka “Nose Job”)

At your pre-surgical consultation that usually takes place two weeks before your actual surgery, you will receive an information packet that explains everything you should do and know before and after your rhinoplasty surgery. It will include information on where the surgery will take place, what time it will take place, and what time you need to be there before the surgery. The packet will also include information on the medications you should not take in the weeks leading up to your surgery. Additionally, most patients will also get routine blood work done before.

 

Preparation for your surgery begins two weeks before the actual procedure. In this time frame, you must stop taking aspirin and products that contain aspirin. We recommend that you begin taking vitamin B complex. Also, if you plan on wearing tinted glasses, like sunglasses, start a couple weeks before to get people accustomed to seeing you with them on. Additionally, you may wish to arrange an appointment with your family doctor to have a pre-op history and physical exam completed prior to surgery. If you smoke, stop smoking at least 6 weeks before surgery and do not start again until at least two weeks after your surgery date. Smoking significantly impairs your circulation and slows down healing. It is also very important to inform one of our staff if you develop an illness prior to your surgery date.  

 

Two days before your surgery it is also important to prepare for your surgery.  It is important to prepare for your recovery now, which begins with preparing ice cold compresses (small zip-lock baggies with frozen peas or corn) for after you return home. Also, go to the drug store and fill all prescriptions you will need. It is important to get 2×2 inch gauze squares, paper tape, Q-tips, Dial antibacterial soap, and hydrogen peroxide. Go to the grocery store as well to buy some “light foods” such as juices, teas, soup, toast, eggs, oatmeal, jelly, etc. Lastly, begin taking Arnica Montana (3 tablets, 3 times daily).

 

The evening before your rhinoplasty surgery you should wash your face with Dial antibacterial soap for 3 full-minutes. Do not eat after 12:00 midnight the night before your surgery. It is important to get a good night’s rest to increase the chances of a speedy recovery. It is also very important to make some jello, pudding, eggs, oatmeal, etc. for after surgery.

 

The day of your rhinoplasty surgery do not eat or drink anything prior to surgery. Wash your face with Dial antibacterial soap and do not wear any face makeup or lipstick, etc. Do not wear wigs, hairpins, hairpieces, or jewelry to the surgery. Wear loose, comfortable clothing and do not wear pullover tops or panty hose. Have someone drive you to your surgery and make sure a responsible adult will be able to drive you home and stay with you for 24 hours. If you take any medications on a daily basis, check with your surgeon to see if they want you to take them on day of surgery.

If you are interested in scheduling a rhinoplasty surgery, please call Dr. Goldschmidt at (216)-264-8100 or fill out the contact form at the top of the page.

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An Overview of Rhinoplasty (aka “Nose Job” or Surgery to Reshape the Nose)

A rhinoplasty (also known by many as a “nose job”) is a surgery to reshape the nose. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose. During the rhinoplasty surgery, incisions are made to access the bones and cartilage that support the nose. The incisions are made inside the nose so that they are invisible after the surgery. Sometimes, it is necessary to make a very small incision underneath the nose as well. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another body party or synthetic filler). The bones may need to be moved or “broken” in a very controlled fashion to make your nose narrower. After reshaping the bones and cartilage, the skin is then redraped over the underlying structures of the nose. A splint is then placed outside the nose to support the new shape of the nose as it heals. Most patients prefer general anesthesia but some may elect to have a “twilight sedation” or intravenous sedation. Patients generally do not need to stay over night after the procedure and go home a few hours afterwards. Rhinoplasty surgeries can change the size, shape, and angle of your nose and bring it into better proportion with the rest of your face. Rhinoplasty can also correct structural problems with the nose that cause chronic congestion and breathing problems.

Below is an example of a typical Rhinoplasty:

26 year old female who had “nose job” (rhinoplasty). The hump was reduced and the tip of her nose was reshaped.

 

If you are interested in scheduling a rhinoplasty surgery, please call Dr. Goldschmidt at (216)-264-8100 or fill out the contact form at the top of the page.

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Other X Factors That Can Influence Fat Tissue Health and Shape, Part 2: Life Changes

For both men and women, hormone levels change throughout the lifespan. Puberty and aging affect the hormones of both sexes, as well as pregnancy and menopause for women. And fluctuations in hormone levels, in turn, affect where and how our bodies store fat. Hormones such as leptin, insulin and ghrelin affect fat storage throughout the lifespan.

Sex Hormones and Fat Changes

Body fat can be a source of estrogen production, and both men and women can produce estrogen in their body fat. In women, estrogen is produced primarily by the ovaries, which produce more estrogen before menopause, than after. In addition, men’s bodies produce androgens in the testes, although the amount produced tends to decrease as men age.

Both estrogen and androgens affect not only how much fat the body stores, but where the body stores fat. Higher levels of estrogen are associated with fat storage in the hips, giving many women a characteristic “pear-shaped” look. Lower estrogen and androgens are also associated with fat storage around the middle, which can create an “apple-shaped” look in some people.

As a result, the location of a person’s body fat may change throughout the lifespan. Both men and women may find that fat accumulates around their middle as they age, and women may see abdominal fat increase after menopause.

Leptin and Ghrelin

Leptin is a hormone created within the body’s fat cells. From there, it moves into the bloodstream and travels to the brain, where it affects appetite. Leptin may be the reason someone experiences hunger when his caloric needs are being met. The connection between leptin and appetite continues to be studied.

Ghrelin, sometimes known as lenomorelin, also plays a role in appetite. Just as leptin signals to your body that you’ve had enough to eat, ghrelin signals that you are hungry and should eat. In addition, ghrelin plays a significant role in the body’s distribution and use of energy, and thus it may be involved in the body’s rate of calorie retention or burning.

Schedule an appointment with our Cleveland liposuction doctors at The Cosmetic Surgery Center by calling (216) 264-8100 today.

Below is an example of a typical result:

liposuction abdomen and flanks.

For a free, private consultation about your liposuction options in Cleveland, please call our team at The Cosmetic Surgery Center at (216) 264-8100.

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Other X Factors That Can Influence Fat Tissue Health and Shape, Part 1: Medication

After liposuction, it’s common for patients to focus on preventing the regrowth of fat. Understandably, you want the results to last, and you don’t want to start battling fat deposits in new areas of your body.

While you can influence your body’s overall health, including its fat deposits, through attention to diet and exercise, there are a number of “X factors” that also can be weight-gain culprits. One of these is medication.

A 2015 article published by the UC San Diego Health System noted that many drugs prescribed for high blood pressure, diabetes and depression may cause weight gain. Here, we discuss a few such groups of medications and their potential effects.

Antidepressants

Antidepressants have been linked to weight gain in a number of studies, whether they were classified as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), or tricyclic antidepressants. (Other versions, however, have been linked to weight loss.)

Antihistamines

How do medications meant to control allergies affect weight? Studies indicate that certain antihistamines target the H1 histamine receptor, which plays a dual role in allergen response and in satiation. Basically, the medicine that dampens our immune response may also be telling us “You’re still hungry” when we’re full. As a result, patients might eat more while taking allergy meds than they would otherwise.

Beta Blockers

Beta blockers are commonly used to treat high blood pressure and reduce the risk of heart attacks. However, some beta blockers on the market have commonly-experienced side effects like fatigue and sluggishness–so it is harder to exercise and easier to gain weight.

Diabetes medications

Diabetes medications are intended either to replace insulin in the body or to encourage the production of insulin by the pancreas. Since insulin is essential in fat storage and management, these medications can encourage the body to put on weight.

What should you do if you think your medication is adding to your weight? Do not stop taking your prescribed medication without talking to your physician. Instead, go to the doctor who prescribed your medication. Tell your physician about your concerns and ask about alternatives.

Your meds may be necessary to take care of your health. But being on medication may mean it is all the more important to keep up with your diet and exercise plan.

To learn more about your liposuction options, connect with our qualified Cleveland liposuction surgeon, Dr. Matt Goldschmidt, at The Cosmetic Surgery Center at (216) 264-8100.

Below is an example of a typical result:

liposuction before and after

 

To see more images, please visit our Before and After Gallery 

 

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The Right Diet to Follow After Surgery? Part 2: Advice for Your “Un-Diet”

The mechanisms by which each human body manufactures, stores, and burns fat are complex, unique, and governed by genetics. While your diet and exercise choices contribute to your health, they don’t change your genes. So how much power do you have to control your body’s fat after your liposuction?

The good news is that there are several guidelines that many clinicians can agree upon. And rather than restricting you to a “one size fits all” menu, you can use these guidelines as a framework to make your own preference-based dietary choices.

We explore some of the guidelines here, and the Nutrition Coalition provides a complete list on its website.

  1. A low-fat diet may not be the best choice. A low-fat diet has been associated with heart disease. Instead, focus on foods contain “healthy” fats and incorporate more of these into your diet.
  2. Consider a low-carbohydrate diet. Insulin is produced in response to food intake (carbohydrates in particular), and it plays a key role in fat storage and management. As a result, adding flavorful low-carb options into your diet may provide some benefits.
  3. Learn to love whole foods. Try replacing some of your favorite processed foods with their whole-food counterparts. Whole foods– including whole grains–provide vitamins, minerals and fiber that processed counterparts do not.
  4. Aim for the right amount of salt. A 2013 report by the Institute of Medicine concluded that, while too much salt is bad for human health, too little salt can harm you as well. Instead, research the recommended salt intake for your age and health, and aim for that amount.
  5. Move your body for enjoyment, rather than weight loss. Choose movement-based activities you enjoy, whether that’s running a 5k, tending your garden, or playing with your kids. Enjoying the activity is likely more important than what the activity is–because if you get something out of it, you’re more likely to keep doing it.

Curious about how you could transform your body with liposuction? Our experienced, careful Cleveland doctors at The Cosmetic Surgery Center can help. Call us today at (216) 264-8100 to set up an appointment with Dr. Matt Goldschmidt.

Below is an example of a typical result:

liposuction of the arms

To see more images, please visit our Before and After Gallery 

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The Right Diet to Follow After Surgery? Part 1: Why Traditional Diet Advice Might Not Work

After you’ve taken the plunge, talked to a doctor, and had liposuction performed, you want those results to stick around. If you’re like many people who struggled with problematic fat deposits, you’ve probably already tried dieting and exercise–and you may turn to them again. You may also wonder what diet advice to follow after your procedure.

While the overall health benefits of moderate exercise are well-documented, the science of dieting to address fat growth is more complicated. It isn’t as simple as “calories in, calories out.” Instead, each body has a unique pattern of generating fat, distributing it throughout the body, and storing the fat. This is all governed by a complex dance of hormones and enzymes, directed by the body’s genetic makeup.

In other words, your genes affect the fit of your jeans.

Diet contributes to an overall healthy life, just as exercise does. However, when it comes to fat generation, scientists debate what the “real” dietary villains are. In the past several decades, theories have ranged–from “eating fat makes you fat” to “carbohydrates are the real culprit.” Hearing this contradictory advice, many people have bounced from one diet to another, often in vain.

According to a letter signed by over 250 medical experts and published in the New York Times, insulin–a hormone secreted by the pancreas–plays a key role in the body’s fat storage and burning processes. The body secretes insulin in order to break down the foods we consume. How much insulin it secretes, depends on what kinds of food we eat. For instance, if we consume more carbohydrates, the body releases more insulin to deal with them.

Therefore, dietary choices may affect how the body stores fat, by regulating the flow of insulin into the bloodstream. As just one example, this may be the mechanism behind so-called “low-carb” diets–why controlling carbohydrates helps some people manage their weight, when if controlling calories did not.

Below is an example of a typical result:

Liposuction of abdomen and flanks

Liposuction of abdomen and flanks

To see more images, please visit our Before and After Gallery

Our experienced Cleveland liposuction surgeon, Dr. Matt Goldschmidt, at The Cosmetic Surgery Center can help you explore your liposuction options. Call us now at (216) 264-8100 to set up a free consultation.

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