Tag Archives: surgery risk

In most cases plastic surgery patients are overwhelmingly pleased with their results. It is indeed rare that patients feel the need for a revision following plastic surgery. However, it is important for patients to realize that in some cases a revision may be needed. Dr. Seify discusses the possibility of revisions with patients prior to their plastic surgery procedure. Revisions are also addressed in the informed consent paperwork and preoperative appointment that is provided prior to surgery. For patients who have had surgery with another plastic surgeon and do not wish to return or are unable to return to the original plastic surgeon, it can be a challenge when deciding whether to invest in having revision surgery. Whether the patient is dissatisfied with a rhinoplasty, breast augmentation, or liposuction surgery it is likely that they are considering what they have invested already. From a financial perspective it can be disappointing after investing thousands of dollars and still being unhappy or dissatisfied with the results. Patient should consider their level of dissatisfaction, the likelihood of acceptable correction, and the overall additional investment that will be required. In some cases having a subsequent revision surgery performed  will only yield a slight improvement. In these cases patients need to decide if the investment is worth a slight improvement. In other cases the revision surgery can provide a dramatic improvement. In these cases the investment is likely to be worth it because it will provide the end result that was intended originally. Psychologically it is easy for the patient to blame themselves or the plastic surgeon when the result is not as expected. The decision to proceed with revision plastic surgery should be viewed as an active solution. It is perfectly normal for patients to be apprehensive when having revision surgery especially after experiencing results that were dissatisfying. Dr. Seify explains to patients who are seeking revision surgery the benefits and risk associated with the surgery. While this decision is ultimately up to the patient Dr. Seify is committed to helping the patient make the best decision while considering the health aspects, financial impact, and aesthetic results the patient can expect. Patients who are considering cosmetic revision plastic surgery are encouraged to contact Dr. Seify and schedule a consultation.  
Liposuction has become the go- to solution for many patients who are discouraged because of stubborn fat they are unable to lose. According to recent online women’s magazine it is the type of fat that puts you at an increased risk for health issues and concerns. Obese patients with an excessive amount of visceral fat, which is a type of fat that surrounds internal organs, were discovered to be at a significantly high increased risk of developing diabetes according to a recent study in the Journal of American Medicine Association. Contrasted with patients who had excess subcutaneous fat, which is fat beneath the skin level, there was no added health danger. “What we’re seeing is that not all obese individuals are going to get diabetes,” says lead study author James de Lemos, MD, a professor of internal medicine at the University of Texas Southwestern. “It’s not just how heavy somebody is; you can’t simply put them on a scale.” It is not clear why visceral fat appears to elevate a patient’s diabetes risk, but it is believed that fat secretes compounds that promote the resistance to insulin which is a significant first step toward the development of diabetes. Visceral fat is not permanent and through diet and exercise it can be reduced. According to the article one of the best ways to fight visceral fat is physical activity. The physical activity must be cardio related and for minimum of 45 minutes in length combined with strength exercises. Overall, patient should cut calories, increase fiber, and avoid trans-fat. Lowering carbs can be effective as well. Getting enough sleep promotes visceral fat loss although it is not conclusive why this is helpful. Patients should aim for at least six hours of sleep per night. Dr. Seify explains to patients who are considering liposuction procedures that visceral fat cannot be reduced with liposuction. In order to be a suitable candidate for liposuction, patients cannot be obese and must be within their ideal body weight. Patients who exercise and choose a healthy diet continue to benefit from the results of liposuction long after they have had their procedure performed. The results of liposuction should last a lifetime if patients are diligent including a healthy lifestyle, diet, and exercise.
Breast augmentation is a big decision.With the excitement of a new breast augmentation few women consider how they will feel if they have a deflation. A deflation is what happens when a saline implant is compromised and loses the saline fluid that is inside the implant. For most women it is noticeable especially if the deflation happens immediately. For other women there may be a slow leak and they may notice only a loss in size which over time will also show wrinkles and ripples. Needless to say, for most women this is not only embarrassing it causes anxiety about what to do next.

Breast Augmentation May Require Additional Surgery

Dr. Seify explains that patients with a deflated implant should schedule an immediate consultation to discuss the recommended steps for correcting the issue. While there is no danger concerning the fluid (which is saline) leaking into the body there is a window of time that allows the implant to be removed rather easily without the concern of new scar tissue growth. The longer a patient waits the more likely it is that the scar tissue has grown over the deflated implant and in some cases created new scar tissue which has closed off the breast pocket. This can cause the breast implant exchange to be a bit more involved and take more time which could increase patient cost. Dr. Seify will explain the differences between saline and silicone implants. Some breast implant manufacturers offer a promotional incentive for patients who choose to upgrade from saline to silicone implants.

Breast Implant Exchange and Options Available

Dr. Seify will including  in his recommendation the benefits and limitations of silicone and saline implants as they directly relate to the patient. For example, thinner patients with less of their own breast tissue, Dr. Seify may strongly recommend silicone gel implants as they would be less likely to display wrinkling and rippling in the patient. After a deflation, breast implant exchange is rather straightforward. It is not like the first breast augmentation surgery, and for most patients it is merely an inconvenience as opposed to the pain and discomfort that may have occurred with the initial surgery. Dr. Seify encourages patients to schedule their consultation immediately if they have a deflation and to be prepared to provide for staff serial numbers and the manufacturer, so that the staff can begin the warranty redemption process if the patient is eligible.    
Women’s health topics are of interest.Television doctors have become very popular over the last six or seven years discussing women’s health issues. Although the disclaimer that the television shows are for entertainment purposes only- is inferred, according to recent Los Angeles Times article many of the television viewers take the  doctor’s women’s health advice personally. According to the article television is a great medium for sports, reality shows, and American Idol, but the article warns about getting women’s health information from television, and reports that patients may not be as well-informed or as healthy as they think they are. One concern, says Dr. Steven Woloshin, professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, is that doctors who are experts in their fields, and he cites Dr. Mehmet Oz as an example, is a cardiothoracic surgeon as well as a professor at Columbia University. He claims that Dr. Oz and other TV doctors often discuss topics and women’s health issues beyond their areas of expertise and or certification.

Women’s Health Issues Make” Great TV”

“Just because someone’s on TV, just because they’re wearing scrubs, doesn’t mean they’re an expert on nutrition,” Woloshin, a specialist in internal medicine, says. He goes on to warn that television viewers should look at televised women’s health reports with a commonsense approach and always check with their own personal physician before making any major changes. He adds that while your personal physician  may not have a face made for television or be famous, your personal care physician will be most likely to know your specific body and the women’s health concerns that should be addressed, based on your specific health history.

Women’s Health Concerns Are A Part of  Every Plastic Surgery Recommendation

Dr. Seify explains to his patients that although there are many plastic surgery procedures that are featured on television they too should approach the information gathered from that source with scrutiny. Some plastic surgery procedures marketed toward women’s health, especially laser treatment services, are highlighted on the news as well as doctor entertainment television programs. Recently, chin augmentation, and Botox were just some of the procedures that were part of the women’s health buzz on most health-related television shows and newscast. Dr. Seify advises patients that the information seen on a televised report is often general and does not necessarily prove that the procedure would be best for the patient. Dr. Seify reminds patients that specific recommendations for patients concerning the type of plastic surgery recommended, are best achieved in person during a personal consultation with the doctor.  
rhinoplastyRhinoplasty is one of the best-known procedures offered in plastic surgery. Often referred to by the slang term “nose job” many people equate the surgery to a simple nip and tuck. In reality, the procedure can be quite complex depending on the patients existing nose and the patient’s desires. Much of the end result is heavily dependent upon the expertise and skill of the plastic surgeon. Dr. Seify explains to patients who are considering rhinoplasty surgery that it is critical that their able to clearly explain their expectations.

Rhinoplasty and the Perfect Nose

It is important that patients understand Dr. Seify cannot make a patients nose look like someone else’s nose. Rhinoplasty is actually a nose enhancement and can reshape and redefine the nose but it does have limitations. Dr. Seify encourages patients to be open in discussing their desires and he and his staff work with patients to help understand their expectations. Rhinoplasty patients are also examined for any cartilage or scar tissue that may contribute to breathing problems and if necessary Dr. Seify may recommend a septoplasty which will allow him the opportunity to create better breathing pathways if necessary. For some patients a nasal tip may be recommended to create a more elongated nose. This too, is an enhancement that requires artistic talent and skill so that a natural looking nose is the result.

Rhinoplasty and the Entire Face

For some patients Dr. Seify may recommend a chin implant or chin augmentation to create a better profile once the rhinoplasty has been completed. This is in the best interest of the patient’s overall appearance and Dr. Seify explains to his patients that the best overall appearance for rhinoplasty is created when the plastic surgeon includes the entire face, including the profile, as part of his recommendation. Dr. Seify invites patients to schedule a consultation to see if rhinoplasty is a viable option for them.
weight lossWeight loss and plastic surgery often go together.  Extreme weight loss has now become something that many people are aware, of thanks to the improvements made in weight loss surgery. Weight loss surgeries ranging from Lap Band to gastric bypass have become part of the landscape of American lifestyles. Few people discuss the after effects of extreme weight loss.

Weight Loss After Effects

One of the most prevalent aftereffects is loose and lax excess skin that appears to hang off of the body. Few would dispute that this can be rather unattractive and for many can have a negative effect on what should be a positive accomplishment after losing a large amount of weight. For most patients the most troublesome areas are the abdomen, lower back, buttocks, and outer thighs. For these areas Dr. Seify may recommend a body lift. As an ASPS board-certified plastic surgeon, well experienced in reconstructive surgery the body lift is a procedure performed regularly by Dr. Seify. During the initial consultation

Weight Loss and Plastic Surgery

Dr. Seify will assess if the patient is a good candidate for the procedure. It is critical that patients who are considering this procedure are at a stable body weight and are no longer losing weight. This allows Dr. Seify to make recommendations without concern for extreme weight fluctuations that may follow after having surgery. It is also critical that patients are in good health which includes blood pressure that is well controlled and patients who are non-smokers. Smoking can have an extremely negative effect especially after procedures like a body lift, abdominoplasty, or brachioplasty (arm lift). For patients who are smokers, Dr. Seify will require at the very minimum that they quit smoking at least two weeks prior to surgery and four weeks after surgery. Smokers can experience complications which include delayed wound healing and compromise tissues at the incision sites. It is important for patients to have realistic expectations concerning the body lift procedure after massive weight loss. While Dr. Seify will tighten the skin and there will be a dramatic difference, patients must understand that some residual redundant skin will remain once the recovery is complete. Most patients who have a post massive weight loss body lift our extremely satisfied with the results and tell Dr. Seify that their self-esteem and self-confidence has been greatly increased.  
smokingSmoking and surgery risk are well documented. Smoking is rarely if ever referred to in a positive light. Study after study seems to show additional harmful effects from cigarette smoking. Smoking and surgery risk are included.  According to recent onlinearticle we can add developing psoriasis to the list of possible risk. According to the article smokers are at more of  an increased risk of developing the autoimmune skin condition, psoriasis than nonsmokers, a new study finds.

Smoking and Surgery Risk One Other Concern

Smoking and surgery risk are serious. The risk of developing psoriasis is  serious too. Smoking taxes the body’s immune system and it has to operate in overdrive, one expert suggests. The research doesn’t specifically prove that smoking causes psoriasis, or that a large percentage of smokers would avoid developing the condition even if they faced an increased risk. However, the findings give us yet another reason for smokers to kick the habit, said study co-author Dr. Abrar Qureshi, an assistant professor of dermatology at Harvard Medical School. “It behooves us even more to advise individuals who are smoking to quit,” he said, especially because psoriasis itself is linked to higher risks of diabetes and heart attacks. Smoking surgery riisk are yet another reason. Psoriasis, which is likely to occur in adulthood, causes itchy and painful patches of thick, scaly and reddened or whitened skin. The patches often appear on the knees and elbows.Many patients feel embarrassed and ashamed of the appearance of psoriasis. Smoking also carries an increased risk of complications for plastic surgery patients.

Smoking Surgery Risk| Critical to Cosmetic Surgery

Smoking and surgery risk must always be considered when patients are considering cosmetic surgery. Cosmetic plastic surgery patients are generally in a position to make some effort to reduce the risks smoking could have on their cosmetic surgery procedure. Dr. Seify explains to his patients the risk of complications if they are smokers. Smoking and surgery risk include but are not limited to delayed wound healing, less than aesthetically desirable scarring, and compromised tissue strength. This is most noticeable in patients who have had procedures which include breastlift, breastreduction, abdominoplasty, and facelift. Of particular concern are the incisions used to tighten the skin. These incisions have tension that holds the skin together and in turn can become weak and unable to maintain the closed incision. This can cause the incision to open and spread. The tissue can become compromised dark and crusty. This process is known as delayed wound healing and can be quite cumbersome and disenchanting for the patient. It is important for smokers to know that this can still be a risk even if the patient is able to quit prior to surgery. Dr. Seify and his staff are committed to helping patients through complications that may arise using compassion and quality care. Of course, the best case scenario is for patients not to smoke at all.