Botox


What is Botox ?

Botox is an injectable treatment used to reduce fine lines and prevent further signs of aging

 

Fillers are a good option for those who are looking for a non-surgical approach to improving the appearance of their face. They can be used to create more contour to an already voluminous face or to reduce the effect of aging. One of the earliest signs of aging is loss of volume and wrinkles in the face. Injectable fillers can be used to soften these lines and create more fullness in shallow contours.

 

At Pearl Plastic Surgery we use RHA which is a Hyaluronic Acid based filler. Hyaluronic Acid is a naturally occurring sugar molecule found in many tissues in the body. It creates a more plump, hydrated appearance to the skin by binding water to collagen to trap it in the skin. This is well suited to plump lips and fill facial creases to create a more youthful appearance. Fillers last between 6-9 months depending on how each person metabolizes the molecule.

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Has realistic goals for improvement of their appearance

Preparing for the Consultation and Procedure

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals, expectations and desired outcome
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Any past treatments or surgeries to the treated area


During the consultation we will:

  • Examine your face and take photos for your medical record
  • Discuss facial rejuvenation options
  • Evaluate your overall health and any pre-existing health conditions
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

 

  • Bleeding, bruising, swelling
  • Asymmetry
  • Skin redness
  • Skin sensitivity
  • Under or over correction of wrinkles

The Procedure

 

  • Your facial structure and skin tone will be examined to see which areas of the face need to be augmented with injectable fillers.
  • The provider will make specific markings on the skin as a guide for the injection sites.
  • Injection sites will be cleaned with alcohol to avoid infection.
  • Dermal fillers will be injected which only takes a few moments per site.
  • Any marlins will be wiped off and you may be offered ice to alleviate any temporary discomfort.

 

In some cases multiple rounds of injections are needed to achieve the desired results.

The injector will give you instructions on activity restrictions after your appointment. 

 

Results

The results of dermal fillers are immediately visible.

These results are not permanent. As time goes by you might notice a decrease in volume. Should you choose not to repeat the treatment your face will return to its natural appearance.

Brachioplasty


What is a Brachioplasty?

A Brachioplasty, or upper arm lift is a procedure that removes excess skin and fat from the underside of upper arms. Age, extensive weight loss, and genetics are the primary reasons for wanting to reduce the appearance of sagging skin of the upper arms.

A brachioplasty is a surgical arm lift procedure that:

  • Reduces excess drooping or sagging skin
  • Smooths and tightens supporting tissues that defines the shape of the upper arm
  • Reduces localized fat pockets in upper arm

 

Ideal candidates for Brachioplasty

  • Adults with excessive sagging skin of upper arms
  • Adults who are not significantly overweight and whose weight is relatively stable for at least 3 months prior to surgery
  • Individuals looking to improve the appearance of of their upper arms with realistic expectations and a positive outlook
  • Non- smokers
  • Healthy adults with no or little medical conditions that increase risk of surgery or impair healing

Preparing for the Consultation and Surgery

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine and take measurements of the size and shape of your arms
  • Discuss what the scars will look like
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:

During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Anesthesia risks
  • Changes in skin sensation
  • Blood clots
  • Unfavorable scarring
  • Fluid Accumulation
  • Bleeding
  • Sutures may not absorb and may push their way to the surface of the skin causing redness, irritation, and drainage
  • Pain
  • Arm asymmetry
  • Infection
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure:

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

The Incision
Incisions are placed on the inside of the arm extending from the armpit (axilla) to just above the elbow. Underlying supportive tissue is tightened and reshaped. The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery
Immediately following your surgery you will be placed into a post surgical compression garment for support and to minimize swelling. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Tighter smoother skin is immediately visible. Swelling and bruising of the breasts and surrounding areas will diminish over time. Scars from the surgery are permanent but will continue to fade as time passes. Although we have a standard of excellence there is no guarantee of perfect results. In extreme situations optimal results may need another surgery.

Results of a brachioplasty are long lasting. With age you will continue to lose firmness naturally but most improvement is relatively permanent with maintenance of stable weight and continued exercise.

Breast Augmentation


What is a Breast Augmentation?

A breast augmentation is a surgical procedure that involves using breast implants to enlarge or make the breasts more full. At Pearl Plastic Surgery we use only the top of the line silicone implants from Sientra. This procedure is for women who want to achieve the appearance of larger, more full breasts. It can increase projection and fullness in breasts as well as improve the balance of your figure and enhance your self-image. We believe that you should only get this surgery done for yourself and not for someone else. This is a very personal procedure.

 

The ideal candidate for a breast augmentation  is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Is bothered by the  of volume of breasts
  • Would like larger breasts
  • Has asymmetrical breasts
  • Is of full physical maturity
  • Has not been nursing or lactating  for 6-12 months

Preparing for the Consultation and Surgery


Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery 
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine and take measurements of the size and shape of your breasts
    • At this point you will be able to try on implants
  • Discuss placement of implants and what your likely outcome will be
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Changes in nipple and areola sensation
  • Anesthesia risks
  • Breast contour and shape irregularities
  • Blood clots
  • Unfavorable scarring
  • Deep vein thrombosis
  • Development of a rare cancer of the immune system called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)
  • Bleeding
  • Fluid accumulation
  • Pain
  • Breast asymmetry
  • Wrinkling of the skin over the implant
  • Infection
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure

 

Breast augmentations are executed by placing breast implants under the existing breast tissue and pectoralis major muscle. 

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

The Incision
Dr. Nichols creates a 3cm incision on the underside of the breast, this is called an inframammary incision. This is placed in an inconspicuous area to minimize visible scarring. 

 

Inserting and Placing the Implant
After the incision is made the breast implant is placed under the pectoral muscle, this is called a submuscular placement. Placing the implant under the muscle creates a more smooth transition from the upper chest to the breast.

 

Closing the Incisions
After the implants are placed the skin is then  tightened and the incisions are closed. The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery
Immediately following your surgery you will be placed into a post surgical support bra to minimize swelling. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Breast augmentation results are immediately visible. The swelling and bruising of the breasts and surrounding areas will diminish over time. The breasts will continue to settle over the next several months after surgery. Scars from the surgery are permanent but will continue to fade as time passes.

Breast Lift


What is a Breast Lift?

A breast lift also known as a mastopexy is a procedure that removes  and reshapes excess tissue of the breasts and tightens the surrounding tissues to reshape the breasts. This procedure is for women who want to change the appearance of sagging breasts due to loss of skin elasticity. It can modify the size, contour, shape, and elevation of breasts. There are many different reasons to have a breast lift,  the most common are aging, weight loss, pregnancy or breastfeeding.

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Is bothered by the shape or loss of volume of breasts
  • Has pendulous breasts that are elongated or flatter than they once were
  • Has one breast that is lower than the other
  • Nipples and areolas point downward or fall below the breast crease when unsupported by a bra
  • Has not been nursing or lactating  for 6-12 months

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery 
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine and take measurements of the size and shape of your breasts
  • Discuss placement of nipples and areolas and what the scars will look like
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Changes in nipple and areola sensation
  • Anesthesia risks
  • Breast contour and shape irregularities
  • Blood clots
  • Unfavorable scarring
  • Deep vein thrombosis
  • bleeding
  • Fluid accumulation
  • Pain
  • Breast asymmetry
  • Infection
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure

Breast lift surgeries can be achieved by two different incision patterns which will be decided in your consultation. The incision pattern will be based on the current size and shape of your breast, degree of saggining, skin quality, and size and position of your areolas.

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

Reshaping your breast
After the incisions are made on your breast Dr. Nichols will use your underlying tissue to lift and reshape the breast. The nipple and areola are lifted to the height of the middle of your upper arm. If you are looking to reduce the look of the areola Dr. Nichols can excise the perimeter of the areola.

 

Closing the Incisions
After the underlying breast tissue is lifted and reshaped the nipple and areola are repositioned to a natural more youthful height. The remaining skin is then  tightened and the incisions are closed. Dissolvable sutures are layered deep within the breast tissue to create the support that is needed for the newly shaped breast. The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery:
Immediately following your surgery you will be placed into a post surgical support bra to minimize swelling. Occasionally a small, thin tube may be temporarily placed during the surgery, this is called a drain tube. Drains are places to allow any excess blood or fluid to exit the body. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Breast lift results are immediately visible. The swelling and bruising of the breasts and surrounding areas will diminish over time. The breasts will continue to settle over the next several months after surgery. Scars from the surgery are permanent but will continue to fade as time passes. Although mastopexies are long lasting you will notice that age and gravity will continue to change the appearance of your breasts. The best way to retain your new look is to maintain a stable weight and healthy lifestyle.

Breast Reduction


What is a Breast Reduction?

A breast reduction also known as a reduction mammaplasty is a procedure that removes excess tissue, fat and skin to reduce breast size. This procedure is for women who experience discomfort associated with overly large breasts. It can modify the size, contour, shape, and elevation of breasts. The most common reason women have a breast reduction is to alleviate the pain and discomfort caused by large pendulous breasts.

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Is bothered by the feeling of large breasts
  • Has shoulder grooving due to bra straps
  • Experiences neck, back and shoulder pain
  • Has rashes or skin irritation under the breast crease
  • Has not been lactating or nursing for 6-12 months

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine and take measurements of the size and shape of your breasts as well as skin quality
  • Discuss placement of nipples and areolas and what the scars will look like
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Changes in nipple and areola sensation
  • Anesthesia risks
  • Breast contour and shape irregularities
  • Blood clots
  • Unfavorable scarring
  • Deep vein thrombosis
  • bleeding
  • Fluid accumulation
  • Pain
  • Breast asymmetry
  • Infection
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure

Dr. Nichols performs what is called a Plasma Bra using helium plasma to remove the skin on the underside of the breast. He then makes incisions and removes the intended amount of breast tissue. Once the breast tissue is removed the incisions are closed and a new hole is made to bring the nipple through. The nipple which is tethered to its original nerve and blood supply is repositioned and the incisions are brought together. Sutures are layered deep within the breast tissue to support the newly shaped breast. This allows the breast to heal in this position. Sutures and steri strips are placed to close the skin. These incision lines are permanent but in most cases fade over time.

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

Reshaping your breast
After the incisions are made on your breast Dr. Nichols will remove the predetermined amount of tissue. He will then use your underlying tissue to lift and reshape the breast. The nipple and areola are lifted to the height of the middle of your upper arm. If you are looking to reduce the size of the areola Dr. Nichols can e the perimeter of the areola.

 

Closing the Incisions
After the tissue is removed and or placed in its new position and the nipple is placed properly the remaining skin is tightened and the incisions are closed. Dissolvable sutures are layered deep within the breast tissue to create the support that is needed for the newly shaped breast. The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery
Immediately following your surgery you will be placed into a post surgical support bra to minimize swelling. Occasionally a  small, thin tube may be temporarily placed during the surgery, this is called your drain tube. Drains are places to allow any excess blood or fluid to exit the body. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Breast reduction results are immediately visible. The swelling and bruising of the breasts and surrounding areas will diminish over time. The breasts will continue to settle over the next several months after surgery. Scars from the surgery are permanent but will continue to fade as time passes. Although mastopexies are long lasting you will notice that age and gravity will continue to change the appearance of your breasts. The best way to retain your new look is to maintain a stable weight and healthy lifestyle.

Breast Reduction for Men


What is a Breast Reduction for Men?

A breast reduction for men also known as gynecomastia  is a procedure that removes excess tissue of the breasts and tightens the surrounding tissues to reshape the breasts. Gynecomastia is a condition seen in men who have an over-development of breast tissue. This is characterized by excess localized fat, glandular tissue development and excess breast skin. The condition can be a result of obesity, heredity, hormonal changes and the use of certain drugs. This procedure is for men who want to change the appearance of enlarged breasts. 

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Is of fully physical maturity
  • Doesn’t smoke
  • Is bothered by the shape or volume of breasts

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

During the consultation we will:

  • Examine and take measurements of the size and shape of your breasts
  • Discuss what the scars will look like
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Changes in nipple and areola sensation
  • Anesthesia risks
  • Breast contour and shape irregularities
  • Unfavorable scarring
  • Deep vein thrombosis
  • Bleeding
  • Fluid accumulation
  • Pain
  • Breast asymmetry
  • Infection
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure

 

In cases where gynecomastia is primarily the result of excess fatty tissue, Liposuction with Renuvion may be used. When glandular breast tissue and/ or excess breast tissue is needing to be removed, excision techniques will be used. Dr. Nichols will examine the breasts to determine which procedure is the most appropriate.

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

Reshaping your breast
When Liposuction and Renuvion are used there are several small incisions created to pass the cannula. A thin hollow tube, thorough several times. The cannula loosens the excess fat which is removed from the body through the hollow tube via vacuum suction. Renuvion is fueled by helium plasma that goes in through the same incision site to tighten the surrounding tissue so you are not left with sagging breasts.

Excisional techniques are used in more severe cases of excess breast tissue. In men whose nipples sag this can also be used to change the nipple and areola position. The incision patterns vary depending on the severity of the gynecomastia. 

 

Closing the Incisions
If liposuction is used the small incisions will be closed using dissolvable sutures.

In excisional cases, the incisions are closed after the tissue is removed, the nipple is placed properly, and the remaining skin is tightened. The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery:
Immediately following your surgery you will be placed into a post surgical elastic binder for support and to minimize swelling. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
The results are immediately visible. Swelling and bruising of the breasts and surrounding areas will diminish over time. Scars from the surgery are permanent but will continue to fade as time passes. The best way to retain your new look is to maintain a stable weight and healthy lifestyle.

Eyelid Surgery


What is eyelid surgery ?

An eyelid surgery also known as a blepharoplasty is a procedure that removes excess tissue of the upper and lower eyelids. This procedure is suitable for those who have sagging eyelid skin. It is specific to each patient depending on their needs.

 

The ideal candidate for a blepharoplasty is someone who:

  • Physically healthy
  • Doesn’t smoke
  • Is bothered by the appearance of sagging eyelid skin
  • Has eyelid skin impairing their vision
  • Has not been lactating or nursing for 6-12 months

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for this procedure
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine and take photos of your face
  • Discuss incisions
  • Evaluate your overall health and any pre-existing health conditions
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications
  • Explain post operative instructions

 

Prior to your procedure we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Swelling and bruising
  • Bleeding from incision lines
  • Pain
  • Dryness of the eyes
  • Poor healing of incisions
  • Sensitivity to light
  • Difficulty closing your eyes
  • Infection
  • Outward rolling of the eyelid
  • Temporary or permanent change in vision, in very rare cases chance of blindness
  • Changes in skin sensation
  • Possible need for revision surgery
  • Unfavorable scarring

The Procedure

 

There are two different types of blepharoplasties; upper and lower lid. Dr. Nichols will discuss the incision lines and procedure depending on the specific needs of the patient.

 

Anesthesia
Medications are administered during the procedure for the patient’s comfort. Local anesthetics will be used to numb the area. Dr. Nichols will recommend the best options for you.

 

The Incision
This procedure is done so that the resultant scars will be well concealed by the natural structures of the eyelid region.

Upper eyelids can be corrected with an incision that follows the natural crease of the eyelid. For lower blepharoplasties the incision can be made to follow the lower lash line. Excess tissue is removed and the incision sites are closed.

 

Closing the Incisions
After the tissue is removed and or placed in its new position and the incisions are closed using removable sutures. The ends of the sutures will be adhered to the skin above the eye using steri strips. The patient will need to come back after five days to have these removed.

 

Recovery After Surgery
Immediately following your procedure bacitracin will be applied to the incisions. You will be given specific instructions on how to care for your incisions and activity restrictions.

 

Results
Blepharoplasty results will appear gradually over time as the swelling and positing subside. You will be left with better defined eyelids and a rejuvenated appearance.

Face Lift


What is a Face Lift?

A face lift also known as rhytidectomy is a surgical procedure that can be used to improve visible signs of aging of the face. This procedure is for those who want to change the appearance of sagging skin due to loss of skin elasticity, deep creases, and loss of skin tone.

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy
  • Doesn’t smoke
  • Has realistic expectations

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

During the consultation we will:

  • Examine your face and skin tone
  • Discuss incision sites and downtime
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Anesthesia risks
  • Breast contour and shape irregularities
  • Facial nerve injury with weakness
  • Blood clots
  • Unfavorable scarring
  • Temporary or permanent hair loss at incision site
  • Deep vein thrombosis
  • Bleeding
  • Fluid accumulation
  • Pain
  • Sutures may become spontaneously visible and push through the skin causing redness, irritation, and fluid discharge
  • Asymmetry
  • Infection
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure

 

There are multiple levels of facelifts. Dr. Nichols will be able to help decide which is the best procedure depending on the severity of sagging skin and the patient’s goals for surgery.

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

The Incision
Incision sites depend on the level of facelift. The surgeon will explain where he will place the incisions based on your individual goals.

 

Closing the Incisions
The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery
Immediately following your surgery you will be placed into a post surgical elastic binder for support and to minimize swelling. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
The results are immediately visible but there will be a significant amount of swelling and bruising. Swelling and bruising of the face and surrounding areas will diminish over time. Scars from the surgery are permanent but will continue to fade as time passes. The best way to retain your new look is to maintain a stable weight and healthy lifestyle.

Injectable Fillers


What are injectable fillers?

Injectable fillers are a less invasive option for those who want to add fullness to their face and decrease the appearance of lines and wrinkles.

 

Fillers are a good option for those who are looking for a non-surgical approach to improving the appearance of their face. They can be used to create more contour to an already voluminous face or to reduce the effect of aging. One of the earliest signs of aging is loss of volume and wrinkles in the face. Injectable fillers can be used to soften these lines and create more fullness in shallow contours.

 

At Pearl Plastic Surgery we use RHA which is a Hyaluronic Acid based filler. Hyaluronic Acid is a naturally occurring sugar molecule found in many tissues in the body. It creates a more plump, hydrated appearance to the skin by binding water to collagen to trap it in the skin. This is well suited to plump lips and fill facial creases to create a more youthful appearance. Fillers last between 6-9 months depending on how each person metabolizes the molecule.

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Has realistic goals for improvement of their appearance

Preparing for the Consultation and Procedure

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals, expectations and desired outcome
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Any past treatments or surgeries to the treated area

 

During the consultation we will:

  • Examine your face and take photos for your medical record
  • Discuss facial rejuvenation options
  • Evaluate your overall health and any pre-existing health conditions
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications


Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Bleeding, bruising, swelling
  • Asymmetry
  • Skin redness
  • Skin sensitivity
  • Under or over correction of wrinkles

The Procedure

  • Your facial structure and skin tone will be examined to see which areas of the face need to be augmented with injectable fillers.
  • The provider will make specific markings on the skin as a guide for the injection sites.
  • Injection sites will be cleaned with alcohol to avoid infection.
  • Dermal fillers will be injected which only takes a few moments per site.
  • Any markings will be wiped off and you may be offered ice to alleviate any temporary discomfort.
  • In some cases multiple rounds of injections are needed to achieve the desired results.
  • The injector will give you instructions on activity restrictions after your appointment. 


Results

The results of dermal fillers are immediately visible.

These results are not permanent. As time goes by you might notice a decrease in volume. Should you choose not to repeat the treatment your face will return to its natural appearance.

Liposuction


What is Liposuction?

Liposuction is a procedure that removes excess fat deposits to improve body contours, slim, and reshape specific areas of the body. Dr. Nichols follows liposuction with Renuvion to tighten the skin after the fat is removed.

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Adults within 30% of their ideal weight
  • Doesn’t smoke
  • Wants fat loss in specific areas of the body

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine the area(s) you are wanting to have treated
  • Discuss how liposuction and Renuvion work together to create a more contoured youthful look
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Anesthesia risks
  • Changes in skin sensation that may persist
  • Blood clots
  • Unfavorable scarring
  • Fluid Accumulation
  • Bleeding
  • Pain
  • Possibility of revisional surgery
  • Damage to adjacent tissues and structures

The Procedure

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

The Incision
Liposuction is performed though several small incisions. After the incisions are made, diluted local anesthesia is infused to reduce bleeding and trauma. A cannula is inserted and moved back and forth to dislodge the excess fat. This fat is suctioned out of the body using a surgical vacuum attached to the cannula. 

 

Closing the Incisions
For smaller incisions on areas like the neck sometimes no sutures are needed. On larger areas like abdomen and legs dissolvable sutures may be used to close the incisions.

 

Recovery After Surgery:
Immediately following your surgery you will be placed into a post surgical garment to minimize swelling. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Your improved body contour will be visible once the swelling and bruising subside. You can expect the bruising and swelling to last several weeks to several months. Areas of firmness and lumpiness  may be evident as healing progresses. Massage is beneficial to help encourage healing during this time. Firmness and contour irregularities usually resolve within 6-9 months. 

Liposuction results are long lasting if stable weight and healthy lifestyle are maintained. As your body ages you will lose some firmness naturally but most improvement stays relatively permanent.

Although good results are expected there is no guarantee. In some instances more than one round of liposuction may be needed to achieve optimal results.

Thigh Lift


What is a Thigh Lift?

A thigh lift is a procedure that removes, reshapes and tightens the thighs. This procedure is for people who want to change the appearance of excess skin on their legs. This surgery removes excess skin and sometimes fat resulting in smoother, better proportioned contour of the thighs.

 

The ideal candidate for a thigh lift is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Is bothered by the shape or skin laxity of thighs
  • Is committed to maintaining a healthy lifestyle

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

 

During the consultation we will:

  • Examine and take measurements of your thighs
  • Discuss incision position and length
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Anesthesia risks
  • Breast contour and shape irregularities
  • Blood clots
  • Unfavorable scarring
  • Bleeding
  • Fluid accumulation
  • Major wound separation
  • Pain
  • Skin discoloration and/ or swelling
  • Wrinkling of the skin over the implant
  • Infection
  • Skin loss
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring
  • Recurrent looseness of skin

The Procedure

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

The Incision
The incision will start near the front of the groin area, move inward towards the midline of the body and then extends down toward the knee. The underlying tissue of the leg will be tightened and reshaped. The skin will be reduced and placed in a more youthful position for smoother body contours.

 

Closing the Incisions
After the tissue is removed and placed in its new position and  the remaining skin is tightened and the incisions are closed. Dissolvable sutures are layered within the tissue to create the support that is needed for the newly shaped thigh. The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery:
Immediately following your surgery you will be placed into a post surgical support garment to minimize swelling. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Thigh lift results are almost  immediately visible, however; it may take several months to see the final results. The swelling and bruising  will diminish over time. Your results are relatively permanent depending on stable weight and healthy lifestyle. As your body ages you will continue to see natural sagging on skin. Scars from the surgery are permanent but will continue to fade as time passes. 

Tummy Tuck


What is a Tummy Tuck?

A tummy tuck also known as an abdominoplasty  is a procedure that removes excess tissue of the abdomen. In many cases a rectus plication is implemented to tighten separated abdominal muscles caused by pregnancy. This procedure is for those who want to remove excess skin and fat from the abdomen. It can create a smoother abdominal profile. The most common reasons to have an abdominoplasty are significant weight loss, pregnancy, prior surgeries, heredity, and again. A tummy tuck is not a substitute for weight loss. 

 

The ideal candidate for a breast lift is someone who:

  • Physically healthy with stable weight maintenance
  • Doesn’t smoke
  • Has excess abdominal tissue
  • Experiences rashes due to overhanging skin
  • Has realistic expectations

Preparing for the Consultation and Surgery

 

Come prepared to discuss any questions you may have during the consultation as well as:

  • Your goals for surgery
  • Current medications, allergies, drug use, smoking and alcohol consumption
  • Personal and family health history such as diabetes, cancer, anemia, lung or heart problems
  • Previous surgeries

During the consultation we will:

  • Examine and measure overhanging abdominal skin
  • Evaluate your overall health and any pre-existing health conditions
  • Take pre-op photos
  • Discuss how the procedure is performed and what your likely outcome will be
  • Talk about any risks or potential complications

 

Prior to your surgery we may ask you to:

  • Pick up any medications needed for after your surgery
  • Stop smoking
  • Avoid taking anti-inflammatory drugs that can increase bleeding
  • Have pre procedural testing done if you have pre-existing health conditions

 

Risks and Safety:
During your consultation the risks and possible complications of having surgery will be discussed. Some possible risks that you may have questions about are:

  • Anesthesia risks
  • Blood clots
  • Unfavorable scarring
  • Deep vein thrombosis
  • Bleeding
  • Fluid accumulation
  • Pain
  • Breast asymmetry
  • Infection
  • Fat necrosis
  • Possibility of revisional surgery
  • Poor healing of incisions
  • Unfavorable scarring

The Procedure

 

Anesthesia
Our anesthesiologist will meet with you on the day of your procedure to discuss the type of sedation that will be used. All major surgical procedures at Pearl Plastic Surgery are done under general anesthesia.

 

The Incision
An extended abdominoplasty requires a horizontal incision from hip to hip located above the pubic hair line. The length of the incision is dependent on the amount of excess abdominal tissue. After the incision is made the abdominal skin is lifted away from the abdominal muscles. If the abdominal muscles have separated due to pregnancy or weight gain this is when the muscles can be sewn together. The excess abdominal tissue is then removed. A second incision is made around the navel. The belly button is translocated to a new anatomic location in your skin. The skin is pulled downward toward and the incisions are closed.

 

Closing the Incisions
The incisions are closed using dissolvable sutures and will be covered in steristrips. The sutures will not need to be removed and the steristrips can be removed two weeks post op if they have not fallen off on their own.

 

Recovery After Surgery
Immediately following your surgery you will be placed into a post surgical abdominal binder to minimize swelling. A small, thin tube may be temporarily placed during the surgery, this is called your drain tube. Drains are places to allow any excess blood or fluid to exit the body. You will be monitored closely by our nurses until you are awake and ready to go home. Before leaving you and your caretaker will be given specific instructions on how to take care of your breasts and drains, how and when to take medications, when to follow up, and signs for any concerns. 

 

Results
Tummy tuck results are usually seen immediately. Swelling and ecchymoses are seen and felt in the tissue for several weeks to months. The inability to stand up straight as well as the swelling may obscure the initial appearance. After a few weeks your  results will be a firmer abdomen and a flatter profile. Though these results are mostly permanent the best way to maintain a flat stomach is by regular exercise and a healthy balanced diet.

 

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