Brow or forehead lift
What is it?
Always looking tired, worried, or even angry? You can soften your facial expression as well as achieve a more youthful appearance with a brow, or forehead, lift. By elevating and smoothing the skin from eyebrows up, the procedure reduces wrinkles and creases along your forehead, producing a younger, calmer look. As this can also open your eyes up, you may consider an eye lift, or blepharoplasty, at the same time.
Your board-certified plastic surgeon, depending on your desired result, will pursue the most suitable approach. All these, nevertheless, involve incisions at or behind your hairline, minimizing any visible scarring.
Any sutures or staples are removed after about a week, and your softer, younger, and much less stressful look will fully reveal itself after a few weeks.
Variations
There are three different types of forehead lifts:
• Endoscopic Brow Lift:
This is the most common type of surgery and is the least invasive, yet can often achieve an equally desirable result. A series of very short incisions (about ¾” in length) are made behind the hairline, and then using a special tiny camera and thin instruments, the surgeon repositions the muscles and lifts underlying tissues of the forehead, removing excess fat and tissue as needed to create a naturally more youthful brow.
• Temporal Brow Lift:
Incisions that are slightly longer than endoscopic incisions are made just behind the hairline at the temples to smooth out the brow towards the sides. This is often done in conjunction with eyelid surgery.
• Coronal Brow Lift:
One long incision is made inside the hairline and runs from one ear to the other. This lift is less used generally but may be needed for a more extensive lift
Combined Surgical Treatments
Many patients choose to combine Brow or forehead lift with
Recovery Time
5-7 days stitches out pending evaluation — this also may be done in several visits depending on surgery and patient
5-7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
Blepharoplasty / Eyelid Lift
What is it?
Tired of tired-looking eyes and puffiness, even if you are well-rested? Sagging, puffy lids are also signs of aging as the distended skin increases wrinkles and lines. This all can be reversed with a blepharoplasty or eyelid lift.
Your Evolve by Verita plastic surgeon will consult with you to determine the best approach. This could include remove tissue as well as tightening skin or transferring fat to the upper and/or lower eyelids. Either under local or general anesthesia, this outpatient procedure takes up to a couple of hours, after which you can go home to recover.
With a few weeks of recovery, including resting your eyes and cold compresses, your eyes will shine brighter, enhancing your newly rejuvenated face.
Variations
What are the different types of eyelid procedures?
Upper Lid Blepharoplasty
Removal of excess skin, with or without fat, from the upper eyelid
Lower Lid Blepharoplasty
Removal of excess skin from the lower eyelid, with measures to control fat herniation
• Transconjunctival Approach (removing fat from below the lower eyelid)
• Skin Pinch (lifting and removing excessive skin below the lower eyelid)
• Muscle and septal cinch (tightening of support to reduce puffiness)
• Canthopexy – suspension / support of a slightly lax lower eyelid
• Fat Transposition (fat transfer to above or below eyes to ‘fill out’ a hollowed look)
Combined Surgical Treatments
Many patients choose to combine Blepharoplasty / Eyelid Lift with:
Recovery Time
10 days back to work.
2 weeks regular activities (keep head elevated to avoid excessive blood flow)
4 weeks regular exercise
Rhytidectomy / Face lift
What is it?
Fight aging and retain your youthful appearance with a rhytidectomy or face lift. There is no need to accept lost elasticity creating skin folds, jowls, and wrinkles along your chin, jawline, and neck. Our highly qualified, experienced plastic surgeons are well-versed in this procedure, often combining it with eyelid and forehead lifts for a more complete, natural appearance.
Under general anesthesia, incisions from the front to the back of your ears along your hairline allow for your skin to be separated and pulled back. Excess skin is removed as well as possibly fat deposits for additional sculpting. Then your surgeon will pull back and tighten underlying tissue before stretching and suturing your skin in place. This advanced technique is much more effective, with optimal results and minimal scarring.
Compression garments assist in recovery and help maximize skin and tissue tightening and healing. After a few weeks, your youthful appearance with give you added confidence and spring to your step.
Varaitions
The Buenrostro by Verita Doctors preferred technique is the one where the SMAS layer containing the muscles are lifted, tightened and sutured prior to tightening the skin itself. Excess skin is then removed and sutured. This method allows the lift tension to be located in the SMAS layer and not on the skin incisions. The resulting scars will be narrower and become barely noticeable upon full healing.
Our technique also leaves the earlobs looking natural, avoiding the ‘pixie earlobe’ look that is a sure sign the patient had a facelift. Sideburns are also left in place to give the patient a more natural look. The coronal incision has been replaced by the endoscopic browlift or minimal incision in the forehead.
Commonly added to the facelift is an eyelid lift or blephoraplasty. Sagging eyelid folds, extra skin and sometimes muscle and fat bags are removed through incisions that hide in the palpebral fold, resulting in a very natural and refreshed look overall to the facelift surgery.
Fat transfer to various parts of the face, lip lifts and forehead lifts as other procedures that may be added to a facelift.
Combined Surgical Treatments
Many patients choose to combine Rhytidectomy / Face lift with:
Mentoplasty or Genioplasty / Chin Enhancemen ❯
Recovery Time
7 days stitches out pending evaluation — this also may be done in several visits depending on surgery and patient
3-4 weeks regular activities (keep head elevated to avoid excessive blood flow)
Rhinoplasty / Nose Job
What is it?
Your nose is the central focus of your face, so you want it to be as pleasing to look at as possible. You may want to reshape your nose for a more aesthetically attractive profile. Or you may want to correct a birth defect or respiratory issue. A rhinoplasty, or nose job, by one of our highly skilled plastic surgeons is the solution for you.
There are a number of approaches that may be suitable for your rhinoplasty, which may also include assistance from an ear, nose, and throat (ENT) specialist. The incisions may be inside the nose for no visible scarring. More complex procedures require incisions between your nostrils, but our experienced surgeons will make them along the natural contours of your face for minimal scarring.
After a few days, following your doctor’s instructions, the swelling and bruising will subside, and after a few weeks, you can show off your new nose and gorgeous face.
Variations
There are two primary approaches:
• Open rhinoplasty
• Closed rhinoplasty.
Both place incisions within the internal nostril region, and the open rhinoplasty approach adds an short and inconspicuous incision on the undersurface of the columella — the area between the nostrils). Open rhinoplasty allows better access to the surgeon for tip refinement.
In certain cases, further refinement may be accomplished in a secondary follow up surgery.
Combined Surgical Treatments
Many patients choose to combine Rhinoplasty / Nose Job with:
Recovery Time
Back to work: 14 days
Regular activities: 2-3 weeks
Regular exercise: one month
Mentoplasty or Genioplasty / Chin Enhancement
What is it?
Would you like a stronger chin or jawline? Do you feel your facial features are out of proportion? Consult with our certified plastic surgeons about your chin enhancement options. Often patients will consider a chin enhancement in conjunction with a nose job for a more optimal result in profile and proportion.
Depending on your desired results, your doctor may recommend an implant, usually silicone, or a reshaping of your existing jawbone. Incisions could be either made under the chin or inside the mouth, so any scarring would not be visible. And under the skilled hands of Evolve by Verita cosmetic surgeons, this would be minimal regardless.
Full recovery can take a few weeks, and once any residual swelling goes down after a month or so, you will have a more emphasized jawline and stronger chin for a more confident, defined face.
Variations
There can be many configurations of chin surgery and it will depend on your specific case. The following are options that the surgeon may choose for your particular situation:
Mentoplasty or genioplasty
Bone from the jaw itself is moved forward to create more projection and width. Conversely, bone can be removed to decrease an overly projecting or wide chin. Cleft chins can also be altered for those who prefer a smooth look.
Implants
Shaped silicone implants can be used to give more projection and presence to the chin.
Combined Surgical Treatments
Many patients choose to combine Mentoplasty or Genioplasty / Chin Enhancement with:
Recovery Time
5-7 days back to work.
5-7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
Cheek Reduction
What is it?
Want a more defined face and jawline? Want to get rid of those chubby cheeks and avoid jowls? A cheek reduction that removes the buccal fat, or Bichat bags, is the solution you are looking for.
Your highly qualified Evolve by Verita plastic surgeon takes these fatty deposits out from each cheek through two small incisions inside your mouth. This is done under local anesthesia with no resulting visible scars.
Recovery time is usually a day, sometimes less, and once the swelling subsides within the next few weeks, you enjoy seeing your slender face and highlighted cheekbones looking back at you from the mirror.
Combined Surgical Treatments
Many patients choose to combine Mentoplasty or Genioplasty / Chin Enhancement with:
Mentoplasty or Genioplasty / Chin Enhancement ❯
Recovery Time
7 days back to work.
7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
Facial Feminization
What is it?
Facial feminization involves combining various plastic surgery and reconstructive procedures with the aim of providing a male to female transgender patient a more feminine look.
Depending on the desired outcome, Dr. Alicia Sigler, Board Certified Plastic Surgeon, specializes in this procedure. She will evaluate your current appearance and physicality to suggest a plan. This plan could include such procedures as rhinoplasty, liposuction, liposculpting, chin enhancement, and other reconstructive options.
Recovery will depend on the complexity of the plan, but we endeavor to optimize our work, ensuring minimal invasiveness and scarring for a more natural result. Whatever look you would like to ultimately achieve, Evolve by Verita will do its best to help you reach your goal to look as feminine as you feel.
Combined Surgical Treatments
Many patients choose to combine Facial Feminization with:
Recovery Time
5-7 days stitches out pending evaluation — this also may be done in several visits depending on surgery and patient
5-7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
Otoplasty / Ear pinning or Shaping
What Is It?
Concerned about how your ears look? If you feel your ears protrude too far from your head or if you a self-conscious about the shape of your ears, you should consider an otoplasty, also known as ear pinning or ear shaping. This surgery focuses on the external part of your ear, pulling back or shaving down cartilage as needed.
Our highly-skilled, certified plastic surgeons will correct or modify your ears with incisions strategically located behind your ear for minimal scarring and optimal results.
And because it is minimally invasive, this procedure can be done under local anesthesia and can safely be completed in conjunction with other procedures. After a few weeks of wearing a compression garment to encourage healing and correct positioning, your ears will complement your face and profile just as you wished.
Recovery Time
7 days stitches out pending evaluation — this also may be done in several visits depending on surgery and patient
7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
Liposuction and Liposculpting
What Is It?
Liposuction is a surgical technique used to eliminate unaesthetic fatty deposits from certain areas of the body, including the face, neck, arms, trunk, abdomen, buttocks, hips and thighs, knees, calves, and ankles. Liposuction is not a substitute for weight reduction, but a method to eliminate localized deposits of fatty tissue that do not respond to dieíing or exercising. “Liposculpting” refers to the combination of liposuction and lipoinjection, that is, the removal of fat ífom unaesthetic sites of the body and its reinjection in sites that require a volume increase, thus, achieving a significant improvement in the face or body contours. Fat injection can be used to correct some irregularities or to increase the volume of glutei.
A certified plástic surgeon is the only specialist having the knowledge, surgical training, and expertise necessary to perform these types of procedures under máximum safety conditions for the patient.
Variations
Ultrasound assisted lipoplasty or UAL is also known as VASER or 4D High Definition liposuction. This technology uses ultrasonic energy,or high energy sound waves, to emulsify the fat tissue. The soundwave vibration gently disengages and loosens the fat cells. Once the emulsification has taken place, a small cannula is inserted to remove the fat cells and fluid used in the process. This method is primarily used for fat removal in hard-to-treat areas such as the chin, neck, cheeks, knees, calves, and ankles. It can also treat areas that have denser fat deposits with the ability to remove larger volumes of fat at one time. The results are smoother than with the traditional liposuction and that is why it is the method used for the high definition procedures.
The tumescent or superwet liposuction technique requires an infusion of saline solution, with added adrenaline and possibly lidocaine prior to the removal of excess fat. This technique helps to reduce bleeding and therefore bruising. It can also help reduce any discomfort or pain.
Combined Surgical Treatment
Many patients choose to combine Liposuction and Liposculpting with:
Recovery Time
3-4 weeks back to work
4 weeks regular activities
Mommy Makeover
What Is It?
Even if you are in the best shape, you may not have the defined six-pack abs that you desire. The certified plastic surgeons at Evolve by Verita are experienced in abdominal etching, very specialized liposuction, and liposculpting techniques, so you can rely on us for optimal results in emphasizing your muscles.
Our detailed consultation will determine where to remove fat tissues (so you will also benefit from smoothing and toning other trouble areas too) and where best to inject them to create your six-pack. Incisions are along your natural body contours to minimize signs of scarring, and we use the latest ultrasound liposuction techniques for efficient fat removal and liquification for optimal results during injection. After a few hours under general anesthesia, you can head home for recovery.
After a few weeks resting with a compression garment, you can show off those washboard abs, looking confident and naturally fit.
Combined Surgical Treatment
Many patients choose to combine Abdominal Etching with:
Recovery Time
3-4 weeks back to work
4 weeks regular activities
Abdominoplasty / Tummy Tuck
What Is It?
A tummy tuck, or abdominoplasty, is ideal for recontouring your stomach region. Reduce the appearance of stretch marks, kick-start toning stomach muscles, tighten loose skin around the abdomen with this popular and safe procedure under our experienced medical care.
Lasting only a few hours under general anesthesia, one of our certified plastic surgeons lifts and repositions abdominal skin to tighten the entire area. Because this is a safe and uncomplicated procedure, liposuction to remove excess fat is often an added option to further contour the body shape.
With our highly experienced plastic surgeons, scarring and recovery time is minimal, so you can be showing off your slimmer, shapelier waistline within just a few weeks.
Combined Surgical Treatment
Many patients choose to combine Abdominoplasty / Tummy Tuck with:
Recovery Time
3-4 weeks back to work
4 weeks regular activities
Augmentation Mammaplasty / Breast Augmentation or Implants
What Is It?
Bigger breasts are not always the goal for breast implants. While they may increase breast size, you may want them to improve their shape, to create a more symmetrical body shape, or to fill out your tops to feel sexier and more confident.
The certified plastic surgeons at Evolve by Verita have much experience with the full range of implants. These include saline, silicone, and cohesive silicone — all of which come in various shapes and sizes. Whatever is decided on, your surgery should require a minor incision under general anesthesia, leaving minimal scarring.
With a surgical bra to help you heal, you should feel active in a few days and be fully recovered in a few weeks, able to go out and show off your new look.
Combined Surgical Treatment
Many patients choose to combine Augmentation Mammaplasty / Breast Augmentation or Implants with:
Recovery Time
Back to work- 2 weeks.
Regular activities – 2 weeks
Regular exercise – one month
Bariatric Gastrectomy / Gastric Sleeve
What Is It?
If diet and exercise are not enough and you need to boost your weight loss or if you have medical problems such as diabetes, sleep apnea, gastric sleeve surgery may be the option for you.
The surgeon removes part of your stomach and joins the remaining portions to create a new small stomach or “sleeve.” With a small stomach you will control your food cravings, since you will feel full much faster. Everything else will continue to function the same, along with the rest of your digestive system.
This is a major procedure, but our experienced board certified surgeon will perform it laparoscopically, which means that you will need to make 5 small incisions to pass the surgical chamber and instruments. After a few days in the hospital, full recovery usually takes a few weeks. Later, along with a diet and exercise program, you will be on your way to losing the weight that will allow you to have a healthier and leaner physique.
Recovery Time
2-3 weeks of recovery
Diet restrictions, special post-surgey meal plan will be given
Mastopexy / Breast Lift
What Is It?
Even if you feel satisfied with your breast size, age, weight loss or gain, pregnancy, and many other factors can cause your breasts to sag or lose their shape. A mastopexy or breast lift can correct these defects, creating the ideal shape and lift.
After consulting with our skilled and experienced plastic surgeons, you can undergo a 1-, 2-, or 3-incision procedure under general anesthesia. This procedure requires a few weeks of recovery.
In some cases, patients may choose to include breast augmentation with their lift, and this can be done in the same procedure adding little or no time to recovery. Either way, Evolve by Verita offers world-class treatments to help you look natural and firmer breasts.
Variations
We use silicone gel breast implants that are FDA-approved. These implants have a smooth surface with a generally round high or moderate profile. The volume or size of the implants will be carefully chosen by Evolve by Verita Specialists based on your original cup size, the volume of your breasts, and the cup size you desire.
There are two types of pockets: subglandular and submuscular. Our Specialists will explain to you which one is more appropriate for you at the time of consultation. This decision is primarily based upon the amount of breast tissue you have as this will affect how natural your new breasts will look when done.
Combined Surgical Treatments
Many patients choose to combine Mastopexy / Breast Lift with:
Augmentation Mammaplasty / Breast Augmentation or Implants ❯
Recovery Time
3-4 weeks back to work
4 weeks regular activities
Buttock Augmentation / Butt Lift or Implants
What Is It?
If you are unhappy with the way your butt looks from weight fluctuations, pregnancy, aging, or genetics, our highly qualified cosmetic surgeons can go where diet, exercise, and nature cannot. For a natural, rounder bottom, Evolve by Verita offers a few approaches that give you the backside silhouette you desire.
Depending on the desired shape and size, cohesive silicone implants, fat transfers (also known as a Brazilian Butt Lift), or a combination of both methods may be the preferred approach. The implants require only minimal incisions while the fat transfers involve liposuction (so some unwanted fat is removed from hips, thighs, or abdomen) and injections.
Recovery depends on the extent of the procedure, but if you follow our doctors’ instructions, soon you will find your clothes fitting your shapelier backside the way you have imagined.
Combined Surgical Treatments
Many patients choose to combine Buttock Augmentation / Butt Lift or Implants with:
Recovery Time
Back to work- 2 weeks.
Regular activities – 2 weeks
Regular exercise – one month
Gynecomasty / Male Breast Reduction
What Is It?
Men who are self-conscious about their chest due to gynecomastia, or enlarged breasts, may want to consider a male breast reduction. This is not an uncommon issue among men of all ages and can be corrected by the skilled plastic surgeons on staff at Evolve by Verita.
Depending on your situation, your certified cosmetic surgeon may recommend local or general anesthesia, and your procedure may entail liposuction, surgical tissue removal, or both. Our experienced doctors will recommend the approach that will provide the most optimal, natural results.
Using the latest techniques requiring minor incisions, scarring will be minimal. And after a few weeks with a compression garment to promote healing, you will see a more masculine, contoured chest.
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Combined Surgical Treatments
Many patients choose to combine Gynecomasty / Male Breast Reduction with:
Recovery Time
7 days regular activities
2-3 weeks regular exercise
Reduction Mammaplasty / Breast Reduction
What Is It?
Large breasts are not always the best. Do you suffer from back or shoulder pain or other physical discomforts? Or are you embarrassed by or uncomfortable with your body proportions? If so, a breast reduction can help you look and feel better.
Depending on the extent of your breast reduction, you may require one, two, or three incisions. One of our board-certified plastic surgeons will take the best approach to remove unnecessary fat, skin, and breast tissue safely and efficiently while maintaining a natural nipple position and firm, youthful contours.
With the assistance of a surgical bra, pain medication, and ice packs, you should recover after a few weeks and soon be able to enjoy a new, comfortable, confident you.
Combined Surgical Treatments
Many patients choose to combine Reduction Mammaplasty / Breast Reduction with:
Recovery Time
3-4 weeks back to work
4 weeks regular activities