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PROCEDURES
INTRODUCTION
Plastic Surgery employs many creative techniques, each chosen to help address a particular area of concern. For example there are at least five different procedures to improve the look of the eyelids. Which technique is selected depends on the individual's anatomy and their desired appearance. For every area of the body, there are many techniques available so that each procedure performed is really an individualized solution for that particular person. There is rarely any one best technique for everyone. The best technique is the one that produces the desired look safely, reliably and beautifully for that person.
After surgery, each patient receives Dr. Anthony's personalized attention all the way through the recovery process. After the recovery process, Dr. Anthony can recommend a maintenance program to help you keep looking your best.
PROCEDURES PERFORMED BY DR. ANTHONY
Listed below are the procedures performed by Dr. Anthony. Some procedures may have several different names so if you do not see the procedure you are interested in listed below, please call us and ask.
Following this list is a brief description of each procedure. This description is meant to provide some starting information for you as you begin to consider Plastic Surgery. At the time of your consultation, Dr. Anthony will give you a full description of the procedure appropriate for you so that you can make an informed decision regarding your Plastic Surgery.
PROCEDURES
FACIAL PLASTIC SURGERY
EYELIDS AND EYEBROWS
The eyelids are generally the first area of the face to age, due to the fact that the eyelid skin is the thinnest in the body. Eyelid Surgery in the Bay Area (Blepharoplasty) removes the extra skin and fat from the eyelids resulting in a younger, more alert appearance. There are many different techniques used for Blepharoplasty. Dr. Anthony will help you select the one creating the most natural, long lasting result with the most rapid recovery for you.
Many people will also develop a droop to their eyebrows, usually beginning in their mid-40s. Browlift in San Francisco (Eyebrow Surgery) is an effective way to restore the normal shape to the eyebrows, lifting them and improving forehead wrinkles. There are several techniques available for browlift surgery. Which technique is recommended depends on how far the brows have fallen, your hair growth and your forehead shape. Each of these techniques have in common a very quick recovery and a rested, natural appearance after surgery.
San Francisco Blepharoplasty and Browlift in the Bay Area are similar in having little to no discomfort after surgery and a full recovery in a few weeks or less. Read more about Browlift in San Francisco...
THE CHEEK LIFT AND FACE LIFT in San Francisco
As we age, our cheek fat and skin fall, creating deeper smile lines and eventually jowls along the jaw. Both the Cheeklift and the Facelift in the Bay Area raise up this fat and muscle (often referred to as a SMAS lift)
and tighten any loose skin. Because the fat and muscle inside can now be lifted back up to its original position, modern Cheek and Facelifts create a younger, natural, and long-lasting appearance.
Cheek and Facelifts differ in how much lifting is done of the fat and muscles, and in how much extra skin needs to be removed. In general, patients in whom a Cheeklift is recommended are in their 30s-50s, while a Facelift in San Francisco is applicable for older patients or those with significant loose skin or a heavier face. In order to aid in planning your surgery, Dr. Anthony asks that you bring an old photo of yourself as a young adult with you to the consultation.
Both procedures create a more youthful appearance that is natural and long lasting with a relatively quick recovery with little to no discomfort. Read more about Facelift in San Francisco...
THE NECK - NECK LIFTS AND NECK LIPOSUCTION
Typical problems in the neck area include excess fat under the chin or along the jaw, loose skin and tight muscle bands (often called a "turkey neck").  Each of these problems has a specific solution which may be simple Liposuction, or a more extensive direct removal of the fat or muscle bands, or a Neck Lift. Dr. Anthony will recommend the appropriate procedure for you.
For many patients with extra skin in the neck, some type of Cheek or Neck lift is also recommended in order to give the best possible result in the neck and to create a harmonious appearance between your face and neck.
Cosmetic Surgery of the neck is characterized by little to no discomfort following surgery, a rapid recovery and return to work, and a long-lasting improvement in appearance.
NASAL SURGERY - RHINOPLASTY
Since the nose is the central feature of our face, it is important that it be in balance with the rest of our features. When this is not the case, Cosmetic Nasal Surgery (or Rhinoplasty) is indicated.
Virtually any aspect of the nose - including the bridge, the tip and the nostrils - can be improved with Rhinoplasty. Dr. Anthony will help you assess each of these areas and, if needed, recommend how they might be improved. Selected patients undergoing Rhinoplasty may also benefit from chin augmentation to further balance their facial features.
Recovery after Rhinoplasty takes a week or two and is relatively painless. Early improvement in appearance seen after Rhinoplasty continues to improve for 3-6 months after surgery. Continue reading about Rhinoplasty in San Francisco...
LIP AUGMENTATION
Lip Augmentation techniques are appropriate for patients who wish fuller lips and those who want to reduce wrinkles above or below the lip line. While there are many techniques available for Lip Augmentation, I have found the most natural looking (and feeling) results come from the use of injections of "fillers" to plump up the lips.
These "fillers" include: your own fat, and newer fillers including Restylane® and Juvederm. Dr. Anthony can explain the benefits of each and recommend which type would be the best for you. As with any plastic surgery procedure, the goal of lip augmentation should be an improved, natural appearance. Continue reading about Lip Augmentation in San Francisco...
CHIN AND CHEEK AUGMENTATION
Techniques to enhance the cheek and/or chin can produce a dramatically improved appearance in certain patients.  Chin Augmentation is most often done by placing an appropriately sized implant to improve the chin, resulting in improvements to facial proportion and the jaw line. Chin implants are also used in selected patients undergoing Rhinoplasty to improve the facial profile and balance. Recovery after Chin Augmentation is rapid and the results visible immediately.
Cheek Augmentation is aimed at improving the cheekbones and/or replacing cheek fat which has been lost over time. Whether an implant or injection technique is appropriate depends upon your facial anatomy. Dr. Anthony will evaluate whether implant surgery or an office injection procedure is right for you. Whichever procedure is done, the results are seen immediately and full recovery occurs in a day (injection) or a week (implant).
WRINKLE-REDUCING PROCEDURES
Botox®
Botox® is a chemical which relaxes certain muscles which create unwanted frown, wrinkles or crow's feet. Botox® is most commonly used between the eyebrows, in the forehead and around the eyes. The office visit for Botox® injection usually takes about 15 minutes. When skillfully applied, the results appear completely natural, just rested (the "frozen look" that some patients may have worried about simply does not happen). Botox® results are visible in 24-72 hours and the rested appearance lasts 3-4 months or more. Botox® is also remarkably effective in helping patients who experience very heavy sweating under their arms or on their hands. Botox® relieves this condition for 6-9 months or more.
Injectables
When Injectables, also called "Fillers", are injected under a wrinkle, they fill it in helping to soften or erase the wrinkle. Many of these filler materials are also very effective in enhancing lip fullness, creating a younger, more attractive look. The most commonly used materials to fill in fine to moderate lines are: Restylane, Juvederm, and in some cases, your own fat. A recently FDA approved material, SculptraTM (formerly called NuFill) has also proven excellent for restoring or enhancing cheek fullness. Depending on the material used, the results last from 6 months to 2 years.
Dr. Anthony will help you select which one is best for you.
New materials are constantly being developed and used to correct wrinkles, fill the lips, enhance cheek fullness and so forth. Dr. Anthony can provide you with information on these. For your safety and peace of mind, Dr. Anthony will only use fillers which have been approved by the FDA.
Skin Creams
In addition to moisturizers and sun block, healthy skin will benefit from wrinkle-reducing creams (which include Glycolic Acids, Vitamin C, Retin-A®, Renova®, etc…). Dr. Anthony can help you develop a skin care regimen to improve your skin appearance now and delay the effects of aging in the future.
Dr. Anthony works closely with some of San Francisco's leading Dermatologists. These doctors help provide specialized skin care (including laser treatments) for Dr. Anthony's patients. If Dr. Anthony thinks you would benefit from their care, he will refer you to one of these select dermatologists.
BREAST SURGERY
BREAST AUGMENTATION
Breast Augmentation or Enhancement is a very popular procedure designed to create or restore fullness of the breasts. At the time of your consultation, Dr. Anthony will discuss your goals regarding this procedure and recommend an appropriate type of implant (saline or silicone), location of the implant (under or over the muscle), as well as which incision is best for you. This is also the time to discuss what size you wish to become.
Breast Augmentation procedures are designed to preserve nipple feeling and the ability to breast feed, making this surgery appropriate for women of virtually any age.
Recovery after Breast Augmentation surgery is quick, generally less than a week. Continue reading about breast augmentation in San Francisco.
BREAST LIFT
A Breast Lift (or Mastopexy) raises and reshapes the breast. Breast Lifts may also include the placement of an implant to restore fullness in some patients. When you see Dr. Anthony he will recommend which lift procedure will be best for you - creating the best shape with the smallest incision possible. As with Breast Augmentation, these procedures are designed to try to preserve nipple feeling and the ability to breast feed.
Recovery after Breast Lift surgery is relatively rapid with most patients back to work within a week of surgery. The reshaping created with breast lifting is typically long-lasting, a "once in lifetime" procedure for many patients. Continue reading about Breast Lifts in San Francisco.
BREAST REDUCTION
Breast Reduction procedures are designed to lift the breasts and remove some of the breast tissue. During your consultation with Dr. Anthony he will recommend the appropriate procedure to create smaller, better shaped for you while using the smallest incision possible. Breast Reduction is a very popular procedure. The results typically last a lifetime and the recovery is relatively quick with most patients back to work two weeks after surgery. Continue reading about Breast Reduction in San Francisco.
BODY SCULPTING
LIPOSUCTION
Liposuction is a wonderful way to remove fat which has accumulated on the arms, chest, abdomen, waist, back, thighs or knees. Liposuction utilizes tiny, hidden incisions (about 1/4 inch long) to remove this fat. Following this surgery the skin shrinks to result in an improved contour. Recovery occurs in a few weeks.
There are many different machines and techniques used in Liposuction (a few of which are Tumescent, VASER and Ultrasonic). Dr. Anthony has taught courses in several of these new technologies for the American Society of Plastic Surgery and at UCSF. He will guide you to select the procedure which will provide the best results, and the shortest recovery. Continue reading about liposuction in San Francisco.
ABDOMINOPLASTY ("TUMMY TUCK")
Abdominoplasty procedures are appropriate for patients with extra skin on their abdomen or for women who have developed loose stomach muscles after pregnancy. Abdominoplasty can remove loose skin and tighten muscles which have been separated. This procedure results in a dramatically flattened abdomen with an incision that is hidden by underwear or a bathing suit. Abdominoplasty is often combined with Liposuction particularly of the waist, abdomen and back to result in the most dramatic improvement in these areas, especially the waistline. Abdominoplasty incisions vary in length and are customized for each patient. In every case, Dr. Anthony will recommend the smallest incision which will meet your goals of a tighter, flatter abdomen.
Recovery time will vary for each patient and Dr. Anthony will discuss this with you at your consultation. The results after Abdominoplasty are often quite dramatic and should last a lifetime. Read more about Tummy Tuck in San Francisco...
ARM LIFT (BRACHIOPLASTY)
An Arm Lift (or Brachioplasty) is suitable for patients with loose skin on the upper arms. This procedure removes the extra skin by using an incision either in the armpit or on the back of the inner arm, where it is most easily hidden. Some patients will gain additional improvement in their arm contour with Liposuction. Dr. Anthony will discuss this with you during your consultation. After an Arm Lift, the improvement is immediate and after a few weeks to recover, most patients are ready to return to work.
THIGH LIFT
A Thigh Lift is appropriate when loose skin develops on the inner thigh. As with other body contouring procedures, there are several different incisions used, either in the groin crease or on the inner thigh, depending on how much extra skin there is. Dr. Anthony will review your body with you and help you understand how best to firm and tighten this area using the smallest incision possible. Thigh Lifts are often done in combination with Liposuction. Dr. Anthony will advise you of this if he thinks Liposuction would help you achieve better results. Recovery after thigh lifting usually takes a few weeks and the improvements are often dramatic.
BUTTOCK LIFT
When the buttocks fall they can be lifted, resulting in a younger, firmer, more toned appearance. The incisions for this surgery are usually on the top of the buttock (hidden in a bathing suit and most underwear) and are kept as short as possible. Dr. Anthony will also advise you if Liposuction in the areas above or below the buttocks (on the thigh) would further improve your appearance.
Recovery after buttock lifting takes a few weeks. The results are often dramatic and generally last a lifetime.
LOWER BODY LIFT
For patients with loose skin in the abdomen, buttock and thighs, a lower Body Lift may be appropriate. This is an extensive procedure which can provide exceptionally dramatic results. During your consultation with Dr. Anthony, he will recommend which type of lift will provide the maximum improvement for you. If Liposuction will further improve your appearance, Dr. Anthony will advise you of this. Recovery after this surgery will often take up to a month but the dramatic results make it a popular procedure for many patients.
PROCEDURES FOR MEN
Every year, more men are choosing to have Plastic Surgery. The goal of Cosmetic Surgery for most men is to look better, more fit, and in many cases younger. Additional goals of these procedures for men include a natural result and a quick return to work and social activities.
The most common procedures for men include Liposuction, Blepharoplasty, Facelift and Rhinoplasty and Breast Reduction Surgery (Gynecomastia).
Dr. Anthony has extensive experience in these procedures.
MALE BREAST REDUCTION SURGERY (GYNECOSMATIA SURGERY)
Excess fat or breast tissue on the chest occurs in some men and is often referred to as Gynecomastia. This tissue can be a source of embarrassment and often leads to a poor body image. Fortunately this tissue can effectively be removed, most often via Liposuction. Patients typically go home the same day of surgery and are ready to return to work a week later.
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