Tuesday, November 17, 2009

Ear Surgery ( Otoplasty ) : The Procedure Described

Ear Surgery is usually performed under general anesthesia in children. Adults may be more likely to have ear surgery under local anesthesia with sedation that produces a twilight sedated effect in a semi-conscious state. In some cases of general anesthesia, the patient remains overnight at a hospital for observation. The procedure may be performed at our state of the art facility or an affiliated hospital. The procedure requires up to fours or more of time, depending upon the technique required to perform the procedure.

There are a variety of techniques that may be used for ear surgery. We select the technique that is most suitable for the patients’ particular situation. Often, ear surgery entails an incision made behind ear in the natural crease of the juncture between the head and ear. Then, excess skin and cartilage can be reshaped or removed. Finally, the cartilage and skin is sutured back into place. In other cases, the cartilage does not need to be trimmed or removed, allowing for simple reshaping of the cartilage through suturing that will hold the newly refined ear in its proper position. Then, the patient will be bandaged. Ear surgery is usually performed on both ears, regardless of only one ear affected, to produce the most symmetric results. Ear surgery patients will be bandaged to help hold the ears in place.

Ear Surgery Recovery

Ear surgery patients are usually up and around with a few hours following surgery. Within a few days thereafter, the large bandaging is removed and replaced with dressings. Stitches are removed within a week after surgery. Children can usually return to school within a week of surgery and adults require five days. Care must be taken to avoid activities that may involve the ears for at least a month following ear surgery.

Complications are very rare in ear surgery and can be medically managed, including infection, excess scar tissue, and blood clot. Patients are usually satisfied with the aesthetic results of ear surgery and enjoy more productive lives following ear surgery.

Thursday, November 5, 2009

Recovery Following Face Lift Surgery in Los Angeles

Facelift surgery patients usually do not experience significant discomfort following surgery. Pain medication may be used, if required. Patients usually return to work within five or more days of the procedure. For the first few days after surgery, you will be directed to follow post operative instructions which may include, but not be limited to:

* Keep the head in an elevated position
* Refrain from activities that put pressure on the head such as bending over and exercise
* Do not go in the sun, use SPF 15 sunscreen thereafter
* Follow all other post operative instructions provide to you

Facelift surgery, like any medical surgery, may result in a complication. While the risk of complications is very low, it is important to report any possible complications to our office and seek treatment. Some complications may be: infection, excessive bleeding, poor scarring, hair loss, elevated hairline, temporary or permanent numbness in select areas, eye irritation, the requirement of revision surgery. Most complications can be medically managed when treated in a timely fashion.

When you come in for an initial consultation, you will have the opportunity to view before and after photographs of facelift patients to compare the type of results you might expect to see. These photos will help set reasonable expectations for your procedure through a highly skilled board certified plastic surgeon that focuses on facelift surgery.

Friday, October 23, 2009

The Mini Facelift, the Micro-Lift, and the Standard Facelift

There are three types of facelifts that Dr. Kapoor performs: the mini facelift, the micro-lift, and the standard facelift. All involve deeper layer techniques involving the SMAS layer and bi-directional repositioning of the skin and SMAS layer. The choice of which procedure to perform will depend on patients goals and anatomy. After a consultation with Dr. Kapoor and his staff, we will be able to appropriately recommend a treatment plan.

For patients in their late 30’s to early 40’s, a mini facelift is an appropriate treatment that will address sagging of the cheek and along the jawline. This usually involves a small incision along the front of the ear, through which the cheek and sagging tissue are lifted. This procedure takes approximately 1 and a half hours and is performed under local anesthesia with intravenous sedation or general anesthesia if preferred.

For patients in their 40’s to early 50’s, a micro-lift will correct sagging of the cheek, the jawline and neck. This usually involves a small incision along the front of the ear that into groove behind the ear, through which the cheek, jawline and neck tissues are lifted. A micro-lift provides the same benefits of a full facelift, but with smaller incisions and shorter recovery period. This procedure takes approximately 3 hours and is performed under local anesthesia with intravenous sedation or general anesthesia if preferred.

For patients with significant neck laxity and excess skin, a standard facelift will address all the visible signs of aging, but with a slightly longer incision that extends along the posterior hairline. This procedure takes approximately 3 and a half hours and is performed under local anesthesia with intravenous sedation or general anesthesia if preferred.

Saturday, October 17, 2009

Pictures of Facelift Surgery Performed by Los Angeles Facial Plastic Surgeon Dr. Vishal Kapoor - a set on Flickr


Pictures of Facelift Surgery Performed by Los Angeles Facial Plastic Surgeon Dr. Vishal Kapoor - a set on Flickr

Los Angeles Mid Face Lift Pictures of New Facelift being performed by Top Facial Plastic Surgeon Dr. Vishal Kapoor under Local Anesthesia. Known as the Short Incision Facelift, this Face lift procedure leaves a nearly unnoticeable scar and requires minimal downtime.

Mid Face Lift is commonly performed to correct sagging along the jaw-line (known as jowls) and neck region (commonly referred to as the turkey-neck). Progressive drooping of our facial skin and muscles causes these deformities. Traditionally an Mid Face Lift would involve tightening only the skin component of the face and neck. The biggest drawbacks of skin only facelift surgery are somewhat unnatural appearing results with a “pulled back look”, poor scars, and shortly lived results.

More advanced Mid Face Lift techniques involve repositioning the deeper layer of tissue, known as the SMAS (Superficial Muscular Aponeurotic System), which tightens the muscular layer beneath the skin. The benefits of a SMAS facelift surgery are longer lasting results, a more natural appearance, and minimal scarring. Additionally, when a SMAS layer is used in Mid Face Lift, it can be repositioned separately from the skin, allowing us to perform bidirectional facelift surgery. This serves to correct different deformities, and provides optimal results.

The older you get, the older you look (unless you're the rare exception). Gravity, exposure to the sun, harsh winds, the daily stress and strain, lack of proper exercise, over-eating, and age itself all take their toll. Look in the mirror, or at a recent photo of yourself, and-especially if you're over 40 or 50-you may well see a jaw that's grown slack, more than one chin, a sagging neck, and/or unsightly creases between your nose and mouth.

Although no one can stop the aging process, Top Facial Plastic Surgeon Dr Kapoor provides several options for rejuvenation of the aging face. He is one of the few Top Facial Plastic Surgeons proficient in the New SMAS-platysma bidirectional Mid Face Lift which gives a more natural, longer-lasting result than the standard skin only Mid Face Lift. He can make you look younger and feel more confident about your appearance, by performing a Mid Face Lift Los Angeles (also known as a rhytidectomy) to rejuvenate your face and neck. This popular Mid Face Lift Los Angeles procedure removes excess fat, tightens the muscles just below your skin, and reshapes the skin of your face and neck so it no longer sags.

A Mid Face Lift Los Angeles can be done by itself or in conjunction with eyelid (blepharoplasty) and eyebrow surgery (brow lift or forehead lift).

Candidates for a Mid Face Lift include men and women who are looking to improve the appearance of sagging skin in the face and neck. The best candidates for this surgery have a strong, well-defined bone structure and skin that, though sagging, is still somewhat elastic. A consultation with Top Facial Plastic Surgeon Dr. Kapoor in his Beverly Hills office will help to determine if the Mid Face Lift Los Angeles is right for you.

Top Facial Plastic Surgeon Dr. Kapoor performs the Mid Face Lift onsite at the Beverly Hills Wellness Surgery Center, a state-of-the-art AAAHC-certified facility. Surgical times will vary for each individual patient, but the average surgical time for the Los Angeles Face Lift is three to five hours. Local anesthesia along with a sedative is often used, though general anesthesia is also an option.

The incision for the Mid Face Lift typically starts above or at the hairline at the temples. The incision then extends in a natural line in front of the ear or just inside of the ear cartilage, then continues behind the earlobe and ends in the lower scalp. An additional small incision will be made just under the chin if the chin is being worked on as well. Working through the incisions, Top Facial Plastic Surgeon Dr. Vishal Kapoor will carefully separate the skin from the underlying muscle and fat. He may then trim or liposuction fat from the chin and neck area and tighten the underlying muscle and deeper tissues (SMAS, Platysma). He will then finish the Mid Face Lift by re-draping the skin and trimming any excess. Stitches will be used to secure the layers of tissue, while either stitches or metal clips may be used on the scalp incision.

Monday, September 14, 2009

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Thursday, August 13, 2009

Male Breast Reduction / Gynecomastia Surgery in Beverly Hills

My practice is located in Beverly Hills CA and I perform many Male Breast Reduction procedures in both Los Angeles and Beverly Hills. If you suffer from the condition known as Gynecomastia and would like to rid yourself of your "man boobs", Los Angeles Male Breast Reduction can help.

Los Angeles Male Breast Reduction is one of the most common procedures I perform at my Beverly Hills practice. In most cases the entire procedure takes 2-3 hrs, recovery time is in the 3-4 day range and the procedure is done on an outpatient basis.

During Male Breast Reduction Surgery a combination of liposuction and direct tissue removal are used to achieve your goals. Glandular tissue is removed through a small incision under the nipple and liposuction is used to smooth and refine the results.

If you have been looking for a way to rid yourself of your "man boobs", Los Angeles Male Breast Reduction ranks highest in patient satisfaction. You will love your new chest contour and many patients report the dramatic results they obtained helped to boost their self esteem and improve their body image.

Saturday, August 8, 2009

Choosing the Right Beverly Hills Plastic Surgeon

As a Beverly Hills Plastic Surgeon who performs an extensive array of procedures, I feel it is very important for any patient who is interested in cosmetic surgery make sure that they select a doctor who has received the appropriate type of training. What does this mean? Well there are several things that any patient should look for in their plastic surgeon.

For one, they should make sure their doctor is actually a plastic surgeon, who has done a fellowship or residency in an accredited program. There are many physicians who do plastic surgery who do not have this type of training.

Furthermore, the patient should make sure that the Beverly Hills Plastic Surgeon is Board Certified by the American Board of Plastic Surgery, the only true plastic surgery board recognized by the American Board of Medical Specialties.