Procedures at a Glance

Flatten abdomen by removing excess fat and skin and tightening muscles of abdominal wall.

2 to 5 hours

General, or local with sedation

Either depending on individual circumstances and extent of surgery.

Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.

Blood clots. Infection. Bleeding under the skin flap. Poor healing resulting in conspicuous scarring or skin loss. Need for a second operation.

Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years.

Enhance the size of breasts using inflatable implants filled with saline.

1 to 2 hours

Local with sedation, or general

Usually outpatient

Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks.

Lack of implant permanence -- surgical removal or replacement of the implants may be required to treat problems, including: deflation; the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard; bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent. Mammography requires a special technique. (Note: Some women have reported symptoms similar to those of immune disorders. Ask your doctor about these and other FDA concerns.)

Back to work: a few days. Physical contact with breasts: 3 to 4 weeks. Fading of scars: several months to a year or more.

Variable. Implants may require removal or replacement.

Raise and reshape sagging breasts by removing excess skin and repositioning remaining tissue and nipples.

1 to 3 hours

Local with sedation, or general

Usually outpatient, sometimes inpatient

Temporary bruising, swelling, discomfort, numbness, dry breast skin. Permanent scars.

Thick, wide scars; skin loss; infection. Unevenly positioned nipples. Permanent loss of feeling in nipples or breast.

Back to work: 1 week or more. Strenuous activities: 1 month. Fading of scars: several months to a year.

Variable; gravity, pregnancy, aging, and weight changes may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure.

Restore wrinkled, blemished, unevenly pigmented, or sun-damaged facial skin, using a chemical solution to peel away skin's top layers. Works best on fair, thin skin with superficial wrinkles.

1 to 2 hours for full face

None; sedation & EKG monitoring may be used

Usually outpatient. Full-face phenol peel may require admission for 1 to 2 days.

Both: Temporary throbbing, tingling, swelling, redness; acute sensitivity to sun. Phenol: Permanent lightening of treated skin; permanent loss of ability to tan.

Both: Tiny whiteheads (temporary); infection; scarring; flare-up of skin allergies, fever blisters, cold sores. Phenol: Abnormal color changes (permanent); heart irregularities (rare).

Phenol: Formation of new skin: 7 to 21 days. Normal activities: 2 to 4 weeks. Full healing and fading of redness: 3 to 6 months TCA: New skin within 5 to 10 days.

Phenol: permanent, although new wrinkles may form as skin ages. TCA: variable (temporary).

Plump up creased, furrowed, or sunken facial skin; add fullness to lips and backs of hands. Works best on thin, dry, light-colored skin.

15 minutes to 1 hour per session

Local.

Outpatient

Temporary stinging, throbbing, or burning sensation. Faint redness, swelling, excess fullness.

Contour irregularities, infection.

Variable; a few months to 1 year.

Mechanical scraping of the top layers of skin using a high-speed rotary wheel. Softens sharp edges of surface irregularities, including acne and other scars and fine wrinkles, especially around the mouth.

A few minutes to 1 hour. May require more than 1 session.

Local, numbing spray, or general

Usually outpatient

Temporary tingling, burning, itching, swelling, redness. Lightening of treated skin. Acute sensitivity to sun; loss of ability to make pigment (tan).

Abnormal color changes (permanent). Tiny whiteheads (temporary); infection; scarring; flare-up of skin allergies, fever blisters, cold sores.

Back to work: 2 weeks. More strenuous activities: 4 to 6 weeks. Fading of redness: about 3 months. Return of pigmentation/sun exposure: 6 to 12 months.

Permanent, although new wrinkles may form as skin ages.

Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 and 14 years. (Occasionally covered by insurance.)

2 to 3 hours

Young children: usually general. Older children or adults: general or local, with sedation

Usually outpatient

Temporary throbbing, aching, swelling, redness, numbness.

Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Mismatched or artificial- looking ears. Recurrence of the protrusion, requiring repeat surgery.

Back to work or school: 5 to 7 days. Strenuous activity, contact sports: 1 to 2 months.

Usually permanent

Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)

1 to 3 hours

Usually locally with sedation or general.

Usually outpatient

Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.

Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).

Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks.

Several years. Sometimes permanent.

Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40.

Several hours

Local with sedation, or general.

Usually outpatient. Some patients may require short inpatient stay.

Temporary bruising, swelling, numbness, and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline.

Back to work: 10 to 14 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months.

Usually 5 to 10 years

Change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline.

30 minutes to 2 hours

Local with sedation, or general.

Usually outpatient. Occasionally overnight hospital stay.

Temporary discomfort, swelling, bruising, numbness, and/or stiffness. In jaw surgery, inability to open mouth fully for several weeks.

Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal. Excess tightening and hardening of scar tissue around an artificial implant ("capsular contracture"), causing unnatural shape.

Back to work: about 1 week. Normal appearance: 2 to 4 weeks. Activity that could jar or bump face: 6 weeks or more.

Permanent

Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead, and frown lines by removing excess tissue, altering muscles, and tightening the forehead skin. May be done using the traditional technique, with an incision across the top of the head just behind the hairline; or with the use of an endoscope, which requires 3 to 5 short incisions. Most often done on people over 40.

1 to 2 hours

Local with sedation, or general.

Usually outpatient

Temporary swelling, numbness, headaches, bruising. Traditional method: Possible itching and hair loss.

Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scarring.

Back to work: 7 to 10 days, usually sooner for endoscopic forehead lift. More strenuous activity: several weeks. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months.

Usually 5 to 10 years

Fill in balding areas with a patient's own hair using a variety of techniques including scalp reduction, tissue expansion, strip grafts, scalp flaps, or clusters of punch grafts (plugs, miniplugs, and microplugs). Works best on men with male pattern baldness after hair loss has stopped.

1 to 3 hours. Some techniques may require multiple procedures over 18 months or more.

Usually local with sedation. Flaps and tissue expansion may be done with general anesthesia.

Usually outpatient

Temporary achy, tight scalp. Unnatural look in early stages.

Unnatural look. Infection. Excessive scarring. Failure to "take." Loss of scalp tissue and/or transplanted hair.

Back to work: usually 2 to 5 days. More strenuous activities: 10 days to 3 weeks. Final look: may be 18 months or more, depending on procedure.

Permanent

Smooth the face and smooth fine wrinkles using a carbon dioxide (CO 2 ) or Erbium hybrid (halo/contour) laser device that treats layers of damaged skin. Softens lines around the eyes and mouth and minimizes facial scars and unevenly pigmented areas.

A few minutes to 1 hour. May require more than 1 session.

Local with sedation, or general.

Usually outpatient, unless combined with other surgical procedures that require hospitalization.

Temporary swelling, discomfort. Lightening of treated skin. Acute sun sensitivity. Increased sensitivity to makeup. Pinkness or redness in skin that may persist for up to 6 months.

Burns or injuries caused by laser heat. Scarring. Abnormal changes in skin color. Flare-up of viral infections ("cold sores") and other infections (rare).

Back to work: 2 weeks. More strenuous activities: 4-6 weeks. Complete fading of redness: 6 months or less. Return of pigmentation/light sun exposure: 6-12 months.

Long-lasting, but does not stop aging. New wrinkles, expression lines may form as skin ages.

Improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Can be performed using the tumescent technique, in which targeted fat cells are infused with saline containing solution with a local anesthetic before liposuction to reduce post-operative bruising and swelling. Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.

PAL (power-assisted liposuction) by Microaire enables Dr. Cappuccino to perform a more effective procedure on a larger treatment area without lengthening the procedure duration.

1 to 2 hours or more.

Local, epidural, or general.

Usually outpatient. Extensive procedures may require short inpatient stay.

Temporary bruising, swelling, numbness, soreness, burning sensation. Tumescent: Temporary fluid drainage from incision sites. UAL: Larger incisions for cannula.

Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection. UAL: thermal burn injury caused by the heat from the ultrasound device.

Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or more. Use of tumescent technique or UAL may decrease post-operative bruising and swelling.

Permanent, with sensible diet and exercise.

Reduce enlarged, female-like breasts in men using liposuction and/or cutting out excess glandular tissue. (Sometimes covered by medical insurance.)

1 hour or more

General or local

Usually outpatient

Temporary bruising, swelling, numbness, soreness, burning sensation.

Infection. Fluid accumulation. Injury to the skin. Rippling or bagginess of skin. Asymmetry. Pigmentation changes (may become permanent if exposed to sun). Excessive scarring if tissue was cut away. Need for second procedure to remove additional tissue.

Back to work: 3 to 7 days. More strenuous activity: 2 to 3 weeks. Swelling and bruising: 3 to 6 months.

Permanent