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Frequently Asked Questions Nip & Tuck Plastic Surgery

Arm Lift FAQS

How Is an Arm Lift Performed?

Because brachioplasties are invasive procedures, they are typically performed under general anesthesia to reduce discomfort. However, mini arm lifts may be performed with only intravenous sedation if our surgeon expects the procedure to go quickly.

Once you are asleep or completely comfortable, your surgeon will make the incision. For the most common full upper arm lift, the surgeon makes a long incision from your armpit to your elbow in a place where the resulting scar will be best hidden. Excess skin and fat will be removed. In some cases, liposuction is performed simultaneously to reshape your arm while creating an overall natural look. After, the incision is closed typically with absorbable stitches. Drains are sometimes used depending on your case and your surgeon’s preference.

Are There Risks or Side Effects of an Arm Lift?

In general, an arm lift is a very safe procedure as long as you are honest with your surgeon prior to the surgery and are willing to follow your surgeon’s recommendations during the recovery period. However, as with any invasive procedure, there are a few potential risks, including those listed here:

  • Bleeding
  • Bruising
  • Swelling
  • Infection
  • Scars
  • Complications from anesthesia
  • Nerve or tissue damage
  • Pain

You should always discuss possible risks and side effects with your surgeon to get the most accurate information for your unique case.

Awake Liposuction FAQs

How much does Awake Liposuction cost?

The awake liposuction cost varies based on the number of areas treated. Awake liposuction is less costly than traditional liposuction since general anesthesia is not necessary. Awake liposuction takes place in an outpatient setting, so there are no hospital fees.

Are there any contraindications for Awake Liposuction?

Not all patients are a good fit for awake liposuction. At your consultation, Dr. Jones will assess your overall health to determine if you are a candidate. Uncontrolled medical conditions such as hypertension, diabetes, sleep apnea, active use of blood thinners, etc. may be contraindications for awake liposuction.

How many areas can Awake Liposuction treat at once?

Because it is done in the office while you are awake, no more than one to two areas can be treated at a time.

Do I need a chaperone?

Yes, someone must be present to bring you home after your appointment, as you will receive a cocktail of oral medications to ensure a painless experience.

When can I return to work?

Most patients can return to work within a week.

Botox FAQs

Is there a difference between Botox and Botox Cosmetic?

Yes, there is a difference between Botox and Botox Cosmetic. Botox is used to treat medical conditions such as migraines, excessive sweating, and muscle spasms. Botox Cosmetic is used for aesthetic purposes to improve the appearance of wrinkles and fine lines. Both are made from botulinum toxin, but the formulations are different.

How long do Botox results last?

The results of your Atlanta botox injections typically last for 3-4 months. This can vary from patient to patient, and some first-time users find that the results may not initially last as long, but do find longer lasting results following a second treatment.

Which is better: Botox or Fillers?

This question depends on the issues and areas you are looking to treat as well as the severity of the issues. The botulinum toxin formula is better for dynamic wrinkles, such as crow's feet and forehead lines. Fillers are better for static wrinkles, such as nasolabial folds (smile lines).

Does Botox make you look older after it wears off?

No. The wrinkles and fine lines that were temporarily relaxed will return once the effects wear off, but your skin will not be any worse for the wear. In fact, many people find that their wrinkles and fine lines appear less severe after they've had a few rounds of injections, as the muscles are trained to relax over time.

What should I do to prepare for treatment?

To help minimize any bleeding or bruising, stop taking any blood-thinning medications like aspirin, ibuprofen, and Warfarin about a week before your procedure, and ask your provider about any non-prescription supplements.

Brazilian Butt Lift (BBL) FAQs

How much fat do I need to see a difference?

I (Dr. Nicholas Jones, MD) usually transfer at least 500mL per side. The procedure is a combination of addition and subtraction. The smaller the waist, the larger the buttocks appear. Many patients that end up getting 360 liposuction look as if they have had a buttlift because the hip-to-waist ratio has increased.

How do I sleep after surgery?

We recommend that you sleep on your stomach (prone). The goal is to offload your buttocks, so no pressure is applied. For those that have difficulties sleeping in the prone position, you can place pillows beneath your thighs and lower back and “suspend” your buttocks. The other option is to lay on your hips. Most of the time, Dr. Jones adds fat to the hips, but if push comes to shove and this is the only option, then try it. If you do, make sure you alternate between sides every 2 - 3 hours and use pillows to suspend.

How long does a Brazilian Butt Lift take?

It varies, but typically anywhere between 3 - 4 hours. Factors include your size, the number of areas being treated, and previous surgeries. As previous surgeries cause scarring and add time to harvesting fat.

What if I do not have enough fat for a Brazilian Butt Lift?

Generally, most of our Atlanta Brazilian Butt Lift patients have enough fat to perform a Brazilian Buttlift. For patients that truly do not have enough fat, other options include Sculptra and butt implants. Here at Nip & Tuck Plastic Surgery, we do offer Sculptra. Dr. Jones does not perform butt implants.

What is Sculptra? How does it work?

Sculptra is an injectable filler made of polylactic acid (PLA), its primary use is for facial contour deficiencies. For buttocks enhancement, the filler is injected in the deep dermis and dermal fat interface to stimulate collagen growth giving the buttocks and hips more volume.

How much does Sculptra cost?

Sculptra generally costs $800 - $1200 / vial. For buttocks enhancement, you may need anywhere from 3 - 4 vials per side. Typically, 2- 3 sessions are required to get the best results and they are usually 6 - 10 weeks apart. As you can imagine, it can get costly, so most patients are better off with a BBL if they have enough fat.

Breast Reconstruction

What can be achieved through Breast Reconstruction surgery?

Breast reconstruction surgery can restore a natural appearance to your breasts so you can wear bathing suits, low-cut necklines, and any other clothing that you were accustomed to wearing prior to your mastectomy or lumpectomy. While the goal is restoring your natural appearance, this will depend largely on the condition of your breasts following your mastectomy. In some cases, your new breasts may not identically resemble your former breasts.

In cases where the nipple has been lost or relocated, nipple reconstruction surgery may be required to achieve a more natural appearance. While all breast reconstruction procedures vary because they are customized to each Atlanta breast reconstruction surgery patient, normal sensation in the nipple may be spared in some circumstances.

Will I be able to breastfeed after Breast Reconstruction surgery?

In many cases, yes, but it depends on various factors. Because the mammary glands are specifically responsible for milk production, a woman’s ability to lactate depends on how much glandular tissue she has in her breasts, even prior to undergoing breast surgery.

Depending on the condition of your breasts following your mastectomy and how much glandular tissue is retained, you may still be able to produce breast milk after a breast reconstruction procedure. It’s possible that in some cases, a woman may not produce a full supply of milk and may choose to supplement with bottle feeding, particularly if it’s her first baby. In cases where large amounts of mammary gland tissue have been lost to the mastectomy or lumpectomy, it is likely that a woman’s ability to breastfeed may be impaired.

Breast Reduction

What should I expect on the day of the surgery?

Your plastic surgeon will mark your breasts on the day of your surgery. The surgery is typically done in an outpatient setting and takes 2– 4 hours, depending on the size of your breasts and your surgeon’s experience.

After recovering, you should be sent home typically with pain medications and antinausea medications. Some plastic surgeons use drains. I occasionally use drains for extremely large reductions and they are removed in the first two weeks.

Will my breasts be perky after surgery?

This is a very common question and request. Perkiness is a matter of upper pole fullness of the breasts. More than likely, if you do not have fullness of the upper pole of the breasts prior to surgery, you will not after surgery.

Upper pole fullness is also dependent on the type of technique used. In general, techniques that maintain the continuity of the breast tissue superiorly have a more long-standing result and less bottoming out. With aging, gravity, changes in hormonal levels, the glandular tissue is lost and the breasts will settle downwards.

Facelift

Why should I consider a Facelift?

While there are many nonsurgical cosmetic procedures available to provide dramatic rejuvenation and facial improvements, including laser treatments, micro-needling, and dermal fillers, none of these procedures can actually deliver what a facelift is capable of achieving. A surgical facelift is a more comprehensive procedure in which the surgeon has full control of the outcome and can enhance a Atlanta facelift patient’s facial features by design.

A facelift can address several issues at once, including loss of facial definition, lax skin, wrinkles and lines, jowls, and drooping features. If you’re looking for a total makeover that will take years off your appearance and keep you looking more youthful for years to come, a facelift is the procedure of choice.

How long do Facelift results last?

While a facelift can take years off your appearance, no surgical procedure can effectively stop the aging process, and your skin will continue to age after you undergo the procedure. To protect the fresh and youthful results of your facelift, you will have to commit to taking impeccable care of your skin, especially to protect your skin from excessive sunlight and from the elements, as well as from toxic pollutants like cigarette smoke.

Smoking cigarettes is one of the most damaging things you can do to your skin, and patients who smoke are generally at an increased risk of complications from surgery. Smokers also have more difficulty healing properly, and smoking may also affect the results of your facelift by accelerating the aging process.

Gynecomastia (Male Breast Reduction)

Are there visible scars after Gynecomastia surgery?

Gynecomastia surgery is performed using minuscule incisions that leave tiny hairline scars camouflaged in inconspicuous locations so that they are difficult to perceive. Over time, the scars fade naturally and become nearly invisible in most patients.

How long do the results of Gynecomastia surgery last?

Once breast and fat cells are removed from the pectoral region, they are removed permanently. Nevertheless, the procedure does not remove 100% of your cells, and patients are advised that in order to maintain optimal results, they must maintain a balanced diet and a healthy lifestyle, with plenty of physical activity and exercise. This is because future weight gain could contribute to the expansion of the remaining fat cells and a recurrence of the problem.

Lip Filler

Are Lip Fillers safe? What are the risks?

As with any aesthetic procedure, lip injections do carry a small risk of possible complications. However, serious adverse side effects are rare. Potential side effects include bleeding, asymmetry, allergy, granuloma, lip filler migration, bruising, and infection. Dr. Jones will review the possible risks and complications during your Atlanta lip fillers consultation.

Are Lip Filler procedures reversible?

Dr. Jones can dissolve fillers that contain hyaluronic acid (HA) by injecting a product known as hyaluronidase, which breaks down the filler. Collagen injections are not reversible, but your body should metabolize the collagen in six to twelve months.

Can I get Lip Fillers while pregnant or breastfeeding?

There is limited data on the safety of these injectables for pregnant or breastfeeding women. For this reason, you should avoid lip injections if you are pregnant or nursing.

Does insurance cover the cost of Lip Fillers?

As a cosmetic procedure, insurance does not cover the costs of lip fillers.

Liposuction

What are the benefits of compression garments?

Compression garments have numerous benefits after body contouring. Among them are:

  • Lower risk of fibrosis.
  • Improved body shaping.
  • A reduction in inflammation.
  • Supports your tissue as it heals.
  • Keeps the treatment site clean and dry.
  • Less postoperative pain and discomfort.

What are the benefits of Lymphatic Massage after Liposuction?

Lymphatic drainage speeds the removal of toxins and waste material that builds up in your lymphatic system. Bruising and hardness are common after liposuction, and lymph massage helps to eliminate them. It also improves blood flow, eases inflammation, and is an effective tool to reduce post-operative swelling. As a therapeutic massage, it also aids in the absorption of fats and fat-soluble vitamins from your digestive system. Therefore, your body can process fats more effectively. Along with a proper diet, this may help you avoid weight gain, which can compromise your liposuction results.

If a patient gained weight after Liposuction, how long should they wait before having another surgery?

It is prudent to wait at least six months to a year after the initial surgery.

Do patients need to follow a special diet following Liposuction?

During the first 48 hours, avoid spicy foods, meats, seafood, dairy products, and acidic and salty foods. A light, healthy diet is best in the days after surgery. Be sure to eat enough calories and protein per day to promote healing and repair. Caloric intake varies based on your body weight; the average adult requires 2,000 calories per day. For non-animal sources of protein, you can eat beans, legumes, and nutritional yeast.

Why do I need to drink water after Liposuction surgery?

Stay hydrated, as your body will experience major fluid shifts immediately after surgery. Proper hydration speeds healing. Drinking water also alleviates swelling and helps flush toxins from your system.

Do I need to take antibiotics after Liposuction surgery?

No. Just prior to surgery, you will receive a dose of antibiotics. The purpose of the dose prior to surgery is to prevent surgical site infections (SSIs). Surgical site infections occur when bacteria enters the body through incisions made during surgery. The overuse of antibiotics after surgery can lead to the development of antibiotic resistance. So, we try to use them only as indicated.

Do you offer financing?

Yes, we work with several financing companies. Please visit our financing page, view the options available, and complete an application. If approved, the funds can be used as payment for your procedure.

Lymphatic Massage & Cavitation

How long are the treatments?

Lymphatic massage treatments are typically 30-45 minutes each, depending on the type of surgery you’ve had. If cavitation is added, this can increase treatment time by an additional hour. You should expect to spend approximately 2 hours in the office if both treatments are being done.

How soon after surgery can I receive Lymphatic Massage & Cavitation?

Depending on the type of surgery that you’ve had, Dr. Jones typically recommends lymphatic massages within the first 2-3 days after most body contouring procedures (liposuction, BBL, tummy tucks). Cavitation can begin in as little as two weeks after surgery. Dr. Jones and his team will carefully monitor your postoperative recovery and let you know when the time is right for you to begin.

How should I prepare for my Lymphatic Massage?

Try to relax, wear comfortable clothing, and drink plenty of fluids prior to your massage. Make sure you have a chaperone for your first few massages, as you may not be suitable to drive after completing your massage.

Is Lymphatic Massage & Cavitation covered by insurance?

There are several instances where lymphatic massage is covered by insurance; however, when being utilized as an adjunct treatment for aesthetic surgical recovery, it is not able to be covered.

Cavitation is always considered a cosmetic procedure, and therefore, also not covered by insurance. However, you will be notified of the costs of each treatment upfront, in order to plan accordingly.

How many massages should I get after Liposuction or a BBL?

For all our body contouring procedures, two sessions are included in your pricing. Each patient’s individual needs vary, but in general, most patients benefit from at least 6-8 sessions. We also highly recommend that you book additional sessions prior to surgery because the slots fill up fast.

Is Lymphatic Massage & Cavitation painful?

While lymphatic massage has the reputation for being painful and uncomfortable, when performed for the purposes of enhancing surgical healing, it is actually quite gentle. Our massage therapist has a reputation for being extremely gentle.

Most patients describe the initial massage as the most uncomfortable session. However, our licensed therapist understands the healing process and the first massage is usually shorter in time and less intense just to get our patients acclimated to the treatments.

Using a combination of both long and circular strokes, the body’s circulatory and lymphatic systems are kicked into high gear, to make each system more efficient, and shorten your recovery.

Microdermabrasion

How is Microdermabrasion performed?

The FDA initially approved Microdermabrasion treatments in 1996, and hundreds of variations in microdermabrasion devices have been developed since then. The procedure is performed by various means, depending on the device that is used.

Microdermabrasion is an outpatient procedure performed in the comfort of the doctor’s office, and it usually takes no more than one hour to complete the treatment. Microdermabrasion is typically performed by licensed skincare or health professionals and is a painless treatment requiring no anesthesia or numbing agent.

Does Microdermabrasion have any side effects?

Microdermabrasion may produce reactions such as mild redness, tenderness, and swelling that will typically subside on their own within a few hours after treatment.

Your skin will also be more sensitive to sunlight after microdermabrasion, so you must take extra care to protect it from excessive exposure to the sun’s rays. Using a top-quality moisturizer and sunscreen is essential to maintaining your skin’s health and glow.

Microneedling

Which areas can Microneedling treat?

Microneedling is a skin-enhancing treatment, but it is typically reserved for areas most susceptible to the sun and side effects of aging. It is commonly performed on the face or the hands. In some cases, Microneedling can be performed in other areas, such as the stomach, thighs, buttocks, or arms.

At Nip & Tuck’s MedSpa center, we offer customizable treatments for microneedling and similar procedures. During your initial consultation for microneedling, Atlanta plastic surgeon, Dr. Jones will help you plan your ideal cosmetic treatment.

Neck Lift

How is the Neck Lift performed?

The neck lift is a simple, safe, and widely popular cosmetic surgery performed for decades and is normally performed under general anesthesia.

The procedure requires tiny incisions that are camouflaged discreetly within the natural creases and folds under the chin. These tiny incisions allow the surgeon access to tighten and lift muscular tissue and trim away excess fat, sculpting a toned, firm chin and throat contour, banishing unsightly jowls and the troublesome double chin, as well as those unsightly vertical neck bands that produce the “turkey wattle” effect. Neck lift surgery may take a few hours to perform, and most Atlanta neck lift patients may return home on the same day.

Paradoxical Adipose Hyperplasia (PAH) CoolSculpting

Is Paradoxical Adipose Hyperplasia painful?

People who have undergone cryolipolysis can experience side effects such as swelling, bruising, tingling, or numbness in the treatment area after the procedure. These are considered minimal side effects that resolve entirely in a few months. Paradoxical Adipose Hyperplasia is a rare side effect that can result in the thickening or hardening of the treatment area, where a mass or swelling is often slightly painful to touch.

Where on the body can Paradoxical Adipose Hyperplasia happen?

CoolSculpting is cleared by the FDA to treat visible fat bulges in 9 areas of the body: Under the chin and in the jawline area, in the thigh, flank, abdomen, along with bra fat, underneath the buttocks, back fat, and the upper arm. PAH after CoolSculpting can develop in any of these areas, but Paradoxical Adipose Hyperplasia is most commonly seen in the abdominal area.

What are the risk factors for Paradoxical Adipose Hyperplasia after CoolSculpting?

While the causes and risk factors are not entirely known, Paradoxical Adipose Hyperplasia is a rare side effect seen in less than one percent of the patients undergoing cryolipolysis. PAH is about three times more likely to develop in men than women. Other risk factors include:

  • Genetic predisposition
  • Use of a large handpiece during the procedure
  • Previous cryolipolysis treatment
  • Hispanic or Latino origin
  • Cryolipolysis in the abdominal region

PRP Therapy

Why consider PRP Therapy?

Have you been considering a non-surgical approach to boost your appearance, address imperfections in the skin, or reduce the appearance of wrinkles or other signs of aging in your face? Platelet-rich plasma treatment may be an excellent choice for you.

PRP is one of the most versatile treatment options available for patients interested in non-surgical solutions. This makes it a highly coveted beauty experience! Thanks to its ability to be applied to various cosmetic concerns, patients can opt to incorporate PRP with their facial fillers, hair treatments, pain management, and more.

Renuvion Skin Tightening

Is Renuvion Skin Tightening painful? What does it feel like?

After the treatment, you will likely experience some localized tenderness. The procedure itself is performed under general or local anesthesia and sedation, so you should not feel any pain during the procedure.

What are the risks associated with Renuvion Skin Tightening?

Possible side effects after Renuvion can include swelling or redness in the treatment area. Serious but rare risks like infection or nerve damage can occur but are unlikely when working with a trained professional.

Is Renuvion Skin Tightening permanent? How often should I expect to schedule follow-up treatments?

While not considered permanent, with great skincare and maintenance, results can last five years or more. These results can typically be achieved with only one to two treatments.

Will Renuvion Skin Tightening make me lose weight?

No, Renuvion will not aid with weight loss and only addresses fat deposits in smaller problem areas directly under the skin.

How much does Renuvion Skin Tightening cost?

The cost of Renuvion depends on the treatment area and how many sessions will be needed to achieve optimal results.

Rhinoplasty

What are the possible risks and complications of the surgery?

This surgery is generally considered to be quite safe. However, you should be aware of the risks and complications that could be present. Some of the most common risks of any surgery include bleeding, bruising, swelling, infection, and a reaction to the anesthesia. In general, risks and complications specific to rhinoplasty include the following:

  • Numbness around your nose
  • Difficulty breathing through your nose
  • Persistent pain
  • Scarring
  • Perforation of the septum
  • Changes to your voice
  • The need for a revision rhinoplasty

How should you prepare for your surgery?

As with any cosmetic surgery, you should begin with a complete consultation with your plastic surgeon. Dr. Nicholas Jones, MD, FACS, takes plenty of time with each Atlanta rhinoplasty patient to discuss the steps of the surgery as well as to go over risks in greater detail. He will also perform a physical assessment and go over your past medical and surgical history to ensure that you are a good candidate. You will have plenty of time to ask any questions.

Once this step is complete, you may need to have additional testing prior to your surgery. For example, your surgeon may order certain blood tests, other laboratory work, or imaging studies. It is important to go over your medications and supplements with your surgeon to determine whether they are safe to continue taking before surgery.

Scar Removal

Does Scar Revision surgery work on hypertrophic scars?

Hypertrophic scars are like keloids, and the two are often confused since both may appear as thick, red bumps or lesions. Hypertrophic scars differ from keloids, however, in that they typically do not exceed the boundaries of the original wound.

Hypertrophic scars often fade and improve naturally over the course of years, so it’s best to observe them for a year or so. Steroid treatments, medications, or injections may assist in accelerating the healing process, and scar revision surgery may be performed if the scar does not diminish on its own. Steroid injections may be administered during the actual surgery, with follow-up treatment sessions required for up to two years.

Can Scar Revision surgery treat contractures?

Contractures are scars that result from burns or other injuries that damage a large area of skin. These scars pull at the edges of the wound by means of a process called contraction. In some cases, contractures may affect muscles and connective tissue surrounding the wound, affecting the Atlanta scar revision surgery patient’s ability to move or causing pain and discomfort.

In the case of contractures, revision surgery typically requires replacing the scar with a skin graft or flap of skin from another area of the body. Newer, more advanced procedures such as Z-plasty and tissue expansion have shown promising outcomes when treating contractures. In some cases, contracture patients may require physical therapy in addition to revision surgery to successfully restore full range of motion and function to the affected area.

Vaginal Rejuvenation

Will Vaginal Rejuvenation hurt?

Under Dr. Jones’ care, vaginal surgery is performed in a high-end facility with state-of-the-art instruments and the utmost care. The procedure can be performed under general anesthesia or local anesthetic, depending on the case. Dr. Jones will make sure you are comfortable and not experiencing pain.

After waking, it is common to experience discomfort, pain, swelling, tenderness, and bruising at the surgical site. Patients will be provided with instructions and prescriptions for pain medication to help alleviate these symptoms. There may also be non-surgical or minimally invasive vaginal rejuvenation procedures available for patients who wish to avoid surgery or “going under.”

How long will it take to recover after Vaginal Rejuvenation?

Recovery after cosmetic surgery as delicate as a vaginoplasty or vaginal rejuvenation procedure will vary for each patient. It's important to remember that the extent of correction or enhancement you desire may affect your results and recovery.

For most patients, it takes around six weeks to fully heal from vaginal rejuvenation surgery. During this time, you will be advised to avoid vigorous exercise, sex, and strenuous activities. However, most patients can return to their normal routine a week or two after the procedure.

Come visit Dr. Jones and our team and let us help you achieve the spectacular look you deserve!

3280 Howell Mill Rd NW, Suite 200, Atlanta, GA 30327

Call Today (404) 777-TUCK

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3280 Howell Mill Rd NW, Suite 200, Atlanta, GA 30327