eyelid surgery is performed under general or local anesthesia. if dr. pertsch chooses local anesthesia, he will numb the area around your eyes, along with giving you a mild oral or iv sedative. the actual surgery takes one to three hours. the incisions made during the upper eyelid surgery are made along the natural crease in order to hide any scarring. lower eyelid surgery can be performed through incisions made along the lower lash line or inside the lower lid. this prevents scars from being visible post-surgery.
Facelift
the facelift (rhytidectomy) is a surgical procedure designed to smooth the loose skin on your face and neck. it is also intended to reduce the most apparent signs of aging in the facial area, giving you a more youthful appearance.
Breast Augmentation
breast augmentation is a surgical procedure designed to increase the size of a woman's breasts. not only can this procedure enhance your appearance; it may help build your self-confidence and self esteem. also as a result of the procedure, many women have found it easier to dress in certain styles of clothing.
Liposuction
every individual's fat distribution and body shape is genetically determined, which means that often no amount of diet and exercise will remove these stubborn fat deposits. even if the individual is at an adequate body weight, he/she will still posses areas of excess fat.
Chin Augmentation
chin implant surgery may take 30 minutes to an hour. your doctor will decide on the proper implant size, and insert it into a pocket over the front of the jawbone. the incision may be placed on the inside of your mouth, or in the skin just under the chin. your sutures will be removed within five to seven days. some swelling and discomfort may be present, and you may find it difficult to smile or talk.
Cheek Augmentation
cheek implant surgery may take 35 to 45 minutes. if a cheek implant is being done in conjunction with another type of face lift procedure, the same incisions may be used; otherwise a small incision may be made inside your upper lip, or under your lower eyelid. following surgery, your doctor will inform you of any dietary restrictions, as well as limitations. the ability to move your mouth and lips may be difficult for a few days.
Lower Jaw Implants
lower jaw implants usually take between one and two hours. incisions are made inside the lower lip, and dissolving sutures are used. after your surgery, swelling may peak at 24 to 48 hours. prolonged swelling may occur for several months. your doctor will inform you of any dietary and exercise restrictions.
Eyelid Surgery (blepharoplasty)
at the mountain view office of dr. james pertsch, patients from across the country visit his practice for blepharoplasty surgery. blepharoplasty, or eyelid surgery, can enhance your appearance and your self-confidence by removing droopy or sagging eyelids. as people age, the eyelid stretches, muscles weaken, and fat accumulates around the eyes, causing "bags, " or excess skin to become prominent. in some patients, sagging skin in the upper eyelids can cause vision impairment.
Endoscopic Forehead/brow Lift
a forehead lift, or brow lift, is designed to reposition sagging eyebrows that can cause a person to look tired, sad or angry. endoscopic brow lift, or forehead lift, is the most common endoscopic procedure used by cosmetic surgeons. with this method, instead of the usual ear-to-ear incision, two or more tiny incisions, or "puncture type" incisions are made just at the hairline. the eyebrows are then repositioned to a higher level, resulting in a more relaxed, refreshed and youthful appearance.
Otoplasty (prominent Ear Reduction)
otoplasty is a procedure designed to pin back the ears closer to the head or reduce their size. this procedure can be performed on younger individuals to avoid being teased from others. this results in more natural-looking ears. ear reduction surgery may also be performed at a later age. the otoplasty procedure varies with every patient and his/her degree of ear deformity.
Rhinoplasty
many individuals have been unhappy with the appearance of their nose for an extensive period of time. fortunately, rhinoplasty offers a solution to these individuals. surgery of the nose is one of the most common of all plastic surgery procedures. the best candidates for a rhinoplasty are those who are looking for an improvement in the way they look, not those searching for perfection. there are many ways rhinoplasty can improve upon one's nasal appearance. this surgery can reduce or increase the overall size of your nose, change the shape of the tip or bridge, and/or narrow or widen the nostrils. not only can rhinoplasty enhance the overall facial appearance, it can also help improve one's breathing.
Breast Lift
as time passes, pregnancy, nursing, excessive weight loss, and gravity have adverse effects on woman's breasts causing them to lose their elasticity, firmness, and shape. this creates a sagging appearance. a breast lift is a procedure that corrects this condition by removing excess breast tissue as well as tightening the skin.
Brachioplasty (upper Arm Skin Tightening / Arm Lift)
the effects of aging on the skin are familiar to all of us. over time, the skin changes in four ways: it loses thickness, elasticity, adherence to the underlying tissue, and is affected by gravity. at the same time, the deep layers of fat, muscle, and bone begin to thin. the amount of elastic tissue and collagen present in the dermis (the deep layer of the skin) also decreases. one area where these changes are especially apparent is the upper arm.
Gynecomastia
gynecomastia is an enlargement of the male breasts, which appear as female-like breasts. this condition is quite common and it affects as many as 40 percent of the male population. gynecomastia may affect only one or both of the breasts. the majority of the cases have no known cause, while the others might be related to the use of drugs and/or alcohol, or medical conditions. gynecomastia can be apparent by the visibility of excessive glandular breast tissue, fat, or a combination of the two. for men who feel self-conscious about their oversized breasts and refuse to be shirtless in public, this procedure can help restore self-confidence and appearance.
Abdominoplasty (tummy Tuck)
a tummy tuck is a major surgical procedure in which excess skin and fat are removed from the lower abdomen and the muscles of the abdominal wall are tightened. the procedure is particularly helpful to women who, through multiple pregnancies, have stretched their abdomen so far that it does not return to its normal shape. a tummy tuck is also helpful for those who have lost a significant amount of weight but still possess loose, sagging skin. tummy tucks are often performed in conjunction with liposuction.
Liposuction
exercise and diet can help you maintain good health, as well as help you appear lean and muscular. for some individuals, however, it does not always remove those stubborn lfds (localized fat deposits). every individual's fat distribution and body shape is genetically determined, which means that often no amount of diet and exercise will remove these stubborn fat deposits. even if the individual is at an adequate body weight, he/she will still posses areas of excess fat.
Labiaplasty
excessive labia minora can be uncomfortable, take extra time and attention to maintain proper hygiene, or lead to poor hygiene. additionally, there can be interference or self-consciousness when participating in certain physical activities and exercise, as well as during sexual intercourse. asymmetrical or enlarged labia minora may be more uncomfortable or even visible with currently popular tight clothing. labia majora are seen when bathing attire is worn over absent or closely trimmed pubic hair and may allow labia minora redundancy to be apparent.
Botox
botox cosmetic has helped millions of people, both men and women, attain their aesthetic goals. it remains the top non-surgical treatment in the country for several reasons; it offers individuals a virtually pain-free experience, effective results, and quick treatment time. after all, not everyone desires plastic surgery for a more youthful look or has the time to set aside for an invasive procedure (including recovery time).
Restylane
men and women who experience signs of aging in their face often look to treatments to help diminish their appearance; however, many of these individuals seek non-surgical methods to alleviate these bothersome features. at the practice of dr. pertsch in san mateo and mountain view, patients may undergo restylane injections. this facial filler can help plump up lines, wrinkles, and creases.
Dr. James Pertsch and his staff know that selecting the right cosmetic surgeon can be a difficult process. Patients want the comfort of knowing that their concerns will be heard, understood and reflected in the results of their plastic surgery. At our office in San Mateo, California, we are dedicated to helping you make the best decisions. This means that we will not try to “sell” you a procedure; rather we will educate you regarding the procedures available to you along with their respective advantages and disadvantages. Our entire staff of medical professionals is dedicated to the art of detail and compassion. No matter the type of cosmetic procedure you undergo, our staff is consistently attentive to your needs, and looks forward to helping you make the right choice. We are dedicated to helping our patients develop a strong sense of comfort and confidence in the decision-making process, such as educating them on the importance of maintaining realistic expectations. In order to go forward with plastic surgery, we know that it is crucial for a patient to have an optimistic and healthy psychological outlook throughout the entire process. Therefore, we are devoted to creating a down-to-earth environment and friendly atmosphere for patients to embrace.