1122 Street Rd Suite 100 | Southampton, PA

Expanded FAQ

What can I do about fixing my earlobes that stick out?

The earlobes that stick out can easily be set back closer to the head during an otoplasty. The scars are located on the back of the earlobe and are easily concealed. This usually completes the last step in an otoplasty or ear contouring procedure. If earlobe contouring is going to be performed as a stand alone procedure, the earlobes can be st back under local anesthesia.

Where are the incsions for an otoplasty?

The incisions for an otoplasty or ear contouring surgery are located in the sulcus or the back of the ear or in the junction of the back of the ear as it meets the skull. The scars are extremely well concealed- even with short hair.

How long are the scars for a breast lift?

The length of incisions for a breast lift completely depends on the amount of breast lift needed. The circumareolar lift only provides about a 2 cm to 2.5cm (about an inch) ofbreast lift. Beyond about an inch there is more puckering of the incisions and flattening of the breast mound and pulling on the areola leading to an ineffective lift.
If there is more than a 2 cm lift needed, the next option is the lollipop incision, and for significant lifting or excess skin of the breast the full anchor incision is used.

What are the types of incisions for breast lifts?

There are 3 main incision types for a breast lift:
circumareolar: around the border of the areola.

lollipop incision: around the areola and a vertical incision from the 6 o’clock position of the areola to the breast fold

full anchor: incision around the areola, vertical incision to fold, and incision in the breast fold

Can I get a Mammogram after a breast lift?

If you are age 40 or greater, have a family history of breast cancer, or have a breast lump, you should have apre-operative baseline mammogram prior to your breast lift surgery. Dr. Kole will order the mammogram for you. If you already get routine mammograms, it is recommended to wait 6 months after yourbreast lift surgery to get your next mammogram in order to allow time for healing and the swelling to come down, and then resume your normal mammogram screening schedule.

Will the neck fat cells treated by neck liposuction ever come back?

The neck fat cells treated by neck liposuction are removed from your body and will never return. These neck fat cells will not be replaced by other neck fat cells. With weight gain, the non liposuctioned fat cells of the neck will get larger as expected but will never have the same volume as the neck would without the liposuction.

Do I need to lose weight before a tummy tuck (abdominoplasty)?

Possibly. The best candidates for a tummy tuck are those in good physical condition with pockets of fat or loose skin that haven’t responded to diet and exercise. Tn addition, the muscles of the abdominal usually have a weakened bowed appearance. Slightly overweight people whose skin has lost some of its elasticity can be helped with a tummy tuck. Patients who intend to lose a lot of weight are also encouraged to wait before undergoing the tummy tuck procedure, since skin typically loosens after substantial weight loss and the fat layer becomes thinner after weight loss, which could result in a less than ideal tummy tuck result.

What is the recovery like after neck liposuction?

Dr. Kole applies a special elastic based neck wrap for the first post-operative night after neck liposuction. He sees his patients the next day for a wound check, and thereafter gives them a wrap to be worn for the first week. Exercise and strenuous activity should be avoided for the two weeks following the neck liposuction procedure. There is minimal discomfort from the neck liposuction procedure which is controlled by oral pain medication. Patients can usually transition to Tylenol after 1-2 days following the neck liposuction procedure.

Will neck liposuction injure the skin of my neck?

Dr. Kole uses small mini-cannulas designed for use in the neck, along with a safe surgical technique to avoid injury to the delicate skin of the neck.

Will the fat cells treated by liposuction come back?

The fat cells treated by liposuction are removed from your body and will not return. These fat cells will not be replaced by other fat cells unless you are about twice your ideal body weight.. With weight gain, the non liposuctioned fat cells of the body will get larger as expected.

Is there scarring after a full tummy tuck surgery?

Yes, there is scarring after a full tummy tuck surgery. The scar is located low in the pubic area and just above the groin crease extending towards the hip bones. These scars are easily concealed by most undergarments and bathing suits. The scars will also fade and become less visible over time.

How is a full tummy tuck surgery performed?

There are different ways to perform a full tummy tuck. Generally, a full tummy tuck requires three incisions: one incision low under the bikini line from hipbone to hipbone, another circling around the belly button, and a final incision connecting the other two. This removes the entire distance from the belly button to the low pubic area.If you are having a problem visualizing this, it helps to think of the shape of a football or an ellipse.

Using these incisions, excess tissue and skin of the entire lower abdomen under the belly button is removed, liposuction is performed to remove any additional pockets of fat around the love handles area, and the remaining skin is pulled down from the upper abdomen like a window shade, tightened and secured.

After surgery, it’s important that patients follow our post-operative instructions for tummy tuck recovery so they heal as quickly as possible to avoid complications.

What does a full tummy tuck surgery consist of?

The full tummy tuck surgery is a body contouring surgerical procedure that is performed in order to tighten the skin and improve the overall appearance of the abdominal area. A tummy tuck an ideal treatment for stretch marks and loose skin as a result of weight loss or pregnancy. A tummy tuck usually consists of removing the entire section of skin from the belly button to the pubic area.

What is the difference between a mini tummy tuck and liposuction?

Liposuction removes fat from below the skin surface and provides a small amount of skin tightening due to contraction under theskin. A Mini Tummy Tuck is used for patients with poor muscle and skin tone of the lower abdomen and removes excess lower abdominal skin as well as tightening the underlying lower abdominal muscles. A mini tummy tuck also includes liposuction to the upper abdomen and love handle area to improve contours.

What is the difference between a full tummy tuck and liposuction?

Liposuction (whichever method is used: ultrasound, traditional, power assisted, laser) removes fat from below the skin surface and provides a small amount of skin tightening due to scar contracture under the skin as the skin heals. A full tummy tuck removes excess skin of the abdominal wall usually from the belly button down to the pubic area, tightens the underlying muscles from the breast bome to the pubic bone and removes excess skin. A tummy tuck also removes some fat from the abdomen through liposuction and direct excision of the fat under the skin surface.

What can a mini tummy tuck accomplish for me?

A mini tummy tuck reverses the changes caused by childbirth, weight fluctuations and gravity.The mini tummy tuck procedure is used for women who have lost skin and muscle tone of their lower abdomen. The minil tummy tuck tightens the muscles from the belly button down to the pubic bone and usually removes about half of the skin from the belly button down to the pubic area to give you a nice tight abdominal contour.

What happens if I have bad skin on my thighs and have liposuction?

Liposuction of the thighs is for body contouring of the thighs in people who have diet and exercise resistant areas of fat under their skin on their thighs. If the skin tone of your thighs is bad (skin that is loose, hanging or has stretch marks), the results from liposuction will be less than ideal leaving you with thinner appearing thighs though the skin will hang.

What is the difference between a tummy tuck and abdominal liposuction?

Liposuction (whatever method is used: ultrasound, traditional, power assisted, laser) primarily removes fat from below the skin surface and provides a small amount of skin tightening due to scar contracture as the skin heals. A Tummy Tuck does several things: A tummy tuck removes excess abdominal skin as well as tightening the underlying muscles and skin. A tummy tuck also removes some fat from the abdomen through liposuction and direct excision.

What can a mini tummy tuck accomplish for me?

A mini tummy tuck reverses the changes caused by childbirth, weight fluctuations and gravity.The mini tummy tuck procedure is used for women who have lost skin and muscle tone of their lower abdomen. The minil tummy tuck tightens the muscles from the belly button down to the pubic bone and usually removes about half of the skin from the belly button down to the pubic area to give you a nice tight abdominal contour.

What happens if I have bad skin on my thighs and have liposuction?

Liposuction of the thighs is for body contouring of the thighs in people who have diet and exercise resistant areas of fat under their skin on their thighs. If the skin tone of your thighs is bad (skin that is loose, hanging or has stretch marks), the results from liposuction will be less than ideal leaving you with thinner appearing thighs though the skin will hang.

What is the difference between a tummy tuck and abdominal liposuction?

Liposuction (whatever method is used: ultrasound, traditional, power assisted, laser) primarily removes fat from below the skin surface and provides a small amount of skin tightening due to scar contracture as the skin heals. A Tummy Tuck does several things: A tummy tuck removes excess abdominal skin as well as tightening the underlying muscles and skin. A tummy tuck also removes some fat from the abdomen through liposuction and direct excision

What happens if I have bad skin on my belly and have liposuction?

Liposuction is for body contouring in people who have diet and exercise resistant areas of fat under their skin. If the skin tone is bad (skin that is loose or has stretch marks), the results from liposuction will be less than ideal leaving you with thinner though hanging skin.

What happens if I have loose skin on my neck and have liposuction?

Liposuction is for people who have diet and exercise resistant areas of fat under their skin. If the skin tone is on the neck aready has hanging skin, the results from liposuction will be less than ideal leaving you with thinner though hanging skin on your neck.

Can I combine a tummy tuck with breast surgery?

It is actually quite common to combine a tummy tuck with either a breast enhancement or breast lift operation. This combined procedure is called a “mommy makeover”. Childbirth stretches both the breasts and abdominal wall, so it this combined procedure will address both these issues at the same time. Any of the breast operations (Breast Augmentation, Breast Lift, or Breast Reduction) surgeries can be performed in conjunction with a tummy tuck.

What can a full tummy tuck do for me?

A full tummy tuck reverses the changes caused by childbearing, weight fluctuations as well as gravity, and is typically the appropriate procedure for women who have lost skin and muscle tone of their abdominal wall. The full tummy tuck tightens the muscles from the breast bone to the pubic bone and usually removes all the skin from the belly button down to the pubic area to give you a nice tight abdominal contour.

Does a tummy tuck remove stretch marks after pregnancy?

Yes, a tummy tuck will remove a significant amount of stretch marks as well as scars on your abdomen. In most cases all the stretch marks below the belly button can be removed with a full tummy tuck. The stretch marks that are above your belly button will still be present, but will be pulled down to the lower portion of your abdomen above the pubic area.

What is a diastasis recti?

A diastasis recti is the medical term for the separation of the abdominal wall muscles in the midline after childbirth or weight fluctuations. This separation is repaired with permanent sutures in a full tummy tuck from the breast bone to the pubic bone in a full tummy tuck.

How old must I be to get a nose job?

A cosmetic nose job or rhinoplasty can be performed any time after the completion of nasal growth. Nasal growth is usually complete in girls by age 15 and in boys by age 16. However, a young adult needs to be emotionally mature and cooperative with all the pre and post-operative rhinoplasty instructions. In rare cases, rhinoplasty surgery may be performed in younger patients when severe nasal functional impairment exists.

Do I Need to Lose Weight Before I Get Liposuction?

If you are thinking about liposuction, you may be wondering if you need to lose weight first. Unfortunately, that answer depends on your unique personal situation. While one person may benefit from weight loss prior to liposuction, it may not be in the best interest of another. The only truly way to determine if your final results will be optimal if you need to lose weight or not is to com in for a complimentary consulataion with Dr. Kole by calling 215-315-7655.

How much time from work do I need to miss after having a tummy tuck?

The amount of time off of work varies from patient to patient. Generally, you should expect to be out of work between 1-2 weeks. The amount of time off from work can be more or less time, depending on the amount of strenuous exertion required at your job.

Are there any activity restrictions after tummy tucks?

Dr. Kole insists that you refrain from strenuous activity for at least 6 weeks after undergoing a full abdominoplasty (tummy tuck). Activity restriction means no lifting greater than 10 pounds and no activity that raises your heart rate. After 6 weeks, patients are encouraged to resume normal activities and exercise in a gradual manner.

What are CoolSculptings advantages vs liposuction?

CoolSculpting’s advantages over liposuction include:

CoolSculpting–

  • It is a non-surgical procedure
  • There is no recovery
  • There is no anesthesia
  • There are no needles
  • Does not affect the skin, nerves or blood vessels

What is a mini tummy tuck (mini abdominoplasty)?

A mini abdominoplasty is similar to a full abdominoplasty except a shorter incision is used and the skin is only lifted to the umbilicus, which does not have to be moved. Liposuction almost always used to shape the upper abdomen hips and as part of a mini tummy tuck to ensure a tight shapely figure.

Will I have drains with after my tummy tuck surgery?

Yes. Patients require drains after a tummy tuck. Usually a single drain is used for a mini tummy tuck and two drains are used for a full tummy tuck, The drains will remain in place from 3-10 days.

How much weight can I lose with liposuction?

Liposuction is usually not used for weight loss but for removal of extra unwanted fat. In a Pennsylvania licensed ambulatory surgical center, the maximum allowed fat removal is 5 liters which equates to about 12 pounds. Anything over 5 liters is deemed unsafe due to the fluid shifts that occur with liposuction.

How is Chin augmentation surgery performed?

The Chin augmentation operation is most frequently performed using IV sedation administered by the anesthesiologist. This procedure takes usually less than 1 hour to perform. For chin implants the incision can either be placed on the underside of the chin or through an intraoral ( in the mouth) incision. The intraoral incision is preferred by Dr. Kole as it leaves no visible external scarring.

What does a typical Chin augmentation consultation entail?

Dr. Kole will discuss your goals with you and he will explain what can be naturally and realistically achieved. The usual goal of surgery is to “correct” a lacking chin. The surgical placement as well as the size of the chin implants will be determined by you and Dr. Kole for what best fits your face. The implants come in many sizes, thicknesses, widths and projections in order to obtain a natural looking result.

What are the chin implants made from?

Chin implants are most commonly made from a hard silicone polymer, unlike breast implants which are made of silicone gel.

Will I be able to have children after a tummy tuck?

We recommend that the childbearing years be completed. Since the tightening of the abdominal muscles could adversely affect future pregnancy, becoming pregnant is highly discouraged following a tummy tuck.

At what age can nose job surgery be performed?

Surgery of the nose is ideally performed when the patient’s facial growth is complete. This begins around age 15 for girls and the age 15 or 16 for boys.

What type of anesthesia is used during a tummy tuck?

The Tummy Tuck procedure requires a general anesthetic. All anesthesia at The Kole Plastic Surgery Center is performed by board certified anesthesiologists. A laryngeal mask airway (LMA) is a state-of-the-art device that is inserted into a patient’s mouth and moves the tongue out of the way and keeps the airway clear. This allows the patient to breathe unassisted during the surgical procedure. Short acting anesthesia medications are given to maintain a level of general anesthesia which allows patients to awaken very quickly at the end of the surgery.

What is Chin Augmentation surgery used for?

Originally chin implants were used for reconstruction of birth defects and trauma reconstructions. Now, chin implants are being utilized to enhance the appearance of a person’s chin or to create symmetry and facial balance from a weak chin. With a chin implant, the entire face is a more aesthetically pleasing shape because of the symmetry and facial balance.

Will I be able to go home the same day as my tummy tuck?

All Tummy Tuck patients are able to return home the same day of surgery. Significant advances have been made in outpatient anesthesia with less nausea and with the addition of temporary pain pumps, which slowly disperse local anesthetic directly into the incision for three to four days following surgery. This significantly reduces the amount of pain and discomfort during the immediate postoperative period as well as requiring less narcotics for pain management.

Is there anything I need to do to prepare before my tummy tuck?

The most important thing to do in preparation for a Tummy Tuck is to prepare your family or caregiver and your home for your post-operative recovery. Make sure that you are going to be comfortable by preparing the area of the house where you will be staying. Remember that climbing stairs will be difficult for the first few days and you should be near a bathroom. For the first few you’re your family member or caregiver will be needed to help you get in and out of bed and to and from the bathroom. You will need them to prepare food for you and help you with your medications.

How is a tummy tuck performed?

During a Tummy Tuck, or Abdominoplasty, Dr. Kole makes a transverse low horizontal incision across the lower abdomens pubic area, staying within the underwear coverage line. The skin is lifted and underlying muscle is tightened with permanent sutures like wearing a corset. The excess skin is pulled down and excised and the incision is closed.

What can I expect during my initial tummy tuck consultation?

Dr. Kole sees patients for consultation in his Southampton Bucks County office. At your initial private consultation, Dr. Kole will inquire about your concerns and goals, review your medical and surgical history and suggest a treatment plan to help you achieve your goals.

Am I too old for a rhinoplasty?

Performing a cosmetic rhinoplasty becomes more difficult with age. With all factors being considered, the best time to perform a cosmetic rhinoplasty is in your mid-to-late 20’s or in early adulthood. By your 40’s, the outcome is usually less favorable, and doing a purely cosmetic rhinoplasty is best avoided beyond the 60’s due to poorer healing. However, functional rhinoplasty is often performed later in life to prevent chronic nasal obstruction. Being in good overall health for anesthesia is also necessary for nasal surgery, regardless of how old you are. The decision to perform rhinoplasty at any age is best made after a thorough rhinoplasty consultation discussing the desired changes, the risks and benefits of having the nasal surgery performed.

I’ve decided to get a rhinoplasty, but I’m afraid of anesthesia. What are my options?

A rhinoplasty, except small touch ups or small dorsal hump reductions almost always performed with anesthesia. Many factors, including patient comfort, patient safety, and the potential for bleeding must be considered when selecting anesthesia for your rhinoplasty.

In my opinion, general anesthesia is superior to intravenous sedation in all respects for rhinoplasty surgery for one main reason-patient safety. With general anesthesia, a small breathing tube is inserted by the anesthesiologist and a balloon on the end of this tube is inflated. If the patient bleeds, the blood will travel down the back of the throat and can enter the stomach and lead to nausea and vomiting- or worse- wind up in the patients lungs and lead to a pneumonia. With intravenous sedation, the patients gag reflex is diminished by the sedative drugs. For these reasons, I prefer general anesthesia as compared to intravenous sedation for rhinoplasty surgery.

Where are the incisions made for blepharoplasty? Are there scars after eyelid surgery?

When performing blepharoplasty of the upper eyelid, Dr. Kole makes an imperceptible incision in the upper eyelid crease. These incisions are made in such a way that they will heal into a thin virtually hidden scars in the upper eyelid crease. During the eyelid surgery blepharoplasty of the lower eyelids, Dr. Kole makes a small incision on the inside of the eyelid, which results in no external scar whatsoever – the incision is ‘invisible’ or a small scar immediately under the lash line when there is extra skin and fat of the lower lid that needs to be removed.

Does insurance cover the cost of blepharoplasty?

If your blepharoplasty (eyelid surgery) is performed solely to achieve a cosmetic benefit, insurance will not provide coverage. In such instances where your vision is being impared by drooping of the upper eyelids, insurance may cover part of all of the cost of the procedure.In these cases a non invasive visual field study may need to be performed. Dr. Kole has insurance specialists on staff who can help guide you through this process.

What options do I have for incisions for a breast augmentation?

There are currently 4 options for implant placement into the body.

The umbilical (currently not recommended by the implant manufactures)

The axillary (armpit),

the areola (around the nipple)

and the inframammary (under the breast) in the fold.

Each option has its advantages and disadvantages and they are all adressed in your initial breast consultation. The best option for your body type and implant type 9saline vs silicone vs gummy bear) are all factors in choosing an incision type.

What is my recovery time after a breast augmentation?

The typical recovery time will be only a few days with the pain subsiding rather quickly. Strenuous activities, exercise and sex should be postponed for 2 to 3 weeks after surgery to minimize complications such as bleeding, excessive scarring and implant shifting.

How long do I need to stay out of work after my male eyelid surgery procedure?

Male patients are advised to take off at least five to seven days of work after their male blepharoplasty procedure. The uncomfortable part of the surgery will only last a day or two but the “social recovery” of bruising and swelling that is visible to others will last up to two weeks. You can hide the bruising with glasses or sunglasses and as long as you avoid drafts, the sun and wind, you may return to a non-physical job. To avoid explaining yourself to your co-workers, you may want to stay out for up to two weeks.

Where will my scar be after a breast augmentation?

There are currently 4 options for implant placement into the body for a breast augmentation.

  • The umbilical (currently not recommended by the implant manufactures)
  • The axillary approach (armpit)
  • The areola (around the nipple)
  • and the inframammary (under the breast) in the breast fold.

Each option has its advantages and disadvantages and the options suiting your individual breast type will be discussed at your initial consultation.

How long does a male eyelid surgery procedure take?

A male Blepharoplasty (eyelid surgery) typically takes Dr. Kole at one hour to perform, depending on the severity of the patients extra skin and bags. Factors which lengthen operative time include large bags, the need to support the lower eyelid and supporting of the tear gland for plolapse.

How does Dr. Kole perform a male upper or lower (blepharoplasty) eyelid lift?

During a male upper eyelid blepharoplasty, the excess skin, muscle and fatty tissue that have created the sad, droopy, hooded or tired appearance are removed through an incision hidden in the crease of the upper eyelid. For men with little or no extra skin with fat pockets, Dr. Kole performs ‘invisible’ lower eyelid surgery where the incision is hidden inside the lower eyelid so there is not visible external incision. For patients with significant extra fat bulges and weak lower eyelid muscles an incision immediate under the lashes is performed.

How much time will I need to take off from work after my blepharoplasty procedure?

Patients are advised to take off five to ten days of work after their blepharoplasty procedure. Dr. Kole will instruct you how to conceal any bruising and swelling that may remain when you are ready to return to your normal routine. The uncomfortable part of the surgery will only last a day or two but the “social recovery” of bruising and swelling that is visible to others will last up to two weeks.

How long does the actual blepharoplasty surgery procedure take to perform?

Blepharoplasty typically takes Dr. Kole at one hour to perform, depending on the severity of the case. Factors which lengthen operative time include large bags, the need to support the lower eyelid and supporting of the tear gland for prolapse.

Where is the eyelid surgery (blepharoplasty) procedure usually performed?

To ensure your safety and comfort, Dr. Kole performs eyelid surgery in our state-licensed, private ambulatory surgical Center or as an outpatient at Holy Redeemer Hospital or Aria Bucks County Campus Hospital. The procedure may be done under local anesthesia with sedation or general anesthesia if you prefer.

What type of anesthesia is used during the eyelid surgery procedure?

Blepharoplasty may be performed under local anesthesia with sedation or general anesthesia. In some cases, the lower blepharoplasty can be performed using only local anesthesia. A board certified physician anesthesiologist will be responsible for administering your anesthesia or sedation in the Hospital or at our facility, The Kole Plastic Surgery Center. Dr. Kole and your anesthesiologist will help determine what best suits your particular needs in your individual case.

How does Dr. Kole perform an upper or lower eyelid lift?

During an upper eyelid blepharoplasty, the excess skin, muscle and fatty tissue that have created the sad, droopy or tired appearance are removed through an incision hidden in the crease of the upper eyelid. For younger patients with excess fat and little or no skin excess, Dr. Kole often performs ‘invisible’ lower eyelid surgery where the incision is hidden inside the lower eyelid so there is not visible external incision. For patients with significant extra fat bulges and weak lower eyelid muscles an incision immediate under the lashes on the external skin is performed.

Can I still get mammograms with breast implants?

Yes, the mammogram technician can perform a mammogram with breast implants in place. Please tell the technician that you have implants so they can protect the implants from damage from the mammogram machine and also do an additional study called a “displacement” view so more breast tissue can be visualized by the mammogram.

How can I tell if my breast implants rupture?

With saline implants, a ruptured breast implant will result in deflation of the implant, absorption of the sterile saline by your body and an obvious volume change in your breast size. The silicone outer shell that held the saline will remain and have to be removed and replaced with a new implant. There is no repair or “patch” kit for breast implants.

Silicone breast implant rupture of the older style will result in a subtle or obvious change in shape and feel of the implant and the breast. These implants when ruptured can be diagnosed by mammogram, where a “linguini sign” of the crumbled shell can be seen on X-Ray. The newer cohesive implants or the newsest highly cohesive “gummy bear” style 410 implants when ruptured will not have any discernable difference in breast size or shape. These new implants rupture can not be determined by x-ray or mammogram but must be diagnosed by MRI only.

Can I breast feed with breast implants?

Breast implants will not affect the ability to breast feed because the implants are usually placed under the chest wall muscle. There have been some studies of the old type of silicone implants (prior to 1992) having silicone particles in the breast milk after they have ruptured, but these implants are not in use any longer. The areolar incision may sever some milk ducts but this is usually not a probem with breast feeding.

How long is my breast augmentation surgery going to take?

The surgical procedure for a straight forward breast augmentation takes about 1 hour. The use of silicone implants adds only a few extra minutes of time for their placement. Patients with asymmetrical breasts requiring two different sized implants or patients requiring skin manipulation (breast lifts) to address symmetry issues require longer operative times.

Will I need help at home after my breast surgery and for how long?

Yes, although not mandatory, it is advisable to have a friend or family member assist you for the first day and night after your breast surgery. They can help you with meals, medication management and other household activities. You should limit your activities after either a breast reduction, breast augmentation or breast lift to reduce your chance of post operative bleeding and complications.

How long will I be in pain after breast surgery?

Although everyone is different, the most discomfort is experienced within the first day or so. With oral pain medicine, strict avoidance of arm activities, the pain will greatly diminish in 2 to 3 days. Breast augmentation is usually more painful than a breast lift because of the extra discomfort that occurs when placing the implants below the chest wall muscle. You should be back to normal in about a week and exercise can be started safely at two weeks.

How do I know if I am a good candidate for an eyelid lift?

The best candidate for a blepharoplasty (eyelid lift) is a physically healthy man who is realistic in their expectations and looking for improvement of their droopy upper eyelids and/ or bulging lower eyelid bags. A blepharoplasty will not correct sagging of the brows, or deep lines, wrinkles or furrows in the forehead. These patients may benefit from other procedures, such as a forehead lift (browlift) or skin resurfacing. Dr. Kole will help you decide which procedures are in your best interest during your initial consultation to give you the best results possible.

Where is the male eyelid surgery (blepharoplasty) procedure performed?

To ensure your safety and comfort, Dr. Kole performs the male eyelid surgery in our state-licensed, private Ambulatory Surgical Center or as an outpatient at Holy Redeemer Hospital or Aria -Bucks County Campus Hospital. All of the facilities have Board Certified anesthesiologists providing anesthesia services.

What type of anesthesia is used during the male blepharoplasty procedure?

The blepharoplasty (eyelid Surgery) for men may be performed under local anesthesia with sedation or general anesthesia. In some cases, the lower blepharoplasty can be performed using only local anesthesia. A board certified physician anesthesiologist will be responsible for administering your anesthesia or sedation in the Hospital or at our facility, The Kole Plastic Surgery Center. Dr. Kole and your anesthesiologist will help determine what best suits your particular needs in your individual case.

What is CoolSculpting?

CoolSculpting is the coolest, most innovative, non-surgical way to lose those annoying bumps and bulges of stubborn fat. This revolutionary technology targets and cools unwanted fat cells in the selected area to induce a noticeable, natural-looking reduction in fat bulges.

Using a technology developed by Harvard scientists, CoolSculpting targets and freezes fat cells causing their natural death in the treatment area. It’s completely non-invasive so there is no cutting, no needles and no anesthesia. Patients typically read, work on their laptops, listen to music or relax during the procedure.

It’s safe, FDA cleared and effective. Results look natural and can be seen as early as three weeks following treatment, with the most dramatic results after one to three months.

What areas can be treated with CoolSculpting?

The upper and lower abdomen and ‘love handles” or “muffin top” areas are most commonly treated, but it is possible to treat other areas where excess fat bulging occurs loke the back fat by the bra line, inner and outer thighs and the male chest.

How long is each CoolSculpting treatment?

During your private consultation, Dr. Kole will discuss how much time should be allotted based on your individual treatment plan. Treatments typically last one hour and multiple procedures are usually performed the same day.

What will the results of CoolSculpting be?

Many patients are satisfied after one treatment. However, during your complimentary consultation, with Dr. Edward Kole we can discuss a treatment plan that will meet your specific treatment needs.

What happens during the CoolSculpting treatment?

To initiate the treatment we will position the device on your body, in the area you would like to be treated. The device will then draw the bulge up between the two cooling panels with gentle vacuum suction. The sensation is a firm pull and pressure – enough of a pull to ensure the selected tissue will be cooled most efficiently. The cooling plates then get cold and extract the heat from the fat, crystalizing the fat cells and leading to their death. An hour or so later, depending on your needs, you’re done!

Can I return to normal activities after the CoolSculpting procedure?

CoolSculpting is completely non-surgical, so typically you can return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after the session is over.

When will I see the results after my CoolSculpting treatment?

You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after one to three months. Your body is still flushing fat cells and will continue doing so for up to four to six months after treatment. On average 20 to 25% of the fat cells are eliminated with one treatment.

Are the results of my CoolSculpting treatment permanent?

During your CoolSculpting treatment, the treated fat cells are eliminated. The fat cells that undergo programed cell death or apoptosis are removed by your body permanently. As long as you maintain a healthy lifestyle, long-term results should remain stable.

How do I get started with CoolSculpting?

Call us today at 215-315-7655 to set up your private complimentary consultation with Dr. Edward Kole. We’ll see if you’re a good candidate for CoolSculpting and work with you to develop a treatment plan to help you meet your goals

How does CoolSculpting Work?

CoolSculpting uses precisely controlled cooling to remove the heat from the fat cells to freeze and eliminate thefat cells from the body. One of many sizes of applicator with suction is chosen and then attached to fatty areas of the body and then the area is cooled for the one hour duration of the treatment. Clinical studies of CoolSculpting report an average of 20 to 40 percent fat loss per treated area.

is CoolSculpting a weight loss procedure?

No, CoolSculpting is a spot reducing procedure not a weight loss aid. However, some patients do find that they lose some weight after their CoolSculpting treatments.

Does CoolSculpting hurt?

People respond differently to CoolSculpting. Some people find mild discomfort associated with the procedure, others find no discomfort at all. Each CoolSculpturing procedure begins with applying the applicator to the skin and fat to be treated. The first few minutes of each session can be uncomfortable, like a pinching sensation as the skin is drawn into the handpiece by the vacuum. After several minutes, the cooling will numb the are so that patients become comfortable during their hour long session. Removal of the CoolSculpting handpiece is painless.

What do I do during my CoolSculpting treatment session?

You will be treated in our CoolSculpting suite wher you can watch movies, listen to music, work on your computer or surf the internet. We want you to sit back and relax. Some patients actually take a nap.

Is a breast reduction painful?

First off, most women get breast reduction surgery because their large breasts are causing them neck, shoulder and back pains. In this respect, getting the procedure will actually reduce the amount of pain you are in, and may even save you from having to get back surgery in the future to correct the damage that heavy breasts may cause. Breast reduction surgery is performed under general anesthesia, so no pain is felt during the procedure, and during recovery pain is usually managed with oral pain medicine or just Tylenol for the first few days. As compared with breast augmentation surgery, the pain is less because there is no stretching of the muscle to put the implants in and there is no stretching of the skin so bruising and soreness will also be less.

What is recovery like after a breast reduction?

After breast reduction surgery, Dr. Kole insists that patients wear a compression garment to reduce swelling and to allow the skin to heal properly. Patients can return home the same day as surgery, but will need assistance for at least 24 hours. Patients should sleep elevated to minimize swelling. At your first post-operative visit, the initial surgical bra will be removed and replaced and the patient may shower. At one weeks time, the sutures will be removed and you may return to normal activities. Patients are encouraged to wait 2 weeks before returning to strenuous activities, and to contact their doctor if any unusual swelling or pain occurs.

Will I lose sensation in my nipples after a breast reduction?

Dr. Kole performs breast reduction surgery using a technique that allows for the nipples and areola’s nerve endings to remain intact, which allows nipples to maintain full sensitivity. This is performed by preserving the midsection of the bottom of the breast and a pedicle of tissue to preserve both the nerves and blood vessels. However, a risk of this surgery is the permanent loss of sensation if the nipple needs to be severed during surgery and replaced as a free nipple graft. This is only performed in rare cases when the pedicle length is so long that the blood vessels and nerves to the areola will get kinked. For this reason, it is important to find a surgeon who is an expert in breast surgeries and specializes in all types of breast surgeries including breast reductions. To find out more about the risks involved in breast reduction, call our office at 215-315-7655 to schedule a consultation with Dr. Edward S. Kole to discuss your concerns.

How should I prepare for the breast lift surgery?

Dr Kole will discuss this with you at the initial and preoperative consultation. You will be given pre and post-operative instructions, a medications and herbs to avoid list and a detailed consent for surgery. Preoperative photographs and measurements will also be taken as well as a mammogram ordered if necessary. Preoperative blood test will also be ordered as well as a full discussion of the post operative scar locations.

How are breast lifts done?

There are several different breast lift techniques which vary based on how much skin needs to be removed. Basically, skin is removed from around the nipple-areola complex and in some cases also from the bottom of the breast, the residual breast tissue and skin is tightened, and the nipple and areola are re-positioned higher. All breast lifts with or without implants are performed in an outpatient facility with general anesthesia, although if the excess tissue that needs to be removed to position the nipple and areola complex is small, it could also be performed with local anesthetic.

What are the types of breast lift techniques?

Periareolar lift (crescent lift)

This is the smallest lift elevating the nipple and areola complex the shortest vertical distance. An incision is made on the superior areola margin encompassing a section of superior breast skin and the surgical defect is sutured back together resulting in elevation of the nipple and areola complex and the scar is located on the superior half of the areola.

Concentric (doughnut) breast lift
This lift is for women whose breasts are smaller and not as severely sagging and when a crescent lift will not result in enough elevation. A doughnut-shaped piece of both areola and breast skin is removed from around the nipple areola complex such that they can be shifted upwards, and then the remaining skin is sutured around them in their new location. This results in a scar completely around the areola complex.

Lolly pop lift
A variation of the concentric breast lift where another additional incision running downward from the areola edge towards the breast crease is made. This removes more skin on the bottom half of the breast in addition to elevating the nipple areola complex. A strip of skin can be removed and the edges sutured together. With this type of lift, more firming of the breast is achieved.

Anchor-shaped breast lift
This technique is used for women with larger and more sagging breasts with a significant excess of breast skin. This is the most frequent technique used for breast lifts. In addition to the periareola and vertical incisions, another incision is placed in the breast fold. The final shape of all the incisions together looks like an anchor.

Is there a lot of pain after a breast lift?

In the first couple of days, your breasts will be sore, but Dr Kole will provide a pain prescription for you. The discomfort gradually reduces within a few days.

How long does a breast lift take?

The time a breast lift takes depends on which method is used and how much excess breast skin is removed. The surgical procedure can be as short as an hour or as long as three hours if breast implants are needed to increase the final breast volume.

Are the results of a breast lift permanent?

The breast lift is permanent but the breasts continue to age and are still affected by gravity, although to a lesser extent. The breast lift results will last longer if you exercise regularly and don’t put on a significant of weight. Pregnancy and weight gain will also change the shape and fullness of your breasts.

Would I have to stay in the hospital after a breast lift?

In Pennsylvania, if the surgical procedure is longer than 4 hours or if there is significant blood loss, hospitalization overnight may be suggested, however this is very rare. Usually you can go home the same day after the procedure.

What are the risks involved with a breast lift?

A breast lift is a safe surgical procedure, but no surgery is ever guaranteed to be 100% safe, and general anesthesia always brings some risk. This risk can be minimized with proper patient and procedure selection and having your procedure performed in a hospital or licensed ambulatory surgical center. As with any surgical procedure there are risks associated with anesthesia, possible infection, bleeding as well as poor scarring. Dr. Kole will discuss these risks thoroughly with you prior to your procedure so you are completely comfortable with your decision to proceed.

What is the recovery like after a breast lift?

As with any surgical recovery period, the length of time it takes to recover depends on the individual person, the surgical procedure performed, and your attention toyour post-operative instructions. In general,
•The dressings will be removed in 24-48 hours. After that, Dr Kole will want you to wear a surgical bra for several weeks.
•After one week, the sutures will be removed
•Bruising will fade after several weeks, typically 2 to 4 weeks.
•In the first weeks or so you may feel some numbness around the nipples as the nerves in the area can be affected and take a few weeks to become less inflamed. You might also feel shooting pains or low-grade electric type shocks or spasms because the nerves were a bit traumatized by the procedure. These will also fade within a few weeks. The scars will fade over a period of months becoming paler, flatter and softer. The increased fullness and shapeliness of your breasts will be immediately apparent, but your breasts may take up to a year to fully settle into the new position.

Does breast lift surgery enlarge your breasts?

By lifting and firming up the breasts and removing excess breast skin, a breast lift (mastopexy) will make your breasts look larger. Also, saline or silicone breast implants can be inserted at the same time, which will also make them appear fuller and larger. If you aren’t sure which procedure would be best for you, we will help you decide.

What will my recovery be like after I get a neck lift?

First of all, please understand that no two neck lifts are the same. And this is a good thing!

If you have chosen plastic surgery expert Dr. Edward S. Kole, then he will customize your procedure to suit your needs and desires. Maybe you would benefit from just a little liposuction under your chin, maybe you have loose skin that needs tightening, or maybe the neck muscles need to be altered. Maybe you need all three.

Your recovery will vary, depending on what type of neck lift you receive. In general though, you can expect to wear supportive bandages and be out of work for approximately 7 days. During this time it’s important that you:
•Have someone stay with you for at least the first 24 hours
•Get adequate sleep and rest
•Sleep and rest with your head and neck elevated
•Turn with your entire body, try not to turn your neck
•Do not lift heavy objects
•Finish any antibiotics you were prescribed
•Walk around the house a few times a day to avoid blood clots
•Report any unusual or worrisome symptoms to Dr. Kole

During this time, the staff and surgeon at the Kole Plastic Surgery Center will be checking in on you to ensure that you’re recovering as you should. You will have several follow-up visits to the Center. Be sure to tell us about any concerns you have and ask all the questions you want to during your visits. We are here to serve you.

Exceeding Your Needs

At The Kole Plastic Surgery Center, we strive to not only meet your needs, but to exceed your desires. We are only happy when you are happy, when you can look in the mirror and smile.

You do not have to settle for the profile life has given you. Call 215-315-7655 today to speak with a Bucks County, Pennsylvania cosmetic plastic surgeon who offers the exceptional care you deserve. Call today; the new you is waiting.

What’s the difference between a mini and a traditional facelift?

The Full, or Traditional, Facelift

A full facelift is appropriate for those who are concerned not only with the overall looseness in the mid-face, but of the neck and jowls as well. The full facelift requires longer scars and affects more tissue, so it generally has a longer recovery time than a mini-facelift. Those who opt for a full facelift are usually older and have concerns about multiple areas on their mid- and lower face.

The Mini Facelift

A mini facelift is also commonly referred to as a short scar or S lift. These names speak to the S shape of the relatively short incision. Here, an incision is made from around the sideburn down to the earlobe. The determining factor in choosing this surgery over a full facelift is the amount of laxity in the face and neck and a desire for a shorter recovery time. Also, some people choose a mini facelift to avoid having a scar behind the ear.

Both types of facelifts have their benefits and drawbacks. The only way to determine the best type of facelift for you is to speak with an experienced Southampton, Pa. cosmetic surgeon.

At the Kole Plastic Surgery Center we have the expertise to help you achieve the look you want; to be the person you want be when you look in the mirror. A facelift, no matter the type, has the potential to give you back the tone you once had, while still looking like you.

Please call 215-315-7655 today to make an appointment with Dr. Kole, a Bucks County cosmetic surgeon with an eye for perfection. Don’t worry into the mirror any longer. Call today.

What can I expect in terms of recovery after my male tummy tuck surgery?

Some of the biggest concerns men have about getting a tummy tuck procedure in Pennsylvania are how long it will take to recover and when they can expect to see results. This popular procedure is one that helps many people restore their confidence and feel better about their body so it is understandable that our patients want to see quick results. As in all procedures, there is some recovery time to allow your body to heal.

Here are some of the recovery tips we give to our patients after their Pennsylvania male tummy tuck procedure.
•Avoid heavy lifting for approximately four to six weeks – This is standard in many surgeries and is meant to protect your body from injury. Heavy lifting includes anything over approximately 20 pounds. If your job requires you to lift this much, or more, you may need to talk to your boss before having the procedure done to make sure that this will not be a problem.
•Plan to be away from work for two to three weeks – You will also need to give your body significant rest following the procedure so that it can heal in the best way possible. For many people, this means missing work for a few weeks or working out of their homes. This way, your body can recover naturally giving you the best results possible.
•Bruising and swelling may be present for weeks after the surgery – It is not uncommon to have some residual bruising or swelling for a few weeks following the surgery. This, however, will go away eventually and is completely normal.

If you are interested in having a tummy tuck performed, contact our office at 215-315-7655 to schedule a consultation with one of our Pennsylvania male tummy tuck surgeons and get more details about the procedure and recovery time.

Is there a “right” age to pursue plastic surgery?

There is not any hard and fast rule as to the right age for plastic surgery. In fact, the appropriateness of certain procedures should be determined on a case-by-case basis, looking at the individual’s unique body type, aging process as well as underlying factors, such as medical conditions, smoking, and sun damage history. Of course, there are age ranges for certain procedures. Facelifts are generally not performed on patients less than 30 years old as mini-lifts, lasers or other non-invasive procedures are usually recommended. Otoplasty (protruding ear surgery), on the other hand, is appropriate for adults or patients as young as 5 or 6 years of age.

Will there be scarring after my chin implant? If so, where will the scars be located?

This depends on the choice of incisions. If the incision is located inside the mouth (intraoral) then there will be no visible scarring. If the incision is on the outside of the chin, there will be a small visible scar located underneath the chin in the crease. Dr. Kole prefers to use the intraoral incision when possible

What is a rhinoplasty?

A rhinoplasty, commonly referred to as a nose job, is a surgical procedure that is performed to change the shape or physical appearance of the nose or improve its function due to trauma, functional problems or genetics.

How much does rhinoplasty cost?

The cost of a rhinoplasty greatly depends on your geographic location in the country and how many specific items of your nose needs to be addressed ( bridge, hump, width, tip, etc)

The average cost of a rhinoplasty procedure ranges from $2,500 USD to $7000 USD which includes the surgeon fee, anesthesia fee and surgical fee. The price is slightly higher if you opt to have your procedure in a local area hospital. If you have a documented breathing problem (deviated septum), your health insurance company may cover a portion of the surgical procedure and anesthesia. We can help you determine and assist you in the process of obtaining insurance preapproval.

What are the risks of rhinoplasty?

Rhinoplasty is a generally a safe surgical procedure, but as with any surgery, complications may occur. The most common risks during a rhinoplasty procedure are bleeding, infection, and adverse anesthesia reactions. Dr. Kole is an experienced plastic and reconstructive surgeon and is trained to minimize possible complications and to avoid them if possible. There is also the possibility that you will need a small additional revision surgery in the future if the results are not optimal due to healing problems postoperatively.

How can I prepare for my rhinoplasty?

Prior to the rhinoplasty surgical procedure, Dr. Kole will go over the realistic expectations of what can be accomplished prior to your procedure. He will determine what needs to be performed to obtain the most optimal results. It is recommended that you don’t take any medications that may inhibit blood clotting or cause postoperative bleeding problems such as aspirin, motrin and ibuprofen. You will be provided a comprehensive medicine, food and herbal list of products to avoid. If you smoke, it is also recommended that you stop smoking at least one month prior to your surgery. Smoking significantly inhibits the surgical healing process.

What can I expect during my rhinoplasty?

Your rhinoplasty will usually be performed under general anesthesia by our board certified anesthesiologists in our private licensed surgical center. The entire surgical procedure typically lasts is less than two hours. Depending on the amount of cartilage manipulation you need, Dr. Kole may make an incision across the bottom of your nose between the narrowest area between your nostrils (the open technique), or on the inner portions of the nostrils (the closed technique). Dr. Edward S. Kole will then remove, trim, manipulate, suture and rearrange the cartilage framework, and in some cases break and reposition the bony skeleton to reshape the nose to its desired shape. Afterwards, Dr. Kole closes the incisions and an external nasal split is also applied.

What is the recovery time after a rhinoplasty?

Dr. Kole will require you to wear a nasal splint for the first 7-10 days after your rhinoplasty procedure. This protects the nose from trauma during the initial healing process. After your surgery, you will have moderate swelling and bruising around your eyes and nose that could last for up to two weeks. You should avoid strenuous activity for up to four weeks after your surgery especially if the activities would lead to potential nasal trauma.

What can I expect after rhinoplasty?

Results from a rhinoplasty surgery can typically be seen once the swelling goes down and the nasal splint is removed. Nasal breathing is also difficult for a few weeks after the surgery due to the swelling. Your nose will continue to become more defined over time as the swelling in the skin becomes less and the cartilage definition begins to show through the skin.

Is there an alternative to rhinoplasty?

When it comes to alternatives to cosmetic rhinoplasty to rearrange the cartilage and bony structures- there are none. If you are looking to improve your nasal breathing, you can try using external nasal strips as a non-surgical means of correcting your breathing.

Which is better- a closed or open rhinoplasty?

A “closed” rhinoplasty refers to surgical access where the surgical incisions are hidden inside the nostrils for a rhinoplasty procedure. Since this surgical approach avoids a potentially visible scar many surgeons use this approach, but it also significantly limits the surgical exposure. As a result, many surgeons including Dr. Kole prefer the “open” rhinoplasty approach, which connects the internal nostril incisions at the smallest distance between the nostrils (the columella) to increase surgical visualization.

Direct visualization enables the surgeon to change, reinforce and modify the skeletal framework. The revision rate for closed rhinoplasty is significantly higher. All revision rhinoplasty procedures are performed ‘open” to view the anatomy directly.

Can breathing be improved with a rhinoplasty?

Nasal function should never be compromised for cosmetic improvement. Surgeons who are trained in both cosmetic and functional nasal rhinoplasty are less likely to reduce nasal breathing and are often able to achieve a smaller and more attractive nose while improving nasal breathing. When there is a large turbinate or a deviated septum, surgical correction leads to significant improvement in nasal breathing.

What does the procedure of liposuction entail?

Liposuction, like other cosmetic surgery, can be a scary procedure to think about. Images of knives and needles pop into your mind and might frighten you from altering your body surgically, but you don’t shouldn’t be scared if you have found a reputable, safe, and experienced surgeon.

If you are ready for a change that will give you a more youthful shape and want to know what occurs in the procedure, then you have come to the right place. At the Kole Plastic Surgery Center in Southampton, Pennsylvania, liposuction is a procedure we carefully accomplish regularly and with great success. Dr. Edward S. Kole is a licensed plastic surgeon that has been practicing since 1998, catering to Pennsylvania, New Jersey, Maryland, and Delaware individuals. Dr. Kole is sensitive to his patient’s fears and apprehension about surgery; he helps people understand the processes and responds to specific concerns. Because all people’s bodies are different, the before, during, and after procedures may vary; however the basics are simple.
•Liposuction Consultation
This initial appointment will consist of an evaluation of your problem areas.
•Pre-Liposuction Evaluation
Scheduled about one to two weeks prior to your surgery, your medical history, blood tests, and physical measurements will be evaluated.
•Liposuction Procedure
The procedure will take approximately one hour and consist of injections of anesthetic and small incisions to allow your surgeon to suction the excess fat from under your skin.
•Post Liposuction Procedure
After your procedure is complete you will recover in the surgical center and go home with a compression garment that is typically removed after two weeks.
•Activity After Liposuction
Depending on your body, the recovery time is about two weeks. After that, you should be able to return to your usual daily physical activities.

When completed by a professional licensed plastic surgeon like Dr. Edward S. Kole, liposuction is a simple procedure. At the Kole Plastic Surgery Center, the needs of our patients are always first and we pride ourselves on beautiful results. Visit our website at www.Koleplasticsurgery.com or call us at 215-315-7655 to schedule your private consultation with a professional Pennsylvania licensed plastic surgeon today!

I have a little loose skin on the bottom of my arms after I lost a few pounds. I would like them to be tight again, but I am worried about the scars. Is liposuction an option? Any suggestions?

I have had excellent results with the modified brachioplasty procedure. In this operation, the scar is located in the hollow of the axilla (armpit) rather than being visible from the elbow to the axilla. This allows patients to wear short sleeve shirts without the scars being visible. The recovery is significantly less both in time and in pain level. This modified brachioplasty is ideal for patients who have mild to moderate skin excess. The traditional brachioplasty technique is still used for people with large weight loss and significant skin excess of the arms.

Saline or Silicone?

There has been a push toward the silicone gel breast implants and a feeling that patients will be “happier” with the gel implants. The truth is that both implants will look very natural. The issue is the feel. It is true that the saline breast implants will have a greater tendency to show ripples in the breast, especially in thin women, however the saline implant is soft especially when placed under the muscle.

The gel implant usually feels softer, but the more cohesive the gel, the stiffer the implant feels. Remember that with each implant there are trade offs, some more acceptable than others. Take your time to explore the options, and resist a decision of one implant over another until you understand what your choice will mean in the long term.

What are the top five cosmetic surgery procedures for Southampton, PA men?

There is a revolution in male plastic surgery. According to the American Society of Plastic Surgeons, more men are going under the knife than ever, with a 14% increase in facelifts and a 9% increase in botox from 2009 to 2010. This proactive approach to filling fine lines and tricking Mother Nature is quickly becoming one of our trends to watch in 2012 as well. The top five cosmetic surgery procedures are easily transformed from the makeover effect women are seeking to the subtle and dignified redesign men pursue.
•Nose Reshaping or Rhinoplasty
As men grow older, their noses continue to grow larger—and sometimes in irregular shapes. This procedure targets the center of their most endearing features, and can also have beneficial health results that succeed the superficial.
•Male Eyelid Surgery or Blepharoplasty
Commonly known as an eyelid lift, this cosmetic alteration can be done on the top or bottom lids. It is ideal for men with sagging skin or bags above and under the eyes.
•Liposuction or Lipoplasty
In this procedure, unwanted fat is removed and reshaping can be achieved. Liposuction is effective on fatty deposits that are difficult or non-responsive to diet and exercise.
•Male Breast Reduction or a Remedy for Gynecomastia
Gynecomastia can cause a man to be displeased with his body in a dramatic way. When diet and exercise aren’t helping, plastic surgery is the solution.
•Facelift
In 2011, 11,000 facelifts were undergone by men in an effort to stay looking youthful and alert. There’s no reason to be unhappy with the aging face that you see in the mirror.

Whether you’re looking for a subtle change or a total makeover, Kole Plastic Surgery can help you achieve the look you want fast. Call 215-315-7655 now to meet with Board Certified Pennsylvania plastic surgeon Dr. Edward S. Kole, it’s time to join the revolution other Pennsylvania men have discovered already.

How can I get rid of fat on my jawline?

For many people, it is normal to gain weight in and around the jawline as you age or put on extra pounds over the years. This is one of the most frustrating places to carry extra weight simply because it is the hardest to cover up on a daily basis. It is also very difficult to manage because there are very few specific exercises that target the jawline in particular. While plastic surgery in Pennsylvania is a popular option, there are also other things you can do to help.

Here are a few things you can do to get a sleeker jawline.

•Drink lots of water – As skin gets dehydrated it gets puffy and starts to sag. This can make your jawline and neck look larger than it actually is. When you stay hydrated, your skin is healthier and firmer which can create a more defined jawline.

•Exercise frequently – A combination of cardiovascular exercise and weight lifting can strengthen your body and help you lose weight. One of the places that some people lose weight the fastest is in their face and neck, so you can quickly slim down your jawline just by hitting the gym.

•Avoid salty foods – Too much sodium can also make your skin look and feel bloated. Try to steer clear of excess salt in your diet by monitoring how much sodium is in what you eat. You may be surprised to find you are consuming more salt than you realized.

•Get Pennsylvania neck liposuction – Sometimes, surgery is the best and fastest option for removing fat along the jawline and giving you a more defined facial structure. If you want quick results, this is your best option.

If you have tried dieting and exercise as a way to reduce the amount of fat around your jawline and have been unsuccessful or want to see faster results, neck liposuction in Pennsylvania may be your best option. For more answers to your questions, get my free book, Cosmetic Surgery: The Risks and Rewards, or give us a call at 215-315-7655 to schedule a consultation.

I am seriously considering getting a male facelift, but don’t have a lot of downtime available right now. How long is the recovery, and is there anything I can do to speed up the process and get back out in the public eye faster?

Unfortunately, there is no real way to speed up or eliminate the recovery time after a Southampton, PA facelift for men – time is your best friend. While each patient is different, most facelift recovery times average around two weeks, but it also depends on how soon you are comfortable going out in public after the surgery.

Since there will most likely be swelling and bruising, you may want to wait until it subsides before heading back to work, especially if you are insistent about being discreet about the facelift.

Other factors affect the recovery time, including:

•Your age at the time of the surgery. The older you are, the faster it will take your body to recover and bounce back after a facelift surgery.

•Your overall health. If you follow a healthy lifestyle that includes eating right and regular exercise, chances are that your recovery could go better than that of a person who tends to be sedentary with a poor diet.

•Whether or not you smoke. Smoking slows the recovery process in any surgery and is best avoided. If you currently smoke, we strongly recommend that you quit well before your surgery date.

•Your alcohol consumption. Also not the best activity to engage in when it comes to recovering from a facelift, consuming alcohol is not only bad for the body, but inebriation could cloud your judgment, making you more likely to do something that could hurt the recovery.

If you do not have sufficient time available to relax and focus on your recovery after a male facelift, it might be best to wait until you do. Or you can contact a surgeon experienced in male facelifts, Dr. Kole at the Kole Plastic Surger Center, at 215-315-7655 and have him tailor a plan to your individual situation. Call today and you will also receive a free copy of his book, Cosmetic Surgery: The Risks and Rewards.

What’s the difference between a tummy tuck and a mini tummy tuck?

You might guess by the name that the mini tummy tuck is a less extensive version of an abdominoplasty, but it is important to understand exactly how the the two procedures differ and how to choose the tummy tuck option that is best suited for you, your body, and the results you want.

A tummy tuck treats excessive skin both above and below the navel while also tightening the abdominal muscles. During a traditional tummy tuck, all of the skin is removed both above and below the belly button, eliminating stretch marks in that area and requiring the relocation of the navel. While a traditional tummy tuck allows the surgeon to dramatically reshape the entire abdomen, the operation is more extensive and often leaves a longer, more noticeable scar.

A mini tummy tuck only involves the area between the navel and pubis. One of the limitations of the mini tummy tuck is that it cannot tighten skin above the belly button and that only the lower abs can be tightened. One of the benefits of the mini tummy tuck is that it is less invasive, ideal for those with lower abdominal issues, and results in a smaller scar.

Would you like to discuss abdominoplasty options with an experienced cosmetic surgeon? Contact Dr. Edward Kole today at 215-315-7655 to schedule an appointment and learn more.

How do men and women’s brow position differ?

The ideal positions for eyebrows differ between men and women. In women, a higher arch above the bone with a curved appearance is ideal and youthful. In men a straighter, more horizontal lower arch conveys a more masculine look.

I have bands in my neck. Do I have to have a necklift?

Not necessarily. If you have thin skin and the neck muscle show through the skin, then you could be a candidate for botox therapy. Botox temporarily paraylzes the muscles of the neck, the neck bands relax and then are not visible through the skin.

Can I have a neck lift without a facelift?

Yes.

If you have excessive skin and fat of the neck but without general facial laxity, then a neck lift can be performed without a facelift. The neck lift eliminates the bands in the neck and the loose skin around the jaw line.

How is a neck lift performed?

A neck lift is performed by making a small transverse incision in the crease of the chin, and using a small light source and specialized instrumentation, the bands in the neck are identified and sutured back into their correct anatomical position. In addition, the muscles at the edge of the jaw line are placed under tension behind the ear and also sutured back to their ideal position. Through an incision around the earlobe and behind the ear, the redundant skin is excised to leave a more youthful appearance.

Can I use botox for neck bands?

Yes, in thin skinned individuals with a small amount of subcutaneous fat overlying the muscles, botox can be used to temporarily paralyze the muscles thus decreasing or eliminating the appearance of neck bands.

Is there an optimal age for facial surgery?

There is no optimal age for facial surgery however one should consider facial surgery when the early signs of aging begin. This usually happens in the early 40’s and progresses steadily from there. Early signs of aging consist of worsening of the fat pockets of the lower lids, increasing wrinkles, deepening of the folds between the nose and the mouth and early jowl formation.

Can insurance cover an upper eyelid surgery?

If there is documented loss field of vision especially on upward gaze, then many insurance companies may cover cosmetic functional excision of the upper lid skin. This visual field study is usually done by an opthalmologist.

What is the difference between a brow lift and an upper eyelid lift?

A brow lift repositions the eyebrow in a more pleasing contour while an upper eyelid blepharoplasty removes the upper eyelid excess skin and deepens the eyelid fold and removes the overhanging skin.

Do I have to use an implant for chin augmentation?

No. In addition to synthetic implants, one can opt for a chin advancement using your own bone. This is called a sliding genioplasty. This procedure is performed by transecting the bone of the chin, moving it forward and securing it with titanium scres and a small plate.

How is a sliding genioplasty performed?

Through an intraoral incision, the mandible (chin bone) is cut on an angle and moved forward to give the chin more projection, then secured in place using a small titanium plate and screws.

How do I know if I need a brow lift?

If you have low arched brows and extra skin with deep folds of your upper eyelid, then you may be a candidate for a brow lift. A brow lift repositions both the upper eyelid in a more aesthetically pleasing shape and also removes some of the redundant upper eyelid skin at the same time.

What is otoplasty?

Otoplasty is the surgical or non-surgical reshaping of the ears. Examples of otoplasty range from pinning back the ears in a simple procedure to reconstructing prominent or malformed ears with a more complicated procedure.

While some patients seek otoplasty after an accident or injury, others seek cosmetic ear surgery due to congential ear issues, such as poor ear angle, the overdevelopment of ear cartilage, or the underdevelopment of ear cartilage. Cosmetic ear issues can lead to low self-esteem and damaged confidence in both school-aged children and adults, and patients who undergo otoplasty often report improvements in their self-image following the procedure.

The optimal time to seek otoplasty is after a child’s ears have developed completely (normally around the age of five) but before the cartilage hardens and becomes less pliable. While otoplasty is considered a safe procedure that is often successful, complications including bleeding, infection, recurrence, and overcorrection are possible. Recovery is often fast, though patients are asked to wear protective wraps for several weeks following the procedure. Otoplasty does not improve or harm a patient’s ability to hear.

Would you like to learn more about otoplasty, either for yourself or for a loved one?

Call Dr. Kole today at 215-315-7655 to schedule a consultation.

Do you have to remove your belly button when you have a tummy tuck?

Usually not. In a fully tummy tuck, the umbilicus (bellybutton) is left attached to the body and the skin around the bellybutton is removed and pulled down to achieve tight abdominal contour. In certain cases, of a mini tummy tuck, the bellybutton is excised from the skin and pulled slightly downward in a slightly lower position to remove the small residual laxity of the upper abdominal skin. The slightly lower position of the umbilicus is not noticeable.

How can I tell if I need a chin implant?

The general rule is that a person would benefit from a chin implant when a vertical line is dropped down from the upper lip and the most projecting portion of the chin is more than 2mm behind this vertical line.

How is chin implant surgery performed?

I prefer to insert the implant through the mouth through a very small incision in the space between the bottom teeth and the lip. This incision is hidden unlike an external incision on the chin skin.

How are chin implants inserted?

The two ways to insert a chin implant are through the skin of the chin via an external incision or through the mouth via an internal incision.

What is a chin implant made of?

A chin implant is made of solid (non-leaking) medical grade silicone.

What is the best way to put in a cheek implant?

I prefer to insert the implant through the mouth through a very small incision in the space between the upper cheek and the teeth. The cheek implant can also be inserted through a lower eyelid incision. The intraoral approach also has the benefit of being hidden inside the mouth.

Will I have scars from my breast augmentation surgery?

Yes, all surgery leaves scars, some more visible than others. Transaxillary incisions are made through the armpit approach and scars may be noticeable when you lift up your arms. If you choose a periareolar incision, the scars will be hidden in a natural color demarcation of the skin at the edge of the areola. If an inframammary incision is chosen, the scar may be noticeable in the fold beneath the breast when the breast is elevated. Transumbilical incisions are made in the belly button and do not cause visible scars as they are hidden in the fold of the bellybutton.

What kind of breast implants feel better?

The new silicone cohesive gel implants resemble the feel of natural breast tissue more closely than saline implants; especially in thin patients without a lot of breast tissue and fat to camouflage the feel of the implant.

How are silicone implants filled?

Unlike saline implants that are inserted in the body empty and filled after insertion; silicone breast implants are pre-filled with a cohesive gel material from the manufacturer.

How are saline implants filled?

Saline implants are inserted into the body in a rolled up fashion similar to a cigar and then filled with a sterile salt water solution through a removable fill tube. The tube is then removed and a self-sealing valve prevents the fluid from leaking out.

What is the difference between saline and silicone breast implants?

Both saline and silicone implants have the same basic structure: an outer inert silicone shell. The difference is that saline implants are filled with a sterile salt water solution that is the same as that used for intravenous fluid replenishment, Silicone breast implants are pre-filled at the factory with a cohesive silicone gel material.

What is the recovery like after a breast augmentation?

You will feel some level of discomfort, your breasts will be swollen and tender for a few days afterwards and you will require some pain medicine. Exercise is discouraged for two weeks after surgery and the breast implants will settle into the shape within a few weeks after the surgery.

Are breast implants safe to use?

Both saline (salt water filled) and silicone (silicone filled) breast implants have been approved by the United States Food and Drug Administration (FDA) for safety and used in human patients. Silicone implants were removed from the market in the early ’90s, for safety concerns but then were reapproved in 2007 after the FDA found no evidence of deleterious effects.

Liposuction of the neck area is performed by using a very small steel cannula placed under the skin through a very small incision made in very discreet areas located behind the earlobes and under the chin in a skin crease. A high powered suction unit is then used to remove the excess fat under the skin of the neck. After the fat has been removed, a neck compression garment is worn for a few days to help the neck skin contract.

How long will my breast implants last?

Breast implants do not have to be replaced until they rupture and leak, but most women have them replaced, every 10 to 15 years on average.

How soon can I go bra shopping after my breast reduction?

Most of my patients do not require a bra after surgery. However, it typically takes 6 to 8 weeks for the majority of the swelling to subside from the breasts after surgery. We have most patients wear a support bra until that time.

What is the best way to get full lips?

Fuller lips can be achieved easily by using an injectable filler such as Juvederm or Restylane or by using an implant or fat injections. The Injectable fillers are temporary- lasting up to a year while the lip implant is permanent (but can be surgically removed). Fat can be injected into the lips also but requires liposuction to obtain the fat to be injected.

What do you do with the breast tissue behind the nipple that is left after male breast reduction surgery?

After liposuction for gynecomastia or male breast reduction surgery, there is often a small amount of hard breast tissue directly behind the nipple. This extra breast tissue that couldn’t be removed by the liposuction cannula can be directly excised by making a small incision on the bottom edge of the areola.

Can I breast feed after a breast reduction?

Since many of the ducts of the breast are not cut during the breast reduction surgical procedure, you will continue to make milk and could breastfeed after the surgery. However, the volume of the milk you produce will be diminished and therefore it is probably wise to supplement with bottled formula.

Does your areola and nipple have to be removed when you have a breast reduction?

The nipple and areolar complex is routinely made smaller, higher in position, and rounder in a breast reduction procedure but not removed. In this fashion, the blood supply and the nerve supply giving sensation to the nipple is maintained and not damaged leading to a “numb” insensate nipple.

What should I be looking for in a Southampton, Pa. plastic surgeon?

You should choose in experienced surgeon. You should look for a plastic surgeon that is board certified. Board certification means that a surgeon has been evaluated by a group with his peers and is deemed to be competent in all aspects of plastic and reconstructive surgery. This usually requires multiple years of a precursor general surgery residency training, as well as additional training in plastic and reconstructive surgery.

You Should also seek out a surgeon with many years of experience. This surgical experience allows the surgeon not only to get high quality reproducible results, but also to be aware of potential complications, and pitfalls, that less experienced surgeons would not recognize

What is the worst thing that could happen after plastic surgery?

You should start with death — and work your way down the list.

There are many potential complications from cosmetic surgery, including scarring, bleeding, prolonged bruising, skin loss, delayed healing, nerve damage, and wound infections. With liposuction, other complications include perforated abdominal organs, tissue infection, and the body going into shock if too much fat is removed.

You should have your procedure performed in either a licensed ambulatory surgical center or a hospital. Having a well-trained plastic surgeon to minimize these potential problems in advance is of paramount importance to your safety.

How do I find a good plastic surgeon?

There is no perfect way to find a good doctor. You need to take into account many factors, including the doctor’s training and personality as well as his general ability to perform the surgery that you request.

There are many ways to find out about your doctor’s training. The easiest one is to ask. Most doctors are happy to provide their education and background. If your doctor is not willing to discuss his credentials, then you should be suspicious.

You can also talk to your family doctor. He or she often will have a personal knowledge of the abilities and reputation of plastic surgeons who practice in your area.

Nurses and people who work in hospitals also have first-hand experience of local doctor. Check around with your friends and talk to them — especially the ones who have had plastic surgery. If a doctor is getting consistently excellent results, you will find him by word-of-mouth.

How do wounds heal?

The process of wound healing is slow and goes through several stages.

•The first stage is called the inflammatory stage. Although it may appear that very little it happening during this stage in fact, it is very active. This is the time the body is producing collagen to strengthen the wound.

•The second phase, called the metabolic phase, lasts several weeks. During this phase the body produces thicker and stronger scar tissue than is ultimately needed to heal.

•The last and final stage of wound healing is called remodeling. It is during this phase that the body breaks down and remodels scar tissues, and decides how much scar will remain.

These three stages have a clinical significance to the patient. During the inflammation phase, the scar is not very strong. Redness of the wound and scar lasts throughout the metabolic phase. The redness does not fade for at least six to eight weeks after surgery or injury. It is at this stage that the scar is increasing in strength.

Of course, not everyone heals from wounds at the same rate. Many factors affect wound healing, including diabetes, HIV, vitamin deficiencies, and smoking. Some patients have a persistently heavy scar called hypertrophic scar or keloid. An unusually large or unsightly scar may be modified by later scar revision surgery.

A wound is not truly healed for at least 1 to 1½ years. It is rare to revise a surgical scar at least until this much time has passed.

Can I have cosmetic surgery if I smoke?

Most people are aware that smoking can damage their health in dozens of ways. For surgery patients, one of the most significant problems is that smoking reduces the amount of available oxygen to the cells — and oxygen is vital for wound healing. Smoking constricts small blood vessels, which limits the flow of oxygen-rich blood to the cells.

You should stop smoking for several weeks before your surgery. The use of nicotine gum and patches is no help, as the active chemical — nicotine — can interfere with healing the same way that smoking does.

Smoking and nicotine patches can be especially damaging in surgeries like tummy tucks or facelifts, in which the skin is partially separated from its underlying blood supply and pulled tight under tension. It is mandatory to stop smoking at least two months before these procedures are performed.

You may be tempted to tell your doctor, “Oh, I never smoke,” when you actually have not been able to quit. Lying to your doctor is never a good idea, and in this case it can be a disaster. The effects of smoking on surgical recovery are very serious and deceiving your surgeon will only make things worse.

What kind of patient is least likely to get a good result from cosmetic surgery?

Recent studies show that most people are happy with their improvement after a cosmetic surgery. However, certain groups of people are less likely to be satisfied with cosmetic plastic surgery. These include:
•younger patients.
•patients with unrealistic expectations.
•patients with a previous poor result with cosmetic surgery.
•patients with a minimal deformity seeking cosmetic surgery.
•patients motivated to seek cosmetic surgery based a relationship issue.
•people with a history of depression, anxiety, body dysmorphic disorders, or personality disorders.

Every patient is different, both physically and mentally. For example, I have treated many younger patients who have been pleased with the results of their cosmetic surgery. If you have special concerns that you may not adjust well to your procedure, it is important to talk those matter over with your surgeon before your operation.

What are the benefits of cosmetic surgery?

When you consider having any type of elective surgery you have to weigh the good against the bad. Here are some points worth considering.

•There is no such thing as a perfect surgery. All operations carry some risks.
•A cosmetic surgery operation may not be right for you today, but possibly in a few years.
•The risks might be worth the anticipated improvement.
•Sometimes it is worth waiting.
•There are no guarantees that ever could be given by any surgeon.

A good cosmetic surgeon does not spend time trying to convince people to have operations; he does try to help them reach an informed decision as to whether a cosmetic procedure would likely have a positive effect on their lives.

In general, surgeons judge success in an operation by the patient accepting the results. An operation would be considered a success if — a year after the surgery — the patient would have the surgery performed again.

The kinds of benefits most people are seeking from cosmetic surgery include:
•an improved sense of self-esteem;
•an overall feeling that their external appearance better matches how they feel inside; and
•a new-found ability to blend in with other people because their perceived deformity is less noticeable.

Cosmetic procedures do not work miracles, but they can make people happier and lives better. When that happens, it is a success by any standard.

When is Botox therapy used?

The use of Botox has increased exponentially over the past several years, such that it is the number one cosmetic procedure performed in the world.

Every time you smile, frown, or laugh, dynamic wrinkles are created by your facial muscles and shown on the underlying skin. Unfortunately, the more animated your face is, the deeper these lines become.

Botox is designed to reduce horizontal lines of the forehead, frown lines, crows’ feet around the eyes, vertical lip lines, as well as the “number 11s” between your eyes. Botox blocks the nerve impulses to the tiny facial muscles that are used to animate your face. This therapy causes the muscles in that area of the injection to stop working, leaving the overlying skin smooth and wrinkle free. It is a very simple and safe procedure requiring no anesthesia.

Botox is commonly used in conjunction with other treatments such as microdermabrasion, chemical peels, or other agents that maybe recommended tofill skin wrinkles. Your Botox therapy can be customized to your individual needs. Some patients like to retain some movement in the area, while some patients prefer a complete paralysis of the muscles. You should discuss your individual situation with your surgeon and point out the specific wrinkles that you are trying to address.

After Botox treatment, you should not take any anti-inflammatory medicines for four hours and avoid strenuous activity. The day after your treatment, you may have minimal pinpoint bruising from the needles that are used to inject into the muscles. The side effects are usually confined to the area where the Botox is injected. There maybe minor discomfort as well as a possibly of a small bruise.

The action of Botox starts in approximately 24 hours and may take up to a week to work; the full effect is seen in approximately two weeks’ time.

It is okay to have a small amount of movement as long as the wrinkles lines are diminished. The objective of the treatment is to improve the appearance of the lines and not necessary paralyze the musculature. If an improvement can be obtained while retaining some minor muscle function that leaves you with some expression, that is often preferable than the “statue” look that is obtained with complete paralysis.

How long will a Botox treatment last?

The Botox cosmetic treatment takes only several minutes to administer correctly and takes effect over the next several days. Over the next three to five months, the Botox paralytic diminishes in effectiveness, and you will eventually return to the baseline appearance before the treatment.

When the expression lines that you are trying to remove start to reappear, it is time to re-administer Botox to maintain the desired effect.

Dr. Edward S. Kole welcomes the thoughtful inquiries he has received from patients. As a skilled Pennsylvania plastic surgeon, he knows that clients considering aesthetic or reconstructive surgery need information and reassurance before they can make an informed, realistic choice about undergoing a medical procedure. Please call 215-315-7655 to get more advice or to obtain a free copy of Dr. Kole’s book, Cosmetic Surgery: The Risks and Rewards.

Who is a candidate for breast augmentation?

Often, women wishing to undergo breast enhancement or augmentation consider their breast size too small, unbalanced, or disproportionate to their body size. Women who have lost a significant amount of weight as well as breast volume or have had children are also good candidates.

What are the risks of breast augmentation?

Any surgical procedure comes with some risks, such as the effects of anesthesia, bleeding, infection and swelling. These rarely occur and can often be avoided. Tens of thousands of women undergo breast enhancement successfully every year and are very satisfied of the outcome.

How long is the recovery period after breast enhancement?

Many patients require assistance for the first day or two after surgery and then most are able to care for themselves after that time. If you have small children, breast augmentation patients usually need help with childcare for only a few days after the operation.

You should avoid heaving lifting for ten days. Most women return to work within a week.

How is breast augmentation performed?

Breast augmentation is an outpatient procedure performed under general anesthesia.

During the surgery, a small incision is placed either underneath the breast in the crease around the lower edge of the areola or armpit. A saline or silicone gel implant is placed behind the breast tissue under the muscle. Your surgeon will work with you to determine the ideal size, shape and type of implant that is best suited for your body. The procedure usually takes about one hour.

For the first two days after surgery, you will wear a bandage wrap, After that, the bandage will be replaced with a soft padded cotton bra to maintain the optimal position of the implant.

You will have some limitations for 14 days after your operation. Do not take aspirin or aspirin products during this period. Strenuous activity should be avoided for the first two weeks after breast enhancement surgery. Regular activities are usually allowed after two weeks have passed.

Is liposuction the best way to get rid of cellulite or improve stretch marks?

Stretch marks (striae) are a form of scarring on the skin caused by tearing of the dermis. They are usually the result of the rapid stretching of the skin, such as during pregnancy or a suddent weight gain.

Cellulite is a pattern of skin dimples and nodes that is caused by small amounts of the fat under the skin extending into fibrous connective tissue.

Sadly, there is no truly effective treatment for stretch marks or cellulite. Often stretch marks will fade over time, but they cannot be expect to disappear.

How many years can I take of my face after a facelift without looking strange?

You will never look more than about fifteen years younger than you are, and even that is a little too much to ask for most people. A realistic hope is that you will look young for your age, rather than some arbitrary number many years younger than you are.

Will I have to wear my hair over my ears after a facelift to cover my scars?

No.

Most scars heal almost invisibly. In addition, newer techniques place the incision behind and around the contour of your ears rather then in front of your ears; this is better for making facelift scars look less prominent.

What is the ideal age for a facelift or liposuction?

You should think about facial procedures or liposuction when your skin is elastic. This lasts until your mid- to late-40s.

Once you reach your late 50s, your skin loses a significant amount of the elasticity that ensures a natural-looking lift. A facelift still can be done, except it will most likely need to be performed with additional procedures, such as eyelid surgery or brow lift surgery.

Most plastic surgeons are wary of performing liposuction on people over 50 years old, as the skin may sag due to poor elasticity.

Who is the best candidate for a facelift?

If you feel that your skin is starting to lose elasticity and sag around the jowls and forehead, if you think you appear tired, and if and you are searching for a way to turn back the clock and rejuvenate your appearance, then maybe you are a candidate for a facelift.

Full facelifts are usually for people aged 50 and above whose skin has lost elasticity. However, there are many less-invasive facelifts that can be performed on younger people. These include mid-face lifts and lower face lifts.

Men are also candidates for this procedure. More and more men are looking for facial rejuvenation to stay competitive in the workforce.

How long is the recovery after a facelift?

Recovery after a facelift has two components: the immediate post-operative recovery, as well as the “social” recovery.

After your surgery, there will be some swelling and bruising — most of which will diminish over the first two weeks. Some discomfort will be expected and oral pain medicine is usually quite effective.

The social aspect of the recovery is that, although you may feel great after several days, you will still have some residual bruising and swelling. It takes extra time for this to decrease to a level so that you can be seen in public. Women may shorten this time with makeup.

How long does a facelift last?case varies.

One of the benefits of a facelift is softening the jowls of the jaw line and elevation of the cheeks. A facelift also reduces the creases between the side of the nose and corner of the mouth, removes and tightens loose and wrinkled skin, and elevates the cheeks back into a more youthful position.

Typically a facelift can last 10 to 15 years. In addition to a facelift, a skin care regimen to maintain your optimum results will often be designed specifically tailored to each patient. A skin care regimen will keep your skin looking beautiful for many years to come, and will extend the effectiveness of your facelift to its maximum potential.

Lower facelifts cannot stop the aging process, but they can give you a more youthful appearance.

I had liposuction. Will my fat reappear somewhere else?

Liposuction completely removes fat cells from a specific area of your body.

However, if you gain weight, the fat that remains in the other parts of your body will expand. So, it is best — if possible — not to gain weight after liposuction. Exercise and a good diet will help you maintain your healthy weight and appearance.

What is the best surgery to pass off to other people as having good genes?

The eyes are the first place to show your age.

Eyelifts or blepharoplasty take away extra skin on the upper or lower lids. Also, the fat is removed and the muscle is tightened. The sutures are removed after approximately five days and recovery is quick. People often will not be able to detect you’ve had surgery.

I thought silicone implants were removed from the market because of leaks. Why are they still used?

A new type of silicone implants has been re-approved by the federal Food and Drug Administration since November 2007.

New implants are no longer made of the type of liquid silicone that the old implants used. If you cut the new, improved implants in half or if they get punctured, the contents remain semi-solid and gelatinous. The material cannot explode or leak into your body.

After Botox injections, will my facial muscles lose the ability to work?

No.

If you stop having periodic Botox injections, the muscle will eventually recover — and the frown lines will eventually return. You may find, however, that you need less Botox after repeated injections over several years.

Dr. Edward S. Kole welcomes the thoughtful inquiries he has received from patients. As a skilled Pennsylvania plastic surgeon , he knows that clients considering aesthetic or reconstructive surgery need information and reassurance before they can make an informed, realistic choice about undergoing a medical procedure. Please call 215-315-7655 to get more advice or to obtain a free copy of Dr. Kole’s book, Cosmetic Surgery: The Risks and Rewards.

Our Facility

The Kole Plastic Surgery Center is a licensed private plastic surgical center in Southampton, Pennsylvania. The Pennsylvania Department of Health has granted this Center a license since opening in March 2005. The Kole Plastic Surgery Center is a completely private center. Dr. Kole is the only surgeon who performs surgery at the center. We limit our practice exclusively to cosmetic plastic surgery procedures.

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