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PROCEDURES: FREQUENTLY ASKED QUESTIONS

What type of anesthesia is required for Plastic Surgery?

Most plastic surgery operations can be performed safely under Local Anesthesia with Intravenous Sedation administered by a Board Certified Anesthesiologist. Lower body surgeries such as abdominoplasty are usually performed under Spinal Anesthesia. We work with the same anesthesiology team every day in a private surgical center, meeting the highest standards of safety required by the American Association For Accreditation of Ambulatory Surgery Facilities (AAAASF).

 

What happens after surgery?

Patients having facelifts, breast reductions, abdominoplasty, and body sculpting procedures are taken care of post-operatively by one of our Private Duty Nurses for 24 – 48 hours. These nurses are expertly trained and highly skilled in monitoring you postoperatively and assisting in a rapid recovery.

 

How long do I need to stay in New York City?

Most patients from outside the United States who undergo facelifts remain in New York for 10 – 14 days and are constantly attended to by our office staff. Patients who undergo surgery of the eyelids, nose, breasts, or liposuction, usually remain for about 1 week.

 

What can you expect from some of the surgical procedures Dr. Levine performs?

Nose (Rhinoplasty)

Local anesthesia with intravenous sedation, average time 1-2 hours.  No packing, minimal bruising and swelling, minimal pain. Recovery time is usually 1 week.  Dr. Levine does not perform the same operation on every patient. The nose should fit the face and be pleasing to the patient.  If normal aesthetic proportions are maintained, a nose will look natural.

A good rhinoplasty refines the nose but the patient should look like they were born with that nose.

 

Eyelids (Blepharoplasty)

Local anesthesia with intravenous sedation, average time 1 hour.  Recovery time is usually 1 week. Some swelling and bruising that usually resolves in 1 week.  Minimal or no pain.  Invisible scars.  Size, shape, and expression of your eyes remain the same ensuring a natural result.  The cosmetic benefits of eyelid surgery should last 15 – 20 years.

 

Facelift

Local anesthesia with intravenous sedation, average time 3.5 hrs.  Recovery is usually 10 – 14 days.  Modern facelifts have shorter scars and quicker recovery time.  Surgery is often combined with fat grafting and fillers as well as skin rejuvenation with chemical peels or lasers. Patients usually have minimal bruising and swelling as well as moderate pain for several days. Scars are hidden in natural lines. Patients look rested, fresher, younger, often like they lost weight, but totally natural. A well-performed face and neck lift usually lasts 10 – 12 years or longer.

 

Liposuction

Local anesthesia with intravenous sedation or epidural anesthesia, average time 1 -2 hours.  Recovery time is usually 1 week.  Liposuction is the most popular cosmetic operation.  It is used to re-contour the hips, thighs, knees, abdomen, neck and arms.  Patients usually have moderate bruising and swelling as well as minimal to moderate pain.  Patients need to know that weight must be maintained or fat will accumulate in other areas.

 

Breast Augmentation

Local anesthesia with intravenous sedation, average time 1 hour.  Recovery is usually 1 week.  Implants are usually placed beneath the muscle; in certain cases they may be placed above the muscle.  This will be determined based on your needs during the preoperative consultation.

 

Breast Reduction/Lift (Mastopexy)

Local anesthesia with intravenous sedation, average time 2-3 hours.  Recovery is usually 1 week.  Age, pregnancy, and weight fluctuation all affect breast structure.  The goal is to restore breast shape and nipple position to a natural and youthful appearance.  All efforts are made to minimize scars placed on the breast.

 

Body Sculpting/Abdominoplasty

Local anesthesia with intravenous sedation or epidural anesthesia, average time 2 hours.  Recovery time is usually 1 week.  Moderate pain. Body sculpting includes abdomen, arms, thighs, legs.

 

Fillers, Botox, Fat Grafting

Very common cosmetic procedures. These are often done in combination with facial surgery.

 

Skin Rejuvenation

Peels, laser, dermabrasion. To improve skin texture and reduce wrinkles and sun damage. These are often performed at the same time as Facelift or Eyelid Surgery.

 

Combination Procedures

Patients often inquire about having surgery on several areas at the same time. Commonly combined procedures are facelift and eyelid surgery, breast reduction/lifting, abdominoplasty, and liposuction. Dr. Levine operates very efficiently and can usually keep these combined procedure time to less than 5-6 hours, minimizing the risk of possible complications. Combining procedures offers the advantages of a single exposure to anesthesia and one recovery period.