Pedy Ganchi, M.D. - Village Plastic Surgery

Products And Services

• Abdominoplasty, Liposuction, Mommy Makeover

  Abdominoplasty, often called a “tummy tuck,” is a very popular surgery. Tummy tucks help to flatten and shape the abdomen and waist by removing excess fat and skin and tightening muscles. Dr. Ganchi has been performing abdominoplasties with excellent cosmetic results for many years. Patients love the look of their new flat stomachs after surgery under Dr. Ganchi’s exceptional care. Who Is A Good Candidate For A Tummy Tuck? The best candidates for abdominoplasty are in good physical condition with pockets of fat or loose skin that haven’t responded well to diet and exercise. Abdominoplasty can also be especially helpful for women with stretched skin and muscles from pregnancy. Results from the tummy tuck procedure will likely diminish if women continue to bear children, so we advise patients who plan to become pregnant to delay abdominoplasty. We also encourage patients who intend to lose a lot of weight to wait before undergoing the procedure, since skin in the abdominal area typically loosens after substantial weight loss.

  Link: Abdominoplasty, Liposuction, Mommy Makeover

• Liposuction

  We are proud to offer patients our extensive experience and expertise in liposuction, the single most popular cosmetic surgery procedure in the U.S. today. Liposuction sculpts the body by removing undesirable fat that has not responded to diet and exercise from the abdomen, waist, hips, buttocks, thighs, knees, upper arms, chin, and neck. Liposuction not only offers the opportunity to slim and contour chubby areas of the body; by removing the fat cells, it also ensures that these areas will not easily accumulate fatty deposits in the future. Liposuction Techniques The liposuction procedure begins with the injection of a solution composed of saline (salt water), a local anesthetic called lidocaine, and a small amount of adrenaline to decrease bruising and bleeding. This is known as either the tumescent or super-wet technique, depending on the ratio of the fluid to the fatty tissue being removed. Once this solution has been introduced into the area planned for liposuction treatment, the doctor proceeds with one of two different methods of liposuction currently approved by plastic surgeons: suction-assisted lipectomy (SAL) or laser-assisted lipectomy. In both methods, a tiny incision is made in as inconspicuous a place as possible. In SAL, a cannula (small tube) is inserted and moved back and forth beneath the skin, breaking up the fat layer and suctioning it out. The laser-assisted method may help break up the fat cells prior to suction aspiration.

  Link: Liposuction

• Mommy Make Over

  Mommy Makeovers include a combination of procedures that are custom designed by Dr Ganchi to restore a woman’s body after having children. They usually include a tummy tuck (full or mini), along with a procedure to help restore the breasts. The breast enhancement can include a lift, augmentation, reduction, fat grafting or a combination thereof. Liposuction is often included in areas such as the hips, waist, arms, back or thighs. Fat grafting to the breasts or buttocks can also be beneficial. Dr Ganchi will help determine the most suitable and safe procedures for each individual after a thorough examination and discussion. Safety, planning and meticulous execution are critical in achieving successful outcomes and the high satisfaction we see among our patients. Post-operative recovery care is equally important after Mommy Makeover surgery and Dr Ganchi will maintain close contact with frequent evaluations with each patient until healing is fully complete. Mommy Makeovers can be very rewarding as each beautiful Mother restores her pre-pregnancy body and often benefits from additional shape enhancements that she always desired. To learn more about Mommy Makeovers, please contact our office.

  Link: Mommy Make Over

• Brazilian Buttocks Lift/Augmentation

  If you want to enlarge or re-shape your buttocks and have discovered that they do not respond to diet or exercise, buttock augmentation may be the solution you’ve been looking for. A buttock augmentation or buttock lift contours the buttocks and compensates for low amounts of fat in the area. Women and men who enlarge their bottoms can enjoy a more voluptuous and perky profile. A buttock lift can be done by lifting the buttock, sculpting it with liposuction, enlarging it with implants or fat, or any combination of the three. The type of surgery performed will depend on the new look you desire. Buttocks surgeries take into consideration the size, shape and skin quality of your buttock, as well as the qualities that you desire after surgery. A lift is most often recommended after a large amount of weight loss, when there may be loose or excess skin. Buttock Augmentation With Fat Transfer (“Brazilian Butt Lift”) Buttock augmentation with fat transfer, also known as the Brazil Butt Lift in honor of the country in which it was developed, involves two steps. First, the patient’s own fat is collected through liposuction. The most popular areas for liposuction before buttock augmentation are the lower back, waist, flanks (love handles), thighs and stomach. This not only provides the raw material for buttock enhancement, it also contours the areas around the buttocks for a more dramatic result. The liposuctioned fat is then purified in a special process so that the best fat is ready to be reintroduced to the body.

  Link: Brazilian Buttocks Lift/Augmentation

• Labiaplasty

  Many women suffer from enlarged labia minora (the inner genital lips). Labiaplasty reduces large labia or reshapes uneven labia, improving their appearance and reducing associated discomfort. During the labiaplasty procedure, Dr. Ganchi trims excess labial tissue and recreates the edges of the labia with a natural-looking color and shape.

  Link: Labiaplasty

• Hand Rejuvenation

  As we age, the skin on our hands can change just as much as the skin on our face, resulting in thinner, sagging skin and an increased visibility of the tendons and veins. Hand rejuvenation is a restorative treatment that combines skin fillers such as Restylane Lyft and Radiesse and native fat with laser treatments such as Fraxel® to replace lost volume and improve the overall appearance of the hand. The skin of the hand is first injected with a biocompatible filler that stimulates collagen production and thickens the skin, making tendons and veins less visible. Desired results can usually be achieved after a series of two to three treatments spaced six weeks apart. Laser treatments work with the filler to improve the texture of the skin while also removing sun spots and other unwanted blemishes. A series of four laser treatments spaced a month apart can help patients see significant results.

  Link: Hand Rejuvenation

• Breast Augmentation

  Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular services. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast. Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Ganchi’s expert care, patients enjoy beautiful, natural-feeling breasts that are one or more cup sizes larger after the operation. Fully Customized Breast Enhancement We understand that every woman is unique in both her desires and her body shape. With that in mind, Dr. Ganchi takes the time during pre-operative consultations to learn what each patient hopes to gain from breast augmentation surgery and to decide which implant type and implant placement is best. In this way, every one of our patients enjoys completely customized treatment designed with her specific goals in mind. Complementary Procedures Breast augmentation can achieve dramatic and beautiful results on its own as well as in conjunction with other cosmetic surgery or non-invasive procedures. We sometimes recommend combining breast augmentation with other procedures such as a breast lift for more satisfying results. Saline And Silicone Gel Breast Implants Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe, and each offers its own advantages. We will help you decide which kind is right for you. During surgery, we will place the implants behind each breast, underneath either breast tissue or the chest wall muscle. After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. We are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants. Breast Augmentation Surgery – Incision Techniques The breast augmentation procedure lasts one to two hours and is typically performed with general anesthesia. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These may be located: In the crease on the underside of the breast (inframammary), Around the areola, the dark skin around the nipple (periareolar), or In the armpit (transaxillary). The breast is then lifted, creating a pocket into which the implant is inserted. Saline implants may also be placed endoscopically through an incision in the navel. This minimally invasive breast enhancement technique is known as a transumbilical breast augmentation or TUBA approach. Please note this technique is not ideal due to lack of control in implant placement and difficulty in subpectoral positioning. Breast Augmentation Surgery – Placement Options Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. Possible disadvantages include slightly increased post-operative discomfort. We will discuss which option may be best for you. After the implants have been inserted and positioned beneath the nipples, the incisions are stitched closed and bandaged. The patient is then placed in a soft support bra. Recovery Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week. The stitches are self-dissolving and any post-operative pain, swelling, or sensitivity will diminish over the first few weeks. Scars from breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years. Complications Complications following breast augmentation surgery are uncommon and usually minimal. They may include capsular contracture, swelling and pain, infection around the implant, a change in nipple sensation, milk production if you nursed a baby within a year before the procedure, and breakage or leakage of the implant (implant rupture) as a result of injury or the normal compression and movement of your breast. If a saline implant ruptures, the implant will simply deflate in a few hours and your body will absorb the salt water. A silicone implant leak may not be as easily detected and an MRI may be helpful for diagnosis. In either case you will need to visit your surgeon for an assessment.

  Link: Breast Augmentation

• Breast Lift (Mastopexy)

  A woman’s breasts may droop as a result of the natural effects of aging, heredity, gravity, pregnancy, breastfeeding or weight loss. A breast lift, also called a mastopexy, is performed to return youthful shape and lift to breasts that have sagged or lost volume and firmness. What Can A Breast Lift Do For Me? Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola—the dark skin surrounding the nipple—which may have stretched or drooped. Breast size does not change after a breast lift, nor does the fullness or roundness in the upper part of the breasts. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction together with a breast lift. Am I A Good Candidate For A Breast Lift? The best candidates for breast lift are women whose breasts meet some or all of the following conditions: Breasts sag Breasts have lost shape or volume Breasts are flat, elongated, or pendulous (hanging) Breast skin and/or areola is stretched Nipples or areolas point downward Nipples or areolas are located in the breast crease when breasts are unsupported One breast is lower than the other It is also very important that breast lift candidates: Maintain a stable weight Are generally healthy Do not smoke Discuss realistic goals with their plastic surgeon Who Should Not Consider A Breast Lift? Women planning to have children are advised to postpone surgery, since pregnancy and nursing can counteract a breast lift’s effects by stretching the skin. Mastopexy does not affect breast size or upper fullness. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction either together with a breast lift or instead of a breast lift. The Technique Dr. Ganchi Chooses… Mastopexy may be performed in a hospital, an outpatient surgery center or a surgeon’s office-based facility. It is usually done on an outpatient basis under general anesthesia, and lasts from 1 ½ to 3 ½ hours. There are several types of incision methods that can be used when performing a breast lift. The technique a surgeon chooses depends on the patient’s: Breast size and shape Degree of sagging Size and position of the areolas/nipples Amount of excess skin Skin quality And other factors. The three most common incision types are two rings around the areola in a doughnut shape (small-incision mastopexy, generally only recommended for patients with small breasts and minimal sagging); around the areola and down to the breast crease in a lollipop shape; and the lollipop with an additional half-moon incision along the breast crease, in an anchor shape. In all cases, breast lift surgery begins with administration of anesthesia or IV sedation. Dr. Ganchi makes the necessary incisions, and then lifts and reshapes the breast tissue into its new, rejuvenated contour. She moves the nipple and areola higher on the breast and removes extra skin around the perimeter if the areola is enlarged. Finally, Dr. Ganchi trims the excess breast skin that resulted from poor elasticity. Stitches layered deep throughout the breast tissue support the lifted breasts. When the mastopexy is complete, the skin is closed with stitches, tissue adhesive and/or surgical tape. Some of the incisions are hidden in the breast crease. Others will be visible. All scars will mature with time. What Is The Recovery From A Breast Lift Like? After surgery, the breasts are wrapped with gauze dressings, and you may need to wear an elastic bandage or a surgical bra. After a few days, this is replaced with a soft support bra, which is worn 24 hours a day for about a month. The breasts will probably be bruised, swollen, and uncomfortable after surgery, but this will pass in a few days. Any numbness in the breasts and nipples should lessen as swelling subsides. Patients will wear a soft support bra and return to most daily activities within 5-7 days. What Are The Risks Of Mastopexy? Possible complications of a breast lift include: Bleeding Infection Temporary or permanent numbness in the nipple or areola Uneven positioning or shape of breasts or nipples Widening of scars Poor incision healing Fluid buildup Dr. Ganchi will discuss all the risks and benefits of a breast lift with you. You will be able to see the results of your mastopexy immediately after surgery, and you may become even more satisfied as swelling goes down and incision lines fade.

  Link: Breast Lift (Mastopexy)

• Breast Asymmetry

  Many women are born with breasts that are uneven in size and shape, which may or may not be noticeable to others. These differences in breasts are often undetectable to patients themselves, causing no problems at all, while other women can have obvious asymmetry, which can cause both an unbalanced appearance and emotional distress. Asymmetric breasts can be corrected through surgery that either enlarges the smaller breast or reduces the larger one. Implants can be placed in smaller breasts or a breast reduction can be performed on larger breasts. If the nipples appear at different heights, surgery can relocate one or both of the nipples. All of these options produce breasts that are more similar in appearance, working with each woman’s unique body to achieve the best possible results. Creating a more balanced appearance can help improve physical balance, self-confidence and body image.

  Link: Breast Asymmetry

• Breast Implant Revision

  We specialize in revision breast augmentation for patients who are not satisfied with their results after undergoing breast augmentation at other practices. These patients’ unhappiness may arise from the implant shape, size, or placement or because of a post-surgical complication such as wrinkling, implant displacement, capsular contracture (hardening around the implant) or symmastia (implants drift together). Reasons For Revision Breast Augmentation After their first breast augmentation, many women discover that they actually want their breasts to be larger or smaller than the results achieved during the initial procedure. Different Implant Size This is the most common reason that patients seek revision surgery. During this type of revision procedure, the same incision is used to remove the old implants and insert a different implant based on the patient’s individual body. Small adjustments may be required in order to accommodate the new breast size. Patients seeking changes to their implant size are advised to wait at least three months after the initial procedure before undergoing revision augmentation. After three months, swelling has subsided and the implants have settled, allowing patients to evaluate the true size of their implants. From there, revisions can be made if desired. Implant Leaks/Ruptures Saline breast implants that begin to leak are often noticeable, as the leaking breast will gradually decrease in size. Patients with silicone implant leaks may notice small changes in the shape of the breast, but should have any suspected leaks or ruptures confirmed by a plastic surgeon. Your plastic surgeon may perform an evaluation through a mammogram or MRI to evaluate the status of your implants. A leaking or ruptured implant should be replaced right away. This type of revision can be done through the same incision as the initial procedure. The procedure is often easier and less painful than the first procedure, and patients can benefit from a faster recovery as well. Implant Complications There is always a risk of certain complications and side effects from a breast augmentation procedure. Some of these complications may include wrinkling and rippling of the implant, capsular contracture and shifting of the implants. Wrinkling and rippling occur most often in women with thin skin or a small amount of natural breast tissue. These ripples can often be felt when touching the breast and may even be visible under the skin. Capsular contracture involves hardening of the breasts and a change in shape as well as scar tissue developing around the implant. There are several solutions available to help correct these complications. Changing the size, shape, position or type of implant is often helpful in relieving these problems and correcting the look and feel of the breasts.

  Link: Breast Implant Revision

• Nipple Surgery

  Nipple Eversion And Reconstruction Inverted nipples, which point inward rather than out from the breasts, can be a source of self-consciousness as well as concern about the ability to breastfeed. However, this condition may be corrected through a nipple eversion procedure. This surgery involves releasing or stretching internal connective tissue that has been pulling the nipple inward. The eversion procedure is typically performed with the use of a local anesthetic. An incision is made in the areola to access the connective fibers. The nipple is then placed in an outward position and held there using sutures. The sutures dissolve as the breast tissue heals and the nipples remain pointing outward. Nipple eversion surgery can preserve nearby milk ducts to maintain a patient’s ability to breastfeed in the future. Nipple and areola reconstruction is typically performed to create nipples if they are missing due to mastectomy, injury or a congenital defect. It is often the final step in breast reconstruction surgery, where the nipple is formed after the breast mound has settled into place so that the new nipple matches the appearance and position of the natural one as closely as possible. Nipple reconstruction may be performed using one of several techniques, including tissue and cartilage flaps, skin grafts and tattooing. Nipple Reduction Many men and women are embarrassed or bothered by the larger size of their nipples. Patients may be born with larger nipples, or they may develop after breastfeeding. Whatever the cause may be, larger nipples can be reduced through a simple surgical procedure that offers immediate results and minimal risks, eliminating patients’ worries about nipple size and shape. Nipple reduction is commonly performed during a breast reduction procedure, so that the size of the nipple will match the new size and shape of the breast. Larger nipples often create a matronly or older appearance, although it commonly occurs after breastfeeding or in naturally large breasts. A reduced nipple size can help create an overall youthful appearance to the breast, and helps maximize the aesthetic results of a breast reduction or breast lift procedure. It is important for patients to realize that the nipple and the areola are not the same thing. The nipple is the projected part of the breast, while the areola is the darker pigmented skin that surrounds the nipple. Many patients undergoing nipple reduction may also seek areola reduction in order to achieve their desired results.

  Link: Nipple Surgery

• Breast Reduction

  Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery, also known as reduction mammaplasty, is usually done to provide relief from these symptoms. Performed under general anesthesia, this procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body. Initial Consultation It is important to consider each aspect of the breast reduction procedure and your life after surgery before deciding upon the procedure. Prior to the procedure, Dr. Pedy Ganchi will meet with you to discuss your expectations for breast reduction surgery. She can then evaluate which goals are within reach and propose a plan for the breast reduction operation. At that time, Dr. Ganchi will inform you about the risks and possible complications of breast reduction surgery and the long-term effects of undergoing a breast reduction. Benefits Of Breast Reduction Women with large, heavy breasts may suffer physical pain from the weight of their breasts and may experience social discomfort due to unwanted attention to their breast size. Because of this, many women turn to breast reduction as a remedy. Large, heavy breasts can also cause strain on a woman’s body. The extra weight of heavy breasts can be harmful to posture and may lead to spinal problems. In addition to causing back, neck, and shoulder pain, excessively heavy breasts may also lead to breathing problems and other serious health issues. Breast reduction surgery can help a woman correct her posture and remove strain on the back, neck, and shoulders, reducing overall pain. In addition to seeking relief from the pain caused by heavy breasts, many women seek breast reduction surgery because they are uncomfortable with the unwanted attention that their breast size draws. This unwanted attention may cause a woman to become uncomfortable with her appearance. Breast reduction surgery can help a woman regain her self-confidence and positive self-image, as well as provide the motivation to participate in a wide range of physical and social activities. Incision Techniques Breast reduction surgery generally takes two to four hours, depending on the patient’s specific case, and is performed under general anesthesia. The size and shape of your breasts, as well as the desired amount of reduction, helps determine which type of incision is right for you. The different types of incisions for a breast reduction include: Vertical Incision Breast Reduction Surgery – The vertical incision technique, also known as the short scar or LeJour breast reduction, typically results in shapelier breasts and less scarring than traditional breast reduction surgery. This is Dr. Ganchi’s preferred technique, as it is often the best way to reduce larger breasts while minimizing scarring, resulting in satisfying patient outcomes. Vertical incision breast reductions are a newer, popular alternative to the traditional method, especially for women who do not require extensive tissue removal. Incisions in this technique extend around the areola and vertically down to the breast crease, making a lollipop pattern. Vertical incision breast reductions eliminate the need for the horizontal incision along the breast crease that is used in traditional breast reduction surgery, resulting in much less scarring. Women with moderately large breasts are the ideal candidates for vertical incision breast reductions. Vertical incision breast reduction surgery may not be a good choice for women requiring the removal of excessive amounts of fat and breast tissue. Traditional Breast Reduction Surgery – The traditional approach to breast reduction surgery is a very effective method for alleviating discomfort caused by large, heavy breasts. The traditional method, also called an anchor pattern or Wise pattern reduction, may be beneficial for women requiring a large amount of tissue removal. In the traditional breast reduction surgery technique, incisions are made horizontally under the breast in the crease and extend vertically up to and around the nipple, creating an anchor pattern. Because traditional breast reduction surgery allows for excess skin removal both vertically and horizontally, it may be recommended for women with extremely large breasts. The anchor shaped incision also allows surgeons to remove more tissue than other methods, maximizing breast reduction results. Although the anchor pattern method can be useful in reducing excessively large breasts, it leads to more scarring than other breast reduction surgery techniques. These scars can often be hidden by bathing suits and even low cut tops.

  Link: Breast Reduction

• Male Breast Reduction (Gynecomastia)

  Gynecomastia is a common condition that affects nearly half of all men, resulting in localized fat and/or glandular tissue in the breasts. Male breast reduction may be performed using liposuction, surgery or a combination of the two, depending on the amount and type of tissue found in the breasts. If the breasts consist of mostly fatty tissue, liposuction may be used to suction out fat from an incision in the nipple or underarm areas. For breasts with an excessive amount of glandular tissue, excision surgery may be performed, which requires cutting away the excess fat, skin and tissue through a larger incision. Your surgeon will determine which technique is best for you based on your individual goals for surgery. For most patients, breast reduction surgery produces a flatter, more well-defined chest that can last for many years, as long as patients maintain a stable weight.

  Link: Male Breast Reduction (Gynecomastia)

• Blepharoplasty

  Eyelid surgery, also called an eyelid lift or blepharoplasty, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and/or lower eyelids. Eyelid surgery may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision. What Can Eyelid Surgery Do For Me? Blepharoplasty is ideal for the correction of: Loose, sagging and/or folded upper eyelids that may limit vision Puffy fat deposits in the upper eyelids Under-eye bags Sagging lower eyelids that may show the white of the eyes below the iris Excess skin in the lower eyelids Fine wrinkles in the lower eyelids What Won’t Blepharoplasty Correct? Blepharoplasty cannot raise the eyebrows or reduce the appearance of deep wrinkles, crow’s feet or dark circles under the eyes. However, eyelid lifts can be combined with other procedures such as brow lifts, BOTOX® Cosmetic treatments and laser procedures to achieve these results. Am I A Good Candidate For An Eyelid Lift? The best candidates for blepharoplasty: Are generally healthy Do not smoke Have realistic expectations Do not have any serious eye conditions Your doctor will talk to you about whether you are a good candidate for eyelid surgery. How Is A Blepharoplasty Performed? Eyelid surgery is usually performed in an office, usually with local anesthesia and IV sedation. The procedure can take less than 45 minutes. Incisions are made along the eyelids in inconspicuous places: in the natural creases of the upper lids for upper eyelid blepharoplasty and just below the lash line on the lower lids for lower eyelid blepharoplasty. If no skin needs to be removed, Dr. Ganchi will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars. In all cases, Dr. Ganchi then removes excess skin from the eyelids using a scalpel, laser or radiofrequency (RF) tool. Fat may be removed as well, before the incisions are closed with fine sutures, tissue glue or surgical tape. What Is Recovery From Eyelid Surgery Like? Bruising, swelling and a sense of tightness in the eyelids are common after eyelid surgery. These should subside within 2-4 weeks. Most patients resume activities in 3-5 days, when non-absorbable stitches are removed, and return to work in about 10 days. By one to two months after surgery, you should see the true results of your eyelid lift: a more awake and cheerful look around the eyes, and greater self-confidence. Contact lenses may not be worn for two weeks. Eyes can be sensitive to light and wind and may be slightly irritated for a short while; your surgeon may prescribe eye drops and cool compresses to ease any discomfort.

  Link: Blepharoplasty

• Rhinoplasty

  Rhinoplasty, or nose surgery, is one of the most common plastic surgery procedures performed today. It can reshape, reduce or augment a person’s nose to achieve facial harmony and boost self-confidence. It may be performed as a reconstructive procedure to correct a birth defect or an injury such as a broken nose. Rhinoplasty may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty or endoscopic sinus surgery can effectively treat certain breathing problems, such as those caused by a deviated septum. What Can Rhinoplasty Do For Me? Rhinoplasty is an excellent procedure for achieving the following: Balance the size of the nose with the other facial features Modify the width of the nose at the bridge Improve the nasal profile, including removing humps or depressions Contour a nasal tip that is too large, “boxy,” drooping or upturned Change the angle between the nose and the mouth Narrow and reshape the nostrils Correct asymmetry or deviation Am I A Good Candidate For Rhinoplasty? The best candidates for rhinoplasty: Are at least 13 years old; Have finished facial growth; Are generally healthy; Do not smoke; Are seeking rhinoplasty for personal reasons, not pressure from others; and Have realistic goals for the procedure.

  Link: Rhinoplasty

• Facelift

  A facelift is one of the most common plastic surgery procedures available, designed to treat wrinkles, sagging and skin laxity within the face for a younger, more refreshed appearance. As we age, the effects of time, gravity, sun exposure and stress inevitably take their toll on our faces, producing wrinkles, folds, fat deposits and loose skin. Patients unhappy with the changing appearance of their face may seek relief through a facelift. This time-tested procedure targets the mid- to lower face, including the cheeks, mouth, chin and neck. Ideal candidates are usually those in their 40s, 50s or 60s looking to reverse the early signs of aging in the face, are generally healthy and have realistic expectations for surgery.

  Link: Facelift

• Neck Lift

  The neck may sag as a result of aging or weight loss, and is often affected before the face. Loose neck muscles can lead to an appearance of bands on the neck or drastic drooping of the skin. A neck lift is a surgical procedure that can smooth and tighten the skin on the neck and provide a more toned and youthful appearance. The results of this procedure offer a drastic improvement to the appearance of the neck and subtle changes to overall appearance. A neck lift may be performed alongside a facelift, or may be performed alone, after which your friends and family may not even realize that a surgical procedure was performed. A neck lift procedure includes both a cervicoplasty to remove excess skin and a platysmaplasty to remove or alter muscles in the neck. Liposuction can also be used to remove excess fat during a neck lift. This takes two to three hours and may be performed under general anesthesia or local anesthesia with sedation, depending on the preference of the patient. Most procedures are performed within an outpatient basis. Swelling and bruising may occur shortly after the procedure and last up to ten days. Most people can return to work and other regular activities within two weeks after a neck lift procedure. There are certain risks involved in a neck lift, as there are with any surgical procedure, including problems with anesthesia or infection. There is also a risk of facial nerve damage that may occur during surgery and can result in muscle paralysis. Although these complications are rare, they emphasize the importance of choosing a skilled and experienced surgeon for your cosmetic procedures.

  Link: Neck Lift

• Forehead Lift (Browlift)

  Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face. While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead – whether it’s caused by muscle activity or inherited conditions – is eligible. The procedure is usually performed in an office-based facility or surgery center under local anesthesia and sedation. Traditional browlift: First, the patient’s hair is tied with rubber bands near the incision site. Then Dr. Ganchi makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. The incision may be placed further back or made along the skull bone joints to minimize visibility in patients with thinning hair or who are bald. Then the forehead skin is lifted, tissue is removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed with stitches or clips. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages. Endoscopic browlift: After the hair is tied as with the traditional procedure, Dr. Ganchi makes three to five short incisions (less than an inch long) behind the hairline. The endoscope is placed in one so Dr. Ganchi can see beneath the skin without having to make a large incision, while he or she lifts the skin and adjusts muscles through the other incisions. If the eyebrows are lifted they will be stitched or screwed (temporarily) into place. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages.

  Link: Forehead Lift (Browlift)

• Fat Injection

  Fat injection reduces wrinkles and creases and plumps up areas that have lost volume as a result of surgery, injury, aging or another cause. Transplanted fat comes from the patient him- or herself, and therefore does not carry a risk of allergic reaction or rejection. Other advantages include a short recovery time, long-lasting results and effectiveness on any skin type.

  Link: Fat Injection

• Facial Implants

  Whether we notice it or not, full cheeks are often a part of how we judge a person’s face. Cheek implants can have a major impact on the appearance and self-confidence of a person whose cheeks have thinned or sunken due to age, illness or other causes. Likewise, the chin helps provide harmony to the facial features. Patients often seek a smaller nose when, in fact, a chin augmentation provides a balance to the facial features. Implant sizes and shapes to augment the cheek and chin areas are tailored to each patient’s desired appearance. The implants are placed during an outpatient procedure under local or general anesthesia, which usually takes less than an hour to perform. Your doctor will make the necessary incisions in inconspicuous locations to allow for minimal scarring.

  Link: Facial Implants

• Lip Enhancement

  Full and vivacious lips have always been recognized as aesthetically important features. Some of us, however, are born with thin, ill-defined lips, or our lips lose their fullness with age. But the appearance of our lips is now within our control. Fine lines and wrinkles, thin lips and a drooping corner of the mouth are all areas that can be aided with injectable fillers. The market is ever changing, with new products appearing rapidly. Care is individualized to provide safe and effective treatment options.

  Link: Lip Enhancement

• Earlobe Repair

  Over time, a pierced earlobe can become stretched if a person frequently wears large or heavy earrings. In addition to creating a long or wide opening, earrings may tear completely through the lobe. A torn earlobe may also result from trauma, such as having an earring pulled off or caught on clothing. Torn earlobes can be repaired with a quick in-office procedure performed under local anesthesia. Torn earlobe repair first involves “freshening” the edges of the torn lobe by removing a small amount of skin. Then, using fine sutures, the earlobe is meticulously repaired to reconstruct a normal, rounded earlobe that matches your natural ear shape. You will be able to return home immediately after the procedure, with only a small bandage covering the stitches. The stitches will be removed after one to two weeks. When the earlobe has healed and the scar has softened, you may re-pierce the repaired earlobe. It takes about three months for the earlobe to fully heal.

  Link: Earlobe Repair

• Injectables

  Dr. Ganchi personally performs all of the injectable treatments as well as all of the laser treatments, where in various practices these procedures are done by a nurse or an assistant. She also performs the Chemical Peels and Microdermabrasion treatments as well. BOTOX® BOTOX® | Juvederm® Ridgewood NJWhen you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. BOTOX® Cosmetic treatments can not only prevent you from deepening these lines during natural facial movements, they can also erase these marks of aging, leaving you looking younger and refreshed. BOTOX® Cosmetic is the most popular cosmetic procedure in the country and one of our most requested services. Quick, safe and effective, BOTOX® reduces or eliminates facial lines and wrinkles for up to six months with no downtime or surgery and little to no discomfort. Through a series of tiny injections, BOTOX® gives you a rejuvenated look by smoothing crow’s feet beneath the eyes, frown lines between the eyebrows, horizontal lines across the forehead, worry lines around the mouth, and lines on the neck. Dysport® BOTOX® | Juvederm® Ridgewood NJDysport® is an FDA-approved injection treatment made from the same protein as BOTOX® injections to help reduce the appearance of fine lines and wrinkles in the face. Through injections that take less than 15 minutes to perform in the doctor’s office, Dysport produces results that can last up to 6 months, depending on each patient’s individual skin. Restylane® BOTOX® | Juvederm® Ridgewood NJRestylane® is a biodegradable gel injected into folds and wrinkles as well as atrophied areas (such as the lips). Restylane® is primarily composed of hyaluronic acid, a natural substance occurring within the body. This compound is also the only FDA approved dermal filler on the market for use in treating wrinkles. In addition, not only does the injected volume of Restylane® add fullness to skin, but it also attracts water molecules to the site of injection, further enhancing its effectiveness. While inside the body, Restylane® provides longer lasting results that are apparent almost immediately after injection, although it may take a day or two before natural body processes and swelling subside. A follow-up appointment will be scheduled for a later date (4-8 months) for another set of injections to further prolong the effect. There are very few complications associated with Restylane®. The compound itself is derived from bacterial origins, so most allergies should not be an issue (unless specific to bacterial proteins). The side effects are minimal and will not interrupt daily routine. These may include: Slight redness Minor swelling Mild discomfort These will all subside within three days or less as your body adjusts to the new hyaluronic acid. Consequently, the suggested recovery period of Restylane® treatment is just under three days. It is advised to refrain from rubbing or massaging the treated area for approximately 48 hours. Restylane Lyft® Over time, the natural fat begins to deteriorate, resulting in sagging skin, more prominent wrinkles and a reduction of volume. Restylane Lyft, formerly known as Perlane-L®, is an injectable hyaluronic acid gel used to correct volume loss and treat wrinkles in the face and hands. Through nonsurgical injections, Restylane Lyft is specifically designed to add fullness to the cheeks, midface area, and the backs of the hands which can result in a more natural-looking, youthful appearance. Restylane Lyft is the first and only FDA-approved filler indicated to provide lift to cheeks and add volume to correct and smooth smile lines (nasolabial folds), and to correct volume deficit in the backs of the hands. Restylane Silk® The lips and the lines around the mouth, like other areas of the face, show signs of aging as you get older. This often results in lip thinning, lost shape and an increase in vertical lines above the lip. Restylane Silk is designed specifically to provide natural-looking results in these particular areas by using smaller, smoother hyaluronic acid particles than those used in other Restylane® products.

  Link: Injectables

• Skin & Laser

  Dr. Ganchi personally performs Chemical Peels and Microdermabrasion treatments as well as all of the laser treatments, where in various practices these procedures are done by a nurse or an assistant. Chemical Peel Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes to produce healthy, glowing skin. There are three types of chemical peels, ranging from mild to strong – alphahydroxy acids (AHAs), trichloroacetic acid (TCA) and phenol – and formula strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look. Microdermabrasion Microdermabrasion improves mild to moderate sun damage, scarring, wrinkles and other superficial skin problems. A gentle stream of tiny particles exfoliates the outer layer of skin and provides a fresh, glowing, younger appearance. Only a small amount of skin is removed, so sensitive areas such as the face, chest, neck, arms and hands can be treated. Results are comparable to a light chemical peel and should be immediately visible. Microdermabrasion is often performed in conjunction with other skin renewal procedures, such as laser treatment and chemical peels. Multiple treatments are recommended for full effect. Photofacial Photofacial is a non-abrasive and non-invasive rejuvenation of your skin using the remarkable technology of Intense Pulsed Light (IPL). IPL Photofacials can improve the signs of sun damage, rosacea and brown spots on the face, hands and body. It has also been used to reduce the appearance of mild acne scars, dark circles around the eyes and fine lines around the eyes and mouth. Usually 4-6 treatment sessions lasting about 20 minutes each will provide you with beautiful results. Moles & Birthmarks Moles and other birthmarks are benign pigmented spots or patches of skin that range in color from tan, brown and black (moles) to red, pink or purple (vascular lesions, such as strawberry hemangiomas or port wine stains). Though most birthmarks are harmless, they may develop into cancer. Moles exhibiting any of the following warning signs should be examined by a professional immediately: Larger than six millimeters. Itches or bleeds. Rapidly changes in color, size or shape. Has multiple colors. Is located where it can’t be easily monitored, such as on the scalp. Depending on their depth, location and color, as well as the patient’s skin type, age and other factors, treatment for benign but unattractive birthmarks may take the form of laser/pulsed light therapy or surgical excision. Laser Pigment Removal Lasers can be effectively used for pigment removal in patients with a wide range of different skin types. Whether it is freckle or beauty mark reduction, or tattoo removal, laser pigment removal is a safe and effective method of achieving these aesthetic goals. There is no anesthetic involved with this procedure and very few side effects; slight redness, soreness, flaking and scabbing of the skin can occur. The actual pulse of the laser feels like a rubber-band snap across the skin but is easily tolerable by most patients. There is no recovery time associated with this procedure and it can be repeated until proper results have been achieved, normally with a month or two between sessions to determine the full effectiveness of an individual treatment. Tattoo Removal Many people have second thoughts about their tattoos. Fortunately, you don’t have to live with your decision forever. Highly precise lasers can lighten or remove your tattoo by focusing or pulsing light on the ink particles, which then convert the energy to heat and break up into tiny pieces that are absorbed harmlessly by the body. All this can be accomplished without damaging the surrounding tissue. Results can generally be seen within a few weeks, although larger and darker tattoos may require more treatments than smaller, lighter ones. Occasionally treated skin will look whiter (paler) than the skin around it, but this is usually temporary and fades in the months following treatment. Fraxel Laser Fraxel® laser systems use fractional-resurfacing technology, in which only a fraction of an area of skin receives laser light, to significantly improve skin texture and and remove pigmentation. The energy from Fraxel laser systems stimulates skin’s collagen, and rejuvenates skin cells below the skin’s surface, helping to smooth out the creases that cause wrinkling and scarring. According to their manufacturer, Solta Medical, Inc., Fraxel lasers, in addition to improving the tone and texture of the skin, treat: Fine lines and wrinkles Surface scarring from acne or surgery Melasma Pigmentation from sun damage and aging Actinic keratosis (a common precancerous skin condition)

  Link: Skin & Laser