Archive for the ‘Lifestyle News’ Category

Gynecomastia Surgery and Body Builders

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Man in fitted jeansGynecomastia is not uncommon among body builders. With close attention to some unique patient characteristics, breast reduction surgery achieves great aesthetic outcomes in bodybuilders with gynecomastia enlargement of the male breast according to a analysis in the February issue of Plastic and Reconstructive Surgery the official medical journal of the American Society of Plastic Surgeons (ASPS). ASPS Member Surgeon Mordcai Blau MD a plastic surgeon in private practice in White Plains N Y reviews his comprehensive exposure with gynecomastia surgery in bodybuilders. He highlights central patient characteristics and technical issues consisting of the causal role of anabolic steroids and hormone supplements. Dr Blau s coauthor was Ron Hazani MD a plastic surgeon in Beverly Hills, Calif. “Focus on Gynecomastia Surgery in Bodybuilders” An expert in male breast reduction, Dr Blau has performed gynecomastia surgery in mostly bodybuilders and other patients with good physique. The new report focuses on such patients followed up for one to five years after surgery. The men ranged in age from 18 to 51 years 15 percent were competitive bodybuilders. All were free of hormonal or other diseases that can cause gynecomastia.  In some cases gynecomastia developing in adolescence usually a temporary condition became permanent after the patient started using steroids or hormone containing supplements. For several reasons gynecomastia surgery in bodybuilders calls for a different approach Dr Blau believes. In contrast to other groups of gynecomastia patients who tend to be overweight or obese, bodybuilders usually don’t need removal of excess fat or skin. However, they do need special attention to prevent bleeding and scarring. Bleeding risk is higher because of increased blood flow in the highly developed chest muscles. Steroids and unregulated supplements, including protein shakes. vitamins. and fish oils may also increase bleeding risk. Emphasis should be on complete removal of breast gland tissue. Bodybuilders are perfectionists with regard to their physique and chest aesthetics, hence their level of expectations is higher, Dr Blau writes. He performs the procedure through a one inch incision made on the underside of the areola surrounding the nipple .In outlining his surgical technique Dr Blau highlights the need for complete removal of all breast gland tissue. After surgery pathology reports usually show excessive development hypertrophy of the gland tissue although a few patients had precancerous cells. Most patients are extremely satisfied with their surgical results, Dr Blau reports. He also notes that the vast majority of patients continued to use anabolic steroids Because the gland was completely removed there were no problems with recurrent gynecomastia Complications were uncommon and generally minor There was a six percent rate of hematomas blood collections causing pain swelling and bruising. Dr Blau notes this problem became less common after he began providing stricter instructions regarding preoperative and postoperative care stopping all use of steroids and supplements before surgery and resuming exercise gradually after surgery. Plastic surgeons may see increased interest in gynecomastia surgery among bodybuilders and other men with good physique.

Dr Angelchik treats men for gynecomastia regularly. Nutrition and fitness are a core part of his practice and body builders feel especially comfortable with his knowledge and expertise. Patients are encouraged to make a consultation if they are considering  gynecomastia surgery.

 

 

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Facelift After Bariatric Surgery

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Overweight PatientFacelift after plastic surgery is a common practice. Bariatic surgical procedures help treat patients who are experiencing  uncontrolled obesity. According to  many  American and European studies, obesity is one of the preventable death-causing conditions worldwide. Due to the increase of obesity cases, especially in children, the WHO developed and implemented Global Strategy on Diet, Physical Activity and Health Program that are aimed at lessening the rate of obesity especially during childhood.

Obesity Affects Health and Body Image

Obesity is a world wide issue. Different diseases are directly connected  with obesity. Cardiovascular problems are the most evident causing an increase in mortality and morbidity cases worldwide. Because of this alarming situation, bariatric surgery was developed to address obesity issues for patients considered morbidly obese. Also known as weight loss surgery, Bariatric Surgery aims to reduce excess fats and weight by reducing the size of the stomach through sleeve gastrectomy or Biliopancreatic diversion with duodenal switch or gastric bypass surgery. These procedures can cause an extreme decrease in the weight and size of the client causing the skin to sag. Tummy tuck or abdominoplasty, facelift, and other skin tightening procedures are options for correcting the sagging of the skin. With the help of Tummy tuck or abdominoplasty, it creates a smoother and firmer abdominal skin by removing excess fats and skin of the patient while body contouring is for the removal of excessive skin folds in the upper and lower body.

Facelift can help

Facelift can make a  huge difference for patients after bariatric surgery. Dr. Angelchik explains  that massive weight loss surgery patients, in general, have a large amount of redundant skin and soft tissue.  It  this makes the procedure a challenging one, especially on the facial part because excess skin is the root of cosmetic problems like “droopy” face and “turkey” neck. According to some researchers most patients are particularly displeased with their post Bariatric face and neck because they can’t camouflage the area with clothing. After a Bariatric surgery or extreme weight loss, most of the patient lose the volume of the midface and around the mouth, and excess skin in the cheeks and neck are visible.

Patients with massive weight loss need a larger volume of fat augmentation and increased tightening of the cheek and neck skin and a deeper and extensive evaluation of the muscle and other facial tissues. In most cases, eyelid surgery, forehead lift, and facial resurfacing are being performed at the same time. A full service of facial plastic surgery procedures by Dr. Angelchik offer multiple options for the  beauty goals patients have. A combination of surgical and non-surgical procedures for obtaining the results you desire are available. Your initial consultation with him will give you several of options and together you can create a customized treatment plan that will address your needs.

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Scars affecting Self- Confidence of Women | scar revision

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Scars scar revisionare visible marks that remain after wound healing. After a  tissue trauma caused by injury or surgery, the body’s natural reaction to wound healing will take place, however, because of some medical conditions that delayed the healing process, scars may be more prominent than it should be. Scars may vary in size, color, location, shape and maybe raised or recessed depending on the wound history. Having visible and large scars can lower a person’s self confidence, especially among women. Most women feel insecure and self- conscious about their skin when they have these large and noticeable marks.

What is Scar revision Surgery?

Scar revision surgery aims to minimize the appearance of scars visible on parts of your body. Topical agents can be used to improve the appearance of scars, but for cases where scars appear to be more prominent than normal, scar revision surgery is recommended to lessen the visibility. Scar revision surgery can even out skin tone and skin texture.

Initially, you should be able to find a reliable and board certified plastic surgeon who will render his or her expert recommendation. There are specific recommendations that the surgeon will give to help make your surgery successful. This may include instructions on which types of foods to eat or drink and intake of medicine and vitamins. Anesthesia could be used to keep you comfortable during the operation. During your consultation, your surgeon will  ask  if you have allergies to certain medicines or anesthesia. Depending on the severity of the scar, the plastic surgeon will have to determine the most appropriate types of treatment for your scar revision. After the surgery, common effects that you may experience are like localized pain, swelling and tenderness. So, you shouldn’t expect immediate and perfect results after your surgery.

Long lasting results of Scar revision Surgery

For long lasting results, make sure to attend your follow up appointments with your surgeon. You should also follow your physician instructions for aftercare including avoiding tanning and sun exposure. Dr. Angelchik is a board certified plastic surgeon who can help you achieve realistic and long lasting scar revision results. When it comes to caring for your skin, Dr. Angelchik offers a wide varieties of skin care products and treatments.He has spent most of his life practicing and discovering new aesthetic trends in order to help his patients fulfill their cosmetic goals.

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Plastic Surgery -Stem Cell Therapy Claims May Be Misleading

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doctor photoPlastic surgery evolves as medicine evolves. According to an  online article  advertising claims for cosmetic procedures using stem cells are running by far ahead of the scientific data for assurance and proper use according to an abstract in the August issue of Plastic and Reconstructive Surgery the official medical journal of the American Society of Plastic Surgeons (ASPS).  Stem cells impart epic possibility for plastic surgery, however; the marketplace is saturated with unsubstantiated and sometimes fraudulent claims that could place patients at risk writes Dr Michael T Longaker of Stanford University Medical Center and colleagues. A massive influx of advertisements for cosmetic surgery stem cell procedures, Dr Longaker and coauthors write bring  concerns around the unregulated application of stem cells for unproven indications including cosmetic surgery procedures.

Cosmetic Surgery Procedures  Bear Stem Cell Advertising Promises

Cosmetic surgery is among the first types of procedures offering stem cell options for patients. Although stem cell therapy remains in its infancy, they write that there are an ever increasing amount of cosmetic surgery practitioners that are advertising minimally invasive stem cell based rejuvenation procedures. The article was prompted by exaggerated advertisements claiming benefits of stem cell procedures for facelifts breast augmentation even stem cell vaginal rejuvenation and other cosmetic surgery procedures. These ads affirm benefits from  cosmetic surgery procedures that have not undergone rigorous scientific judgment including conceivably possible risks related to stem cell and tissue processing and the effects of aging on stem cells. To attain insight into these claims Dr Longaker and coauthors performed a Google search for cosmetic stem cell treatments the most familiar of which was stem cell facelifts. Most  plastic surgery procedures applied stem cells isolated from fat: however ,the websites furnished inadequate data on the characteristics of the stem cells used. Without advanced cell sorting procedures, these products applied in these procedures in all likelihood contain many other types of cells along with fat derived stem cells. Many plastic surgery clinics also offered plasma rich platelet protein treatments which they inaccurately marketed as stem cell therapy. Despite revelation that is nominal at best, advertisers are additionally claiming that their stem cell treatments have anti aging effects. The authors note that procedures marketed as stem cell facelifts are commonly only lipofilling procedures, an established fat injection technique with by no means extended anti aging effects. The responsibility for considering plastic surgery to advance in evaluating cosmetic uses of stem cells lies with board certified plastic surgeons.  To date just one stem cell procedure for cosmetic intention has acclaimed FDA approval after comprehensive evaluation. The procedure devised to treat fine facial wrinkles is undergoing continuing comprehensive post approval studies. Of many clinical trials being performed to evaluate fat derived stem cells only a handful are focusing on cosmetic treatments. Stem cells absolutely have a function to play in regenerative medicine and cosmetic surgery. The authors note that the ASPS and other specialty groups have formed task forces to intensify position statements based on the best available information for plastic surgery  procedures using fat derived stem cells. With plastic surgeons at the forefront of stem cell based regenerative medicine it is critically significant that we provide a demonstration of a rigorous methodology to research data collection and advertising of stem cell therapies. Dr Longaker and coauthors conclude stem cells offer amazing potential for cosmetic surgery applications but we must be vigilant to abstain from unscientific claims which may threaten this nascent field.

Facelift Choices For Patients

Facelift choices are likely to include the latest and greatest new  techniques. Dr Angelchik consults with plastic surgery  patients considering elective  plastic surgery and explains both surgical and non surgical options. Facelift plastic surgery patients are cautioned like all cosmetic surgery  patients to do their research and to be cautious of procedures that are not supported by reliable scientific data. Patients considering facelift and other cosmetic procedures are encouraged to contact Dr Angelchik for a consultation.

 

                                                                      

                                                                                

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Cleft Lip and Cleft Palate Repair through Plastic Surgery

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newborn baby girlCleft lip (cheiloschisis) and cleft palate (palatoschisis) is a rare craniofacial deformity that occurs during the early development stage of an unborn child. Failure of the palate and lips to fuse during the 11th and 16th week of gestation causes this medical condition. This may also be caused by teratogens and low nutrient intake of the mother or genetic factors during the development process. Cleft lip and palate is very treatable, but needs an immediate attention because it can cause serious problems if not immediately attended to. Within 2-3 months post-delivery of the child, undergoing Cheiloplasty and Palatoplasty are highly recommended.

Cleft Lip and Cleft Palate Repair

Cleft lip or cleft palate repair will definitely make an immense difference in the patient’s quality of life, including the ability to breathe, speak and eat without worrying for risk of aspiration. However, follow-up procedures may be needed for functional purposes or to fix the appearance.

Choosing to have a surgery is a big leap for parents and a big decision to make. After the pediatric surgeon diagnosed and oriented the parents for the surgery and signing of consent, the operation will be set. The plastic surgeon will then instruct the parents regarding the specific laboratory examinations and diagnostic tests that will be performed to ensure that the patient is in good condition for the surgery.

Finding a Trusted Plastic Surgeon

Finding a trusted Plastic Surgeon is vital. This is actually one of the first steps when you need a reconstructive surgery done. In choosing the right plastic surgeon, consult someone who is a member of American Plastic Surgeons (ASPS). The ASPS requires a qualifying standard for plastic surgeons to become a member. They have should have finished their medical education in an accredited school and passed his surgical training for 6 years, including 3 years of plastic surgery residency training. Dr. Paul Angelchik has been a Rotaplast volunteer surgeon since 1999. He helped in the development of nations by treating congenital birth defects for medically indigent children and adults. Many of the surgical techniques used today in facial cosmetic plastic surgery originated with techniques developed to treat facial deformities.

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Lower Body Lift Surgery Guidelines

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body-06The Lower body-lift surgery, which is also referred to as ‘Belt Lipectomy’, is concentrated in tightening and sculpting your bottom, the back of the thighs, outer and inner thighs, hips and your stomach. Fast weight loss is one of the major causes of the appearance of sagging skin in the lower area of your body. Even when you have lost pounds of body fat, the fluctuated thin layers of fat can stimulate painful skin irritation, rashes or infection. Having excess skin hanging below your waist is definitely unattractive to look at, that’s why a lot of patients undergo plastic surgery. Lower Body Lift Surgery is advised in the said cases.

Plastic Surgery 101: What to expect during your Initial Consultation?

Plastic surgery is helpful in achieving a healthy and youthful appearance. Apart from the physical benefits of plastic surgery, it can also make people feel happy with the way they look. But first, you should carefully weigh your need for the surgery. Discussed in this article are basic guidelines when you’re opting to have a Lower Body Lift.

Initial consultation is necessary before having a surgery done. This is actually where you can discuss with your doctor your aesthetic goals. Of course, your plastic surgeon will give his expert advice if your cosmetic goals are reachable and safe for you as well. By means of inspection and certain tests, your surgeon will evaluate your body. Also, be prepared to answer questions regarding your health status and medical history. Are you under medication? Do you have certain allergies? Is this your first time to undergo a lower body lift? During your consultation, he will also provide you with different options for your treatment and potential results and risks of this surgery.

Criteria in choosing the Right Plastic Surgeon?

It is vital to set a criteria on the plastic surgeon you will entrust your Lower Body Lift Procedure. Dr. Angelchik is a board certified plastic surgeon practicing  in Glendale Arizona. Below is a list of criteria you should consider in choosing the right plastic surgeon for you.

  • Education, training and certification- To ensure that your chosen surgeon has the highest standard of education and training, you should pick a surgeon who is a member of the American Society of Plastic Surgery.  They should also be certified by the American Board of Plastic Surgery.
  • Experience with lower body lifts- Aesthetic Society of Plastic Surgeons can provide you a list of well experienced board-certified plastic surgeons. You could also scan through his/ her website, read patient testimonials and look for before and after photos of his/ her past works
  • Comfort level- Your doctor should be able to establish a good relationship with his/ her patients. Can you trust him/her? Patients should be able to feel comfortable with their doctor.

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Plastic Surgery: It’s More than Appearance.

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Plasticdoctor photo Surgery, two words that have different faces, for some it is a science that helps in enhancing the hidden beauty of an individual, but for others it is an invasive procedure that alters the appearance given to you by the Creator. Everyone has a point, opinions vary, but everyone will agree that beauty and health are both powerful weapons. Because of the influence of media and advertising, imperfections in appearance have no longer space, making some people obsessed with plastic surgery. But what role does plastic surgery really play?

History. As early as 800 BC, reconstructive plastic surgery has already been a practice in India. At 1827, this procedure has reached United State and the first American plastic surgeon was John Peter Mettauer who performed Palatoplasty using his designed surgical instruments. Johann Friedrich Dieffenbach wrote a comprehensive text about Rhinoplasty in 1845 then he introduced operation of the reconstructed nose to improve the cosmetic appearance. Development of the modern plastic surgery started during the World War I where injured soldiers were the patients for reconstructive surgery. Sir Harold Gillies, known as the father of modern plastic surgery, developed modern facial surgery while attending to WWI soldiers suffering from facial injuries.

Deeper Reasons for Plastic Surgery

In our current generation, Plastic surgery becomes a procedure that is highly in demand not just for aesthetic purposes, but mainly to correct and reconstruct body parts that need to be modified for a more effective body function. Cleft lip, cleft palate, small ears, and obesity are some of the reasons to undergo different corrective and reconstructive procedures to improve the patient’s way of living. For cleft cases, difficulty of breathing, speaking and taking of food are some signs and symptoms that need immediate attention because failure to cure will result into more damaging, worst scenario like death. Palatoplasty and Cheiloplasty are the surgical procedures performed to correct these kinds of craniofacial deformities.

There are  some deeper reasons for patients who have undergone cosmetic surgery. For patients who are fighting for their life, beauty is a second priority after cure of the disease.

Partnering with the Right Plastic Surgeon

Looking your best is a powerful way of living, this is what Dr. Paul Angelchik believes in. Serving as a plastic surgeon in Glendale, Arizona and Phoenix area, he helped many a lot of his patients feel confident and beautiful. Through his rigorous training in the field of plastic surgery, he has built an enviable a good reputation. Schedule a consultation with Dr. Angelchik now!

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Mammaplasty, an option for Gynecomastia

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GynecomaCase 8 Before 2_0stCase 8 After 2_0ia or male breast enlargement is due to over development of the breast caused by high estrogen levels or decrease in testosterone levels. Estrogen is a female hormone that is responsible for the feminine aspect in women while testosterone is a male hormone that provides the masculinity for males.

Discovering Gynecomastia

Gynecomastia can occur in any stage of life. Newborns acquire estrogen from their mothers causing breast buds to be prominent, but will fade gradually by six months of age or more for rare cases. Some teen males may also encounter this case because of hormonal changes during puberty but won’t last longer than two years.
Diagnosing Gynecomastia through physical assessment is a simple step, but can change the life of the patient. With this simple step, ruling out breast cancer can be done. According to the American Cancer Society, 1 male in every 1000 females is diagnosed to have breast cancer and the prediction for this year is 2,350 new cases of invasive breast cancer will be diagnosed and 440 men will die from the said condition.

Mammaplasty

Mammaplasty, according to the British Association of Aesthetic Plastic Surgeons, male breast reduction surgery increased up to 80%. Gynecomastia patients, who are ruled out for cancer, opt to consider breast reduction surgery or Mammaplasty to achieve an aesthetic look.  There are two types of Mammaplasty; liposuction is done for soft, small breast while gynecomastia reduction is done for patients who have larger, more fibrous breast. Recovering from the procedure requires antibiotics to decrease the risk of infection and pain reliever to suppress the pain and inflammation after the tissue trauma. Dr. Angelchik  understands the psychological effect of the condition to patients. With  careful counselling, providing realistic expectations and the best recommendation for the patient’s body proportion.

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Abdominoplasty: Overcoming Post Pregnancy Dilemmas

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beautiful middle aged womanPregnancy is an incredible experience for most women. During pregnancy, rapid changes can be seen in different aspects like physical appearance and emotional stability. As the body’s natural reaction, there is also an increase in the mother’s food intake. The increase in weight is the most visible change that we could observe on a pregnant woman, especially during the second and third trimester.

After giving birth,  many mothers want to bring back the body shape they had before their pregnancy. Working out is effective in losing some pounds; however, it would involve a lot of effort. It is still not enough if you want to achieve the shape you desire. There are a lot of plastic surgery procedures to sculpt the body into its desired shape. Body contouring includes the reconstruction and enhancement of the breasts, abdominal muscles and thighs.

Mommy Makeover Checklist

Mommy Makeover has been one of the latest trends in Plastic surgery. After having a baby, the body doesn’t usually return to its original shape and skin would look loose and lax. Breasts would usually grow two or three times its original size and tummy starts to sag. Mommy makeovers may include only one major procedure but usually mommy makeovers are a series of surgeries that includes enhancement and reconstruction of the stomach, breast and thigh. Breast Procedures will vary depending on your body’s condition and the way you want your breast to appear—augmented, lifted or reduced. Abdominoplasty can make your tummy flat, while Liposuction helps on reshaping your buttocks and hips.

Abdominoplasty: How it Works

Abdominoplasty is one option of cosmetic surgery to make the stomach thinner and firmer. Basically, this is the main reason why it is also called a ‘Tummy tuck’. Being a mom, your belly should be number one on your checklist to fitness and beauty. This procedure has two main versions: complete and partial or mini Abdominoplasty. Complete Abdominoplasty is done by cutting the skin from hip bone to the other side and contouring the skin, tissue, and muscle moving the belly button and a drainage tube may be added if necessary. While partial or mini Abdominoplasty is recommended for people who have small fatty deposits below their navel and it takes a shorter period of time.

To guide you in your decision making, Dr. Paul Angelchik offers his artistic approach. He is a cosmetic surgeon certified by the American Board of Plastic Surgery (ABPS). With his vast training and experience, he is able to perform several types of mommy makeover plastic surgery procedures. By having your original and desirable shape, you are likely to gain your self confidence back as well.

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Otoplasty: Reconstructive and Aesthetic Approach

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Otoplasty,otoplasty also known as the ‘reshaping of the ear’, can be done either for aesthetic purposes or reconstructive procedure. It is done commonly during childhood but can be performed on patients of any age.

Anatomy of the Ear. The Pinna or commonly known as the earlobe can come in different sizes. It could be because of medical condition or genetic factors.  A medical condition for example is microtia wherein it may be a congenital deformity or can be due to autism. On the other hand, prominent earlobes can be due to heredity although having prominent ears can’t affect one’s hearing abilities.

The pinna is the visible outer part of which functions as the funnel that amplifies sound going to the auditory canal. Though it has minor function in the hearing process, it still plays an important role. However, for most people, pinna is a body accessory that can help in enhancing beauty.  Having ears that are different from usual can be a source of teasing or even bullying at younger age and when you it can be a source of low self-esteem and psychological stress.

Causes of prominent Ears

When ears’ angle is more than 35 degrees or when it is overdeveloped, they appear to be protruding while underdevelopment and injury to the pinna can cause them to be prominent.

Accordingly, 20 to 30% of new born babies have deformities on their external ears caused by either congenital or during the birth process. Though these deformities can be self-correcting, some cases require otoplasty or a non-surgical correction.

There are two ways used to correct protruding ears, ear splinting and otoplasty. Ear splinting is safe and simple set of procedures that can be used to treat babies, aging six months old and younger. The ear will be reshaped using a splint to hold the ear in its new position.  On the other hand, otoplasty is highly recommended for children six months and older, because their ears are too hard for splints. Otoplastic techniques are utilized in order to correct a deformed, microtia or even atresia. Otoplasty procedures come in three main types: ear augmentation for microtia, Otopexy or ear pinback, and ear reduction for macrotia or huge ears.

Plastic Surgery: The Otoplastic Procedure

Otoplastic surgery should be performed by plastic surgeons, ENT (Ear-Nose-Throat) doctors or pediatric surgeons who are certified by governing organizations. This is to give the most likely chances of success of the operation, minimizing complications in the future. Local anesthesia can be used for adults since they tend to have a higher pain tolerance than children where general anesthesia is sometimes given. After inducing the anesthesia, an incision behind the ear is made. Usually the operation takes one to two hours.  The recovery for this would take several days, and the patient will have to wear bandages during those times.
Let Dr. Angelchik be your partner in achieving the best look for your ears. With his extensive training over the years, Dr. Angelchik is known for being one of the most reliable plastic surgeon performing different types of procedures expertly. Compassionately and ethically serving his patients, have helped him enjoy being a  successful as a plastic surgeon. Aside from Otoplasty,y medical skin care and other aesthetic services are made available for you. Consult Dr. Angelchik today!

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