Dr. Michael J. Weinberg
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Telephone: 905. 273. 3045

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Cosmetic Surgery Procedures

In this section we offer a brief outline of a variety of different procedures performed at the clinic. If you would like further information on any of these procedures, please feel free to contact us directly.

ABDOMINOPLASTY
BREAST ENLARGEMENT
BREAST LIFT
LIPOSUCTION
EAR SURGERY
EYELID SURGERY
FACELIFT
FOREHEADLIFT
DERMABRASION
MALE BREAST REDUCTION
NOSE SURGERY


ABDOMINOPLASTY (Tummy Tuck)        up

This procedure is designed to flatten your abdomen by removing the excess fat and skin and tightening the muscles of the abdominal wall. It is a really good procedure if you have too much skin and a lower abdominal bulge. There is simply no other good way to get rid of that extra skin. Many people think that loosing weight will help, but this often makes it look worse. It usually takes about 2.5 hours and is almost always done under general anesthesia.

The procedure may be done at the clinic or at the hospital. This really depends on individual circumstances and the extent of surgery. The side effects usually consist of temporary pain, swelling, soreness, numbness of the abdominal skin, bruising, tiredness for several weeks or months. The risks include blood clots in the legs, infection, bleeding under the skin flap, poor healing resulting in conspicuous scarring or skin loss. There may be a need for a second operation. One is usually back to work in 2 to 4 weeks. More strenuous activity may be done in 4 to 6 weeks or more. The fading and flattening of scars may take anywhere from 3 months to 2 years.


BREAST ENLARGEMENT (Augmentation Mammaplasty)        up

This procedure is designed to increase the size of your breasts using inflatable implants filled with saline. It can really make a nice change to your chest. The enhanced appearance changes the way your clothes fit and since clothing is more flattering; feeling good increases your self confidence. It has become very popular. It usually takes about 1.5 hours, and is almost always done under general anesthesia. The procedure is usually done at the clinic as an outpatient. The implant size, incision location and implant location (under or above the muscle ) are all chosen by you. Dr. Weinberg can help you with these decisions, but, the final decision rest with you.

The side effects usually consist of temporary soreness, swelling, change in nipple sensation, and bruising. The breasts are usually sensitive to stimulation for a few weeks.

The risks include lack of implant permanence i.e. surgical removal or replacement of the implants may be required to treat problems, including: deflation, the formation of scar tissue around the implant (capsular contracture), feeling tight or hard, bleeding or infection. The sensitivity of nipples or breast skin may increase or decrease and these changes are occasionally permanent. Mammography requires a special technique and all you need to do is to discuss this with the mammographer. It is important to note that some women have reported symptoms similar to those of immune disorders. The current scientific evidence does not support a link. Please feel free to discuss this with us.

After the surgery one is usually back to work in a few days. Physical contact with breasts may begin in 3 to 4 weeks. The scars fade over several months to a year.

BREAST LIFT (Mastopexy)        up

This procedure is designed to raise and reshape sagging breasts by removing excess skin and repositioning the remaining tissue and nipples. It is a great operation if your nipples are too low. This often occurs after having breast fed several children. You must be aware that the scars are significant and this fact may make you shy away from this procedure. It usually takes 2 hours and is almost always done under general anesthesia. The procedure is usually done at the clinic as an outpatient. The side effects usually consist of temporary bruising, swelling, discomfort, numbness and dry breast skin. The scars are obviously permanent. The risks include thick, wide scars, skin loss and infection. The nipples may be unevenly positioned. There may be permanent loss of feeling in the nipples or the breast.

One is usually back to work in 1 week or more. The scars fade over several months to a year. The duration of the results is variable; gravity pregnancy, aging, and weight changes may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure.

LIPOSUCTION (Suction-Assisted Lipectomy)        up

This procedure is designed to improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. It is a great procedure if you have localized areas of fat. It is not meant to be for weight loss. It is always performed using the tumescent technique, in which the areas to be liposuctioned are infused with saline containing solution with a local anesthetic to reduce post-operative bruising and swelling. Common locations for liposuction include chin, neck, upper arms, abdomen, hips, thighs and knees. The calves, ankles, buttocks and cheeks are not good areas for this procedure at all.

It usually takes 1 to 3 hours. This depends on how many areas are being done. It is mostly done under general anesthesia. However for smaller areas, local anesthesia is a good option.

The procedure is usually done at the clinic as an outpatient, unless the volume to be removed is very large. In this case the procedure is done in the hospital as an inpatient.

The side effects usually consist of temporary bruising, swelling, numbness, soreness, burning sensation. Since the tumescent technique is used, there is always temporary fluid drainage from the incision sites. The risks include asymmetry, rippling or bagginess of skin, and pigmentation changes. There may be injury to the skin, fluid retention and rarely excessive fluid loss leading to shock. Organ damage is possible but rare. A small but significant percentage of patients require a second procedure or touchup.

One is usually back to work in 1 to 2 weeks. More strenuous activity may be undertaken in 2 to 4 weeks. Full recovery from swelling and bruising usually takes 1 to 6 months or more. The results are usually permanent with sensible diet and exercise.

MALE BREAST REDUCTION (Gynecomastia)        up

This procedure is designed to reduce enlarged, female-like breasts in men using liposuction and/or cutting out excess glandular tissue. It is a very common operation and the results are usually quite pleasing. Most men are quite shy about this, until they find out how commonly it is performed. It usually takes 1 to 1.5 hours and is almost always done under general anesthesia. The procedure is usually done at the clinic as an outpatient.

The side effects usually consist of temporary bruising, swelling, numbness, soreness and a burning sensation. The risks include infection, fluid accumulation, injury to the skin. Additional risks include rippling or bagginess or skin, asymmetry and pigmentation changes. Excessive scarring causing firmness and lumpiness may occur if or when tissue is cut away.

One is usually back to work in 3 to 7 days. More strenuous activity may begin in 2 to 3 weeks. The swelling and bruising may last 3 to 6 months. The results are usually permanent.

NOSE SURGERY (Rhinoplasty)        up

This procedure is designed to reshape the nose by reducing or increasing size, removing a hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between the nose and upper lip. It may also include work on the septum to try and improve some breathing problems.

It usually takes 2 to 3 hours and is almost always done under general anesthesia, at the clinic as an outpatient. The side effects usually consist of temporary swelling, bruising around eyes, nose and headaches. There may be some bleeding and stuffiness. The risks include infection, small burst blood vessels resulting in tiny permanent red spots. A significant percentage of people require a second procedure to treat the residual deformities.

One is usually back to work in 1 to 2 weeks. More strenuous activities may commence in 2 to 3 weeks. One must avoid even minor trauma to the nose for 8 weeks. The final appearance usually may be seen at one year. The results are permanent.

FOREHEAD LIFT (Browlift)        up

This procedure is designed to minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines. This is done by removing excess tissue, altering forehead muscles and tightening the forehead skin. It is usually done by using the traditional technique, with an incision across the top of the head just behind the hairline. It is most often done on people over 40, and takes 1 to 2 hours. It is almost always done under general anesthesia, at the clinic as an outpatient. The side effects usually consist of temporary swelling, numbness, headaches and bruising. With the traditional method there is often some itching and hair loss in the incision.

The risks include injury to facial nerve, causing loss of motion, muscle weakness, or an asymmetrical look. Infection is always a possibility but is not common. There may be broad or excessive scarring, especially behind the ear.

One is usually back to work in 7 to 10 days. More strenuous activities can be done within several weeks. There is usually full recovery from the bruising in 2 to 3 weeks. One should limit sun exposure for several months.
The results usually last 5 to 10 years. Aging does continue, and therefore new wrinkles and expression lines may reform..

DERMABRASION        up

This procedure is designed to mechanically scrape off the top layers of skin using a high-speed rotary wheel. It may result in the softening of the sharp edges of surface irregularities, including acne and other scars and fine wrinkles, especially around the mouth. It usually takes a few minutes to 1 hour. It may require more than 1 session. It is almost always done under general anesthesia, however local anesthesia may be used for smaller areas.

The procedure is usually done at the clinic as an outpatient. The side effects usually consist of temporary tingling, burning, itching, swelling, redness and lightening of treated skin. Acute sensitivity to sun and the loss of ability to make pigment (tan) may occur. The risks include abnormal colour changes (permanent), tiny whiteheads (temporary), infection, scarring, flare-up of skin allergies, fever blisters and cold sores.

One is usually back to work in 2 weeks. More strenuous activities may be done in 4 to 6 weeks. The redness takes about 3 months to fade. The results are permanent, although new wrinkles may form as skin ages.

EAR SURGERY (Otoplasty)        up

This procedure is designed to treat ears that stick out too far. The ears are put closer to the head. It is most often done on children between the ages of 4 and 14 years. It is an insured benefit (OHIP ) up to the age of 18.

The surgery is usually done under a general anaesthetic at the clinic as an outpatient. It may be done under local anaesthetic in select adults. It takes between 1 to 2 hours. After the surgery the head is placed in a large bandage to protect the repair for 2 to 3 weeks. A head band is then worn for 6 weeks to protect the repair during sleep. The side effects usually consist of temporary throbbing, aching, swelling, redness and numbness. The risks include infection of the cartilage, excessive scarring and a blood clot that my need to be drained. The ears are never symmetric but we do our best to match them as closely as possible. Recurrence of the protrusion, requiring repeat surgery is not uncommon.

One is usually back to work in or school in 5 to 7 days as long as one can tolerate wearing the bandage. Strenuous activities or contact sports can be done in 1 to 2 months. The results are usually permanent.

EYELID SURGERY (Blepharoplasty)        up

This procedure is designed to correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. The upper eyelid surgery may be an insured benefit if they droop so much that they interfere with vision. The surgery is done under local or general anaesthesia depending on the number of eyelids to be done and the extent of the drooping. It can take anywhere from 1 to 3 hours and is always done at the at the clinic as an outpatient.

The side effects usually consist of temporary discomfort, tightness of lids, swelling and bruising. There may be some degree of temporary dryness, burning and itching of eyes. Excessive tearing and sensitivity to light for the first few weeks is not uncommon.

The risks include temporary blurred or double vision, infection, bleeding and swelling at the corners of the eyelids. Dry eyes may last a long time and white-heads may also form. There may be some asymmetry in healing or scarring. Although there may be some difficulty in closing the eyes completely, it is rarely permanent. In some patients there may be some pulling down of the lower lids ( ectropian ) which may require further surgery. Blindness is extremely rare.

One is usually back to work in 7 to 10 days. Contact lenses may be worn in two weeks or more. Strenuous activities may be performed in about 3 weeks. Bruising and swelling are usually gone in several weeks. The results usually last several years and can be permanent.

FACELIFT (Rhytidectomy)        up

This procedure is designed to improve sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles and re-draping skin. It is a really exciting procedure with the potential for really dramatic results. It is quite an extensive operation so it is not to be entered into without significant thought and planning. It is usually done on women over 40, however men are becoming more frequent patients. It usually takes 4 to 6 hours. It is always done under general anesthesia. The procedure is usually done at the clinic as an outpatient. If you have any significant medical problems or would simply prefer to have the night to rest, then this may be done at the hospital with an overnight stay. The side effects usually consist of temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, there is a permanent need to shave behind ears, where beard-growing skin is repositioned.

The risks include injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent), infection, bleeding, poor healing and excessive scarring. There may be some degree of asymmetry or change in hairline. One is usually back to work in 10 to 14 days and more strenuous activity can be undertaken in 2 weeks or more. Bruising may be present for 2 to 3 weeks. The results usually last 5 to 10 years.

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