Plastic Surgery Education, Plastic Surgery News and Plastic Surgery Technology Advances with Dr. Kenneth Hughes
Dr. Kenneth Hughes developed this plastic surgery education site to provide plastic surgery education, plastic surgery news, and plastic surgery technology advances. Plastic surgery is ever advancing and Dr. Hughes has been at the forefront of pioneering new techniques and new technology in plastic surgery. Dr. Kenneth Benjamin Hughes also provides updates on plastic surgery procedures and the latest in technological advances in plastic surgery. This website will detail these advances and news items through s series of articles. Dr. Kenneth Hughes will regularly update this page with relevant plastic surgery paradigm shifts.
The Evolution of Restoring Facial Volume and Facial Reconstruction with Fat Grafting with Dr. Kenneth Hughes
Only a few years ago, patients who had unilateral facial atrophy or traumatic defects of the face were frequently moved to the top of the list for free flap transfer. A free tissue transfer or free flap transfer involves taking tissue with its given blood supply and moving it to another area of the body and tying into the blood supply in that area. For instance, a flap of skin, fat, and fascia with its blood vessels would be sewn into the facial blood vessels and the piece of tissue would be manipulated into the facial defect. The volume match was frequently poor and several revisions were required for optimal contour. Sometimes the scarring or the number of visible incision lines was objectionable as well. Sometimes these free flap options are the best options, but, in many cases, fat grafting has revolutionized the thought process, the paradigm, the expectations, and the results for facial reconstruction. Fat grafting is far more versatile in creating smoother contours as it does not require a large incision to place the tissue. Fat grafts can be placed at multiple depths and in very small aliquots to create a much smoother and cosmetically pleasing appearance. In addition, the free flap transfers have issues of complete failure, require long hospital stays, and sometimes physical therapy and rehabilitation. Also the morbidity of these procedures for the patients is much greater than for fat grafting. Remember that the donor or harvest site for fat grafting only removes fat from an area, and this liposuction can make the areas of harvest look better. In almost every case of free flap transfer, the donor site has a significant scar and can have significant deformity and morbidity as well.
There is really no question that fat grafting, if done appropriately for appropriately selected candidates, can be a powerful tool to treat patients with congenital, developmental, and traumatic facial defects.
Dr. Kenneth Hughes’s Preparedness Initiative to Combat the Coronavirus
Dr. Kenneth Hughes’s office staff takes many precautions to combat the coronavirus and assure that no patient contracts the coronavirus. Any patient seen in the office is seen in a particular exam room that has surfaces that can be readily cleansed with antiviral wipes. All surfaces, door handles, drawer handles, counters, and exam room tables and chairs are vigorously disinfected after each patient encounter. Secondly, the cleaning crew is on site every day to clean floors, bathrooms, fixtures, equipment, and even ceilings. All surgeries are scheduled apart from follow-ups or consultations so that the surgical patient is the only individual in the surgery center other than the 5 staff members. All staff members are instructed and follow these protocols as well. Masks and gloves are worn with follow-up patients. Any patients who have symptoms or coronavirus or who have been in contact with a person who had flulike symptoms are asked to stay at home. Any nonurgent patient follow-ups are conducted over the phone or through email to minimize the influx into the office. Finally, consultations can be performed through email or through Skype to minimize exposure as well.
There are many other aspects to this system of protection against coronavirus at Hughes Plastic Surgery. However, protection against the spread of coronavirus involves maintaining clean hands and body surfaces, contact surfaces on which the coronavirus can live, and air portals through which the virus can be transmitted. Finally, Dr. Kenneth Hughes’s surgery center has an ultrafast air filtration system, which circulates the room volume 30 times an hour. As a last measure, this same filtration system has UV lighting apparatus which kills viral particles on contact. It is important to realize that all of these components protect not only against coronavirus, but other infections as well. If a patient is looking to have surgery, this surgery center of Dr. Kenneth Hughes in Los Angeles spares no expense.
Plastic Surgery Clinics Shut Down Amid Coronavirus Fears with Dr. Kenneth Hughes
The Korean plastic surgery market has always taken on a large number of plastic surgery tourists, and the recent outbreak of the coronavirus has hit the industry hard. According to Korea Culture and Tourism Institute, there was a tourism deficit of 1.1 trillion dollars in January alone. The number of not only foreigners seeking plastic surgery but Koreans as well has plummeted in recent months. Plastic surgery insiders said they suffered about a 70% decrease in business since January. Some clinics are afraid to be blackmarked by having serves a confirmed coronavirus patient, so many refuse to see foreign patients to avoid that stigma. Some of the patients have rescheduled for a later date, but, in many instances, the number of patients seen is virtually zero.
In the US, plastic surgeons have closed offices for about 2 weeks now. Most offices have laid off many of the nurses, scrub technicians, aestheticians, and receptionists during this difficult time. Most offices offer virtual consultations to meet patient demand with the understanding that the surgeries will be scheduled some time in the future. Non-cosmetic elective surgeries have largely been put on hold such as gallbladder removals, joint replacements, and other surgeries that will not substantially alter a person’s state of health for the worse.
World Health Organization Coronavirus (COVID-19) Recommendations
Wash your hands frequently
Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap and water.
Why? Washing your hands with soap and water or using alcohol-based hand rub kills viruses that may be on your hands.
Maintain social distancing
Maintain at least 1 metre (3 feet) distance between yourself and anyone who is coughing or sneezing.
Why? When someone coughs or sneezes they spray small liquid droplets from their nose or mouth which may contain virus. If you are too close, you can breathe in the droplets, including the COVID-19 virus if the person coughing has the disease.
Avoid touching eyes, nose and mouth
Why? Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick.
Practice respiratory hygiene
Make sure you, and the people around you, follow good respiratory hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately.
Why? Droplets spread virus. By following good respiratory hygiene you protect the people around you from viruses such as cold, flu and COVID-19.
If you have fever, cough and difficulty breathing, seek medical care early
Stay home if you feel unwell. If you have a fever, cough and difficulty breathing, seek medical attention and call in advance. Follow the directions of your local health authority.
CDC recommends Cloth Mask Wear in Public 4/3/2020
The CDC has recommended cloth mask wear for anyone in public. A significant portion of individuals with coronavirus are asymptomatic or have not demonstrated signs of infection. These people can still transmit the virus to others before showing symptoms. This means that the virus can spread between people interacting in close proximity—for example, speaking, coughing, or sneezing—even if those people are not exhibiting symptoms. Therefore, CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies) especially in areas of significant community-based transmission.
It is critical to emphasize that maintaining 6-feet social distancing remains important to slowing the spread of the virus. CDC is additionally advising the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure.
The cloth face coverings recommended are not surgical masks or N-95 respirators.
World Health Organization (WHO) Recommendations for General Mask Wear and Use
Wear a mask if you are coughing or sneezing.
Masks are effective only when used in combination with frequent hand-cleaning with alcohol-based hand rub or soap and water.
If you wear a mask, then you must know how to use it and dispose of it properly.
When and how to wear medical masks to protect against coronavirus
Before putting on a mask, clean hands with alcohol-based hand rub or soap and water.
Cover mouth and nose with mask and make sure there are no gaps between your face and the mask.
Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand rub or soap and water.
Replace the mask with a new one as soon as it is damp and do not re-use single-use masks.
To remove the mask: remove it from behind (do not touch the front of mask); discard immediately in a closed bin; clean hands with alcohol-based hand rub or soap and water.
Dr. Kenneth Hughes Informs Patients that FDA Asks for Allergan Recall of Biocell Textured Breast Implants due to Higher Risk of BIA-ALCL (Breast Implant Associated Anaplastic Large Cell Lymphoma)
As of July 24, 2019, healthcare providers should no longer use new BIOCELL textured breast implants and tissue expanders. The FDA requested that Allergan recall certain textured breast implants due to the increased risk of BIA-ALCL. The recall includes the following BIOCELL textured breast implant products: Natrelle Saline-Filled breast implants, Natrelle Silicone-Filled breast implants, Natrelle Inspira Silicone-Filled breast implants, Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Filled breast implants, Natrelle 133 Plus Tissue Expander and Natrelle 133 Tissue Expander with Suture Tabs (see full list below). The risk of BIA-ALCL with Allergan BIOCELL textured implants is approximately six times the risk of BIA-ALCL with textured implants from other manufacturers in the U.S.
The FDA has not recommended removal or replacement of textured breast implants or tissue expanders in asymptomatic patients.
However, for patients who have concerns and would like removal of their breast implants, Dr. Kenneth Hughes in Los Angeles will be performing these breast implant removal surgeries and/or breast implant replacement surgeries. Given the concerns generated among patients who have had the textured implants placed from other practices (Dr. Kenneth Hughes places smooth implants in the vast majority of cases), Dr. Kenneth Hughes is proud to be offering a discount for those interested in removal or removal and replacement. To learn more about this discount opportunity, please call or contact Dr. Kenneth Hughes’s office in Los Angeles.
Textured breast implants are less popular in the U.S. than in other countries. Macro-textured implants (like textured implants of Allergan) are less than 5% of all breast implants sold in the U.S.
Dr. Kenneth Hughes Provides the Full Recall List below:
Natrelle Saline breast implant styles 168, 363, 468
Natrelle and McGhan 410 breast implant styles LL, LM, LF, LX, ML, MM, MF, MX, FL, FM, FF, FX
Natrelle and McGhan 410 Soft Touch breast implant styles LL, LM, LF, LX, ML, MM, MF, MX, FL, FM, FF, FX
An Alternative to Breast Implants in Breast Augmentation: Breast Fat Grafting
Dr. Kenneth Hughes is an expert at breast augmentation, breast augmentation revision, breast implant removal, breast fat grafting and breast fat transfer, and breast lift. During his fellowship at Harvard Medical School, Dr. Hughes performed many complicated breast augmentation revision procedures with referrals to the Beth Israel Deaconess Medical Center from all over the world. Whether a patient wants to remove or replace implants, Dr. Kenneth Hughes provides all of the possible reconstructive options to produce the best possible results for breast surgery.
Alternatives to Breast Implants: Breast Fat Grafting with Dr. Kenneth Hughes
Dr. Kenneth Hughes Introduces Minimally Invasive Bodytite Technology in Los Angeles as Alternative to Big Scar Surgery
LOS ANGELES — For decades, the field of plastic and reconstructive surgery has sought an alternative to the larger and longer scars associated with traditional excisional or skin removal surgery. While these surgeries produce dramatic results and achieve smoother contours for patients, the scars can sometimes be objectionable for patients and surgeons alike including Dr. Kenneth Hughes in Los Angeles. At the heart of cosmetic plastic surgery is the belief that as much should be achieved in contour or appearance with the least invasive approach.
Various energy devices have been advocated in the past for skin tightening purposes in the hopes of providing this less invasive alternative. While heat is frequently the final common pathway to effect tightening of the tissues, the method of delivery and the efficacy as well as potential side effects incurred have not been optimized.
Bodytite has been introduced to the market recently and promises something different with regard to its methodology. Dr. Kenneth Hughes was one of the first plastic surgeons in Los Angeles to offer Bodytite technology. In the past, the energy delivery systems have been monopolar devices – one pole with dispersal of energy from that one point. This had two downsides – energy dissipation with distance and inability to focus energy to improve efficacy of treatment. Bodytite is a bipolar energy delivery device in which the energy is focused between the two poles to concentrate the effect and to effectively measure the temperature achieved. This is critical to both achieving the maximal contraction of tissues without suffering massive burns due to inability to regulate temperature. Thus, efficacy is improved and side effects are minimized, and this means better results for the patients of Dr. Kenneth Hughes in Los Angeles.
Dr. Kenneth Hughes is quick to point out that Bodytite does not reproduce the tightness of an excisional procedure or that everyone is an appropriate candidate for Bodytite. Tissue contraction will not reproduce the results of excisional surgery, and patient expectations should be managed accordingly. Bodytite is also not without potential complications. Burns are still an inevitable result of a thermal device in some situations.
However, Dr. Kenneth Hughes now performs hundreds of these Bodytite procedures each year on the tummies, arms, thighs, bra rolls, and other areas of skin laxity for patients from around the world. The vast majority of these patients are very happy with the improvement in skin tightness and the minimal scarring. This technology has opened up an avenue of improvement for patients who otherwise would have refused the larger scars of traditional surgery.
Dr. Kenneth Hughes has provided below a few of the before and after pictures of the hundreds of Bodytite surgeries he has performed.
Male abdomen before Bodytite. The target for improvement is the lower abdominal pooch with loose skin.
Male abdomen after Bodytite technology. Notice the very smooth and tight abdomen and the improved definition.
Female arm before Bodytite – this patient had coolsculpting and had developed paradoxical hyperplasia and the arm had grown to approximately twice its original size
Female arm after Bodytite. Notice the unbelievable improvement in the hanging of the arm and the overall reduction in arm circumference
Female abdomen before and after Bodytite technology. Notice the dramatic improvement in this liposuction revision case. The lumps and dents are dramatically improved
Female thighs before and after Bodytite technology. Notice the improvement in the laxity of the thighs.
Male abdomen before Bodytite technology with skin laxity primarily present in the middle and upper abdomen
Male abdomen after Bodytite technology with significant improvement in tightness and smoothness in the upper and middle abdomen
Female abdomen before Bodytite technology – patient of Dr. Kenneth Hughes
Female abdomen after Bodytite technology – patient of Dr. Kenneth Hughes
Female abdomen before Bodytite technology – patient of Dr. Kenneth Hughes
Female abdomen after Bodytite technology – patient of Dr. Kenneth Hughes
Male abdomen before Bodytite technology – patient of Dr. Kenneth Hughes
Male abdomen after Bodytite technology – patient of Dr. Kenneth Hughes
Female abdomen before Bodytite technology – patient of Dr. Kenneth Hughes
Female abdomen after Bodytite technology – patient of Dr. Kenneth Hughes
Your Bodytite and Facetite News and Technology Questions Answered by Dr. Kenneth Hughes
Question: Lower inner thigh fat removal and/or loose skin concerns, any suggestions on how to fix this issue?
Answer: BodyTite is capable of producing a 40% contraction in tissues. It can be combined with liposuction to improve contours dramatically. BodyTite rids the body of some fat cells and is less traumatic than traditional liposuction.
Question: Am I a good candidate for BodyTite?
Answer: BodyTite will never produce the degree of tightening involved with a surgical skin removal procedure, which excises skin. Patients who fear invasive surgery, scarring, and long down time, typically opt for BodyTite to determine if the improvements are satisfactory enough to circumvent extensive excisional surgical procedures.
Question: Can BodyTite be a solution for uneven skin caused by liposuction?
Answer: Dr. Kenneth Hughes has utilized several techniques to improve uneven liposuction appearance, but it requires great precision to improve this. You need to find a plastic surgeon who does a lot of revisions. You need to realize that no one will be able to produce complete correction.
Question: What is the recovery for bodytite without lipo?
Answer: Results can be seen immediately after one treatment and are more evident over three to six months post-treatment. Bruising and swelling can occur post-op. Sedentary activities can be resumed in two to three days and full activity with exercise within two to three weeks.
Question: Will BodyTite (without lipo) of outer thigh, buttocks and under butt help to lift droopy buttocks and smooth dimples and rolls?
Answer: BodyTite does not remove any fat, but it is capable of producing a 40% contraction in tissues. Results can be seen immediately after one treatment and are more evident over three to six months post-treatment.
Question: What are the long-term results like for BodyTite?
Answer: BodyTite is capable of producing a 40% contraction in tissues that is permanent.
Renuvion or J-Plasma for Skin and Tissue Tightening by Dr. Kenneth Hughes
Renuvion, unlike Bodytite and Facetite, is a monopolar device that is used to heat the skin and underlying tissues to create tightening. Both use radiofrequency energy to create the heat, but the delivery and dispersal are different. Renuvion is supposed to cause contraction of tissue in less than a tenth of a second. Thus, this delivery requires much less effort on the part of the practitioner and reduces surgical time. The real question is does Renuvion or J plasma produce the results and the degree of contraction of Bodytite and Facetite and does it have a very small risk of burns.
Renuvion’s company website states that Renuvion® rapidly heats tissue to 85°C for just long enough for collagen to achieve maximum contraction, and the heating and cooling back to baseline occurs in less than 0.75 second due to the unique properties of cold helium plasma. Studies show that during subdermal use of Renuvion, temperature at the surface of the skin does not rise by more than 4°C; because of this, external temperature-monitoring is not required.
Dr. Kenneth Hughes Offers Latest and Greatest in Vaginal Rejuvenation: Votiva
Votiva is a nonsurgical vaginal rejuvenation treatment that tightens vulvovaginal tissues and offers a number of benefits to patients of Dr. Kenneth Benjamin Hughes. Votiva can address changes from aging and childbirth, including vulvovaginal laxity, dryness, and urinary incontinence.
The recommendation from the company, InMode, for Votiva treatment is either one 30 minute session or three 10 minute sessions. The sessions are essentially painfree and do not require numbing treatments. The device itself is a wand that delivers heat through radiofrequency. Patients frequently note a warming sensation and nothing more. Dr. Kenneth Hughes has performed this procedure for patients without complications and with high satisfaction rates.
There may be some soreness, and you should abstain from sexual intercourse for three days. Otherwise, you can resume daily activities immediately.
Many women notice a difference, particularly a decrease in urinary incontinence or tightness, after the first treatment, but more significant changes come as cells turn over and new collagen is produced. Results continue to improve gradually over a few months. The company recommends a follow-up treatment 6 to 12 months out and then yearly, to maintain results.
Votiva treatments are a nonsurgical, pain-free way to address several symptoms at once.
There is very little downtime.
You may not see results immediately. They develop over a few months as your body responds to the treatment.
Your body continues to age and change after Votiva treatment, so you may require additional treatments.
In addition to internal tightening, the external anatomy including the labia majora and labia minora can be improved as well. The size of each can be reduced in size and tightened.
Your Votiva Technology and News Questions Answered by Dr. Kenneth Hughes
Question: I am 62 and am considering vaginal rejuvenation. There seems to be different procedures. Would Votiva be best for this?
Answer: Inmode asserts that Votiva improves vaginal laxity, dryness, and stress incontinence. In addition, additional studies are underway for pelvic floor weakness. It is noninvasive and pain-free and only requires one 30 minute session for full benefit. It is done without any kind of anesthesia at all and there is no recovery process.
Question: How long does the Votiva procedure usually take?
Answer: A session usually lasts from 10-30 minutes. It is best that you abstain from intercourse for 72 hours following treatment and avoid hot tubs, pools, and bathtubs for 3 days following a session.
Question: Does Votiva hurt?
Answer: It is noninvasive and pain-free and only requires one 30 minute session for full benefit
Question: What are the side effects of Votiva?
Answer: Votiva has a temperature sensor built into the hand piece which reads skin surface temperature 1000 times per second, allowing clinicians to acquire skin temperature in real time. The “cut off temperature” feature reduces RF energy automatically when the hand piece senses that the required skin temperature has been reached.
Clinical evidence suggests prolonged exposure to temperature above 40°C is advantageous for optimal clinical outcomes.
Question: How much does Votiva cost?
Answer: Usually Votiva can range from $3,000 -$3,500. You will only need one time treatment to feel a difference with stress incontinence and tightening.
Question: Votiva v. Kegels
Answer: Kegels can be effective in treating several conditions (vaginal looseness, prolapse, urinary incontinence) as Votiva does. Performing Kegels daily is required for strengthening and toning the pelvic floor before results are noted anywhere from 4 – 12 weeks.
Dr. Kenneth Hughes Provides More Information on How to Select Your Plastic Surgeon Below:
As detailed in the video, review sites can be somewhat helpful. Realself has maintained the most reasonable review submission and allocation process for plastic surgeons and those procedures performed. Realself is one of the very few sites that is plastic surgery specific and values patient education for plastic surgery. However, recent attempts to help monetize the site with plastic surgeon promotion have somewhat corrupted the once transparent site. At one point, several years ago, doctors were ranked purely on the questions answered on the site and reviews garnered. Thus, the plastic surgeon with the most questions answered and the most positive reviews for a procedure would be ranked the highest for a particular procedure. Since that time, plastic surgeons can pay to be listed as an expert in a certain procedure and one up the true star in a procedure. Having said that, the site still offers a lot of plastic surgery information and Dr. Kenneth Hughes routinely reviews procedure information for Realself to assure accuracy and currency.
Vitals and Healthgrades are two sites that tend to rank highly on google search results along with yelp.com. Vitals and Healthgrades typically record similar information about the surgeon and the nature of obtaining reviews is largely the same. There is not as much plastic surgery information available on these sites, and plastic surgeons cannot really interact with potential patients. However, there are portals for patient scheduling, which is very nice.
Yelp is a review site in the simplest and most generic sense of the word with no specific attention paid to plastic surgery and no plastic surgery procedure information is provided. The reviews have been questioned as legitimate by doctors and businesses alike. Trying to evaluate the credentials and expertise of a plastic surgeon alongside reviews for mold removal and plumbing may not be the best way for a patient to find a plastic surgeon. However, it remains the largest and most influential review site for virtually everything.
Doctor is a newer review site similar to vitals and healthgrades, but the site allows photos and videos of plastic surgeons to be posted as well. Doctor also has more information available for each individual plastic surgeon. However, it is not plastic surgeon specific in the doctors that are included on the site. Caredash is very similar to doctor.com with a similar layout, plastic surgeon information, and photo and video galleries.
There are two newer sites beautyadvisor and cosmetictown. Beautyadvisor is similar to realself in that there is a lot of plastic surgery information present and plastic surgeons can present photos and videos. The site also has a plastic surgery forum for question and answer. In addition, they allow patients to follow plastic surgeons much like instagram. Cosmetictown provides for plastic surgeon information, articles about procedures, photos and videos, and section for surgeon reviews. Neither of these sites are as popular as realself, but they have potential to be very pure sites for patient education.
Silicone and Biopolymer Removal with Dr. Kenneth Hughes
Dr. Kenneth Hughes, board-certified, Harvard-trained plastic surgeon in Los Angeles, has received hundreds of inquiries from patients all over the US and throughout the world in regard to silicone and biopolymer injection removal. Many times these injections are used to augment the buttocks or hips, but they can be used to augment almost any body part including thighs, calves, lips, breasts, and others. These injections are frequently performed in larger volumes using less than sterile offerings by persons who have no medical or little medical training. It is important to realize that Dr. Kenneth Hughes does not inject these materials and most board certified plastic surgeons would not. In addition to complications such as infection, skin death, fat death (fat necrosis), inflammation, and pain in the areas injected, these injections can and have led to many patient deaths.
When Dr. Kenneth Hughes sees patients in his Los Angeles surgery center for evaluation, he always explains the multitude of complications that may occur in the removal of these silicone and biopolymer substances including fluid collections, infection, inadequate removal, fat death, skin death, tissue deformities, and tissue defects. These removal surgeries can provide life-saving grace to those patients who have no other alternatives. However, the best advice Dr. Kenneth Benjamin Hughes can give is to never allow injection of foreign substances, especially in large amounts by persons with little or no surgical training.
Lower Facelift Article Editor Dr. Kenneth Hughes, 2020
What is a lower facelift?
A lower facelift is a surgical procedure that lifts and tightens the lower third of the face. A lower face and neck lift will improve the jowls, the jawline, and the neck and chin areas.
Compared to a full facelift, it’s less invasive with smaller incisions, less scarring, and a quicker recovery.
People in their late 40s and 50s who are beginning to see sagging around their mouth and jaw may be good candidates for this procedure.
What happens during lower facelift surgery?
Just before your surgery begins, you’ll be given general anesthesia or sedation, so you’ll either be fully asleep or drowsy and relaxed.
Your surgeon will make incisions near the front of your ears, extending from the earlobes to the hairline. The length of the incisions and their locations will depend on your surgeon’s technique and your facial anatomy.
After making the incisions, your surgeon will pull the skin and fat tissue into a newly lifted position. They may also lift and the underlying muscles, also called the superficial muscular aponeurotic system, for a SMAS facelift that produces longer-lasting results.
Your surgeon will suture the tissues into their new position, trimming any excess tissue to eliminate sagging and improve your jawline definition.
What should you expect during lower facelift recovery?
A lower facelift is an outpatient surgery, which means you’ll return home the same day with aftercare instructions. You’ll be groggy from the anesthesia, so make sure you have someone there to take you home.
During recovery, you might also have some discomfort, redness, sensitivity, bruising, and swelling. Your surgeon may ask you to use light ice compresses to reduce swelling and refrain from vigorous exercise for one to two weeks. It is also common to experience a tightening sensation as your skin adjusts to the changes, as well as a temporary loss of sensation around the incisions.
Your surgeon will monitor your recovery and remove your sutures at follow-up appointments starting a week after your surgery.
How long do lower facelift results last?
Patients report seeing results within a week, as soon as the swelling starts to go down, with most of the swelling gone in about a month.
A lower face and neck lift can dramatically alter neck and jawline for years.
Editor’s note from Dr. Kenneth Hughes: Dr. Kenneth Hughes performs a special type of short scar lower facelift that involves complete dissection of the face and neck that allows for maximal recruitment and improvement in contours. In addition, Dr. Kenneth Hughes has created a type of skin tethering technique, which allows for dramatic long-term improvement in the neck, jawline, and jowls.
Rib Removal Surgery : To Do or Not to Do with Dr. Kenneth Hughes
Dr. Kenneth Hughes, Los Angeles Plastic Surgeon, was interviewed in 2020 about his views on rib removal to reduce the size of the waist
Rib removal is one of those surgeries that few plastic surgeons will perform due to risk for complications. The goal of rib removal, of course, is to reduce the size of the waist. Frequently, ribs 10, 11 and 12 may be removed.
“Pneumothorax [a collapsed lung] is a known risk of rib removal surgeries or rib harvest surgeries, due to the proximity of the rib to the underlying pleura,” – Dr. Kenneth Hughes, Harvard-trained, board-certified plastic surgeon in Los Angeles.
A Personal Patient Story with Dr. Kenneth Hughes
Dr. Kenneth Hughes had another patient who came to the office for some revision cosmetic surgery and she was pleased with the results, but she still felt like she needed another surgery to improve her contours.
Although Dr. Kenneth Hughes felt confident that he could improve the condition further, she mentioned that she was not working at the time and had a brain tumor. Dr. Kenneth Hughes wondered why she was not focused on the brain tumor and dealing with those issues. However, she did enlighten Dr. Hughes and provided some insight into how difficult some of these body issues can be for the mind and the spirit.
These cosmetic issues that society may consider not as significant are in reality highly significant for people in all phases of their life, even those confronting life and death experiences. Dr. Kenneth Hughes never looks at these plastic and reconstructive surgeries as something insignificant or less impactful than other surgeries. There is no doubt that cosmetic surgeries change people’s lives and can give them a new lease on life in many instances.
For this particular patient, Dr. Kenneth Hughes told her that I would be willing to do the surgery for her, but that she had to get clearance obviously from the person taking care of her brain tumor. The neurosurgeon looking after her brain tumor gave his clearance, stating she was in a stable condition and there wasn’t much being done for her at the current time. As a result, Dr. Kenneth Hughes proceeded with the surgery and she was happy with the additional improvement.
Dr. Kenneth Hughes waived the surgical fees given her situation and special circumstances. She has followed up for several years writing emails about how she’s getting better and able to move on with her life. She is always expressing regret that she hasn’t paid, but Dr. Kenneth Hughes told her that it was much more important for her to focus on just getting better.
Oddly enough, Dr. Hughes did see the patient about a year ago at the office and she wanted to do another procedure. She was apparently in a much better frame of mind, she was healthy, and she wanted to pay off her debts that Dr. Kenneth Hughes had previously dismissed. After all of the years she still felt that responsibility to pay off a debt. A patient like this reminds Dr. Hughes that there are good people out there who do have a moral compass and will return a favor years later even without any obligation to do so. It’s also a nice to be reminded of the type of impact plastic surgeons can have on people’s lives, their outlook, and their future.
The Demise of the Small Business and Jobs Amid the Pandemic and The Need For Doctors with Dr. Kenneth Hughes
President Trump has repeatedly said that he was going to protect small business owners in those employees associated with the small businesses. However nothing has been done. If anything the order to remain at home has forced many small business owners to go out of business and or fire all or part of the workforce. Even if the unemployment takes care of the few patients are those who have lost their jobs, It does nothing To replenish the huge untold losses to the small business community and the economy as a whole. As a small business owner plastic surgeon certainly understand this. Many plastic surgeons have laid off their entire surgical workforce and even their executive workforce.
This is just a microcosm of what’s going on with doctors and small businesses across the country. In a time when we particularly doctors when we need doctors the most remind society of how important doctors are. The simple truth is is that no one possesses the intellectual or technical knowledge of doctors to save us from ourselves. It is important to remember that the doctor is the only one frequently preventing the patient from making the journey to the grave.
Many doctors are being asked to go even farther. Despite huge economic losses to the businesses they are being asked to give whatever supplies they can possibly get. In addition there at being asked to donate equipment as well. So in addition to losing businesses they are being fleeced for everything else they could possibly have. Certainly no one else in society is being called upon in such a fashion as our doctors during these dire times. Perhaps society will learn a critical lesson to not disparage or be critical of doctors when and and if the world returns from the coronavirus. It will be a costly lesson to learn as doctors are being required to help in an epidemic that is largely being kept alive by irresponsible people not practicing appropriate measures. For instance people still continue to beaches and spring break without a care in the world.
The truth of the matter is that this is global if she would likely run its course over the period of a few weeks if people stayed unto themselves. The virus can only survive for a few days on surfaces. The incubation time is short as well. All the cases could be identified within a two-week period and those patients could be identified, quarantined, and treated and the epidemic would be over. It is unfortunate that people keeping the coronavirus alive and manifesting its spread are the same people who have been critical of doctors despite not having the knowledge or wherewithal to be in a position to critique.
Dr. Kenneth Hughes GalleryBefore & After Photos
The consistent, natural results in the gallery below display the preeminent skill Dr. Hughes brings to the table. With each patient, he utilizes the ultimate in aesthetic discretion.
Much like the rest of us, I’ve been talking about getting a breast augmentation for YEARS! I finally decided it was time to actually do it and I started to really research doctors in my area. I had found one surgeon that was in Beverly Hills and had phenomenal results, but pricing was absurd. So back on the hunt I went and this is when I came across Dr. Hughes! His work amazed me to say the least. I had slightly uneven, droopy boobs and I was interested in getting large implants that were perky and full. It was really reassuring when I saw his before and after pictures of numerous patients who were very similar to my case. His website is extremely helpful and Lorena in the office was very helpful and sweet as well. I scheduled my consultation and my surgery pretty much in the same day because I was so confident he was the surgeon for me and didn’t want to miss the times he had opened. He definitely knows what he is doing. My consultation was easy and simple. He told me exactly what he suggested and answered my questions and was straight forward from the beginning! I’m two weeks post op today and I’m blown away by my results so far. I went with saline implants, 620cc’s with an under boob incision!.My surgery was seamless! The nurse (really nice looking btw) and anesthesiologist were great.