Cosmetic surgery performed in an in-office setting

Did you know that many cosmetic surgery procedures can be performed in an in-office setting?

Here in Denver, Colorado, Manish H. Shah, M.D., FACS has perfected the process of performing many cosmetic surgical procedures in an in-office setting.  There are many reasons one might choose to have their cosmetic surgery performed outside of the hospital or surgery center setting.  The following is a list of reasons many of Dr. Shah’s patients have elected to have their procedures performed in his office:

1. They are afraid or anxious about general anesthesia safety issues

2. They are healthy enough for non-monitored procedures (no continous monitoring of heart rate, blood pressure, or oxygen levels) – Level 1 anesthesia (Colorado Board of Medicine)

3.  They feel more comfortable with the idea of having their procedure using only Valium (or similar medication) for sedation/relaxation, and using local anesthesia (like at the dentist’s office.)

4.  They are interested in saving money!! (in-office procedures do not have anesthesiologist fees or facility/equipment fees associated with them)

There are many different procedures that Dr. Shah has performed using only sedation with Valium and local anesthesia here at his cosmetic surgery office in Denver/Englewood, Colorado:

1. Facelift (rhytidectomy)

2. Eyelift (blepharoplasty)

3. Ear pinning (otoplasty)

4. Nasal tip rhinoplasty – primary

5. Revision rhinoplasty

6. Non-surgical rhinoplasty

7. Mini tummy tuck (abdominoplasty)

8. Reverse tummy tuck (reverse abdominoplasty)

9. Small area liposuction

10. Breast lift (mastopexy)

11. Breast implant revision

12. Laser resurfacing of the face, neck, chest, and hands

13. Chin implants

14. Scar revisions of all types

In fact, over 90% of Dr. Shah’s patients will have procedures performed this way.  With a yearly caseload averaging around a 1000 facial and body/breast surgical procedures, this means that many patients have had their procedures this way.

If you are interested in finding out more about your options with regards to cosmetic surgery performed in an in-office setting, please contact Jenny Romano of Shah Aesthetic Surgery in Denver, Colorado at (303) 708-8234.

Your options for Liposuction in Denver, Colorado

Now that the weather is starting to get colder one of our favorite things to do is eat!!  I don’t know what it is about this time of year, but it makes me hungry.  I have a sneaky suspicion that it makes you hungry too!!  For most of us, this means a little weight gain.  Denver, Colorado is a pretty healthy place, but there are lots of us who can’t seem to get rid of areas of stubborn fat, no matter how much time we spend in the gym.  What kinds of options do you have, you ask?  The most effective way to remove those stubborn fat deposits is by having liposuction.  There are multiple types of liposuction performed here in Denver by Shah Aesthetic Surgery.

1. Standard – Standard liposuction uses manual suction techniques to suck out fat from trouble areas using small incisions placed in the skin.  It is fairly old-school and it’s use is limited.

2. Power Assisted – Power assisted liposuction (PAL) uses a mechanical device that oscillates like a little battering ram under the skin to make removal of fat a little easier and more aggressive.  Areas of tougher tissue are also more effectively treated using this technology.

3. VASER Assisted – VASER assisted liposuction (UAL) uses ultrasound energy to vibrate water molecules around fat cells under the skin causing them to explode and liquify.  It makes fat removal even easier, with less bruising.  In addition, the ultrasound generates heat that some feel helps tighten the overlying skin as it contracts, giving even better shape.  It is my favorite way to perform liposuction for body areas.  I will often combine it with PAL for maximum results.

4. Laser Lipolysis – Laser lipolysis, or, Smartlipo MPX by Cynosure, is a liposuction technology that use a small fiberoptic laser placed under the skin that melts fat and also help tighten skin.  It is a little more risky because it can heat the skin quickly so careful attention needs to be paid to avoid burns.  It is also one of the only treatments that show efficacy with the treatment of cellulite.  It is one of my favorite methods for fat removal and skin tightening in the face.

Nothing replaces good diet and exercise, but most of us know that it is sometimes not enough.  Liposuction remains a mainstay method for body contouring.  A consultation with a plastic surgeon trained in liposuction will help you understand the benefits/limitations/risk/alternatives of the various methods of liposuction here in Denver, Colorado.

Bullying!! A Good Reason for Plastic Surgery in Kids?

If you are paying any attention to the national media, you know that bullying has become a very common part of growing up.  We are hearing tragic stories of children and teens all over the country taking their lives because they can not live in the shadows of their shame any longer.  We all know that kids can be cruel, but it seems that this has reached epidemic proportions.

In Denver, Colorado, at my plastic and reconstructive surgery practice, I have seen many children and adolescents who complain about being teased and bullied because of the way they look.  Some of the most common complaints are: ears that stick out, a nose that is too big, and bad facial acne.  Other problems have included early development of extremely large breasts, obvious asymmetry of the breasts of girls/teens, and enlargement of breasts (gynecomastia) in boys/teens.

Before one thinks about getting plastic surgery to correct these problems, it is important to make sure that the child and his/her parents are well-educated about the pros and cons of surgery.  If there is any sense that the child might have a psychological issue, then I refer them for psychological evaluation before proceeding forth with surgery.  Fixing a perceived external defect without treating any internal strife is a recipe for disaster.

If, however, the child and parents have healthy motivations, what can be done about these various conditions?

In Denver, Colorado, at Shah Aesthetic Surgery, there are multiple options to handle each concern:

EARS THAT STICK OUT:

The most effective procedure for ears that stick out too much is called an otoplasty or ear pinning operation.  This is a very successful operation in my hands.  Patients seek out our Denver-based clinic for ear improvement.  Children really notice the differences in those around them after about the age of 6 years old.  This is a common time to fix the ears.  If you want more information on otoplasty in Denver, Colorado, I suggest you contact us at drshah@drmanishshah.com.

A NOSE THAT’S TOO BIG:

When a nose appears too big for the face, it can be a target for taunting and bullying.  The most effective procedure for reducing or shaping a nose that doesn’t harmonize with the face is a rhinoplasty or nose reshaping surgery.  As the only Denver, Colorado based member of The Rhinoplasty Society, rhinoplasty or nose reshaping surgery is a common and successful procedure in my hands.  I have seen life changing results and significant improvements in self-esteem after this procedure.  Using very specialized approaches, I am able to reduce and re-apportion the size of the nose to better fit the surrounding facial features.  It can take more than a year to realize the final results, but the wait is usually worth it.  If you would like more information on rhinoplasty or nose reshaping in Denver, Colorado please contact us at drshah@drmanishshah.com.

BAD ACNE

There are a lot of causes for acne.  When we treat acne at our Denver, Colorado plastic surgery practice, we take a multi-faceted approach to the problem.  We work on acne suppression with topical and oral medication along with good skin care and use of chemical peels.  If there are any scars that need to be improved, we used laser, chemical peels and good skin care from companies like SkinMedica to help reduce the visibility of the old scars.  For more information about the care of acne in Denver, Colorado, I would suggest you contact us at drshah@drmanishshah.com.  No one likes to be called “Pizza Face!!”

BEING YOUNG WITH LARGE BREASTS

Being young with large breasts can be a curse.  Not only can it affect athletic activities, it can bring unwanted and salacious attention.  In my Denver, Colorado plastic surgery practice, breast reduction surgery is very helpful in managing this problem.  It is important to note that these patients may need a second breast reduction later in life after breast feeding a baby.  That being said, making breasts smaller so they weigh less and fit better into today’s clothes, is a win-win situation.  If you would like more information on breast reduction surgery in Denver, Colorado, please contact us at drshah@drmanishshah.com.

HAVING BREASTS THAT ARE VERY DIFFERENT IN APPEARANCE

Another problem that children and teens can face is congenital asymmetry of the breasts in girls/teens or gynecomastia in boys/teens.  These kids have a hard time either finding bras, bathing suit tops that fit and look normal to their peers, or they have a hard time taking their shirts off in the locker room and pool areas. For girls/teens, breast enlargement or augmentation surgeries can be performed with or without breast reduction surgeries to even out the breasts in clothes.  For boys, liposuction and/or resection of glandular breast tissue is used to reduce the chest size and create a more masculine looking chest.  For more information about breast reduction or gynecomastia procedures in Denver, Colorado please contact us at drshah@drmanishshah.com.

I hope that this information can help you and your child find some sense of peace in this ever more critical world.

If you would like, please visit us at http://www.drmanishshah.com to see all that we provide to the Greater Denver area, and beyond.

Warmest regards,

Manish H. Shah, MD, FACS