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.

Summer is over! What about my skin?

Most of us experienced quite a hot summer in 2013. Now that it is over, what are you doing about all that new skin exposure and aging? If you are smart, you are going to try and reverse some of the damage! Here are some tips on how to do just that:

1. Hydrate and Moisturize – It is important to make sure that you are drinking enough water to keep the cells in your skin plump and healthy. Moisturizer, when used properly, serves to seal in this moisture and maximize water retention in the skin.

2. Sunblock – I am a big fan of using full spectrum sunblock. You should make sure you maximize block of UVA and UVB. In most areas of the country, an SPF of 30, should be enough protection. Here is Denver, Colorado, I recommend use of at least an SPF of 50, because of the greater intensity of the sun up at “Mile High” altitudes.

3. Retinols – I LOVE retinols. Retinols are Vitamin A derivates in cream or gel form that you put on your skin every night to regenerate and improve all the layers of your skin. As you get older and experience more skin damage, the epidermis (outer layer) of your skin gets thicker and uneven, while the dermis (inner layer, strength layer) gets thinned out. This leads to older looking skin with wrinkles and volume loss. Retinols (eg. Retin-A) reverse this process. If you love the sun, then avoid retinols, as they make you more sun sensitive. Also, the reversal lasts only as long as you use this product, so make sure to stay in it for the long haul!

4. Skin procedures – To make a bigger dent in the aging your face experienced this Summer, I would recommend looking into non-invasive or minimally invasive skin procedures to remove some of the damage. A common procedure with no downtime is microdermabrasion. This procedure uses crystals or water to pressure exfoliate the top layers of skin. What you get is a polished refreshed look to the skin. This procedure is gentle enough to reperform on a monthly basis. Another procedure that is a particular favorite of mine is the chemical peel. Chemical peels use organic acids like glycolic, salicylic, and TCA to peel of layers of skin to depths greater than microdermabrasion. Typically, patients will need 2-5 days downtime, but the results are typically outstanding. Finally, when patients want the greatest amount of change and downtime is no matter, I recommend the use of fractional laser resurfacing. The gold standard is the use of fractional CO2 laser resurfacing. With this technology, you are basically creating a computer-controlled “sun burn” of the face using laser energy instead of UV radiation.

If you would like to learn more about after Summer skincare, please call Jenny at (303) 708-8234 to make an appointment to speak with me.

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Facelifts – A Primer

Facelift or rhytidectomy in Denver, Colorado is a procedure designed to reposition tissues in the face into a more youthful position.  Facial aging affects several structures: the skin, the muscles of the face, the fat volume of the face, and the bone volume of the face.  Once upon a time, it was thought that all you had to do to get a tight face was pull the skin tight.  Times have certainly changed!

In modern facelifting or rhytidectomy, the skilled surgeon analyzes all the aging structures of the face to determine what treatment each layer may need to effectively turn back the hands of time.  For instance, the skin may have been ravaged by sun exposure, smoking, weight loss, or time.  It may not be as elastic as it once was.  The extra skin will need to be removed.  The skin may need to be further tightened and toned using fractional laser resurfacing.

The underlying muscle can get loose especially in the neck (platysma) and this may need to be tightened to remove the old “turkey neck.” There may be excess fat in the neck and jowls that would benefit from liposuction to help shape the lower face and neck.  Finally aging can cause bone loss in the facial skeleton, the results possibly being a small chin, sunken cheeks, or weak jawline.  Facial implants or revolumization with fat or injectible filler would restore the proper volume relationships.

Facelifts or rhytidectomy are surgical procedures which means they leave scars and have some downtime associated with them.  Younger patients may only need a small scar in front of the ear to tighten both skin and muscle.  Older patients or those with poor skin quality may need scars that are both in front of and behind the ear to redrape the excess skin.  These scars are placed in easily camouflaged areas to allow for minimal show.

General anesthesia used to be the only option for patients, but now patients in Denver can get their facelift or rhytidectomy in the doctor’s office using just oral sedation and local anesthetic.  This allows for faster and safer anesthetic recovery. Cost savings are enormous also.

If you are interested in facelift or rhytidectomy in Denver, Colorado please call (303) 708-8234 to schedule your complementary consultation. Or, visit us on the web at http://www.drmanishshah.com for more information.