:: Hair Replacement Surgery

Procedure:

Fill in balding areas with a patient's own hair using a variety of techniques including scalp reduction, tissue expansion, strip grafts, scalp flaps, or clusters of punch grafts (plugs, miniplugs and microplugs). Works best on men with male pattern baldness after hair loss has stopped.

Length:

1 to 3 hours. Some techniques may require multiple procedures over 18 months or more.

Anesthesia:

Usually local with sedation. Flaps and tissue expansion may be done with general anaesthesia.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary itchy, tight scalp. Unnatural look in early stages.

Risks:

Unnatural look. Infection. Excessive scarring. Failure to "take." Loss of scalp tissue and/or transplanted hair.

Recovery:

Back to work: usually 2 to 5 days. More strenuous activities : 10 days to 3 weeks. Final look : may be 18 months or more, depending on procedure.

Duration of
Results:

Permanent.

:: Laser Facial Resurfacing

Procedure:

Smooth the face and smooth fine wrinkles using a carbon dioxide (CO 2 ) laser device that treats layers of damaged skin. Softens lines around the eyes and mouth and minimizes facial scars and unevenly pigmented areas.

Length:

A few minutes to 1 hour. May require more than 1 session.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient, unless combined with other surgical procedures that require hospitalization.

Side Effects:

Temporary swelling, discomfort. Lightening of treated skin. Acute sun sensitivity. Increased sensitivity to makeup. Pinkness or redness in skin that may persist for up to 6 months.

Risks:

Burns or injuries caused by laser heat. Scarring. Abnormal changes in skin colour. Flare-up of viral infections ("cold sores") and other infections (rare).

Recovery:

Back to work: 2 weeks. More strenuous activities: 4-6 weeks. Complete fading of redness: 6 months or less. Return of pigmentation/light sun exposure: 6-12 months.

Duration of
Results:

Long-lasting, but does not stop aging. New wrinkles, expression lines may form as skin ages.

:: Liposuction (Suction-Assisted Lipectomy)

Procedure:

Improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Can be performed using the tumescent technique , in which targeted fat cells are infused with saline containing solution with a local anaesthetic before liposuction to reduce post-operative bruising and swelling. Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.

For larger volumes of fat or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a new technique in which a ultrasound probe is inserted beneath the skin to "liquify" the fat before it is suctioned.

Length:

1 to 2 hours or more. UAL : 20-40 percent longer than traditional liposuction.

Anesthesia:

Local, epidural, or general.

In/Outpatient:

Usually outpatient. Extensive procedures may require short inpatient stay.

Side Effects:

Temporary bruising, swelling, numbness, soreness, burning sensation. Tumescent : Temporary fluid drainage from incision sites. UAL : Larger incisions for cannula.

Risks:

Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection. UAL: thermal burn injury caused by the heat from the ultrasound device.

Recovery:

Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or more. Use of tumescent technique or UAL may decrease post-operative bruising and swelling.

Duration of
Results:

Permanent, with sensible diet and exercise.

:: Nose Surgery (Rhinoplasty)

Procedure:

Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. May also relieve some breathing problems. (May be covered by insurance.)

Length:

1 to 2 hours or more.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary swelling, bruising around eyes, nose and headaches. Some bleeding and stiffness.

Risks:

Infection. Small burst blood vessels resulting in tiny, permanent red spots. Incomplete improvement, requiring additional surgery.

Recovery:

Back to work: 1 to 2 weeks. More strenuous activities : 2 to 3 weeks. Avoid hitting nose or sunburn : 8 weeks. Final appearance: 1 year or more.

Duration of
Results:

Permanent.