Preventing or at least minimizing the risk of rhinoplasty infection should be one of the most important goals of any prudent surgeon performing nose-reshaping surgery, according to California Surgical Institute website.
The list below shows the basic guidelines on how to minimize risk of rhinoplasty infection.
Anyone with uncontrolled medical condition linked to higher risk of infection and poor healing is discouraged to undergo any elective plastic surgery.
Prior to rhinoplasty, judicious surgeons require all their patients to pass lab screening to ensure that they can handle the surgery and the ensuing recovery.
- Achieve one’s optimal health
Achieving one’s optimal health generally includes eating healthy, avoiding smoking and too much alcohol and caffeine, and discontinuing aspirin and aspirin-like products for at least 2-3 weeks.
- Accredited surgical facility or hospital
This is the safest surgical venue. Being accredited means the surgical facility adheres to the highest patient safety standard.
Moreover, an accredited surgical facility has the necessary equipment, building design that promotes sterilized environment, and highly trained staff to reduce risk of infection and contamination.
Many surgeons today recommend prophylactic (preventive) antibiotics to help ward off infection, which must be taken on time and their full course completed.
The patient must be informed of the telltale signs of infection such as elevated temperature, unusual skin changes, and poor healing.
If the patient notices anything unusual, he must notify his surgeon right away than wait for his next scheduled appointment. Some individuals might be apprehensive contacting their surgeon thinking that they might bother them over some trivial thing.
Furthermore, the patient must understand that his full commitment is necessary to minimize risk of complications. For instance, smoking even just a single stick a few weeks leading up to the surgery or during the initial healing stage is enough to drastically increase one’s risk of poor healing, infection, and less than optimal results.
It is important to leave the nose alone to heal. No picking at the incisions, blowing hard, wearing eyeglasses, or anything that might compromise healing.
Liposuction for bra fat, which is the unsightly bulges that show through tight clothing, poses a unique challenge. First and foremost, the fat is highly fibrous and thus difficult to remove with a hollowed tube attached to a vacuum pump (cannula).
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a series of Snapchat videos to demonstrate liposuction for bra fat and the “meticulous” techniques required to help achieve smooth, natural-looking results from the surgery.
Before-and-After Photos of a Patient Who Have Had Liposuction for Bra Fat
“I use smaller cannula, or microcannula, when treating the bra fat and back rolls caused by fibrous fat, which is tough to remove and so it requires more effort,” he said.
It is important to note that certain anatomic areas are consistently more fibrous compared to the rest of the body; they include the back, male breasts, and around the navel.
“The use of microcannula makes it easier to penetrate the fibrous fat, as compared with the use of large cannula. Furthermore, its smaller body allows for more precision during the extraction of fat, leading to smoother contour and lower risk of surface irregularities,” Dr. Smiley added.
In the video, Dr. Smiley is seen pushing the microcannula back and forth with his right hand, while his left hand “feels” the treated area.
“Contrary to popular belief, liposuction is not mainly about seeing what you’re doing. A skilled surgeon will know how much fat he needs to remove by simply feeling the treated area while moving the cannula back and forth. With over 9,000 liposuctions I have already performed, the process has become a second nature to me,” he further explained.
The celebrity plastic surgeon said liposuction for bra fat has almost become a common “complementary procedure” of Brazilian butt lift in which the patient’s buttocks and hips are augmented and reshaped with the most natural material: her own fat.
Instead of discarding the fat collected during liposuction, it is processed and transferred to the buttocks.
By performing liposuction for bra fat, the back will not detract from the curvier, more feminine buttocks and hips, said Dr. Smiley.
To know more about liposuction and its ancillary procedures, interested parties may want to add Dr. Smiley on Snapchat. He regularly posts videos to spread patient safety awareness.
The Benelli lift with breast implants basically accomplishes two things: create an “illusion” of a perkier appearance, and provide more breast volume.
The term “illusion” is an appropriate way to describe the effects of Benelli lift, which unlike the standard breast lift, does not manipulate and reshape the actual breast tissue. It simply relies on repositioning the areola higher on the breast.
Meanwhile, a standard breast lift actually “lifts” and re-anchors the sagging breast tissue.
For this reason, the Benelli lift only suits patients with pseudo or fake breast ptosis or sagging—i.e., the upper breast pole appears “empty” but the areola has not yet sagged below the breast fold.
To demonstrate the effects of Benelli lift with breast implants, leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a series of Snapchat videos involving the technique.
The patient shown in the video had enlarged areolas, which were positioned lower than ideal, although they had not yet drooped beyond the breast crease. Moreover, her breast size was disproportionately small for her body and thus she requested for a simultaneous augmentation surgery.
Dr. Smiley started off the surgery with the creation of a smaller areola. He used a round cookie-cutter device to make an imprint of the new areolar complex. Then, he created an oblong-shaped incision outside of the same cut.
With the aforementioned incision pattern, Dr. Smiley was able to remove some of the dark pigmented skin of the areola, ultimately reducing its size. Of course, he lifted it a few centimeters from the breast crease to achieve a perkier, more youthful appearance.
According to studies, the ideal distance between the nipple and the sternal notch (visible dip between the neck and the collarbone) is between 17-21 cm. But if there is a larger gap, the breasts are perceived to be saggy.
After improving the shape, size, and placement of the areola, Dr. Smiley positioned the implants to give the patient more breast volume. These prostheses are propelled into their pockets through the previously created incision around the nipple area, thus avoiding additional scar.
The resulting scar from the Benelli lift, meanwhile, lies precisely at the dark-light skin junction and so it will blend into the background after six to 18 months, Dr. Smiley said in one of his Snapchat videos.
Brazilian buttock lift is basically liposuction with fat transfer to the buttocks. Instead of discarding the “unwanted” fats, these are injected into the patient’s backside and hips to achieve a more feminine figure.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley says a good result should present high symmetry between the left and right side, not just of the buttock, but also of the entire torso of the patient when viewed from the back.
After and before photos of a patient who have had Brazilian buttock lift. Hers was a special case due to her scoliosis.
In one of his recent Snapchat videos, Dr. Smiley has presented a rather special case of Brazilian buttock lift.
The female patient has scoliosis that her torso slightly “curves” to the right. Hence, her fat rolls and skin fold along this side were more prominent compared to the left side of her back.
In the video, Dr. Tarick Smiley said he almost always treats the lower back and flanks as donor/liposuction sites because of the areas propensity to accumulate “unwanted” fats that can show through tight clothing.
However, performing liposuction on the lower back and flanks of the patient with scoliosis could “highlight” the asymmetry between the left and right side of her torso unless “appropriate adjustments are made” during surgery, he explained.
To achieve a more symmetric result, Dr. Smiley removed more fat volume from the right side of the torso than its left side.
“It is important for any surgeon performing Brazilian buttock lift to have an eye for detail. Essentially, this is a combination of science and art,” he said.
After removing sufficient fat volume from the donor sites, Dr. Smiley purified it with the use of a centrifuge, a device that separates biomaterials based on their weight.
For instance, the lightest material is the oil, which floats above the fluid after centrifugation; this is discarded to achieve a high survival rate of fat graft (at least 70 percent).
Then, Dr. Smiley injected the purified fat into the patient’s backside, allocating about a third of the volume to reshape the hips and the remaining amount was used to improve the buttock’s shape and projection.
Moreover, Dr. Smiley smoothed out the visible indentations on the buttocks with meticulous fat injection techniques.
Capsulectomy breast implant exchange is the best solution for capsular contracture, a complication in which a thick scar capsule forms around a prosthetics, as explained by leading Beverly Hills plastic surgeon Dr. Tarick Smiley on his recent Snapchat posts.
In a series of Snapchat videos, Dr. Smiley presented a patient whose right breast had capsular contracture, leading to the implant to ride higher; it also resulted in hardness of the breast tissue. The left breast, meanwhile, had no such problem although it appears pendulous.
To achieve good results from capsulectomy breast implant exchange, Dr. Smiley also performed areola reduction and wise breast lift technique.
After and before photos of a patient who have had revision breast augmentation to correct her capsular contracture
In the videos, the celebrity plastic surgeon is seen removing the entire scar capsule, which has encapsulated the implant.
“It is important to remove the entire capsule to prevent the problem from recurring. In primary breast augmentation, the capsular contracture rate is 4 percent, but in revision it goes up to 15 percent,” he said.
“However, removing the entire capsule and with the use of meticulous techniques, we can lower the capsular contracture rate to 4 percent,” he added.
Aside from lowering the risk of recurrence, Dr. Smiley said that removing the entire scar capsule also allows for smoother, more natural results from revision breast augmentation.
“The thick scar capsule squeezes the implant inside sometimes to the point that it becomes deformed, with some of its edges showing through the skin as bumps,” he said.
To further reduce the risk of capsular contracture recurrence, Dr. Smiley always irrigates the implant pocket with antibiotic solution, and only performs his surgeries in accredited surgical facilities.
“One of the main causes of capsular contracture is implant contamination at the time of surgery. However, this can be minimized since our accredited surgical facilities have air ventilation system designed to curb contamination. Also, they are fully equipped with sterilization devices,” he further explained.
Moreover, Dr. Smiley requires all his patients with smooth round implants to perform breast implant massage everyday to maintain the “thinness” and softness of the scar capsule, which naturally forms around any implanted device.
“Capsular contracture is made up of excess collagen fiber. We could prevent this from happening with daily breast implant massage in which the idea is to push the prosthesis into the outermost corners of its pocket,” he added.
Meanwhile, Dr. Smiley finished off the surgery by performing a breast lift, which corrected the patient’s pendulous breasts.