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Posted by Dr. Hardesty



Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty





Click here for a Free Online Breast Augmentation Self Evaluation


Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



Introduction



Online Rhinoplasty Self-Evaluation Tool – Click Here


Rhinoplasty or “nose job” is a surgery that changes the shape and appearance of the nose. The “tipping point” for a decision to undergo a rhinoplasty procedure is usually when the individual reaches a point where the change in the appearance of the nose, improve breathing or both have been made out of necessity or self-improvement. Rhinoplasty procedures are designed to refine a normally functional nose, repair deformities from an injury, correct a birth defect or improve breathing difficulties.

How Are These Changes Made?

Depending on the desired appearance and underlying structure various rhinoplasty techniques can change the size, shape, and proportions of one’s nose while improving or maintaining breathing resulting in a natural appearance and a more functional nose. Based on a nasal examination, your anatomy and your desires a plan will be made to alter the structure of the nose. The four main structural components are:

  • upper nasal underly is bone
  • the lower nose (side portion) is flat section of cartilage
  • the tip consists of curved cartilage
  • the septum (is an internal nasal cartilage).

All are covered by nasal skin or nasal lining. Rhinoplasty or “nose job”, when needed can change the bone, cartilage, and skin. There are several different techniques that can be utilized for each of the components above depending on the desired appearance and breathing findings.

What Should You Expect?

Rhinoplasty is not a “cookie-cutter” operation. However, once the plan is made an ordered series of steps will be taken to achieve the desired results. Each surgery is unique and customized for the specific anatomy and goals of the person having the surgery. Realistic expectations are paramount for understanding what can and can’t be accomplished based on one’s wishes and your anatomy. The following will explain the usual steps taken and the process to reach one’s desired goal.

How to Prepare for consultation with Dr. Hardesty

Before performing a rhinoplasty, you will meet with Dr. Hardesty, a highly experienced Board Certified Plastic Surgeon, to discuss important factors that determine whether a rhinoplasty is likely to reach your goals. Since this is a surgical procedure, a thorough understanding of your current and past medical condition(s) is important and necessary.

Your expectations: Dr. Hardesty will listen and discuss your motivations and expectations. It’s normal to feel self-conscious discussing your appearance, however, it’s very important that you’re open with Dr. Hardesty about your desires and goals for surgery.

Your goals: The most important question Dr. Hardesty will ask you is about your expectations for surgery and your goals. Please be ready to be as specific as you can be.

Your medical history: Dr. Hardesty will ask questions about your medical history which includes your history of any allergies, medications you take and a history of nasal obstruction and surgeries.

A physical exam: Dr. Hardesty will conduct a physical examination. He will examine your facial features and the inside and outside of your nose. The physical examination is critical and helps Dr. Hardesty will determine what changes need to be made and how your physical features such as the thickness of your skin, the current structure of the cartilage at the end of your nose and internal position/shape of the nasal septum.

Photographs: The staff at Dr. Hardesty’s office will take standardized photographs of your nose and face from different angles. Most importantly, the photos allow for a specific discussion about your current anatomy, appearance and the goals you have

Additional and additive procedures: If you have a small chin, Dr. Hardesty, may recommend an additional surgery to augment your chin. This is because a small chin will create the illusion of a larger nose. It’s not required to have chin surgery however it may better balance the facial profile. Occasionally the base of the nose will be narrowed by removing small slices of nostril tissue called a Weir wedge will bring the nose into better balance

The plan: Having obtained the needed information, Dr. Hardesty will discuss “realistic” expectations. He will explain what rhinoplasty can and can’t do for. Based on the above Dr. Hardesty will formulate a surgical plan.

The Rhinoplasty Surgery Procedure

Depending on what is needed to reach your goals, the rhinoplasty procedure can be performed under local anesthesia with/without sedation or general anesthesia. This decision will depend on how complex your surgery and what needs to be done based on your desires.

Anesthesia

  • Local Anesthesia only. Dr. Hardesty will inject the nose with numbing medicine directly. This usually reserved for “tip rhinoplasty” or minor revisions.
  • Local anesthesia with sedation. This type of anesthesia is usually used in an outpatient setting. Under Dr. Hardesty direction the anesthesiologist will sedate you with medication injected through an intravenous (IV) line. This makes you groggy but not fully asleep. Then Dr. Hardesty will numb the area so you won’t feel pain.
  • General anesthesia. You receive the drug (anesthetic) by inhaling it and through a small tube (IV line) placed in a vein in your hand or arm. General anesthesia affects your entire body and causes you to be unconscious during surgery. For safety general anesthesia requires a breathing tube.

The Procedure

The access incision may be made inside your nose, through a small external incision at the columella of your nose (the skin between your nostrils) or both. Dr. Hardesty will change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, your nose’s structure, and available materials.

  • For small changes: The rhinoplasty may only need to resect cartilage, rearrange tissue and narrow the base and refine the tip of the nose.
  • For other changes: The use of cartilage taken from deeper inside your nose or from your ear. In addition, the use of cartilage from your rib, implants or rarely bone from other parts of your body. After these changes are made, the nasal skin incisions are closed.
  • Deviated Septum: If the partition between the two sides of the nose (septum) is bent or crooked (deviated), can be corrected to improve breathing.
  • Large Turbinates: There are a total of 6 turbinates two of lower ones which may contribute to airway obstruction. If so, they will be reduced in size to improve airflow.

Are There Any Risks/Complications with A Rhinoplasty?

As with any surgery there are always general risks of rhinoplasty, these unglued but not limited to:

  • Bleeding
  • Infection
  • anesthesia

Inherent Risks

Some rare, but still possible risks specific to rhinoplasty include but are not limited to:

  • Difficulty breathing through your nose
  • Numbness in and around your nose.
  • An uneven-looking nose
  • Discoloration or swelling
  • Abnormal scarring
  • If septoplasty, a hole in the septum (septal perforation)
  • Need for additional surgery

Reducing Risks

  • To reduce bleeding stop all blood thinners and blood thing over the counter medications such as aspirin, ibuprofen, Aleve, etc. In addition, vit. E, fish oils and some supplements can cause excessive bleeding
  • Abnormal swelling can be avoided by abstaining from strenuous high impact activities such as aerobics and jogging. The alternative is a stationary bike or elliptical trainer.
  • Taking baths instead of showers while you have bandages on your nose.
  • Do not blow your nose.
  • Eat high-fiber foods, such as fruits and vegetables, to avoid constipation. Constipation can cause you to strain, putting pressure on the surgery site.
  • Avoid extreme facial expressions, such as smiling or laughing.
  • Brush your teeth gently to limit movement of your upper lip.
  • Wear clothes that fasten in the front. Don’t pull clothing, such as shirts or sweaters, over your head.
  • Don’t place eyeglasses on your nose for at least four weeks after the surgery. This is to prevent unwanted pressure on your nose while healing. Alternatively, use cheek rests, or tape the glasses to your forehead until your nose has healed.
  • Avoid direct sunlight, Use sunscreen when you’re outside. The sun may cause permanent irregular discoloration on your nose’s skin.

Recovery after Rhinoplasty

After the surgery, you’ll be in a recovery room, where the staff monitors your return to wakefulness. You might leave later that day or, if you have other health issues, you might stay overnight. You will need to arrange for someone to drive you home if you’re having outpatient surgery.

For the first few days after anesthesia, you may have memory lapses, slowed reaction time and impaired judgment. So, arrange for a family member or friend to stay with you a night or two to help with personal care tasks as you recover from surgery.

Slight bleeding and drainage of mucus and old blood are common for a few days after the surgery or after removing the dressing. A “drip pad”, a small piece of gauze held in place with tape will be placed under your nose to absorb drainage. Change the gauze as becomes saturated.

In most cases, an external splint will be placed. It will be removed on the 10th day after surgery. If a septoplasty is performed a thin internal splint with small incorporate breathing tubes will remain in place for seven days after surgery. After the external splint is removed Dr. Hardesty will show you how to tape your nose for protection and support. Fortunately, “nasal packing” rarely has to be utilized in modern rhinoplasty surgery.

After the surgery, you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the thin internal splints placed inside your nose during surgery. Some temporary swelling or black-and-blue discoloration of your eyelids can occur for several weeks after nasal surgery. After the external splint is removed you will immediately see a difference in the nasal shape and look. Complete resolvement of subtle swelling of the nose takes longer to resolve.

What Results to Expect

Very slight changes to the structure of your nose, often measured in millimeters, can make a large difference in how your nose looks. Most of the time, an experienced Plastic Surgeon such as Dr. Hardesty can attain results that both of you are satisfied with. Your nose changes throughout your life whether you have surgery or not. For this reason, it’s difficult to say when you have obtained your “final result.” The majority of swelling usually resolves in weeks to months. However, in most, positive subtle changes continue swelling resolves within a year.

Revisional Surgery

However, in some cases, the changes aren’t enough, and you and Dr. Hardesty might decide to perform a second surgery for further changes. If this is the case, you must wait at least a year for the follow-up surgery, because your nose can go through changes during this time.

Alternatives to Surgical Rhinoplasty

Alternatives to a surgical procedure include injecting “fillers” to fill in depressions, add balance and disguise minor irregularities.

Cost/Fees

The fees are based on the anesthesia used (local vs sedation or general anesthesia), the facility (minor surgical suite, outpatient operating room or hospital setting) and if combined with other procedures. All pre and post-operative care are included. Some preoperative laboratory analysis may be required (usually covered by your medical insurance). To view a more detailed guide to pricing click here.

Frequently Asked Questions (FAQ)

Please click here to find answers to commonly asked questions about rhinoplasty, septoplasty and turbinate reduction.

Summary

Rhinoplasty or “nose job” surgery performed for cosmetic Improvement or functional improvement of breathing has high-level satisfaction for both the patient and the Plastic Surgeon.

The most important factor to consider is seeking the opinion and services of a skilled, experienced and Board Certified Plastic Surgeon such as Dr. Hardesty who is an expert in rhinoplasty techniques. The Imagine Plastic Surgery team uniquely provides the full array of both nonsurgical and surgical alternatives to rhinoplasty thus filling our motto of “One Goal, Many Options”. For more information, call and schedule a consultation.

Since 2003 the Staff of Imagine Plastic Surgery has provided comprehensive Cosmetic Plastic Surgery services and procedures for the many communities of the greater Inland Empire, California including but limited to Riverside, Redlands, Rancho Cucamonga, Ontario, Corona, Upland, Chino Hills, Temecula, Murrieta, Clairemont, the High Desert Cities of Victorville and Apple Valley.

Rhinoplasty FAQ

How long is the recovery period?

Plan to take a week to 10 days off from work, school or other obligations. You will feel progressively better each day during the first week. Several days after surgery, rhinoplasty patients usually feel like they are themselves again. After surgery, there will be some normal and anticipated swelling and bruising. The majority of the surgical swelling and bruising has resolved in a week’s time. Most patients are usually back to performing routine daily activities after a week and resuming all activities after two to four weeks.

Does insurance pay for a rhinoplasty?

Highly unlikely. It is unheard for the insurance company to pay for a cosmetic rhinoplasty. However, if you are having functional breathing problems some insurance companies will cover the expenses for the septoplasty or turbinate reduction portion of the surgical procedure, but it depends on the insurance policy.

How much does rhinoplasty cost?

The cost of a rhinoplasty depends on several factors, including the complexity of the surgery, the surgeon’s training and experience, and geography. Please see our blog on “Costs.”

Is rhinoplasty painful?

Not for most people. Most patients complain more of discomfort that is readily relieved by pain pills. One day after surgery, most people rate their pain between 0 and 4 out of 10.

Will you pack my nose?

No. Packing can be very uncomfortable. If you have undergone a septoplasty or turbinate reduction, you’ll likely have some soft thin splints in your nose. These splints have a hole in them to make it possible to breathe through them. They are easily removed at the one-week visit.

How long will I be bruised?

Some bruising is common. You will be given anti-swelling and bruising medication. If you do have some minor bruising, it usually lasts a week or so.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



I. INTRODUCTION

Unfortunately, despite the best efforts with diet and exercise many people still experience stubborn pockets of fat on their abdomens. This can happen because of stubborn fat that is natural or left-over from pregnancy. Whatever the reason, a tummy tuck is designed to help solve this problem.

There are three main modalities and various techniques that one can use to deal with unwanted diet-resistant tummy or abdominal fat.

  • Non-surgical fat removal
  • Liposuction
  • Abdominoplasty (tummy tuck)
  • Combination of the above three modalities

The “Best” treatment for abdominal contour rejuvenation or restoration depends on and is determined by a personal exam, your desires, discussion of the benefits and the limitations of the technology, and procedure(s) available. Abdominal contouring can be accomplished using a combination of various procedures and technologies. We here at Imagine Plastic Surgery refer to this as “One goal, Many Options”.

Often a combination of non-surgical, surgical technologies and minimally invasive procedures are used in conjunction to attain a superior result than if only one technique was used alone. When using multiple modalities to contour the abdomen Dr. Hardesty refers to this combination of treatments as “Synergy”.

II. NON-SURGICAL FAT REDUCTION

There are various technologies that are non-surgical fat reduction/removal and they include but are not limited to:

  • Ultrasound (Ultrashape Plus)
  • Freezing (Coolsculpt)
  • Radio Frequency (RF)
  • Topical (Vellashape III, Thermi Smooth)
  • Injectable (Thermi Tight)
  • Injectable enzymes (Kybella)
  • Topical cool light laser (Zerona)

After trying and comparing CoolSculpting and UltraShape Plus, I personally found the UltraShape Plus was a superior technology. UltraShape Plus was painless compared to CoolSculpting and didn’t leave numb areas, demonstrated similar or often better results, and took less time to perform. I also tried Zerona and unfortunately was not impressed with the results. Thus, I most often use a combination of Ultrashape Plus and Vellashape III (RF=radio frequency) to shrink the skin after Ultrashape Plus for most of my non-surgical fat reduction body contouring. Thermi (Injectable RF) and/or Kybella, is reserved for those patients with smaller isolated areas of diet-resistant fat, who after discussion would like a non-surgical alternative.

Benefits:

  • Anesthesia: minimal to none
  • Pain: little pain to no pain
  • Recovery/downtime: minimal recovery/downtime
  • Skin shrinkage: Vellashape III and Thermi only

Cons:

  • Restrictions: Can only use in only certain anatomical areas
  • Will not treat separated abdominal muscles
  • Will not remove excess and stretched skin

III. LIPOSUCTION

Liposuction is the favored treatment for isolated diet resident fat removal of the abdominal wall when there is not abdominal wall muscle separation (diastasis recti) and excess loose skin.

There are various types of liposuction technologies including but not limited to:

  • Suction asst. Liposuction (SAL)
  • Ultrasonic asst. liposuction (UAL)
  • Power asst. liposuction (PAL)
  • Laser asst. liposuction (LAL)
  • Water asst. liposuction (WAL)

They are all effective and are secondary to the experience of the Plastic Surgeon within the liposuction technology. In addition to liposculpting, many of us have added non-surgical methods “to shrink skin” after liposculpture using Radio Frequency (RF) devices. Two such devices I personally use are Vellashape III and Thermi Tight, in conjunction with liposuction to reduce the deflated postoperative lax skin.

Benefits:

  • Anesthesia: Local, sedation or general anesthesia depending on the amount anticipated liposuction volume, patients pain tolerance or desire.
  • Recovery/downtime: depending on volume and location usually minimal recovery and time off work.
  • Minimally invasive: small-sized access incision
  • Can remove diet-resistant fat in most areas.

Cons:

  • Will not treat separated abdominal muscles.
  • Will not remove excess and stretched skin.
  • Skin looseness: may result in looser skin after liposuction.

IV. ABDOMINOPLASTY (tummy tuck)

Abdominoplasty or tummy tuck is considered the “gold standard” for abdominal contour restoration after pregnancy or weight loss. Why? Because it addresses all the common causes of the “Mommy bump”.  The abdominoplasty will be tailored to your anatomical needs.

There are five types of abdominoplasties that can be performed depending on your anatomy, amount of stretched and excess skin.

  • All tighten and repair the separated muscle to some extent
  • A-C all have horizontal incisions and D has a significant vertical component.
  • All (A-E) remove excess and loose skin (D the most).

In addition, Dr. Hardesty includes in all his tummy tucks:

  • Anterior (frontal) and lateral (side) liposuction of the flanks (love handles)
  • A non-narcotic and locally delivered pain pump medication device that constantly baths the pain nerves with a local anesthesia substance.

The various types of abdominoplasty are listed below and based mainly based on your physical findings and your goals the most appropriate technique will be recommended.

  • A mini muscle tightened below the umbilicus to the pubic bone
  • A standard abdominoplasty muscle tightened from breastbone to pubic bone
  • An extended abdominoplasty similar to a standard abdominoplasty but the incision is horizontally longer to excise excess skin/fat in the outer thigh area and to remove the excess skin and fat after massive weight loss or significant stretched skin after pregnancy.
  • The fleur-de-lis abdominoplasty is the same as the standard abdominoplasty but in addition excess skin/fat excised in a vertical direction. This technique is preferred if there is already a vertical scar from previous surgery or when there is significant excess skin in the horizontal abdominal plane.
  • A “reverse abdominoplasty” which places scar under the breast line and usually for limited fat and skin excision isolated to the upper abdominal area.

Each of the above categories (and the various subgroups) have their own specific benefits and limitations and need a personal examination and discussion of them. However, in general, and when comparing to non-surgical or liposuction abdominoplasty can be characterized as:

Benefits:

  • Removes directly excess abdominal fat and stretched skin resulting in a tight abdominal skin.
  • Repairs separated abdominal muscle
  • Liposuction of flanks often included

Cons:

  • Longer recovery and downtime
  • A scar of the abdomen and around the umbilicus (tummy button).

V. ADDITIONAL INFORMATION

For additional information please see our Frequently Asked Question Section (FAQ).

VI. SUMMARY

Each of the above categories have their benefits and limitations and need/ require a personal examination and discussion. With an experienced Plastic Surgeon, such as Dr. Hardesty to determine what procedure(s) are best to reach your goals and desires.

VII. COST/FEES

The fees are based on the anesthesia used (local vs sedation or general anesthesia), the facility (minor surgical suite, outpatient operating room or hospital setting) and if combined with other procedures. All pre and post-operative care are included.  Some preoperative laboratory analysis may be required (usually covered by your medical insurance).

Refer to cosmetic surgery pricing for a more detailed overview of our costs and fees.

VIII. CONCLUSIONS

The most important factor to consider is seeking the opinion and services of a skilled, experienced and Board-Certified Plastic Surgeon who are experts in non-surgical techniques. The Imagine Plastic Surgery team uniquely provides the full array of both non-surgical and surgical alternatives to abdominal wall fat reduction and rejuvenation thus filling our motto of “One Goal, Many Options”. For more information, call and schedule a consultation.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty





Online Otoplasty Self Evaluation Click Here


Otoplasty or “ear pinning” is one the most satisfying and highly rated procedure for both the patient and the Plastic Surgeon.

PREPARATION FOR AN OTOPLASTY OR “EAR PINNING SURGERY”

1 Month Prior

  1. Stop smoking, vaping or any type of inhalation of tobacco. Why?  Any inhaled smoking compounds decrease vascularity to the tissue and can result in tissue loss and ear flap necrosis
  2. If your otoplasty or ear pinning is being performed under general anesthesia:

    – stop all hormonal birth control
    – stop all female hormones

2 Weeks prior to Surgery

  1. Stop all medication that may abnormally affect blood clotting. Check with your pharmacist if any questions. Common over the counter medications includes aspirin, Aleve, ibuprofen, etc.
  2. Tylenol is safe to take before surgery

3 days before surgery

Infection Prevention: Decolonization

  1. Begin twice daily antiseptic showers
  2. Begin twice daily application of antibiotics in your ear, nostrils, and umbilicus (tummy button).

    – purchased wide “sweatband” or “beanie” for post-operative protection of the ears. Should fit firmly but not too tight.
    – Make sure all your prescriptions are filled

Evening before Surgery

  1. no alcohol beverages
  2. If undergoing general anesthesia nothing orally after midnight or at least 8 hours before surgery.
  3. make sure you have purchased wide headbands and beanies
  4. final shower with antiseptic soap and antibiotic ointment in ears, nostrils and tummy button.

Morning of Surgery

  1. wear a button-down or zippered shirt/blouse
  2. if having anxiety take a Valium as prescribed
  3. if undergoing general anesthesia place anti-nausea patch on the inside of an arm.
  4. if otoplasty or ear pinning is being performed under local anesthesia take an antibiotic pill just prior to surgery.

Before & After

RECOVERY AFTER OTOPLASTY OR “EAR PINNING”

Immediate post-operative care

When surgery is over:

  • You will be placed in a large “turbine” dressing for 24 hours.
  • Pain relief: Your ear and surrounding tissue have been injected with a long-lasting local anesthetic agent. Take the prescribed pain killer and alternate with over the counter pain medication
  • Anti-swelling: keep head elevated above the heart and may place ice packs over turbin dressing.

First postoperative day post after otoplasty or ear pinning:

  • Return to the office for removal of turbin dressing
  • There will be expected mild to moderate swelling and bruising
  • Continue with ice packs in the cloth covering
  • Clean the backside of the ear with 1/2 strength hydrogen peroxide and water and apply antibiotic ointment 2-3 times a day.
  • When sleeping use wide head sweatband or beanie to prevent accidental pullback of the ear and resultant suture rupture.

Postoperative Day 1 to week 6th week after otoplasty or ear pinning:

  • Absorbable skin sutures usually have disappeared
  • Most of the swelling and bruising has resolved
  • Pain should be gone or almost nonexistent
  • Progressive non-high implant exercising is acceptable unless swelling and or pain.
  • After all absorbable sutures have resolved start preventative liquid silicone scar gel.

After 6 weeks after otoplasty or ear pinning:

  • Nighttime or sleeping with wide sweat headband or beanie not necessary.
  • Continue use of anti-scar liquid scar gel for 3 months.
Cosmetic Surgery Prices / Cost

Average cost of popular Plastic Surgery Procedures Blog Contents: I. “COMPARING APPLES TO APPLES” II. TOTAL COSTS III. SOURCES OF PUBLISHED COSTS As in life, decisions are made on multitude of data points and an obvious one is total costs and fees. If you are buying an auto, you can easily compare similar models and […]

READ FULL BLOG POST

Cost of Ear Surgery or Otoplasty

The fees are based on the anesthesia used (local vs sedation or general anesthesia), the facility (minor surgical suite, outpatient operating room or hospital setting) and if combined with other procedures. All pre and post-operative care are included.  Some preoperative laboratory analysis may be required (usually covered by your medical insurance).

Summary

Otoplasty or “ear pinning” surgery is very gratifying to both the Plastic Surgeon and the patient. When the instructions have followed the complication, the rate is low.

CONCLUSION

The most important factor to consider is seeking the opinion and services of a skilled, experienced and Board-Certified Plastic Surgeon who are experts in otoplasty or ear pinning techniques. The Imagine Plastic Surgery team uniquely provides the full array of both non-surgical and surgical alternatives to thus, filling our motto of “One Goal, Many Options”. For more information, call and schedule a consultation.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



Now that the mommy makeover procedure is complete and you are in the recovery room, you may be wondering, “what should I plan for and what should I expect?” The common questions and normal recovery process will be discussed, but here is what you can plan for:

The Postoperative Periods

Immediate

  1. Communicate with your recovery room nurse (pain, nausea, etc.). Ask questions!
  2. Do what you are asked to do. The nurses and the staff are there to facilitate your transfer from the surgicenter to your home or recovery center.
  3. The nursing staff will again go over all your post-operative instructions with you and your care provider. You will be given another set of the same instructions you received at your preoperative appointment.
  4. You will be provided garments:
  • adjustable abdominal binder (adjust the tightness to comfort).
  • an elastic and expandable bra.

At Discharge:

  1. Anti DVT (deep vein thrombosis) which most often occurs the legs. Our preventative blood clot program:
    –  leg/foot exercises

    –  you will be given TED (thrombo emboli  device) hose, and

    –  You will be sent home with a portable and rechargeable Sequential Compression Device (SCD) to be used for two weeks after surgery. Get out of bed and walk around the house every 1-2 hours while not sleeping. Leave SCD’s on while sleeping or resting for the next two weeks.

  2. Respiratory (breathing) because the anesthesia ventilators don’t work as effectively and efficiently as your lungs. We will provide an incentive spirometer device. It should be used every hour after surgery (improves breathing) after general anesthesia.
  3. Swelling fluid – If drains are placed a measuring cup and recording chart will be provided for documenting drain output.
  4. Urination – if needed, a foley catheter may be inserted to measure urine production. I may be removed prior to leaving surgicenter and have the patient remove 6 hours after surgery (some patients develop urinary retention while general anesthesia wears off and will require re-catheterization.
  5. Exercise: We recommend early mobilization and ambulation. For the first four days, it is recommended to walk in a hunched-over position. Dr. Hardesty will provide a “loaner” walker for the patient.
  6. Bed position: A “lazy boy” position (use recliner, hospital bed or pillows/foam wedges).
  7. Diet: A progressive diet will be instructed for you to follow,  to prevent nausea: clear liquids (Gatorade, broth, tea) for first 8 hours, liquid diet next 8 hours (soups, pudding, and yogurt), and soft diet for next 8 hours (well-cooked oatmeal or pasta) after 24 hours regular diet. We recommend at least 100 grams of protein/day until all the incisions are healed.
  8. Constipation: In some patients (especially those that are prone to constipation because of the anesthesia and pain medications, we recommend postoperative stool softeners and anti-constipation measures.
  9. Pain management: Dr. Hardesty will inject long-acting local pain reducers into the surgical area and provide a postoperative non-narcotic pain pump reliever that lasts several days. It is ok to start using aspirin, Aleve, Motrin AFTER surgery and alternate with oral narcotics. Do not take pain medications on an empty stomach. Crackers before and after medications (to prevent nausea and upset stomach).
  10. Incentive spirometer: helps open up the small breathing units found within the lungs that collapse during general anesthesia. Use once an hour while awake until you are able to obtain preoperative values.
  11. Medication’s: Return to normal preoperative medication schedule.

First Four Postoperative Days

  1. Wear SCD’s 24 hours a day, anti DVT exercises every hour.
  2. Use incentive spirometer (it opens up small breathing units in your lungs) once an hour until you reach your preoperative values.
  3. Walk hunched-over (use walker provided) and sleep in the “fetal position” using recliner or wedges/pillows.
  4. If unable to have a bowel movement; start over the counter laxatives and stool softeners.
  5. If breast implants placed you will begin the “5-5-5 program” = massaging:
  • 5 minutes a time
  • 5 times a day
  • 5 weeks

Since the natural action of a subpectoral breast implantation to push the newly placed implants “up and put” instead of the usually desired placement of implants “down and in” (natural position with more cleavage).

Mommy Makeover Before & After

Before & After

5th Day to two weeks Postoperative

  1. No restrictions in sleeping position or standing up straight. Use walker only as needed.
  2. Non-narcotic pain-pump to be removed.
  3. May shower but keep incision and drain exit sites dry (let shower spray backside and sponge bath front side of the body).
  4. May remove SCD during ambulation (walking upright) but wear at all times when not.
  5. Progressive ambulation (walking upright) and stretching to point of pain and fatigue.
  6. Wean off narcotic pain pills and replace with Tylenol, Motrin or Aspirin like over the counter medications.
  7. May drive as tolerated (must be off narcotics).
  8. May switch from the provided binder to “spanks” like a garment for comfort and support.
  9. May return to work as tolerated.
  10. Continue with the “5-5-5” massage program until the desired position and shape are attained.

After two weeks

  1. Progressive and non-high impact exercise (such as an elliptical trainer or stationary bicycle) to the point of pain or fatigue.
  2. SCD not required (may continue).
  3. Report to the office when individual drainage less than 25 ccs in a 24 hour period for serial removal). May shower without restrictions when drains are all removed.
  4. Start anti scar programs: Embrace and silicone gel strips.
  5. Continue with the “5-5-5” massage program until the desired position also known as “seated” or “fluffed”.

After six weeks

  1. No restriction on exercise (use good judgment).
  2. Continue to wear “spanks” like a garment for support and swelling (only as needed).
  3. It will take 2-3 months for the majority of the swelling to be gone.
  4. It will take 9 + months for the scars to “mature” (soften and lighten). Continue with the anti-scar silicone gel strips for at least 3 months.
  5. Once breast shape is attained move to a highly supportive underwire bra. During high impact or strenuous exercise use a “double “ sports bra to prevent sagging of the breasts.
  6. Enjoy your new body!

Summary

The “Mommy Makeover” is a term often referred to as a combination of breast and abdominal procedures usually consisting of a Breast Augmentation, Mastopexy, and Abdominoplasty (tummy tuck).

It also has one of the highest satisfaction rates of all Cosmetic Surgery. I hope these suggestions make your recovery a little easier as you reach your aesthetic goals.

Cost/Fees

The fees are based on the anesthesia used (local vs sedation or general anesthesia), the facility (minor surgical suite, outpatient operating room or hospital setting) and if combined with other procedures. All pre and post-operative care is included.  Some preoperative laboratory analysis may be required (usually covered by your medical insurance).

Conclusion

The most important factor to consider is seeking the opinion and services of a skilled, experienced and Board Certified Plastic Surgeon who are experts in “Mommy Makeover” techniques. The Imagine Plastic Surgery team uniquely provides the full array of both non-surgical and surgical alternatives to thus filling our motto of “One Goal, Many Options”. For more information, call and schedule a consultation.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



A “Mommy Makeover” is often referred to as a combination of breast and abdominal procedures usually consisting of a Breast Augmentation, Mastopexy, and Abdominoplasty (tummy tuck).

Mommy Makeover Preparation

Now that the decision is made, a detailed preparation plan will reduce complications, provide for realistic expectations and improve the entire experience. The following is what my staff and I will review with you again in detail prior to your Mommy Makeover surgery.

I trust you will find the following helpful as you prepare for your “Mommy Makeover”.

PREOPERATIVE

30 Days Before

  1. Start iron pills 325 mg a day.  However, may turn stools black and cause constipation.
  2. Start a multivitamin (provides nutrients for healing) no mega E; it can cause bleeding.
  3. Stop any hormonal birth control or post-menopausal female hormones (increased risk of blood clots).
  4. Stop any over the counter supplements (can cause unknown problems).
  5. If you have had Bariatric surgery start on 100 grams of protein per day. Healing after any surgery requires protein to heal properly.
  6. Stop smoking. No exceptions. Can cause the wound to heal poorly and associated with skin and flap death.
  7. If over the age of 45 or medical issues our surgery center recommends a preoperative clearance by your primary care physician with basic laboratory data and specialized preoperative testing as recommended.
  8. Purchase 3 bras (no padding/full-bodied of the desired size you think you want to be). Place rice in nylon (1 oz. = 30 ccs). Try on form-fitting clothes over bra and nylon filled with desired rice amount.
  9. Gather “idealized model photos” of the shape of desired breasts.
  10. A blood test measuring your blood values (hemoglobin and hematocrit) will be performed.

14 Days Before

  1. If over the age 45 or medical issues, provide preoperative clearance letter with laboratory data for your surgeon.
  2. Preoperative appointment with Dr. Hardesty and his Physician Assistant who will provide prescriptions (for before and after surgery), counseling and lengthy discussion of the preparatory needs. Surgicenter’s required preoperative paperwork and educational materials will be given you. A discussion of what medications are ok to continue or stop.
  3. Final “sizing” of desired breast volume based on your “rice sizing” and ordering implant and profile that best fits your chest.
  4. Stop shaving around the pubic area (razor blade shaving causes small cuts that can harbor bacteria and increase infection rate).
  5. NO aspirin, Aleve, Motrin (can interfere with normal clotting) use only plain Tylenol (will not interfere with normal clotting) or pain medication prescribed by your regular provider.
  6. Make arrangements for drop off, pickup and aftercare provider (childcare).
  7. Bring a list of your questions
  8. Complete final payment of procedure prior to leaving the office after the pre-operative appointment is concluded.

4 Days Before

  1. Start bromelain and arnica as directed (anti bruising and swelling).
  2. Purchase 2 large bags of frozen peas or corn (Costco size). Can have one in pillowcase and place over abdomen/breasts and change out with second one (in the freezer) when thawed.
  3. Purchase any needed food, supplies and verify with your postoperative support team yours/their schedule.
  4. No shaving of pubic area (can increase infection rate) Operating Staff will clip pubic hair if needed.
  5. Fill all prescription for needed pre and postoperative care.

3 Days Before

  1. Start anti-bacterial decolonization showers.
  2. Topical antibiotics (prescription is given at preoperative appointment) to be applied in the ear canal, nostrils, and umbilicus (tummy button).

Day Before

  1. Make sure ALL prescriptions filled.
  2. Bed, recliner, pillows, large bags of frozen peas/corn in freezer and foam wedges, etc. ready.
  3. Make sure you know the location of surgicenter, see if you can obtain any of Surgicenters required preoperative paperwork to fill out prior to arriving on the day of surgery.
  4. Call surgicenter for your expected time of arrival.
  5. Have or purchase bell to ring (if you need assistance after surgery) to notify your support team.

Night Before

  1. Make out a list of any “last minute” questions, your needs, wants desires and expectations of the surgery.
  2. Complete a preoperative enema (decreases fecal load) for postoperative constipation (from pain meds) and potentially reduces the risk of blood clots (hard stool pressing on intra-abdominal veins during tightening of the muscles).
  3. Take a shower with an antiseptic solution and scrub the entire body well.
  4. No alcohol-containing drinks 24 hours before surgery.
  5. Nothing by mouth after midnight or 8 hours prior to surgery (unless instructed so by surgicenter).
    • EXCEPTION: prescription medications with a small sip of water.
  6. Gather your 3 model nude photos if desired breast shape.

THE OPERATIVE DAY

  1. Awake and take a shower and scrub the surgical area
  2. Bring a list of any of your (written) questions and model bring model photos demonstrating your desires).
  3. Place anti-nausea patch behind the ear (prevents nausea).
  4. Take all necessary prescription medications with sips of water. Bring any inhalers with you to the Surgicenter.
  5. If anxiety begins, may take 5 mg of Valium with a sip of water.
  6. Remove all piercings, jewelry, “Bobbie pins” from hair and body.
  7. No make-up and remove nail polish (intraoperative monitoring).
  8. Button-down or zipper blouse/shirt, sweatpants or stretchable pants. A stretch surgical bra will be furnished for you.
  9. Go over your lists with Plastic Surgeon and Anesthesia provider.
  10. Reaffirm with surgicenter when your postoperative care provider should be at the surgicenter for postoperative education and instructions.
  11. To prevent deep vein thrombosis (DVT) you will be given 5,000 units heparin injection, thromboembolic device (TED) hose, and sent home with a sequential compression device (before, during and after surgery).
  12. I will meet with you just prior to surgery and we will:
    • verify the breast implant size and profile.
    • bring with you a pair of panties or bathing suit so we can plan to place the abdominal incision so it will be located and covered by your garments.
    • bring 3 nude model photos of your idealized breast shape so I can better understand your breast shape desires.
    • breasts will be marked utilizing standard breast landmarks. The type of mastopexy technique used will depend on your model photos.
  13. A blood test measuring your blood values (hemoglobin and hematocrit) will be performed.
  14. A urine pregnancy test will be performed.
  15. Time for the “mommy makeover “and the new you!

POSTOPERATIVE CARE

Please see and click on our champion blog in the title:

MOMMY MAKEOVER RECOVERY AFTER SURGERY: WHAT TO EXPECT AND PLAN FOR

Before & After

HOW MUCH IS A MOMMY MAKEOVER?

The fees are based on the anesthesia used (local vs sedation or general anesthesia), the facility (minor surgical suite, outpatient operating room or hospital setting) and if combined with other procedures. All pre and post-operative care are included.  Some preoperative laboratory analysis may be required (usually covered by your medical insurance). Please see our blog on “Costs of Cosmetic Plastic Surgery”.

SUMMARY

The most important factor to consider is seeking the opinion and services of a skilled, experienced and Board-Certified Plastic Surgeon who are experts in “Mommy Make-Over” techniques. The Imagine Plastic Surgery team uniquely provides the full array of both non-surgical and surgical alternatives to “Mommy Make-Overs”, thus filling our motto of “One Goal, Many Options”. For more information, call and schedule a consultation.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



Cosmetic Plastic Surgery is “want to have” and “not need to have” surgery.  Thus, unfortunately not all patients may qualify based on their general health, associated medical conditions or medications they take.

Surgical procedures and administration of anesthesia are in general quite safe and considered low risk based on the newest and “state of the art” intraoperative monitoring technologies. However any surgical procedure regardless if it is for cosmetic improvement or required for a life threatening cause  does have inherent risks. The risks are associated with the normal response ones body experiences based on its condition and health limitations.

The common risks of Cosmetic Plastic Surgery are mostly proportional to the type of anesthesia, the invasiveness of the surgery, the total operating time, amount of intraoperative blood loss, age, weight of the patient and the  degree of postoperative pain.

Thus, we believe it is paramount and is well recognized that safe, efficient surgical procedure and anesthesia requires a patient who’s health is optimized.  Thus a “cookie cutter” approach to evaluate patients perioperative risks is not in the best interest of  prospective surgical patient. A customized preoperative evaluation based on the patients known medical history, physical exam and laboratory data. The other variables stated above will determine the extent of additional consulting and laboratory testing.

OVERVIEW

The overall risk for Cosmetic Plastic Surgery and (all be it a small incidence) related complications depends on individual factors and the type of surgical procedure. For example, advanced age and/or weight places a patient at increased risk for post surgical problems. Why? The reason: simply stated the older and heavier we get the greater the chance of having medical problems.

In general (and accepted medical standards) are those individuals that are in good health, normal BMI (weight) and under the age of 45 and without medical problems may only need a basic a medical review and labs.

In contrast patients  over age 45, those with medical conditions (regardless of age) and morbid obesity are recommended for a more extensive evaluation, also known as a medical “clearance” and recommendations to optimize the prospective patients safety of the procedure.

The overall risk for Cosmetic Plastic Surgery related  complications depends on:

  1. Individual health factors
  2. The type of surgical procedure.
  3. The age of the patient
  4. The weight of the patient

For example, advanced age places a patient at increased risk for complications. The reason for an age-related increase in surgical complications appears to correlate with an increased likelihood of underlying disease states in older persons. Diseases associated with an increased risk for surgical complications include respiratory and cardiac disease, malnutrition and diabetes mellitus.

Likewise, being overweight (a BMI over 30) incrementally increases the complication rate secondary to weight associated cardiac and pulmonary (lung) problems.

While the above increases (all be it small) risks, we believe here at Imagine Plastic Surgery, it is better to understand and make decisions on how to proceed with Cosmetic Plastic Surgery based on a complete preoperative evaluation rather than just guess work, luck and hope.

Thus when  indicated, regardless of age, weight,medical conditions or medications …consultations with additional and appropriate medical providers and laboratory evaluations should be obtained preoperatively to diagnosis, improve and optimize the patient’s health prior to surgery. These consultations should ideally not be done in a “last second” fashion.

GOALS OF A PREOPERATIVE MEDICAL EVALUATION

The ultimate goals of preoperative medical assessment (regardless of age) are to:

  1. Evaluate if the patient is medically safe to have a particular surgery.
  2. Recognize the patient’s increased surgical and anesthetic (if any) risks.
  3. Optimize the patient both physically and mentally for surgery.
  4. To return the patient to a functioning preoperative state as quickly as possible.

It is important to realize that “perioperative” risk for Cosmetic Plastic Surgery is multifactorial  and is a combination of but not limited to:

  1. The baseline preoperative medical condition of the patient
  2. The patients preoperative weight
  3. The invasiveness of the surgical procedure
  4. The type of anesthetic administered
  5. Anticipated blood loss
  6. Length of the surgery
  7. Postoperative pain control
How to Find/Choose the Best/Top Plastic Surgeon? Part 1: What does it take to become a Board Certified Plastic Surgeon

Part 1: What does it take to become a Board Certified Plastic Surgeon I am often asked by friends, patients and those interested on how one becomes a Board Certified Plastic Surgeon.  How to choose The Best/Top Plastic Surgeon and what questions to ask during a consultation. Thus, I have created a 3 part document addressing […]

READ FULL BLOG POST

THE EVALUATION

The Board Certified Plastic Surgeon in San Bernardino will begin by reviewing of your general medical health and other  related conditions and performing a “specific and focused history and exam” of the particular anatomical area where desired cosmetic improvement is desired.

If Cosmetic Plastic Surgery is indicated, and in my practice here at Imagine Plastic Surgery, for those patients over age 45 or those (regardless of age) with significant medical history it will be required that a primary care giver or the patients specialists evaluate the overall medical condition of the patient and make any recommendations to optimize the surgical outcome prior to surgery.

Present, Past Medical History and Review of Symptoms

The medical history is key and  should include a past and current medical history, a surgical history, a family history, a social history (use of tobacco, alcohol and illegal drugs), a history of allergies, current and recent medication therapy, unusual reactions or responses to drugs, previous surgeries, and any personal problems or complications associated with previous anesthetics. In addition,

A family history of adverse reactions associated with anesthesia should also be obtained such as malignant hyperthermia.

The history should include a  review of systems to include diseases of the cardiovascular and respiratory systems are the most relevant in respect of fitness for anesthesia and cosmetic Plastic Surgery.

Should any unexpected findings have occurred or are found  it is recommended that they be further investigated prior to surgery.

Physical Examination

The physical examination should build on the information gathered during the history taking.

At a minimum, vital signs should be recorded and  a focused preanesthesia physical examination performed, which includes an assessment of the airway, lungs and heart. Any unexpected and abnormal findings on the physical examination should be investigated further before elective surgery.

Laboratory Evaluation

It is generally accepted that the clinical history and physical examination represent the best method of screening for the presence of disease. Extensive laboratory tests in patients who are apparently healthy on clinical examination and by their past medical history have not been found to be beneficial or cost effective.

Specific laboratory analysis should be ordered based on information obtained from the history and physical exam, the age of the patient and the complexity of the surgical procedure.

Specifically, besides a basic hemoglobin/hematocrit additional laboratory investigations should only be ordered only when indicated by the patient’s age,  medical status, drug therapy, the complexity or the nature of the proposed procedure. Extensive laboratory testing had not been found to medically necessary or helpful on a routine basis.

However additional and specific laboratory tests may be ordered based on information obtained from the history and physical exam.

Thus when indicated additional testing when completed and evaluated may clarify and help provide data for planning and optimizing one’s health prior to a surgical procedure.

Taken as a whole, these above factors will help indicate and decide if the proposed surgeries risks are outweighed by the benefits.

THE DETERMINATION: IS ELECTIVE COSMETIC SURGERY SAFE AND RIGHT FOR YOU?

I often quote “I earn my living by operating and my reputation by not”.

When indicated and upon receiving the above consultative services and laboratory tests are obtained and recommendations are made, I optimally will then meet several weeks prior to surgery to discuss the above findings with the patient in a non rushed appointment.

Taken as a whole, these factors (patients medical history, physical exam, laboratory investigation and consultative opinions)  will help indicate and decide if surgery risks are outweighed by the benefits.

If we agree (patient and me) that that the benefits out weigh the known risks, complications and the patient has read and signed the consent forms for their Cosmetic Plastic Surgery, and only then, will we proceed with the elective, Cosmetic Plastic Surgery procedure.

"After research and meeting with several Doctors I made the right choice when I decided to go with Imagine Plastic Surgery and Dr. Hardesty. He was very informative and I knew he had my best interest when it came to my procedure. The staff is also awesome! They are so nice and make you feel so comfortable. I will continue to use him for any future needs!" -Verified Google Review

I believe the preoperative chart should include:

  1. Documentation of the proposed surgery and the  condition(s) for which surgery is needed.
  2. The assessment of the patient’s overall health status.
  3. In co-ordination of primary care physician and/or specialists the recommendations to optimize any conditions that could cause problems both during and after surgery.
  4. Review and discuss the preoperative evaluation found any or additional additional perioperative  risk factors.
  5. Formulate and explain  the perioperative care plan.
  6. Educate the patient about their Cosmetic Plastic Surgery: realistic expectations, anesthesia, and intraoperative care and postoperative pain treatments in the hope of reducing anxiety and facilitating recovery.
  7. A frank discussion and documentation, via a multi page consent form of the common risks and areas of increased risk.
  8. Instructing patients or have them to contact their pharmacist regarding cessation of any of medications that they are currently taking that may interfere with wound healing. In addition stopping any medications or drugs that may affect blood clotting (common examples: aspirin, Motrin, Elevee, Vit. E, etc.). In addition stopping any type of exogenous female hormones and all “over the counter” herbal supplements optimally a month prior but at a minimum 2 weeks prior to surgery. The stopping of smoking (of any kind) is a must for a minimum of 2 weeks prior and until all incisions are healed.
  9. The morning of surgery the ingestion of most prescription medication  should be continued, although some adjustment in dosage may be required (e.g. antihypertensives, insulin, etc.)
  10. Some drugs should be discontinued preoperatively: The monoamine oxidase inhibitors should be withdrawn 2-3 weeks before surgery because of the risk of interactions with drugs used during anesthesia.

CONCLUSION

All patients should undergo a “basic” preoperative evaluation and for those over the age of 45 or medical conditions a more extensive preoperative clearance, carried out in a timely preoperative manner, the results reviewed, the  risks and benefits discussed in detail.  If the  determination is made to go forward with surgery, one can rest assured that a systematic and careful evaluation was completed and the needed information obtained to make a informed decision of the surgical risks and benefits of Cosmetic Plastic Surgery outlay the risks.

While there is never a 100% guarantee of anything in life, however based on the preoperative evaluation and optimization of ones health status that a expected, safe, successful, unremarkable Cosmetic Plastic Surgical procedure and recovery will be follow.

In addition to the safety, a careful preoperative evaluation can result in additional benefits: reduction of costs, avoidance of hospital admission or shortened hospital stay, reduction or cancellations and increase of the patient awareness of surgery and satisfaction.

Cosmetic Plastic Surgery procedures are safe, predictable and rewarding surgical endeavors with highly satisfied patient results.

SUMMARY

The most important factor to consider is seeking the opinion and services of a skilled, experienced, record of safety and Board Certified Plastic Surgeon who are experts in Cosmetic Plastic Surgery techniques. The Imagine Plastic Surgery team uniquely provides the full array of both non surgical and surgical alternatives., thus filling our motto of “One Goal, Many Options”. For more information, call and schedule a consultation.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



Having children is a joyous experience, however, many mothers are left with unwanted changes to their bodies for years to come. After pregnancy and breastfeeding, the entire body can be affected. However, with a mommy makeover, Dr. Hardesty can perform several plastic surgery procedures at once in order to help you restore your pre-baby body and confidence! The mommy makeover is highly customizable, but here are some of the most common procedures to include:

Tummy Tuck

The abdominal area is one part of the body that is highly affected by pregnancy, as it stretches to make room for your growing baby. However, after childbirth, you may have a hard time restoring your midsection despite dieting and exercise. With a tummy tuck included in your mommy makeover, Dr. Hardesty can remove stretched skin and tighten the underlying tissue to help you achieve a toned appearance. There are some potential risks, however, we offer techniques to reduce tummy tuck risks.

Liposuction

Weight gain is essential during pregnancy, but after childbirth, you may experience lingering pockets of stubborn fat. This is why many women add liposuction to their mommy makeover procedure. Liposuction can be used on virtually any part of the body and can be used to optimize the results of other contouring procedures. Using tiny incisions and the use of a cannula, stubborn fat is removed for precise contouring.

Mommy Makeover Before & After Photos

Before & After

Breast Augmentation

The breasts are another area highly affected by pregnancy and breastfeeding. Many women experience some volume loss and sagging that can be addressed with a breast augmentation. The breast augmentation provides breast implant options to restore breast size, shape, and symmetry.

Breast Reduction

Your breasts become larger during the pregnancy process, and for some, their natural breast size is never restored. Following pregnancy, some patients wonder how to reduce breast size. With a breast reduction, we recontour the breasts to achieve a more balanced figure.

Breast Lift

The breast lift can be performed alone to address sagging, or can be combined with the breast augmentation or reduction. With a breast lift, Dr. Hardesty returns the breasts to a youthful position, removing excess skin to eliminate sagging.

Contact Us Today

Ready to restore your pre-baby body and confidence? Contact Riverside plastic surgeon Dr. Hardesty today to get started on your customized mommy makeover and schedule a consultation!

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!

Posted by Dr. Hardesty



A big part of aging is losing skin elasticity which causes the skin to sag. This happens to everybody in different areas of the body. Having sagging skin on your arms can make wearing short sleeves seem unwelcoming. Any loose skin can be uncomfortable or embarrassing for people, but especially on noticeable areas such as the arms. That is why many people opt to get an arm lift. Arm lift surgery is designed to remove excess skin and fat on the upper arms while tightening the skin for a slimmer look.

What is an Arm Lift?

Sagging skin on the arm can be the result of aging skin, weight floss, major weight fluctuations, or just plain genetics. The arm lift procedure helps to sculpt the arms by removing the excess skin and fat the arm and tightening the rest. The methods used by Dr. Hardesty at Imagine Plastic Surgery have been proven to be beneficial with unmatched results. He offers his patients many different arm lift options to give them the sculpted appearance that they desire. This ensures Dr. Hardesty’s motto of, “One Goal, Many Options.”

The Arm Lift Procedure

The arm lift technique will change depending on how much sagging skin needs to be removed and what results you are looking to obtain. Though each procedure varies, there are generalities that you can expect to go through during your arm lift. Arm lifts are typically done under general anesthesia. The procedure generally lasts about two hours where the surgeon will remove some fat and skin from the upper arm area through an incision near the elbow or near the armpit. If patients have minimal sagging skin, then liposuction can be a good option to get rid of excess fat and flabby skin.

WATCH PROCEDURE

Video

After the Procedure

After the body enhancement procedure, it is normal that your arms may feel tight and sore. You may be fitted with a compression garment to help with swelling following the surgery. These compression garments may be worn up to 6 weeks. It is imperative that you take the proper time to heal. You should be mindful that you will need to take a few days off of work. Most patients can return to non-strenuous activity between one week and ten days, but strenuous activity and exercise should not be resumed for about 6 weeks. There will be some scarring, but Dr. Hardesty has an anti-scar program which can help improve the look of scars. Your arms will be slim, sculpted, and youthful with one of Dr. Hardesty’s arm lift techniques.

Learn More About Arm Lifts

To learn more about the arm lift surgery and the options we have available click here. Dr. Hardesty is a highly sought-after plastic surgeon working in Riverside, California where he helps patients reach their aesthetic goals through his many different surgical, non-surgical, and minimally invasive options. Schedule a consultation with Dr. Hardesty today.

Imagine: A Team that Truly Cares About You!

In addition to Dr. Hardesty’s staff brings a high degree of skill to an array of surgical and non-surgical rejuvenation treatments. Patients rave about how deeply our team cares about their well-being. At Imagine Plastic Surgery your experience will reach beyond facial and body revitalization. You are becoming part of a unique family who places your welfare and satisfaction, first and foremost.

For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly served Riverside and San Bernardino counties of the Inland Empire, namely the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. Additionally, we are pleased that patients travel from throughout Southern California, including Beverly Hills and Newport Beach, as well as other areas of America. We welcome one and all to our family of superior aesthetic specialists!