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Plastic Surgery Institute
Payments Accepted | Master Card, Visa |
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Hours
Monday to Friday | 9:00 am - 5:00 pm |
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Face Lift
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The secret to a great facelift is a combination of several recent advances in other surgeries.Now the face can be lifted nearly vertically, whereas in the old days it was more of a backwards pull. That sometimes resulted in that fake “windblown” look. Thankfully, our results today simply repair what gravity and time took away. The result is a more rested, youthful look.
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The face has three thirds. The face itself is surrounded by the neck below and the brow/forehead above.We always have a consult prior to surgery to determine what is “out of place” and how to fix it. Foreheads are often handled with tiny incisions and lifted with the help of a scope, which is a wand with a camera lens running through it.
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The operation has improved so much because of the resulting lower impact, faster healing, hidden and minimized scars and improved closing techniques.We now borrow liposuction techniques such as Tumescent to separate the tissues with minimal trauma to the cells. Often times tissue glue is used instead of or in addition to sutures. The glue also allows me to permit the patient to be bandage free and return to an active life sooner. Most people just take a week off of work, rather than the two or three weeks that used to be the norm. So today’s facelift is a composite operation, borrowing the best components of other surgical techniques.
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Sagging skin, excess fat, and loose muscle tissue are all parts of getting older.Jowls and a double chin may also occur due to the sagging of the skin and facial muscles. If you’re looking in the mirror and noticing any of these unfortunate side effects of the aging process, it’s time to consider a facelift procedure.
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Also called a rhytidectomy, a facelift is a way of surgically tightening the face and neck areas. This procedure can make your skin appear smoother and years younger.
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Dr. Ordon and Dr. Chopra perform facelifts using the SMAS technique.Typical facelifts only lift the top layer of facial tissue, which can give patients a too-tight, “worked-on” appearance. But the SMAS technique lifts three layers of facial tissue at once, resulting in a more cohesive lift. The SMAS (superficial musculoaponeurotic system) layer is a facial tissue layer below the subcutaneous fat layer and the surface skin layer. Because the SMAS layer has fibers that connect to the other layers, lifting the SMAS layer also lifts the layers above it.
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Another advantage to the SMAS facelift is the direction of its pull.Typical facelifts offer a backwards pull, another contributor to the “worked-on” look. With a SMAS facelift, the vector of pull is vertical – opposite to the pull of gravity – leading to a beautiful, natural lift.
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A SMAS facelift begins with either general anesthesia or local anesthesia with IV sedation. You’ll be able to discuss these options with your plastic surgeon during a consultation.
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After the anesthesia, incisions will be made in order to allow the surgeon to raise the skin layers of the area upwards.If it’s appropriate for your procedure and aesthetic goals, your surgeon may use an endoscope, a small tube with a camera and a light, in order to get a better view of the underlying tissues.
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Once the SMAS layer is lifted, excess drooping skin will then be trimmed away from the face and neck.Liposuction may be used to take away fatty deposits, and the underlying muscles may be altered and trimmed.
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Once this facial recontouring is complete, the remaining skin is redraped over the area.The incisions are then sealed. A bandage may be wrapped around the area, and drains may be inserted in order to safely take out excess fluids. In a day or two after the facelift surgery, you’ll be able to come back in and get these bandage and drains removed.
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For one to three weeks following your facelift, you’ll need to stay home from work in order to allow the tissues to heal.It’s best to stay away from any activities that could cause strain and avoid extreme heat during the healing process. You may have some temporary bruising and swelling. Your doctor will instruct on you on how to deal with these.
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The beautiful results of your facelift can last for five to ten years. To find out more about the procedure, contact our office and arrange a consultation with Dr. Ordon or Dr. Chopra.
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Brow Lift
As we age it is unavoidable that the body begins to show sings of the years. These symptoms often appear most prominently in areas that are most exposed such as the face and specifically the forehead. Because of the intricate musculature that allows for the precise movements that allow us to express emotion the skin of the forehead is often one of the first places that patients notice a decrease in volume, and the effect of gravity, sun light, and exposure. Many patients express how excess skin and wrinkles in the forehead, not only make them look older than they feel, but cause their expression to look angry, sad, or bitter. Patients worried about frown lines, furrowed brows and wrinkles across the forehead often seek surgical options after trying numerous creams, diets, and vitamins to no avail. Dr. Ritu Chopra and Dr. Andrew Ordon the talented and professional cosmetic surgeons quickly making waves in the field of cosmetic surgery for their quality service and expertise. You can contact the doctors for a consultation through their contact page or by visiting one of their local practices today. -
The Brow LiftThe brow lift, sometimes also referred to as the forehead lift, is specifically designed to alter the appearance of the brow by removing excess skin and tightening the brow to permanently eliminate wrinkles and fine lines. In some patients the prominent lines of the forehead may be the result of muscles in addition to excess skin. If this is the case, muscles groups can be addressed individually and excess muscles can be trimmed to leave a smoother and more youthful forehead. While many patients who we encounter seeking a brow lift from Ordon | Chopra Plastic & Reconstructive Surgery, it is not uncommon to encounter patients who are much younger. We can safely perform the brow lift in most healthy individuals and strive to bring all of our patients the best results possible.
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Advantages Of The Brow Lift Over Dermal FillersWhile many believe that dermal fillers and the brow lift create the same effect, a brow lift is the only permanent way to address the skin and muscles of the forehead. Dermal fillers work by simply adding excess volume to mask the symptoms, while a brow lift literally removes the problem assuring patients that the problem will not return. Dermal fillers are artificial and because they are a foreign element, they are eliminated by the body’s natural waste disposal system. This means that in order to maintain the results provided by dermal fillers, patients must return for treatments every several months and can expect further treatments for as long as they wish to maintain the effects on their forehead.
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Eye Lift
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Eyelid surgery is called Blepharoplasty. Most people think they have two eyelids, but you actually have four.Uppers and lowers. The problems that develop with eyelids over the years are fatty herniations that look puffy and stretch the skin over time. This results in bags and laxity that are easily corrected with surgery to restore a rested, younger look.
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Eyes are the window to the soul. But the eyelids are the frame-work to that window.So they have to complement the individual. Blepharoplasty can make the eyes look “bigger” by removing encroaching tissue from the corners, but the true shape of the eye is not changed with surgery. Your eyes can be done as a solitary procedure, but are most often combined with another operation such as a facelift.
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New advanced techniques enable us to provide a beautiful result in less time than you would think.Often times the eyelid puffs can be removed from an inside-the-eyelid approach for a completely invisible incision. Incision-less surgery sounds kind of futuristic but it’s here now!
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Neck Lift
The doctors and expert medical staff at Ordon / Chopra Plastic & Reconstructive Surgery are available and patients can schedule a consultation to a neck lift through our contact page, by visiting us at our Beverly Hills or Palm Desert office, or by calling to speak with our friendly representative Monday through Friday. -
What Is A Neck Lift
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What Is Involved In A Neck Lift?The neck lift involves incisions below the chin, near the ears, which allows the surgeon to access the fat, muscles and skin of the chin and neck. Through these incisions, fat can be removed by either cutting or with liposuction techniques and the muscles of the neck can be tightened. Once the muscles are tightened and excess fat is removed the skin of the neck can also be cut and re-draped across the neck. The incisions are closed using sutures and medical dressings are applied to provide pressure and a sterile environment for proper healing. Depending on the specifics of the procedures involved the surgeon may need to remove the sutures later, or may use sutures that dissolve on their own. Surgical drains may be placed for several days in order to ensure that excess fluid does not collect beneath the skin.
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Recovery From A Neck LiftDepending on the type of anesthesia used, local or general anesthetic, patients will remain under observation in a recovery room for up to several hours before being allowed to return home. Patients will need to have a responsible friend, loved one, or relative on hand to drive them home and help and monitor them for the first 24 hour period of their recovery. All antibiotic and painkiller prescriptions will be provided prior to the surgery date and should be filled and ready for when patients return home for recovery. Most patients are fitted with compression bandages that will be worn for 7-10 days and will help increase blood flow and minimize swelling.
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In PreparationDr. Chopra and Dr. Ordon always instruct patients to avoid certain medications including over the counter painkillers and other drugs that are known blood thinners. Blood thinners can lead to sever complications during surgery and recover and are advised against during all surgeries. Patients who smoke should plan to quit for several months before and after. Smoke inhibits the bloods oxygen supply, which can also cause severe problems during surgery and cause the recovery period to be prolonged.
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Lip Augmentation
If you follow media or pop-culture, you have probably noticed that it is normal for celebrities to show off their full sexy lips, which they may or may not have been naturally gifted with. It is inevitable that the lips will lose volume and shape as a person ages. Wrinkles and thinning lips may be fine for some, but others demand a clear answer to what can be done to fix this. -
Lip AugmentationLip augmentation is what we use to refer to any of a number of cosmetic techniques and treatments designed to provide smoother, fuller and radiant lips. Because there are a number of ways to address aging and loss of volume in the lips, Ordon / Chopra Plastic & Reconstructive Surgery offers multiple treatments which all have unique abilities to improve the lips.
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Dermal FillersDermal fillers have experienced an explosion in patient use since the turn of the century. Some of the most popular dermal fillers are great for more than just facial wrinkles. Restylane and Juvederm along with the new Captique are some of the fillers we offer that provide tremendous effects when applied to the lips.
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RestylaneRestylane is a non-animal filler made of stabilized hyaluronic acid that can provide fuller lips and reduce the appearance of wrinkles for as much as 4-6 months.
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JuvedermJuvederm is another hyaluronic acid filler that provides the highest available concentration of the substance in order to provide the smoothest enhancement of the lips for as long as 6 months.
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Captiquethe newest hyaluronic product, is a soft tissue filler that enhances the lips and has been described as a more natural look. Captique is also non-animal stabilized and is quickly becoming a new favorite among patients for its youthful and long lasting results.
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CollagenCollagen is the chemical naturally produced below the skin that provides volume to the skin and staves off wrinkles. A collagen treatment involves a series of microinjections that introduce collagen to the lips and provide fuller lips. Collagen injections last as long as 3 months, and many patients argue that collagen, second to fat transfer is the safest and most natural means of lip augmentation.
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Fat TransferA fat transfer for injection in the lips requires very little fat, which can be taken from a wide range of fatty deposits across the body. The fat is treated to separate oils and dead cells, and create a pure concentration of fat cells that will provide the maximum uptake in a patient’s body. The fat transfer is commonly believed to be the most permanent lip augmentation, however, patients may experience lumpiness and more pronounced swelling and bruising until the body accepts the fat.
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Rhinoplasty
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Few other plastic surgery operations have the impact and benefit of rhinoplasty.After all, everyone has a nose and it’s right there, in the middle of your face. There is even that old saying: It’s as plain as the nose on your face! So when a nose has distracting or incongruous characteristics, it can be the cause of sadness. But the “nose job” is probably the most famous of all plastic surgery. Everyone knows that noses get “done” so you don’t have to live with a nose you don’t like. Even so, lots of people are afraid of the operation, worried that it won’t come out right or everyone will know they did it.
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Natural looking nose surgery results are the norm today.Ninety-something percent of nose results look so natural that no one knows it’s been done. If anything, the result of nasal surgery creates a nose that “fits in” with the other facial characteristics so that the result looks more natural than the nose you were born with. Natural noses, it’s the expert plastic surgeons mantra.
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Advanced techniques have made Rhinoplasty a very low impact, short recovery operation.Using minimally invasive anesthesia techniques, our patients recover quickly and painlessly. While bruising is possible, it doesn’t always happen and most patients are quite happy with their results in a week. That is not to say that there is no swelling at that time, because there is. But the swelling often mimics the pre-operative appearance, so it’s not conspicuous. Then as the swelling subsides, the beautiful, handsome results kind of sneak up on you so no one notices the change.
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Revisional Rhinoplasaty
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Revisional Rhinoplasty is a surgery performed to improve or correct results from prior rhinoplasty surgery as a secondary procedure.It is estimated that as many as 12 percent of patients who undergo rhinoplasty will return to a physician seeking revisional rhinoplasty.
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Revisional rhinoplasty is a more intricate and complicated procedure.Any rhinoplasty comes with an unavoidable formation of scar tissue. While surgeons account for this when the perform a patient’s first rhinoplasty, there is no way of knowing exactly how densely or how extensively scar tissue will be in the nose of a given patient. It is also important to understand that each rhinplasty surgery leads to the formation of additional scar tissue and means that additional procedures will have a smaller and smaller likelihood of providing results that are as dramatic. Dealing with scar tissue formation and knowing how to provide the expected results in noses already altered by a previous surgery are elements of the unique challenge that comes with revisional rhinoplasty. Not every rhinoplasty surgeon has the experience or the skill to offer revisional rhinoplasty and not every surgeon is willing to go through the necessary training.
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A number of problems such as pinched nostrils, scar contracture, and progressive nasal obstruction,as well as internal and external trauma suffered during over aggressive surgery are commonly addressed through revisional rhinoplasty and patients experiences issues not listed here should not hesitate to contact the doctors at either of the Ordon | Chopra Plastic & Reconstructive Surgery locations. Patients have often acquired results in line with those initially proposed by the surgeon and have since decided that they are unsatisfied with those results. Such patients can be accommodated as well.
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At times surgeons may focus too strongly on one aspect of the surgery only to have another aspect suffer the consequences.Surgeons often favor the physical results over the functional results only to have the nose look great but for function to be impeded. While a pre-operative evaluation can help identify the problem and help the surgeon decide where it is best to focus efforts during surgery, the formation of scar tissue cannot be predicted and one of the defining characteristics of quality revisional rhinoplasty specialists, like Dr. Ordon and Dr. Chopra, is the ability to compensate for unexpected variables safely and efficiently during the fast paced and high stress environment of surgery.
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It is important for patients to understand that due to the fact that every rhinoplasty is highly individualized in order to provide patients with unique results,the only way to determine the results possible through revisional rhinoplasty is through a personal consultation.
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Otoplasty
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What Is Otoplasty?Patients who feel that the ears protrude too extremely, are too large, or are otherwise distorted, may be interested in speaking with Dr. Ordon or Dr. Chopra about an otoplasty. An otoplasty is a surgery designed specifically for the ears, which can address such problems. Otoplasty is also referred to colloquially as ear reshaping or ear-pinning. Because the ears are one of the first features of the body to reach their final physical size and position, it is not uncommon for young patients who face insecurity issues or emotional trauma at school to undergo otoplasty, which is a safe and effective procedure even in children as young as five or six. In fact, many surgeons and patients report that otoplasty performed at a young age may provide better results than when performed in older patients. Otoplasty can also be safely performed in adults and remains a very safe procedure in adult patients as well. Because it is milder than many other forms of cosmetic surgery, adult patients often choose to have otoplasty performed in conjunction with other facial cosmetic surgeries and this can be done without drastically compromising safety or results.
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What Happens During Otoplasty Surgery?An otoplasty involves first determining what issues a patient wants to address. One of the most common reasons for an otoplasty, reducing the angle at which the ears extend from the head, involves first making small incisions behind each ear. Sutures are often used to create antihelical folds, which sets the ears back. For patients who wish to decrease the size of the ear, the skin is open through incisions that are carefully located at points behind the ear that are easily concealed although scarring is usually minimal. From here the cartilage can be shaved and excess skin of the ear can actually be trimmed when the size of the ear is truly excessive. New alternative procedures often allow surgeons to thread sutures through the skin without the use of and large incisions in order to provide almost completely scar free results, with far less swelling or bruising, and a shorter recovery period.
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After SurgeryOtoplasty generally requires only local anesthesia, although general anesthesia is may be requested or recommended when the surgery is for a child patient. Whether general or local anesthesia is used adult patients will also need someone to drive them home after surgery and should plan to have a driver ready. While healing is not as problematic or extensive as with other forms of cosmetic surgery, recovery from otoplasty also takes an average of one to two weeks. During this period patients can expect bruising, swelling, redness, and discomfort, which is controlled with medication provided by the surgeon and taken along with antibiotics. Patients will be able to return to life as normal within a week or so and the stitches are generally removed after seven days. But patients will be advised to avoid rigorous activity for several weeks while the ears continue to heal and assume their new position.
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