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Archive for the ‘consent for plastic surgery’ Category

Consent for Plastic Surgery – Lip Implants

Thursday, September 26th, 2013

 

These explanations are intended to improve your understanding of the lip implant procedure that has been discussed with you. Please read them carefully and understand that this list includes many, but not all of the different outcomes from this surgery. Please feel free to ask Dr. Eppley any further questions regarding your surgery.

ALTERNATIVES

Augmentation of the lips can be done by a variety of synthetic or fat injectable fillers to increase the size of the pink part of the lip. (vermilion)  Other lip augmentation procedures include lip lifts and lip advancements. How the results achieved by injection and lift techniques compares to that of an implant should be thoroughly understood before surgery.

GOALS

The goal of lip implants is to permanently increase the size of the lips.(increase vermilion show)

LIMITATIONS

The limitations of lip implants is the size of the lips that can be achieved. Lip implants range in sizes from 3 to 5mm diameter at their thickest central section. The effect of the implant in increasing lip size (vermilion show) is also controlled by how much visible vermilion one initially has.

EXPECTED OUTCOME

Expected outcomes of placing lip implants include the following: temporary bruising and swelling of the lips and temporary lip numbness. All lip implant procedures will create some temporary stiffness on lip movement and mouth opening.

RISKS

Significant complications from lip implant surgery are very rare but could include infection. More likely complications could include aesthetic deformities such as asymmetry and irregularities of the implants and lip size and shape and under vs. overcorrection of the desired lip size achieved. Any of these risks may require revisional surgery for improvement.

ADDITIONAL SURGERY      

Should additional surgery be required to adjust the position or size of the implants, this will generate additional costs.

Dr. Barry Eppley

Indianapolis, Indiana

Consent for Plastic Surgery – Calf Implants

Saturday, August 17th, 2013

 

These explanations are intended to improve your understanding of the calf implant procedure. Please read them carefully and understand that this list includes many, but not all of the different outcomes from surgery. Please feel free to ask Dr. Eppley any further questions regarding your surgery.

ALTERNATIVES 

The alternative to implants for calf augmentation are strenuous exercise/weight training (non-surgical) and fat injections. (surgical)Fat injections are the most commonly used alternative augmentation technique.

GOALS

The goal of calf implants is to increase the size and shape of the gastrocnemius muscle by creating the appearance of increased muscle mass by placing an implant on top of the muscle under the fascia. This could be done for either the inner half of the calf muscle (medial belly of the gastrocnemius muscle), the outer half of the calf muscle (lateral head of the gastrocnemius muscle) or both.

LIMITATIONS

The limitations to calf augmentation is the tightness of the surrounding skin of the calfs and how much the skin can stretch. This ultimately determines the size of implants that can be placed and whether one or two implants are placed per leg.

EXPECTED OUTCOME

Expected outcomes include the following: temporary swelling and possible bruising of the calfs, a temporary firmness/hardness of the calfs, mild to moderate discomfort of the calfs and temporary redness of the behind the knee incision line/scar. It will take four to six weeks before the final shape and appearance of the calfs can be completely appreciated.

RISKS

Complications may include bleeding, infection, dehiscence of the incisional closure (partial or complete separation), prominent or noticeable knee scars, calf implant asymmetry, and too big or too small of a calf size increase result.

ADDITIONAL SURGERY

How the implanted site heals and the occurrence of complications can influence the final shape and appearance of the calfs. Should complications or the desire to enhance the result further by additional surgery be needed, this will generate additional costs.

Consent for Plastic Surgery – Brow Bone Reduction

Monday, April 8th, 2013

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the brow bone reduction procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all, of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

There are no alternatives to surgical reduction of he prominent brow bones. One potential alternative is to build up the forehead above it to make the whole forehead smooth.

GOALS

The goal of brow bone reduction is to reduce the brow bulging and bring the brow bones back into a smooth contour with the forehead that lies above it, if possible.

LIMITATIONS

The limitations of brow bone reduction is the thickness of the overlying anterior table of the frontal sinus and the size of the frontal sinus that lies beneath the bone. (inner half of the brow) The outer half of the brow bone is limited is reduction only the thickness of the skull bone.

EXPECTED OUTCOME

Expected outcomes include the following: temporary swelling and bruising of the forehead and eyes, a temporary or permanent numbness of the forehead and scalp, temporary weakness of the forehead muscles, and permanent scalp scars. It may take four to six weeks before the final shape and appearance of the brow bones is seen.

RISKS

Complications may include bleeding, infection (wound or frontal sinusitis),  poor scalp scarring, bone fixation palpability,  undercorrection of the brow prominences and brow asymmetry.

ADDITIONAL SURGERY

How the foerhead heals and the occurrence of complications can influence the final shape and appearance of the brows. Should complications or the desire to enhance the result further by additional surgery be needed, this will generate additional costs.

Consent for Plastic Surgery: Pectoral Implants

Sunday, March 31st, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the pectoral implant chest augmentation procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all, of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

There are no alternatives to augmentation of the male chest other than using an implant.

GOALS

The goal of pectoral implants is to increase the size of the male chest by creating more pectoral volume and definition.

LIMITATIONS

The limitations to pectoral augmentation are the dimensions of the patient’s chest and what size pectoral implant can inserted.

EXPECTED OUTCOME

Expected outcomes include the following: temporary swelling and bruising of the chest wall, a temporary firmness/hardness of the chest, mild to moderate discomfort of the chest wall and temporary redness of the armpit incision line/scar. It may four to six weeks before the final shape and appearance of the chest is seen.

RISKS

Complications may include bleeding, infection, dehiscence of the incisional closure (part or complete separation), prominent or noticeable armpit scars, chest asymmetry, and too big or too small a chest size result.

ADDITIONAL SURGERY

How the implanted site heals and the occurrence of complications can influence the final shape and appearance of the chest. Should complications or the desire to enhance the result further by additional surgery be needed, this will generate additional costs.

Consent for Plastic Surgery: Earlobe Repair and Reconstruction

Saturday, March 16th, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the earlobe repair or reconstruction procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all, of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

There are no alternatives to surgical repair of a split or gauged (expanded) earlobe.

GOALS

The goal of earlobe repair/reconstruction is to restore the size and form of the bottom portion of the ear.

LIMITATIONS

The limitations to earlobe repair is how much natural earlobe tissue remains, whether it has any scar associated with it (e.g., keloid) and what the adjoining cartilaginous ear looks like.

EXPECTED OUTCOME

Expected outcomes include the following: temporary swelling and bruising of the ear, a temporary firmness of the reconstructed earlobe, some mild discomfort of the earlobe, and temporary redness of the incision line/scar. It may take weeks to months before the final shape and optimal appearance of the earlobe is achieved.

RISKS

Complications may include bleeding, infection, dehiscence of the incisional closure (part or complete separation), a prominent or noticeable scar, earlobe asymmetry from the other side, and a notch along the outer rim of the earlobe.

ADDITIONAL SURGERY

How the earlobe heals and the occurrence of complications can influence the final shape and appearance of the earlobe after it heals. Should complications or the desire to enhance the result further by additional surgery be needed, this will generate additional costs.

Consent for Plastic Surgery: Buttock Implants

Sunday, March 10th, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the buttock implant augmentation procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

The alternatives to increasing buttock size without implants are fat injections.

GOALS

The goal of implants is to improve the shape and overall size of the buttocks.

LIMITATIONS

Buttock implants will not significantly lift the buttocks and is designed to improve volume (size) and change their shape, usually affecting the upper and middle portions of the buttocks.

EXPECTED OUTCOME

Expected outcomes include the following: temporary pain and swelling of the buttocks, a temporary unnatural firm feel of the augmented buttock, and numbness of the skin overlying the buttock which usually resolves. It may take several months before the final shape and appearance of the buttocks is achieved.

RISKS

Complications may include bleeding, infection, buttock implant asymmetry, differing positions of the implants, hardening of the implants (capsular contracture), pain with sitting, pain with exercise, inadequate shape or size of the buttocks, or chronic fluid build-up around the implant (seroma) Replacement or repositioning of the implants may be necessary should infection, asymmetry, or hardness of the implants develops.

ADDITIONAL SURGERY

There are many variable conditions to risk and potential surgical complications that may influence the long term result from buttock implants. Should complications occur and additional surgery needed, this will generate additional costs.

Consent for Plastic Surgery: Inner Thigh Lifts

Monday, March 4th, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the inner thigh lift procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

The alternatives to thigh lift surgery are liposuction which can remove some inner thigh fat but has little effect on skin tightening or lifting.

GOALS

The goal of thigh lift surgery is to slim and lift the inner thighs and reduce any prominent inner thigh bulging. Creating an space or gap between the inner thighs is not a realistic goal for most patients.

LIMITATIONS

The limitations of an inner thigh lift is in how much reduction and tightening can be achieved. There is a limit as to how much skin can be removed without risking wound healing problems and noticeable scar widening afterwards.

EXPECTED OUTCOME

Expected outcomes include the following: temporary swelling and bruising of the inner thighs, a temporary feeling of tightness and numbness of the inner thighs that is felt most with leg extension and squatting and up to 3 months after surgery until the inner thighs feel completely normal again.

RISKS

Significant complications from inner thigh lifts have not occurred. More common risks include infection,  wound separation, scar widening, a persistent tight feeling and discomfort on leg extension, and inner thigh irregularities and asymmetries and limited improvement in the profile of the inner thighs. Any of these risks may require revisional surgery for improvement.

ADDITIONAL SURGERY

Should additional surgery be required for inner thigh revision or any complications, this will generate additional costs.

Consent for Plastic Surgery: Migraine Surgery

Saturday, March 2nd, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the various migraine surgery procedures. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

The alternatives to migraine surgery include oral and injectable medications, local anesthetic and Botox injections, acupuncture and other non-medical stress/headache therapies.

GOALS

The goal of migraine surgery is to reduce the frequency and severity of one’s migraine headaches. Some few patients may get a complete cure but this would not be common.

LIMITATIONS

The limitations of nerve decompression migraine surgery is the degree to which one’s headache may be reduced or eliminated.

EXPECTED OUTCOME

Expected recipient site outcomes include the following: temporary swelling and bruising of the eyes (supraorbital and zygomaticotemporal nerve decompression), temporary neck stiffness/soreness (occipital nerve decompression), small permanent scars in the scalp, and up to 3 months to see the final result.

RISKS

Significant complications from migraine surgery have not occurred. More likely risks include infection, scar widening, increased headaches due to nerve irritation (stretching) and scar tissue formation, failure of any headache improvement at all, and return of presurgical migraine symptoms even if initial improvement of them is seen. Any of these risks may require revisional surgery for improvement.

ADDITIONAL SURGERY

Should additional surgery be required for further migraine relief or any complications, this will generate additional costs.

Consent for Plastic Surgery – Tracheal Shave (Adam’s Apple Reduction)

Tuesday, February 19th, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the tracheal shave procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

There are no alternatives to reducing a prominent thyroid cartilage (adam’s apple) other than open surgical reduction.

GOALS

The goal of a tracheal shave is to reduce the prominence of the neck bulge over the thyroid cartilage.

LIMITATIONS

The limitations of  a tracheal are in how much reduction can be achieved. How much reduction of the neck bulge that will result depends on the thickness of the cartilage and the overlying soft tissues.

EXPECTED OUTCOME

Expected recipient site outcomes include the following: temporary swelling and bruising of the neck area, mild temporary soreness and neck tightness, a small permanent heck scar and up to 3 months for all swelling to go down to see the final result.

RISKS

Significant complications from tracheal shaves are very rare. More likely risks include infection, undercorrection with some residual neck bulging and adverse neck scarring. Permanent voice changes have been reported in the medical literature by not seen by Dr. Eppley. Any of these risks may require revisional surgery for improvement.

ADDITIONAL SURGERY

Should additional surgery be required for tracheal cartilage or scar revision, this will generate additional costs.

Consent for Plastic Surgery: Eyebrow Hair Transplants

Thursday, February 14th, 2013

 

Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the eyebrow hair transplant procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.

ALTERNATIVES

Alternatives for improving the appearance of the eyebrows include temporary(pencil) or permanent eyeliner. (micropigmentation/tattooing)

GOALS

The goal of eyebrow hair transplantation is to create greater hair density in the eyebrow. This fuller density strives to achieve a more natural eyebrow look that does not require the application of pigmented liners to create the shape and outline of the eyebrows.

LIMITATIONS

The limitations of eyebrow hair transplants, like all hair transplants, is how many hairs can be inserted at the time of the procedure and how many hairs will survive and grow afterwards.

EXPECTED OUTCOME

Expected recipient site outcomes include the following: temporary swelling and bruising of the eyebrows, temporary clots or crusts of the eyebrows, initial long transplants in which the hair shaft will shed two to three weeks after the procedure, and four to six months after surgery to see the full transplanted hair growth. Expected donor site outcomes include suture lines in the scalp above the ears from the harvest and very mild temporary harvest site discomfort.

RISKS

Significant complications from eyebrow hair transplants do not occur. More likely risks include infection, inadequate take/density of the transplanted hair, undesired angulation of the transplanted hair, and the possible need for additional hair transplantation sessions. Any of these risks may require revisional surgery for improvement.

ADDITIONAL SURGERY

Should additional surgery be required for additional hair transplants to be placed, this will generate additional costs


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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