The Valley Institute of Plastic Surgery offers a complete range of cosmetic procedures and services. To learn more about a particular procedure, click on a topic below:
Facelift is a procedure performed in order to reverse the effects
of age, gravity, exposure to the sun, and daily stress by removing
excess fat, tightening facial muscles, and readjusting the facial
skin. A facelift is also an excellent procedure for those with excess
skin hanging from the neck or jowls. A facelift may be done in combination
with other facial procedures such as a forehead lift (brow lift),
eyelid surgery (blepharoplasty), or a nose job (rhinoplasty).
Facelift is a highly individualized procedure that your surgeon will tailor to your unique bone structure, skin texture, and underlying muscle tone. Facelifts do not improve skin texture, although they can be done in conjunction with procedures that do improve texture, such as laser or chemical skin peels.
The Procedure
Facelift surgery usually takes several hours to complete. For extensive
and/or multiple procedures, your doctor may schedule two separate
sessions. Some surgeons complete one side of the face at a time, some
do all at once, and others will determine the sequence of events based
upon your facial structure and the surgeon's own technique.
Incisions usually begin above the hairline at the temple, continue behind the ear, and terminate behind the earlobe in the lower scalp area. The skin is then separated from the underlying fat. This fat is trimmed or suctioned away selectively in order to improve the contours of the face. The doctor then tightens the facial muscles and pulls the skin back. Some excess skin may also be removed. Stitches are used to close the incisions, and metal staples may be used to reattach the skin to the scalp.
Post - Op
Following surgery, a small tube is often placed underneath the skin
in order to facilitate drainage of blood that often collects behind
the ears. The tube is removed after a couple of days. Your head may
also be wrapped and dressed to prevent bruising and swelling. Pain
medication is available for those who desire it. Numbness of the face
is a common complaint. This sensation will disappear within a few
weeks.
Sex, running, and other vigorous activity should be avoided for at least two weeks. Alcohol, steam baths and saunas should be avoided for at least two months. Facial features can remain somewhat swollen for several months after surgery and will gradually return to normal.
Forehead wrinkles, drooping eyelids, and sagging eyebrows can make a person look older and more tired than they may feel. A brow lift is a cosmetic surgery procedure than can help to correct these problems, rejuvenating the patient's facial appearance. Skin will be smoother and tighter, and the eyes may seem bigger and more alert. Compared to other cosmetic surgery procedures, brow lifts are simpler and less painful.
The Procedure
Brow lift surgery can be done using either general or local anesthesia.
It is typically an outpatient procedure. To perform a brow lift, Dr.
Chin begins by making an incision at the near the ear. It extends
around the forehead near the hairline so that visible scarring is
minimized. He then removes excess tissue and pulls the skin taut.
Excess is trimmed away and stitches or clips are used to suture the
incision. A special bandage is then applied over the treated area.
Post-Op
Recovery time varies, but most patients can return to work within
two to three weeks. Vigorous physical activity should be avoided for
four to six weeks. Patients may experience some pain, tenderness,
and swelling after surgery, which can usually be alleviated with pain
medication. Scars typically fade over time.
Health Concerns
Brow lift surgery is generally considered safe. All surgical procedures
do entail some risk, however. Infection, bleeding, and reaction to
the anesthesia are rare but possible. Loss of sensation, nerve damage
in the forehead muscles, and excessive scar formation have also been
known to occasionally occur. Patients can reduce their risk of complications
by adhering to Dr. Chin's instructions and by refraining from smoking
prior to and following surgery.
Eyelid surgery - also known as blepharoplasty - is the process by which fat, skin, and possibly muscle are surgically altered to streamline the area around the eyes. Upper blepharoplasty can alleviate the common problem of skin that droops over the patient's eyes, while lower blepharoplasty is designed to eliminate the baggy or puffy look that can sometimes develop in the skin beneath the eyes.
The Procedure
The procedure is typically short. In the case of surgery on the upper
eyelids, the surgeon makes an incision in one of the creases to keep
it inconspicuous. For the lower eyelids, the incision may be made
just below the lashes on the outside or on the inside, in the part
of the lid that contacts the eye itself. The surgeon trims away fat
and may reposition the muscles to create a more natural look. Skin
may also be trimmed if it is too loose to reform around the new eyelid
structure. Then the incisions are sewn back up.
Post-Op
After surgery, the patient will likely feel tightness, bruising, and
swelling around the eyes. The patient may experience a temporary blurring
of the vision or other bothersome effects on the eye. However, if
the patient uses pain medication and takes steps to protect the eyes,
most of the discomfort and aftereffects should be fairly mild and
should subside within a few weeks.
Health Concerns
A patient should definitely discuss any of the following conditions
with a blepharoplasty surgeon before undergoing the procedure: dry
eyes, hormonal problems, circulatory disorders, diabetes, and cardiovascular
diseases.
Surgery to reshape the nose is a common cosmetic procedure
that can have profound results on a person's appearance and self-confidence.
Rhinoplasty can accomplish any number of changes, including size augmentation
or reduction, a narrowing of the nostrils, changes in the bridge or
tip of the nose, or an alteration to the angle of the nose and upper
lip. Regardless of the specific purpose, surgery to reshape the nose
creates a more contoured and shapely nose.
The Surgery
The surgeon begins by making an incision, either from within the nose
or across the columella (the vertical strip separating the nostrils).
The skin is then separated from the underlying framework of the nose
and the bone and cartilage is sculpted to the desired shape and size.
Finally, the surgeon reattaches the skin to the new contoured framework
and stitches the incision. Surgery usually lasts one to two hours
and is performed on an outpatient basis.
After the Surgery
Following surgery, a splint is applied to the nose to maintain the
new shape. The surgeon may also decide to place nasal packs or soft
plastic splints in the nostrils to stabilize the septum (the dividing
wall between the air passages). Patients can experience some swelling
and bruising around the eyes and nose, although medication greatly
reduces any discomfort you may experience. Stitches are usually removed
in five to seven days and patients can return to work in ten to fourteen
days. Patients who wear eyeglasses must have them specially fitted
to their heads for up to seven weeks.
Health Concerns
As with any cosmetic surgical procedure, complications are rare but
may include infection, nosebleeds, or a reaction to the anesthesia.
In certain cases, small burst blood vessels may appear as tiny red
spots on the skin's surface (a minor but permanent condition). Some
patients may experience mild depression - a common and temporary side
effect. Minor scarring may occur if the surgeon makes the incision
across the columella. To maximize the success of surgery and minimize
the risk of complication, always follow your doctor's instructions
for surgical preparation and postoperative care.
Breast Augmentation is a surgical procedure used to increase the
size and/or alter the shape of a woman's breasts through the use of
an artificial implant. Women may choose to have this operation either
as a reconstructive technique following breast surgery, to balance
different sized breasts, or to enhance the contours of the body. Whatever
the specific purpose, women who undergo breast augmentation can expect
larger, firmer, and more visually satisfying breasts.
The Surgery
The surgery begins with an incision, made either in the crease of
the breast, the armpit, or the perimeter of the areola (the dark skin
surrounding the nipple). The placement of the incision will vary according
to body type and the specifics of each procedure. The surgeon enters
through the incision and creates a pocket, either underneath the breast
tissue or under the chest wall muscle. The implant is placed in either
location, centered directly behind the nipple. Finally, the original
incision is sutured.
After Surgery
Once the incisions have been closed and taped, the breasts are wrapped
and supported by a gauze bandage. Patients are fitted with a surgical
bra that provides support for up to several weeks. Postoperative fatigue,
soreness, and discomfort may be greatly reduced through medication.
Swelling gradually subsides and becomes undetectable in a month's
time. Stitches are removed within seven to ten days.
Health Concerns
As with any surgical procedure, complications, although rare, do exist.
The biggest fear is a leak in the surgical implant. The FDA currently
prohibits the use of silicone filled implants except for women involved
in specific medical studies. Therefore, in a normal procedure, a leak
would involve only a saline water solution. Capsular contraction (a
tightening of the scar or capsule surrounding the implant) can occur
following a breast augmentation procedure. If this happens, the surgeon
either "scores" the scar tissue or removes the implant and
re-inserts another. Other complications include excessive bleeding
and infection in the area surrounding the implant. Scars may be evident
for several months but gradually fade. In some cases, the nipples
may become hypersensitive or under sensitive for a period of time
after the surgery. In rare instances, the breasts may produce milk
for several days afterwards. To maximize the success of surgery and
minimize the risk of complication, always follow your doctor's instructions
for surgical preparation and postoperative care.
A breast lift is a cosmetic procedure designed to give sagging breasts a more appealing look and feel. The procedure removes skin from the bottom of the breast and tightens the skin on the sides around the breast tissue, renewing firmness in the chest. Breast lifts are often sought by women whose breasts have been stretched from nursing after pregnancies. It may be performed in conjunction with breast augmentation.
The Procedure
A breast lift takes approximately one to three hours. The most frequent
technique begins with an incision down the front and along the bottom
of the breast. A circular cut is made around the areola -- the dark
skin surrounding the nipple -- and continues straight downward to
the crease underneath the breast. Then a horizontal cut is made along
the crease. The surgeon moves the nipple up to a more attractive position.
The skin from the sides of the breast is pulled down to wrap around
the nipple's new placement, and the excess skin is removed. The surgeon
then sews up the incisions.
Post-Op
After surgery, the breasts remain wrapped in a bandage; later, this
will be replaced by a surgical bra. The patient may have mild pain,
numbness, swelling, and/or bruising in the breasts. Most of these
symptoms subside within a few weeks, though a slight amount of swelling
and numbness may persist for longer.
Health Concerns
Like any surgical procedure, there are some risks associated with
breast lift. In rare cases, patients may experience a reaction to
the anesthesia or may suffer from infection. Small breasts usually
produce the best results, as larger breasts tend to sag faster after
a lift. And though a breast lift does not usually interfere with pregnancies
or nursing in the future, the breasts can stretch out again during
breast-feeding, negating the results of surgery.
Breast reduction surgery in a procedure in which fat and glandular tissue are removed from the chest and the skin is pulled tight around the remaining tissue to form smaller, more manageable, and more aesthetically pleasing breasts. Women often seek breast reduction surgery because their breast size causes them embarrassment, inconvenience, or medical problems (examples include skin irritation, back pain, and inhibition of breathing).
The Procedure
Breast reduction has many variations, but the most common begins with
an incision that begins at the areola (patch of skin surrounding the
nipple) and runs down the center of the breast. Through this opening,
Dr. Chin removes fat and glandular tissue. Often, the nipple is moved
higher up on the breast, and the skin on the sides of the breast is
pulled down and around it. Excess skin is taken off, and the incision
is closed.
Post-Op
Dry skin, bruising, swelling, and general discomfort in the chest
are all normal effects of breast reduction. Pain medication may be
prescribed and a moisturizer recommended. After a few weeks, the patient
should be feeling better again. Stitches are usually removed within
a week to ten days. There may also be more extended effects of which
the surgeon can warn the patient.
Health Concerns
It is important that a prospective patient for breast reduction have
fully developed breasts. It is also inadvisable to have breast reduction
surgery if the patient anticipates future pregnancy, since breast
reduction can sometimes inhibit milk production.
Inherited traits often prevent people from achieving their desired
body shape. Even years of exercise may not yield significant or noticeable
results in certain people. For many, the answer is liposuction, a
surgical procedure which extracts fat from specific areas of the body.
Following the procedure, patients can expect a slimmer, more shapely
figure.
The Surgery
The surgeon begins by inserting a cannula (a slim, hollow tube) into
small incisions near the area to be recontoured. The cannula is moved
through the layers of tissue and extracts the necessary fat. Once
the fat and tissue have been removed, the surgeon stitches the incision
and trims away excess skin. Several techniques exist. The super-wet
technique involves an injection of fluid into the patient's body,
roughly the same amount as the fat to be extracted. The tumescent
technique involves an injection of double or even triple the amount
of fluid. In UAL (Ultrasound-Assisted Lipoplasty), a specially designed
cannula uses ultrasound to liquefy the fat and suction it away. Except
in the most extreme cases, procedures are performed on an outpatient
basis. Your surgeon will suggest the most appropriate form of anesthesia
(epidural block, intravenous sedation, local, or general anesthesia).
After the Surgery
Following surgery, an elastic bandage is applied in order to reduce
swelling and keep the skin in place. In complex procedures, patients
should be monitored closely to make sure no complications occur. Patients
return to work after several days and stitches are typically removed
in one week.
Health Concerns
As with any cosmetic surgical procedure, complications are rare, but
include infection, a reaction to the anesthesia, blood clotting, and
fluid loss. Less severe risks include numbing of the skin and moderate
changes in skin pigmentation. It is extremely important to choose
a physician who has proper and extensive training, with state-of-the-art
facilities and a good standing in their field. If you smoke, your
surgeon will advise that you stop both two weeks prior to and following
surgery. To maximize the success of surgery and minimize the risk
of complication, always follow your doctor's instructions for surgical
preparation and postoperative care.
The tummy tuck reforms weak muscles, removes fat, and trims away skin to produce a flatter, firmer abdomen. For patients who are in reasonable shape, but require a simple fix for a troublesome tummy, this procedure is perfect.
The Procedure
Depending on the patient's needs, a tummy tuck may be limited to the
lower abdomen or may be used to eliminate overall protrusion throughout
the abdominal region. A partial tummy tuck starts with an incision
where the abdominal muscles end and the pubic region begins. The skin
is pulled away from the underlying muscle and fat as far up as the
navel. Fat is removed, and the lower abdominal muscles may be pulled
into a more natural position. Then the skin is pulled downward, with
some being trimmed off at the bottom, and the incision is sewn up.
During complete abdominoplasty, a second incision is made in a circle around the navel. The skin is pulled away from the muscle structure almost all the way to the ribcage. Fat is again removed and muscles repositioned closer to the center of the body. The skin is pulled down so that the excess can be trimmed, and a new hole is created for the navel. The incisions are then sewn up.
Post-Op
Some pain and swelling are to be expected after surgery. Pain medications
can help to provide relief. Patients will need to refrain from driving
and other activities for a couple of weeks following a thigh lift.
Most patients can return to work in approximately two weeks. More
strenuous activities may be resumed in about a month.
Health Concerns
Like any surgical procedure, there are some risks that accompany thigh
lifts. Patients may experience significant scarring that may spread
and form a thick band. Loss of sensation in the area is also possible
but usually temporary. Bleeding, infection, and adverse anesthesia
reaction are possible complications of most surgical procedures. Following
Dr. Chin's instructions can help you reduce your risks.
As a person ages, skin loses elasticity and firmness. In the upper arms, this often leads to loose skin that sags unattractively. Brachioplasty, or arm lift, is a surgical procedure that tightens loose upper arm skin to produce a more youthful appearance. During the procedure excess fat is often removed as well, making the arms look more toned.
The Procedure
Brachioplasty is most often performed under general anesthesia. Dr.
Chin typically makes the necessary incisions on the inside part of
the upper arm, beginning near the armpit. He then removes the excess
sagging skin and tissue. Liposuction may be used to remove fat from
the arms at the same time. The remaining skin is then pulled tightly
and stitched back in place. In some cases, a tube may be used to facilitate
the drainage of fluids from the treatment area.
Post-Op
Some pain and swelling is to be expected after surgery. Medication
can help to minimize pain. Although patients can usually go home the
day of their surgery, rest is needed for several days. Lifting and
bending should be avoided for at least the first week. Most people
can return to their jobs and to moderate exercise with two weeks,
but vigorous workouts should be postponed for at least a month.
Health Concerns
Brachioplasty is considered to be relatively safe, but as with any
surgical procedure, there are some risks. Patients may experience
a reaction to the anesthesia, may bleed excessively, or may suffer
from an infection. Nerve damage and extensive scarring are also possible.
To limit the risk of complications, patients should carefully follow
Dr. Chin's instructions.
Losing weight is great for your health and self-esteem, but significant weight loss can sometimes leave behind sagging skin. Thigh lift is a procedure designed to remove excess skin from your legs, making them appear tighter and smoother. It is sometimes combined with liposuction but can be done alone.
The Procedure
During a thigh lift, an incision is made either in the crease of the
groin area or hidden beneath the bikini lines. Dr. Chin then trims
away excess skin and tissue. He repositions and tightens the skin
before stitching it back into place. Thigh lift is performed under
general anesthesia.
Post-Op
Some pain and swelling are to be expected after surgery. Pain medications
can help to provide relief. Patients will need to refrain from driving
and other activities for a couple of weeks following a thigh lift.
Most patients can return to work in approximately two weeks. More
strenuous activities may be resumed in about a month.
Health Concerns
Like any surgical procedure, there are some risks that accompany thigh
lifts. Patients may experience significant scarring that may spread
and form a thick band. Loss of sensation in the area is also possible
but usually temporary. Bleeding, infection, and adverse anesthesia
reaction are possible complications of most surgical procedures. Following
Dr. Chin's instructions can help you reduce your risks.
While rhinoplasty is used to correct the appearance of the nose, septoplasty is used to correct functional abnormalities and breathing obstruction. A deviated septum is a condition in which the passages inside the nose are not vertically aligned. This can make breathing difficult and can cause side effects such as recurrent nose bleeds. The condition can be congenital or can be acquired through injury. Septoplasty is a surgical procedure that can correct a deviated septum and alleviate its related symptoms.
The Procedure
During septoplasty, Dr. Chin straightens the nasal passages. He may
also remove excess or damaged cartilage if it is blocking air passages.
Splints may be used to hold the nasal passage in its new position
and facilitate better breathing. Septoplasty can be done through the
nose without requiring an external incision. It can be done under
local or general anesthesia and is usually an outpatient procedure.
Post-Op
Nasal packing may be placed in the nose following septoplasty. Patients
do not usually experience significant bruising unless they have a
rhinoplasty procedure in conjunction with their septoplasty. Patients
must take care to avoid any injury or trauma to the nose while it
is healing.
Health Concerns
The health risks of septoplasty are low. In rare cases, bleeding,
infection, or a reaction to the anesthesia can occur.
No matter how well skin is preserved and pampered, everyone eventually
develops facial wrinkles. Fortunately, there are a number of options
available to remove the lines that accompany aging. Botox® is perhaps
the easiest of all these options. Boto® is an extremely quick approach
to softening or removing the natural wrinkles between the eyes (frown
lines), on the forehead, at the sides of the eyes (crow's feet), or
at the base of the nose (glabellar frown lines).
What is Botox®
Botox® is a purified protein toxin that is derived from a specific
form of bacteria. It was originally utilized as a remedy for neck
and facial spasms, but in the last decade it has been used effectively
to remove facial wrinkles.
How Botox® is Used
Each day, the muscles between the eyes (frown lines) and on the outside
of the eyes (crow's feet) contract many times. Over time, these muscle
contractions create "creases" or wrinkles in the skin. To
remove these wrinkles, Botox® is injected through a very small needle
into the muscles that cause these contractions. Botox® essentially
impedes the nerve impulse from reaching these muscles. Gradually,
the muscles relax and the facial wrinkles soften or disappear. Patients
may experience a slight discomfort when the needle is inserted and
the Botox® injected, but this only lasts approximately five to seven
seconds. The entire treatment is performed in the physician's office
and lasts 10 to 15 minutes.
Once the Botox® Treatment is Complete
In the majority of cases, patients return to their normal routines
the same day. The muscles relax within a few days of the Botox® injection,
causing wrinkles to either lessen or to disappear completely. The
muscles remain in a relaxed state for three to five months. Further
treatment is necessary to erase returning wrinkles. After several
treatments, the length of time that Botox® is effective can increase,
sometimes lasting up to eight months.
Health Concerns
Botox® has been used to diminish facial wrinkles for a number of years
and exhibits very few side effects. Although it causes a temporary
paralysis of the muscle, it does not affect the nerve, so numbness
does not occur. Immediately after the treatment, Botox® can spread
slightly and possibly lead to a temporary drooping of surrounding
muscles. Because of this, patients should avoid rubbing the treated
area for 10-15 hours following surgery. If drooping does occur, the
surrounding muscles typically return to normal within a couple of
weeks. In very rare instances, a blood vessel may burst, causing a
temporary black and blue area. Patients who are pregnant or have been
diagnosed with a neurological disease should refrain from having this
procedure performed.
Fat injections can be used to fill in wrinkles and lines, to create contours in the face, and to fill in scars. Fat injections are a safe and versatile option; because they use fat from one area of a patient's body to fill in another, there is little chance of allergy or incompatibility. Although fat injections are impermanent, they can be repeated as necessary.
The Procedure
Fat injections are usually done on an outpatient basis with local
anesthetic. The donor site (often the buttocks or abdomen) is first
numbed and injected with fluid to make extracting the fat easier.
The donor fat is collected through a needle and syringe. After the
fluid is removed, another needle is used to reinsert the fat into
the treatment area. Dr. Chin will at first slightly overfill the treatment
area because some of the injected fat will be reabsorbed by the body.
Post-Op
Most patients can resume normal activities soon after undergoing fat
injection. Some minor swelling and bruising can occur during the first
few days following fat injection. Fat injections are not usually permanent.
How long the results last varies among individuals.
Health Concerns
In more areas, fat injections are considered to be very safe. The
breasts, however, are inappropriate for this procedure. Injected fat
may reduce the efficacy of mammograms, making breast cancer diagnosis
more difficult. To limit the risk of complications, patients should
follow Dr. Chin's directions carefully.
The face is the most looked-at area of the body. Unfortunately, facial skin can be marred by acne scars, sun damage, injury scars, and uneven tone. Dermabrasion is a cosmetic procedure that can help smooth and soften skin, diminishing the appearance of lines, wrinkles, and scars.
The Procedure
Dermabrasion removes the outer layers of skin in order to reveal the
smoother, underlying layers. Dr. Chin uses a special instrument to
scrape away the outer layers of skin. The head of the instrument resembles
a wire brush, and it is attached to a motorized handle. Dermabrasion
may take only a few minutes or may extend over an hour, depending
on the size of the treatment area and the depth of the scars.
Post-Op
Ointment and moist dressings are often used after dermabrasion to
protect the skin and speed healing. Following surgery, the treated
area is typically red, swollen, and sensitive. Pain medication can
be used to assuage burning, tingling, and discomfort. Most patients
can return to work in approximately two weeks, although sun and wind
exposure, vigorous exercise, and touching facial skin should be avoided
for a month or longer.
Health Concerns
Dermabrasion is generally considered safe, but complications are possible.
Risks include infection, scarring, and changes in pigmentation. Patients
can lower their risk of side effects by following Dr. Chin's instructions.
Dr. Chin has had a successful solo practice plastic surgery since 1993 and is the Director of the Valley Institute of Plastic Surgery (V.I.P.S). He is fortunate to have an experienced office staff who provide caring, sympathetic, and empathetic support to his patients. They are both knowledgeable and resourceful and assist patients with many of their questions preoperatively as well as during their recovery. Patients are comforted by the fact that they have several people in addition to the doctor who can personally assist them through their surgical experience...
VALLEY INSTITUTE OF PLASTIC SURGERY
6175 N. Fresno St,
Suite # 101
Fresno, CA 93710
PH: (559) 435-9646
"It is funny no matter how much older I got I still felt like the same person I was in my early 20's. However, as I passed a mirror it was as if someone else was looking back a me. Finally, after being asked "Are you tired? You look like it." I knew it was time to take action, the sooner the better. After careful research making sure the plastic surgeon was board certified and properly trained, I mad an appointment with Dr. Chin.
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