300 York Mills Road, Toronto, Ontario M2L 2Y5
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September
2013
2

Posted in "Secrets" of Cosmetic Surgery, Surgical Procedures, September 2nd, 2013 | Posted by Dr. Kreidstein

There are many reasons that patients travel to seek out surgery- lower expense, greater expertise, and privacy are common and legitimate advantages often stated by patients.   These advantages must be balanced against the potential disadvantages of travelling for surgery.

  1. Travel carries the risk of deep vein thrombosis (clots forming in legs a.k.a DVT) and embolism to the lungs (PE).  There is increased risk of  DVT/PE with surgery in general, and this is multiplied if you are stuck stationary in a plane or car for hours.  Your surgeon should give you advice on precautions to take on both your trip to and from surgery to minimize this risk.
  2. Travel can result in you being very far from your surgeon when you develop a complication, and if you start making compromises in managing the complication the outcome will be less favourable.  Again, if you and your surgeon anticipate these possibilities and make plans to deal with them, the risks can be minimized.
  3. Travel may take you into a jurisdiction where you do not have the benefit of medical insurance.  In the unlikely event that you suffered a complication and needed hospitalization after a procedure, would you need to pay the substantial costs of this adventure?
  4. Especially if you are travelling to another country for surgery, you should make every effort to confirm the quality of service that is available.  We have seen several patients who have acquired bizarre infections from surgery abroad, and would particularly discourage anyone from travelling abroad simply to save on fees.  The costs of managing complications once you return home will quickly overcome any initial savings.


Posted in "Secrets" of Cosmetic Surgery, Answers to your questions, Surgical Procedures, March 4th, 2013 | Posted by Dr. Kreidstein

Fees charged by different practices will vary widely, and not always for reasons of quality.  Even within a practice, the fee for a specific procedure will vary between patients.  Complexity and scale of procedures can vary widely between patients, and patient characteristics (e.g. health problems requiring hospital surgery) may influence the costs.  Also, the quote you receive at a consultation may be influenced by the availability of operating room time or how keen a practice is to develop their experience in a particular procedure.

Despite the above, the majority of patients who attend our practice receive quotes for cosmetic surgery (includes facility, anesthetist and surgeon fees) as follows:

Breast Augmentation: Saline Implant $6000, silicone gel implant $7000, anatomic gel implant $8000

Tummy Tuck: lower $3500, full $8000

Facelift: $8500

Rhinoplasty: $4000 to $7000

Eyelids: $2500 (4 lids $4500)

Liposuction: $1500 to $3000 per paired area

Brow lift: $3500

Labiaplasty: $3000 to $4000

Fat grafting: $1500 to $2500

Before you abandon the idea of investing in your self-improvement and instead blow your funds on a trip, consider carefully the cost of not having cosmetic surgery.

January
2013
26

Posted in "Secrets" of Cosmetic Surgery, January 26th, 2013 | Posted by Dr. Kreidstein

It is not unusual for patients to present to our practice with problems for which cosmetic surgery is an ideal solution, but they hesitate to proceed with a procedure for fear of the tiny risk of a bad outcome.  Everyone has a different way of approaching risk, but it is vital that you consider the risk of inaction, and not just the risk of action.  The risk of inaction?  Let’s say it’s a face lift you are considering.  Without the face lift, you are judged (unfairly) to be too tired for that promotion at work, your appearance and diminished feelings of attractiveness interfere with your personal relationships, and you become depressed by the loss of opportunities.  Not having a face lift carries risks, and these risks are much more likely to occur than are the risks of complications from well-conceived cosmetic surgery.

Moreover, by overcoming your fear of risk and having your surgery, you gain both the physical advantages of your procedure as well as an increased confidence in your ability to understand risk, which  may empower you to improve your life through accepting strategic risks  in other areas of your life.  We see countless examples of people changing jobs or entering new relationships after their cosmetic procedure, and confidence in assuming acceptable risks is at the core of these changes.


Posted in Facial Features, Rejuvenation (anti-aging), Surgical Procedures, January 20th, 2013 | Posted by Dr. Kreidstein

Upper and Lower Lid BlepharoplastyLoose eyelid skin can compromise your vision, cause headaches, and make you look older than your years.  Blepharoplasty (aka eyelid lift) may eliminate your need to raise your brows to keep your lids open. This helps to minimize forehead creases, and eliminate headaches arising from constant contraction of your forehead muscles.  At your consultation, a careful analysis of your forehead function, globe shape and position, eyelid mechanics, and many other factors allow us to make effective recommendations and develop a treatment plan that is right for you.


Posted in Facial Features, Surgical Procedures, December 25th, 2012 | Posted by Dr. Kreidstein

Closed RhinoplastyOur careful analysis of this patient led us to offer a closed technique to reduce the dorsal hump of cartilage and bone, and to use a separate technique (modified Weir excision) to create a more narrow appearance to the nasal base with better nasal tip projection.
Not every nose needs to be ‘fixed’, but in this case our patient’s facial  appearance was compromised by the extremes of her nasal shape,  and she had much to gain from rhinoplasty.


Posted in Facial Features, Surgical Procedures, December 25th, 2012 | Posted by Dr. Kreidstein

Open Tip Rhinoplasty Rhinoplasty (nose reshaping surgery) is one of the most powerful techniques we have for improving your appearance. We use the ‘open tip’ technique when the nasal tip requires multiple maneuvers to achieve the best result. Healing takes a little longer, but by 10 days most patients have little if any bruising and beautiful results can be had by two to three weeks. No nasal fracture was required for this patient. Our key to good results is a careful analysis of the cosmetic problem, and then choosing the techniques that can reliably achieve the appropriate correction.


Posted in Breast, Surgical Procedures, November 27th, 2012 | Posted by Dr. Kreidstein

Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is whether to pursue augmentation through implants or Fat grafting.  Fat grafting was not a serious consideration until the past few years, and it still doesn’t have the capabilities of a silicone implant.  Still, for someone seeking a modest augmentation (1 cup) and possessing “good” fat donor sites, and willing to accept unknown risks, and the possibility of lumpiness and inconsistent results, it is a consideration.  Much is written about how to make the operation more predictable, but at present it remains that breast implants are a far more reliable technique.  We favour fat grafting when reconstructing a scarred breast, or in managing problems of breast asymmetry.


Another option for increasing your breast size is liposuction.  Yes, you read that correctly!  Breast size typically increases after liposuction of the hips, abdomen or thighs, because any subsequent weight gain will proportionately appear on the breasts.


Yes, many patients at our Toronto cosmetic plastic surgery practice leave the decision of implants vs. fat grafting to us, but your participation in the surgical plan may help you obtain a result that is perfect for you.


Posted in Uncategorized, November 18th, 2012 | Posted by Dr. Kreidstein

Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is the choice of implant size. Size is an easy concept, and many patients feel comfortable making decisions on size. Patients often reflect at great length on size, sometimes calling the day before surgery to change implant size


Much of the deliberation is unproductive, as the difference between a 300 and 360 cc implant is only a 20% increase in implant size, and probably a 10% increase in overall breast size. Your surgeon should recommend a size at consultation that factors in your chest size, breast shape, skin laxity, and your personal taste, and if you are keen on an implant smaller or larger than the recommended size then your surgeon should explain the consequences of that decision. Larger implants are often recommended when there is loose skin to be filled. Complications are known to increase when larger sizes are used. What is large? It depends on the patient- a 300 cc implant will be huge on someone 5’ tall, and small on someone 5’10”. Implants that are very small (<200 cc) are sometimes requested by women seeking a subtle augmentation, afraid of suddenly appearing ‘chesty’. In this situation, we recommend use of a padded bra before surgery to ‘desensitize’ co-workers etc. to your breast size, so that your new look after a few days off work doesn’t prompt anyone to guess why you missed work yesterday!


We have implants in all sizes for demonstration, so that there is no guessing about what size is to be used. Several software programs have been created to attempt to predict your new look from inputs of your photo, height, weight etc., but we have tested several and found them wildly inaccurate, as there is no allowance for chest shape, skin tension etc.


Yes, many patients at our Toronto cosmetic plastic surgery practice leave the decision of size to us, but your participation in the surgical plan may help you obtain a result that is perfect for you.


Posted in Breast, Surgical Procedures, November 3rd, 2012 | Posted by Dr. Kreidstein

Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is whether to choose round or anatomic (breast-shaped) implants. Round implants can be smooth or textured, because a round implant can rotate without changing the breast appearance.  An anatomic implant must be textured to prevent rotation (e.g. upside-down breast!).  A common misconception among patients with some drooping of the areola and a hollow upper breast is that they need a round implant to fill the upper pole and correct this appearance.  In our experience, a better appearance is achieved by using an anatomic implant that is big on the bottom to push the lower breast forward, projecting it up and away from the chest wall.  This creates some lift to the position of the nipple, while still filling in the upper breast.  A round implant that more directly fills the upper breast will have the effect of making the areola appear lower, exaggerating the appearance of a sagging breast.

Yes, many patients at our Toronto cosmetic plastic surgery practice leave the decision Round vs. Anatomic to us, but your participation in the surgical plan may help you obtain a result that is perfect for you.


Posted in Breast, October 21st, 2012 | Posted by Dr. Kreidstein

Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is the location of the incision for insertion of the implant.
Incisions on the edge of the areola or across the areola (Pitanguy) are worth of consideration, but have the disadvantage of damaging milk ducts, exposing the implant to duct bacteria, and compromising nipple sensation.  Also, a bad scar here is a rare but conspicuous problem.

Patients with very small breasts and no infra-mammary fold are good candidates for an armpit (axillary) incision.  The scar from this surgery is invisible, but does not allow for use of anatomic or textured implants- only smooth, round silicone or saline implants.  This is a favourite for young, A-cup patients, as an incision under the breast (infra-mammary) may remain visible as the breast may not fall over the scar to hide it, and young patients more commonly have thick scars.

The infra-mammary incision is certainly the most versatile, and is our first choice when the scar is not expected to be an overwhelming problem.

Umbilical (belly button) incisions have been described, but offer no advantage over the armpit incision and are rarely performed today.

Yes, many patients at our Toronto cosmetic plastic surgery practice leave the decision of incision location to us, but your participation in the surgical plan may help you obtain a result that is perfect for you.

Cosmetic Surgery Toronto | Breast Implant Surgery & Augmentation | Body Contour Surgery - Plastic Surgeon Toronto
300 York Mills Road, Toronto, Ontario M2L 2Y5
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