Cosmetic Surgery

Mark Scherer performs cosmetic surgery to correct or enhance many areas of the body. These surgeries include:

Mastopexy – Breast Lift

A breast lift is a procedure done to raise and reshape sagging breasts. This situation is common after weight loss, pregnancy, and aging. With aging, the breast skin is stretched and there is a loss of breast volume. Because of the loss of breast volume, the nipples sag downward and there is loss of cleavage.

Mastopexy may or may not involve placement of breast implants. If the sagging is minimal, the problem may be corrected with implants alone. In many cases this is advantageous, as the scarring is less. More extensive sagging usually requires more extensive surgery.

Mastopexy involves making skin incisions around the areola, vertically downward and then under the breast at the inframammary crease. Once the skin incisions are made, the nipple and areola are moved to a more normal position and excess skin from beneath the breast is removed. Closing the incisions recontours the breast to a higher position. If the breast tissue available is inadequate to fill the desired size, breast implants may be placed at the same time.

Mastopexy takes 1-2 hours and is usually done under general anesthesia. Frequently the procedure is done on an outpatient basis and the patient goes home the same day. Strenuous activity is usually curtailed for 3-4 weeks, but regular activity can be resumed in one week.

Breast Augmentation – Breast Implants

Dr. Scherer uses both saline and silicone implants. The surgery is usually done as an outpatient under general anesthesia. Most patients spend the night in the hospital depending on how they feel after surgery. I place implants below the chest muscles as I believe this gives better tissue coverage of the implants and better long term results. A two to three inch incision (larger with silicone implants) is made below the breast in the inframammary fold, where it is all but unnoticeable. The first twenty four hours are generally the most painful. Most patients can resume normal activities after one week, but this varies from patient to patient and job to job. Strenuous activity is avoided for at least two weeks. Complications are low and the large majority of patients are very happy that they have had the procedure done.

Abdominoplasty – Tummy Tuck

A procedure designed to remove excess skin and fatty tissue from the abdomen. It tightens the underlying tissue surrounding the abdominal muscles as well. Many people are left with excess abdominal tissue after childbirth or significant weight loss. Often this remains despite exercise.

Through an incision along the lower abdomen ( like a C-section incision), the skin and fat are separated from the underlying muscles. The muscles are stitched together tightening the abdominal wall. Excess fat and skin are then removed. Surgery takes 2-3 hours and generally requires an overnight hospital stay. Recovery time varies from patient to patient, but most patients are able to return to work in 1-2 weeks, provided that their activity is not too strenuous. This procedure may be covered by insurance. I have also done this in combination with repair of abdominal hernias by general surgeons. This procedure should not be done in patients contemplating pregnancy in the future.

Scar Revision

All surgical and traumatic scars undergo a predictable healing process. The time needed for a scar to mature can take one to two years. Initially scars are more red and can feel quite hard. The redness and firmness should subside with time. There are treatments that can speed along the maturation process but simple things such as avoidance of the sun, massage, and time usually result in a satisfactory scar. Certain conditions of abnormal scar formation may require steroid injections and/or surgery. Scars can also be worse on arms and legs and around joints. It is better to have scars evaluated within the first year if one is unhappy with the scar, as treatment short of surgery can be done before the scar is mature.

Blepharoplasty

Most patients seeking eyelid surgery do so for either excess skin of the upper lids and or fullness of the lower eyelids. Surgery to remove this tissue, either skin and /or fat from the eyelids is referred to as Blepharoplasty. In some cases this is done under local anesthesia but often requires general anesthesia. Surgery may be covered by insurance if the excess skin comes over the eyelid margin and interferes with peripheral vision. Risks are low.
Patients may resume activities one to two days after surgery, but some sutures are not removed for one week. There may be some temporary black/blue discoloration of the eyelids after surgery. Patients will have to avoid strenuous activities that increase blood pressure for two weeks.

Ear Lobe Repair

To repair torn ear lobes or where pierced ears have developed enlarged holes, making it hard to keep an earring in. Ear lobe repair is fairly straight forward. It takes one half hour and is done under local anesthesia. This is often done for torn ear lobes (often from children pulling on a hoop earring), but also in cases where pierced ears have developed enlarged holes, making it hard to keep an earring in. Sometimes the ear can be fixed without the need to repierce the earlobe, but if repiercing becomes necessary, I recommend waiting four to six weeks.