What can I do before I have surgery to enhance the surgical outcome and recovery?

Eat a healthy, balanced diet. What you eat affects both the surface of your skin and the underlying structures, including nerves, blood vessels, cartilage, and muscle tissues. A healthy diet promotes a vibrant complexion and an overall healthy glow. Quit smoking. Smoking affects the blood supply to the skin; it may slow healing time and increase the risk of bleeding and other complications. Exercise! A regular exercise routine pre-operatively will help you post-operatively. Also, relax and prepare yourself mentally for the procedure. A positive mental outlook can actually speed healing time and help you look and feel your best.

Will the insurance company cover any of the costs of surgery?

Reconstructive surgery is covered by most health insurance policies, although the specifics of coverage may vary greatly. Cosmetic surgery, however, is usually not covered by health insurance because it is elective and not considered a medical necessity. You will want to contact your insurance company for more information on your individual coverage.

Are there any lending companies that can assist me in paying for my surgery?

Yes. Dr. Ross A. Clevens and The Center for Facial Cosmetic Surgery offer health care payment options through nationally recognized financial lenders Capital One and CareCredit . With financial support from Capital One or Care Credit you can attain the look youve always wanted with a facial cosmetic procedure with Dr. Ross A. Clevens. With a variety of flexible, low monthly payment options, you can focus on the treatment you want instead of the cost. Please contact our Patient Care Coordinator about the facial plastic procedure you are considering and the flexible payment options with Capital One or CareCredit.

Does skin type affect the surgical results?

Yes. Dr. Ross A. Clevens will carefully assess your skin type because the outcome of your surgery may be affected by such factors as thickness of your skin, the amount of oil it contains, the degree of pigmentation, and the quality of underlying cartilage. It may be necessary to modify, or even avoid certain procedures to minimize the possibility of scarring or prevent undesirable changes in pigmentation.

What is the recovery period for most surgeries?

The healing period for many facial plastic surgery procedures is one to two weeks. Much of the swelling that may occur resolves within this period, and any discoloration can be effectively camouflaged with high-coverage cosmetics. This is just an average, however, and does not pertain to all procedures or combinations of procedures.

How can you help to minimize my downtime?

We realize patients have active lifestyles and want to minimize recovery time as much as possible. That's why Dr. Clevens and Dr. Khelemsky take steps during your procedure to help accelerate your healing process. One option we offer our patients is a natural healing gel that is applied during surgery to help speed recovery and minimize your downtime. This gel is designed to harness the power of your body's own natural healing abilities and can be used to complement nearly all of our cosmetic surgery procedures, including facelifts, laser skin resurfacing, breast and body surgery, hair restoration, and nasal surgery. This natural healing gel is made using the patient's own cells. Immediately upon application, the gel goes to work, speeding healing and shortening recovery time. Dr. Clevens has used this natural cellular healing gel in thousands of procedures over the years and has seen downtime after facial cosmetic surgery shortened by 25-40%. In fact, the results have been so impressive that Dr. Clevens has given lectures and published articles on the use of natural healing gel in plastic and cosmetic surgery throughout the world.

Why should I make sure that my surgery is performed in an accredited surgery center and not in the doctor’s office?

An ambulatory surgery center, such as the ones Dr. Ross A. Clevens operates in undergo strict licensing and tough inspections by the State of Florida, Medicare and independent accrediting organizations just like a hospital does. An office-based operating room does not have to be accredited and usually does not meet the same standards of care. Visit aaahc.org or jcaho.org for more information.

Why is it important to have an MD do anesthesia for my surgery? Who performs the anesthesia if I have surgery with Dr. Clevens?

Dr. Clevens uses board certified physician (M.D.) anesthesiologists to perform anesthesia. These professionals have completed years of rigorous training to meet the highest standards of care. Many other cosmetic surgeons instead use unsupervised nurses to put their patients to sleep.

My son was born with abnormally large ears that do not lay flat against his head. He is now four years old and I would like him to have corrective surgery. Is he too young? I would like to have the surgery before he starts school, but would like an expert opinion.

Surgery to correct protruding ears may be done as early as age five or six. At an earlier age, the ear has not fully formed and is still growing. In another year or so, your son’s cartilage will still be soft and moldable, therefore producing very good results. A consultation with Dr. Clevens would be best to evaluate your son’s situation and develop an optimal plan for him.

Does lack of sleep really affect the appearance of my skin?

Yes, sleep deprivation can affect your health and your appearance. When your body gets enough rest, you awaken with renewed energy, refreshed and ready to go. During sleep, your body fights infection and replaces old cells in organs and muscles. Your skin is the largest organ of your body, and as the skin ages, the collagen and elastin fibers in the skin become less efficient and are replaced at a slower rate. Sleep plays an important role in preventing premature aging of these fibers, and during the deepest stage of sleep, your body releases growth hormones for cell repair. If your sleep is frequently interrupted or of short duration, your body has less time to repair and replenish itself. Without this effect, your skin’s texture, thickness, and elasticity are diminished. Adequate rest, along with a healthy lifestyle, can help your skin rejuvenate and glow on a daily basis.

Do you have any tips to care for my skin overnight?

Yes, make sure you wash your face gently with a mild soap before going to bed. Pat your face, don’t rub, dry. Apply a moisturizer to promote hydration. Dr. Clevens will often prescribe a cream to his patients that will work to lighten and smooth uneven skin tones while you sleep. Also, to reduce morning puffiness try sleeping on your back.

When I look at my smile in the mirror my upper lip disappears. My upper lip has always been thin, but it’s getting thinner over the years, what can I do?

During the aging process, the distance between the base of the nose and the pigmented portion of the lip increases, causing a thinning appearance. Both men and women seek lip enhancement as a means to look more youthful and increase their confidence. Lip augmentations to achieve pouty or voluptuous looking lips can be surgical or non-surgical. Non-surgical lip augmentations can involve various products that can be injected into the lips with little pain, products like Restylane and Juvederm are quickly absorbed into the lips with excellent, but temporary results. Surgical lip augmentation offers a longer lasting result with materials like Gortex or Alloderm, a material made from human dermis. Dr. Clevens achieves full, youthful lips with both long-lasting and non-long-lasting lip augmentation procedures.

I am interested in laser resurfacing for my face. What will I look like right after treatment?

Laser resurfacing is performed to reduce the signs of aging by removing the damaged outer layer of the skin and allowing a new, supple layer to emerge. Immediately following the treatment most patients experience redness and some swelling. Some patients have mild discomfort that can be alleviated with pain medication. Most patients feel uncomfortable returning immediately to work due to the reddened appearance and may take 5-7 days off from work. Each individual responds differently to treatments and Dr. Clevens can review expectations of your recovery with you.

“I am in my early thirties and have two lines between my eyes that are driving me crazy. Is Botox the best solution for this problem?”

Botox may be a very simple and suitable solution, but this depends on the severity of the lines and whether there are any related “problems” that you might want to address. For example, if you are bothered by brows that are too low and wanted to address this surgically, then a long-lasting surgical solution to your vertical frown lines could be achieved with a browlift. As you probably know, Botox injections must be repeated periodically to maintain results.

“What is a board-certified facial plastic surgeon?”

A Board Certified Facial Plastic Surgeon has training specifically in plastic surgery of the face, head and neck. The American Board of Facial Plastic and Reconstructive Surgery (ABFPRS, ww.abfprs.org/”www.abfprs.org) is the recognized board that certifies exclusively in the specialty of facial plastic surgery. In addition to board-certification, a surgeon’s special interest and experience in facial cosmetic surgery as well as documentation of a plastic facial surgeon’s wide experience and training in facial surgery are all important considerations in selecting a qualified surgeon. These requirements indicate extensive knowledge of current facial cosmetic surgical techniques. Equally important is the assurance that your surgeon abides by a strict code of professional conduct, which helps to ensure the highest quality patient care.

“I want plastic surgery to straighten my nose and make it a lot smaller. I have a very big nose with my left nostril closed and my right nostril open. I can’t breathe through my left nostril at all. Is there help for me?”

It seems that you have a functional problem and a cosmetic imbalance with the nose. It appears that you need your septum reconstructed to straighten the nose and alter the other nasal cartilages to recontour the nose. The nose is the most prominent projection of the face. When looking at someone, your eyes are readily attracted to the nose. With specialized training in both rhinoplasty and septoplasty surgery, Dr. Clevens is uniquely qualified to address both the functionality and the appearance of the nose. It is crucial to examine the structure of your nose, both externally and internally, to evaluate what you can expect from surgery.


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