We specialize in cosmetic surgery, including breast augmentation, liposuction, facelifts, rhinoplasty, laser skin resurfacing, and anti-aging medicine. Special packages for cosmetic surgery patients from out of town The latest in cosmetic surgery and anti-aging medicine Contact us about cosmetic surgery before and after photos of breast enlargement and liposuction patients cosmetic surgery fees We offer more than just surgery including  Pilates and anti-aging medicine Questions about cosmetic surgery liposuction, breast enlargement, face lifts, endermologie and more We specialize in cosmetic surgery and anti-aging medicine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
  Questions about cosmetic surgery, Liposuction questions, breast enlargement questions, facelift questions
   
Questions about cosmetic surgery
 

The following are questions
frequently asked by our patients.

If I am having breast augmentation, is it better to go over the muscle or under the muscle?
There are advantages and disadvantages of both approaches, depending on your build; at the Bougainvillea Clinique we provide both options. Most of the data indicates that the risk of hardening around the implant, (capsular contracture) is significantly lower under the muscle, and there is much less chance of having noticeable rippling in the upper part of the breast where it would be noticeable in a swimsuit or low cut dress. We also perform the 'no-touch' technique which seems to significantly cut the risk of hardening. On the other hand, women with larger, lower set breasts, may get a better appearance over the muscle, unless they are prepared to have a breast lift as well.

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If I am having breast augmentation, which incision is best?
There is no best incision. The incision position is your choice! We explain the advantages and disadvantages of the 4 most common approaches; under the breast, around the areola of the nipple, under the arm, and the TUBA (belly button) incision with endoscopic (surgical telescope) control. All of the incisions work well, but we will go over your options and decide what works the best for you depending on your preference.

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Are saline implants safe and how long do they last?
Any individual undergoing breast augmentation must be aware of the two important issues with regard to possible long term problems with implants. The first is that an implant will most likely deflate sooner or later; fortunately the implant manufacturers give lifetime warranties on the implants, and so this is more of a nuisance than a real problem. The average lifespan of an implant is about 15 years. The other concern is the risk of hardening, and for this reason we recommend under the muscle, if your breast shape will accommodate this. Other problems such as infection, can happen but are extremely rare.

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Can I breastfeed after having breast implants?
Though occasional problems with breast feeding have been reported, this is extremely rare. And by far the majority of women who have implants have no problem breast feeding normally.

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How do I know whether I need a breast lift or breast enlargement?
The most important consideration in this regard, is the position of the nipple. If the nipple is at or above the breast fold, then a breast augmentation alone will give you adequate lift. If the nipple is below the fold, then most likely a lift, with or without an augmentation, will be needed to give the best breast shape.

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Liposuction and Body Contouring

What is the difference between tumescent and ultrasonic liposuction?
Liposuction techniques have evolved over the last 15 years, allowing superior results. Newer techniques result in better skin contraction and smoothness, with less blood loss and quicker recovery. Also much larger volumes of fat can be removed with safety, compared to early techniques. The tumescent and superwet techniques, performed at the Bougainvillea Clinique, involve injection of a saltwater solution which has local anaesthetic solution and small amounts of adrenalin in the solution. Ultrasonic liposuction is the latest form of liposuction, which also uses the tumescent or superwet technique, but in addition uses an ultrasonic probe to break up the fat before it is removed. For small liposuction procedures, ultrasonic liposuction is probably unnecessary, ultrasonic liposuction is superior in large volume liposuction, previously difficult areas like the back and enlarged breasts in men, or when additional skin contraction is needed.

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Does liposuction help loose skin and cellulite?
Loose skin will contract to a variable degree with modern techniques of liposuction. Moderate cellulite can sometimes be improved. The limiting factor with liposuction however has always been the ability of the skin to contract. At the Bougainvillea Clinique, we have demonstrated that superior results can be achieved with the addition of Endermologie after liposuction. The benefits are enhanced skin contraction and smoothness, and significant improvement in the appearance of cellulite.

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Is liposuction permanent, and will the fat come back?
Once fat is removed it will not come back, but liposuction will not prevent you from gaining weight if you do not watch your diet. Remember, if you do allow yourself to put on weight, the fat that is left behind will of course expand, though probably to a lesser degree than if you had not had liposuction. At the Bougainvillea Clinique we help with weight loss, anti-aging and nutritional programs as well as Endermologie and Pilates body conditioning to help you stay looking good after liposuction.

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People say the fat comes back in other places, is this true?
This is not true, however if you allow yourself to gain weight, you will most likely gain weight disproportionately in untreated areas. This may give the impression that the fat is coming back in other areas. After puberty, most of us gain weight by storing more fat in the fat cells we have, not by getting more fat cells. So the untreated areas will be able to store more fat than the areas that have been treated with liposuction. There is also some evidence that after liposuction, an individual's metabolic 'setpoint' may be lower, making it easier to keep weight off. Once again, at the Bougainvillea Clinique we provide numerous treatments and programs to help you enhance and maintain your result.

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Facial Rejunvenation and Skin Care

How long does a facelift last?
Most experts agree that the average facelift lasts 8-10 years, but I would rather that patients thought of it that the procedure will make them look 8-10 years younger, and that the clock starts running again after the procedure. At the Bougainvillea Clinique we strongly encourage our patients to take advantage of programs that will significantly extend the time that their facial rejuvenation procedures will last. A balanced medical skin aging process to a significant degree. Other anti-aging and lifestyle interventions available at the Bougainvillea Clinique will go a long way to keep you looking younger.

I do not want a facelift yet, but is there anything I can do to take care of some of these lines and the little bit of sagging skin I see in the mirror? There are many options available to make a significant difference without a complete facelift. These include a skin health program, laser or chemical skin resurfacing, and minimally invasive endoscopic techniques. At the Bougainvillea Clinique, we will explain the options available to you. If a facelift really is the best option we will of course recommend it too.

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Why do I have brown patches and spots on my skin?
Can I do something about it? The most common cause of uneven skin discoloration is sundamage. The first step is to protect your skin from the sun, and then to do something about reversing the sun induced damage and aging changes. Treating the deep layers of the skin with anti-aging products such as Retin-A, and adding blending products to help smooth uneven discoloration, followed by a procedure like the Obagi Blue TCA Peel or even laser resurfacing, can dramatically improve the health and appearance of sun damaged skin.

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How do I know whether I need a tummy tuck or liposuction for my stubborn midsection?
Whether or not a tummy tuck or liposuction is best for you depends on how much extra skin you have around your abdomen, and what you are trying to achieve. If your only wish is to take off inches, then ultrasonic liposuction can go a long way to helping you achieve this without the larger tummy tuck procedures. If on the other hand you have a significant amount of excess skin and you want the tightest possible tummy, then a tummy tuck may be your best option. At the Bougainvillea Clinique we will help you make the decision regarding the best procedure for you.

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How do I know if I need liposuction or Endermologie?
The way your figure looks depends on the amount and condition of fat and skin. Liposuction removes the fat, but the ultimate outcome depends on the ability of your skin to shrink. Endermologie helps improve the condition and tone of your skin, enhancing any liposuction result. Endermologie will not remove significant bulges of fat, but it will help smooth, tone and tighten the skin and improve the appearance of cellulite. That is why at the Bougainvillea Clinique we recommend Endermologie for all our liposuction patients who want to look and feel their best. If fat is the problem, then liposuction is appropriate, if poor skin tone is the problem then Endermologie will help tighten the skin. For most people, fat and skin are an issue, so both liposuction and Endermologie are recommended. If the skin is really loose and in poor condition, then only skin excision procedures such as tummy tucks and body lifts will help.

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For more information on BOTOX® Cosmetic, please e-mail us or call us at
407-678-3116.

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407-678-3116

Questions about cosmetic surgery and liposuction
For Your Health, Beauty, and Longevity.

4355 Bear Gully Road
Winter Park, FL 32792

     
   
     
   

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Disclaimer: The information throughout the Bougainvillea Clinique of Winter Park, Fl website is not intended to be taken as Cosmetic surgery advice. The information throughout this cosmetic surgery web site is intended to provide general information regarding plasic surgery in Florida. If you are interested in cosmetic surgery in the Winter Park, and Orlando, Florida area, contact Dr. Jeffrey Hartog, M.D. today.

Bougainvillea Clinique