Cirugia Estetica explicada More info: https://widderplasticsurgery.com/es/ Email: [email protected]
Testimonial Tummy Tuck and Breast Lift More info: https://widderplasticsurgery.com Email: [email protected]
Testimonial of Cosmetic Surgery More info: https://widderplasticsurgery.com Email: [email protected]
My name is Dr. Widder. I’ve been in practice for 30 years, I’m a board-certified plastic surgeon. I perform my surgery in my accredited surgery center in Tysons Corner, Vienna, Virginia.
When choosing a plastic surgeon, it’s very important that you select the right plastic surgeon for you. Not every plastic surgeon can deliver to you what you’re looking for. The most important that that you look in a plastic surgeon is your safety. A lot of surgeons can perform the surgery, but some of them try to deliver excessively, putting your safety at risk. Your safety is number one.
How do you judge about the safety of the patient? Board certification.
Make sure your surgeon is board-certified. Make sure that he operates in an accredited surgery center, that all the element of taking care of you and safety are in the office, so in the event that something, God forbid, happens, he’ll be able to handle it. Obviously, the experience of the surgeon is a critical element in the ability to deliver a good result, because the more the surgeon operates, the more surgery he performs, and the better he becomes. Make sure that the result that he presents in the photo gallery are the result that you’re looking for.
When you meet with the surgeon, make sure that you meet a person who is passionate about you, that want to make you happy, that want to bring a big change in your life that you are looking for: increase your confidence, increase your self-esteem. For women, increase your sense of femininity, and for men, increase a sense of masculinity.
What sets me apart is my passion for the surgery, my experience, my ability to listen to the patient and deliver to the patient exactly what they are looking for. That’s where the photo gallery is very important because if you look at the picture, you will see if I’m able to deliver the results. When the patient meets with me, it is critical that communication is clear. What exactly is troubling them, if their surgeon is able to deliver.
For me, beauty means that the patient looks natural, that the element of balance and harmony and proportionality are being achieved. Because if any of those elements is exaggerated or not there, the beauty would not be there. One other thing that I always talk to about my patients is about the eyebrow test. If the eyebrow is going up when someone looks at you, something is wrong. If somebody looks at you and the eyebrows stay where they are, that means that they like what they see and it’s acceptable.
In my practice, when one looks at my patient, the eyebrows stay where they belong because they have a natural look. Many of my patients tell me that nobody knows what procedure they had done, they just notice that something is different, something has changed, but they cannot pinpoint the procedure that was done. For me, that’s the goal. One of the best things about being a plastic surgeon is making patients happy. When the patient comes in the office and she’s all smiling and she hugs me and kisses me, for me, that’s the most exciting part of my profession, because I’ve been doing it for so many years and I’ve done so many surgeries, thousands. I have over 10,000 patients. For me, doing the procedure is basically a routine. What’s not routine is the patient’s reaction. That’s always different.
Every patient is different, and so when they are happy and when they are excited, and when I help them to achieve their goals, that brings a lot of satisfaction. I have one patient that I operated very young age, I did the breast augmentation on her, because she had no confidence, didn’t go to the gym, and was hiding. She came to visit me after the procedure, a few years after the procedure when she was in college, and she thanked me for the tremendous impact that I had on her life. So for me, at this stage of my life, that’s the satisfaction and reward that I’m getting from surgery.
Dr. Widder: Well, the patient is a typical young lady, mother of two, and she’s in with skin atrophy, muscle atrophy, and stretch marks. So the procedure we’re planning for today is tummy tuck [inaudible 00:00:42]. Tummy tuck, the most common procedure, is a tightening of the skin and the muscle. It’s very rare that we don’t do the muscle tightening because, during the pregnancy, the muscle stretches, loosens up, and creates the bulge. Doing only the skin would not be very nice to yourself.
I separated the belly button and the umbilicus from the surrounding tissue. So the yellow … stopping the thread and I’m raising the fat from the fascia. The white is the fascia, the thread that covers the muscle.
I’m expecting to go all the way from the pubic bone to the chest bone. And you can see how loose the muscle is from the pregnancy. You’ll see it when I tighten the muscle, you’ll have a big background result from the skin. But initially just going to roger in just between the other and then I’ll fill the suture that will run all along the marking or dashes that will tighten the muscle all across from the chest bone to the pubic bone. You can see how much I tightened it … space between the muscle … that’s only the beginning. We’ll go even further, almost the whole thing will be gone. So there are surgeons that are the two procedures together, but my philosophy is safety comes first. And I recommend to screen the surgeons. Do the tummy tuck first, and then the breast surgery. You do the two procedures … The pain is significant … Patients stay in bed because they cannot move much … It’s hard to be employed because if they need to go to the bathroom, they’re in too much discomfort and pain. As a result, they can develop lockjaw. So for me, the safety is number one. Obviously we’re going to get a nice result. We like to avoid any bulging of the abdomen in this process. So we’re going two times, two lines of the tummy procedure that for me, north to south. They are just a safety to make sure that the procedure doesn’t loosen up in the recursive phase. What I’m doing now, I’m burying a knot so the patient cannot feel it through her skin. Especially if they lose weight or they do laser liposuction, because the skin is so thin, they can feel the knots, so I bury it. And doctors who do also liposuction usually come in through another group because of the risks. There was an article recently … The data was based on an insurance company that does only cosmetic surgery, and they showed that if you combined tummy tuck and liposuction the complication rate is ten times higher than tummy tuck alone. It’s not worth it. Also, most of my patients don’t need liposuction after the tummy tuck because I tighten the muscle significantly and they lose weight as a result. And see, even though she is kind of sitting up, you can see that the stomach is still flat. You’re usually gonna be roughly loose in the seat, but you have nothing to worry about. Now, I’m doing the quilting. So, I don’t use drain on my tummy tuck, like many other surgeons. I use a different technique, which is called the quilting. I stitch the fascia of the skin to the fascia of the muscles and that prevents fluid buildup. And we’re taking out almost all of the stretch marks. You’re not going to have any stretch marks. It will look like you never had children.
Dr. Widder: The pledget that I am putting inside the cavity is soaked with Heparin, which is a vasoconstrictor. It stops the bleeding, allows the procedure to be done without a disturbing view. The concern is the appearance of his nose. He didn’t like the hump and he had a problem with breathing so he wanted me to improve on nasal breathing. He requested specifically not to change the width of the alars and the tip of the nose, he wanted it to stay the same. We will comply with his request.
I’m starting the procedure with a cleaning of the hair in nostrils. So we’re starting the procedure with the septoplasty turbinectomy. That also will allow me to harvest the cartilage and then later on for the columella to create a nicer show at the time. So what I’m doing now I’m exposing the septum and then we’ll remove the part of the septum that is obstructing the airway. And now I pass the cartilage spot and I’m exposing the bone cartilage septum. And now I’m going to remove the obstructing bone part. So this was the part of the septoplasty, which I removed the obstructing cartilage and bone. Now I’m injecting the turbinate with local anesthesia to prevent the turbinate from bleeding when I remove it; Partially remove it. So we’re done with the septoplasty and turbinectomy and we gonna start with the rhino.
This technique of the rhinoplasty is called the open technique, which means I make an incision in the columella and lift of the skin and everything is exposed. The harder technique of closed rhinoplasty doesn’t give you as much exposure so I prefer the open technique. It is nowadays the most popular. The incision is made with the so-called Seagull Wing Technique. And that allows the scar to be almost invisible because it brakes the line of incision. So it’s not a straight line, it’s a broken line in a seagull type incision. So the rhinoplasty procedure is based on the life-sized photograph, which I believe you can see it over there, the life-sized photograph, which I draw before surgery. And it allows me to measure how much tissue I’m going to remove. I review the drawing with the patient before surgery and if he likes the surgical planning, we proceed with the surgery. So I’m lifting now the skin from the so-called lower lateral cartilage, which are the cartilages that creating the dome of the tip of the nose. So, after exposing the lower lateral cartilage, I’m exposing now the dorsum of the nose, which is made of cartilage and bone. But we left the bridge of cartilage, which I had to reduce in order to give him a nice slope and get rid of the hump. Now I’m lifting the skin from the bone. The rasp, that’s the smoothing out that bony part. If there’s any part that is not smooth, using the rasp will even it out and bring it to the desired level.
Dr. Widder: This patient is a 26-year-old female who had two pregnancies, and she presents with a breast size 36 small A. She doesn’t have severe droopiness or ptosis. However, her nipples are large and she didn’t want them to get larger stretching into the areola. She also wanted to have a more youthful look. So that’s why we’re doing the procedure. So before the procedure, I mark the areola and the inner location of the nipples. I raised it up about half an inch. Then I injected the patient with fluro-octane anesthesia, marcaine, and I also gave her integral sub-block. That will prevent her from having much pain when she goes home.
Dr. Widder: This patient is a 28 years old, young female. She had a tummy tuck before, it was very hard to resolve. And now she’s down for a breast augmentation. The plan is to give her 34, full C cup implants. So we’re using the 425 cc saline implant. We’re going to fill up to 450 or 475. So I use in all my patients the sub-areolar incision. This is a much better technique than the sub-mammary crease, which is over here because the scar here is much nicer for the skin is thinner. Also, it’s hidden by the natural color difference between the skin and the areola. But the most important thing, that it allows me to reach the cleavage area and give a nice and predictable cleavage whereas the incision here is too far. Also, there are big blood vessels over here in the cleavage area, which I can control very easily through that incision. Whereas from here, from the sub-mammary incision, it’s too far to control and the doctors are afraid to dissect the area. And so if you look at the before and after picture of that doctor you will see that they have a wide cleavage. And the reason is that they don’t dissect the muscle to the midline. So now I’m dissecting through the lower pole of the breast, down to the muscle. And then I will free the muscle and create a pocket under the muscle.
So you can see how precise the recreation of the sub-mammary pole. Where I can see from above and it is very precise.