Category Archives: Plastic Surgery

Breast reduction is major cosmetic surgery procedure that will involve a considerable recovery time. The patient should know in advance about the estimated downtime and period of full recovery in order to prepare appropriately for it. Board certified plastic surgeon Dr. Bryson Richards provides breast reduction to patients in Las Vegas, NV and surrounding communities.

Immediate Post-Op Phase

Following the breast reduction procedure, the surgeon will place drains below the skin in the incision areas to prevent fluid build-up. The drains will remain in place for about a week, and the surgeon will provide specific instructions about emptying the drain every day and measuring the amount of fluid collected.

The breasts will be wrapped in sterile dressings immediately after the breast reduction plastic surgery. These may have to be changed after one to two days, and will eventually be replaced with a surgical bra. The patient will be required to wear the surgical bra for several weeks to support healing.

First Two Weeks

Mild bruising and swelling will occur after the surgery, but will gradually subside over a few weeks. The surgeon may recommend the use of a moisturizer over the breast area to mitigate dryness and itching, while avoiding direct application over the incisions. If the surgeon has placed removable stitches to close the incisions, these may be removed around the end of first week along with the drain tubes.

Heavy lifting of weights, excessive bending, strenuous exercises and other vigorous activities should be avoided for at least two to three weeks after breast reduction. Depending on their profession, most patients can return to work in about 10 days after the surgery. Sexual activity should be avoided for at least one week or more because sexual arousal can lead to inflammation in the incision sites.

First Few Months

The patient should ensure that any contact with the breasts is gentle for the first one to two months following breast reduction. During the first menstrual period following the surgery, the breasts may swell and become tender. Some women may experience intermittent pain in the initial months, particularly during menstruation. Mild pain meds may be prescribed by the cosmetic surgeon to make the recovery process more comfortable.

Altered sensation may occur in the nipples and incision areas following breast reduction. Some women may experience numbness in these areas for up to a year, while some others may complain of hypersensitivity in the breast area. In most cases, these changes are temporary and will resolve over time on their own. Dr. Richards receives patients from Las Vegas, NV and nearby areas for breast reduction surgery.

Long-term Recovery

Breast reduction surgery will typically involve significant disruption of the breast tissue. Therefore, it may take about six months to a year before the swelling is completely resolved. Full results of the surgery will become apparent only at that stage.

Breast reduction scars will appear red and lumpy for several months before they start fading to thin white lines. Patients who follow all recovery instructions of the surgeon will be able to have a safer and faster recovery.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Breast reduction, clinically called reduction mammaplasty, is a cosmetic surgery procedure to reduce the size and volume of excessively large breasts to make them more proportionate to the rest of the body.

Although many women choose breast reduction for cosmetic enhancement, but it may also be a medically necessary surgery for some women who experience persistent pain and skin rashes or irritation due to oversized breasts.

Problems with Oversized Breasts

Overly large breasts will not just compromise the body’s balance and proportion, but also cause difficulties in the execution of some types of physical movements, sports activities, and simple acts involving bending. A lot of women with this problem are reluctant to wear tighter clothes of their choice, and feel embarrassed about their body in social settings.

Excessively large breasts may also create medical issues such as frequent pain and discomfort in the back, shoulders and neck. Rashes or skin infection may occur in the breast fold or crease. Board certified plastic surgeon Dr. Bryson Richards provides breast reduction and various other cosmetic and reconstructive procedures to patients in Las Vegas, NV and surrounding communities.

Candidacy

Breast reduction plastic surgery procedure may be recommended to healthy woman who is bothered by the appearance of very heavy and pendulous breasts. Some of the candidates may not have a cosmetic concern, but may be suffering from physical discomfort or movement limitations, or may feel self-conscious in their social life due to their overly large breasts.

A magnificent candidate will be a non-smoker or committed to refrain for smoking for a certain period prescribed by the surgeon. She should have a positive mindset, clear aesthetic priorities, and realistic expectations. She should also be dedicated to maintaining a healthy diet and active lifestyle after the surgery.

Procedure

After placing the patient under anesthesia, the cosmetic surgeon will begin the breast reduction procedure by making an incision in an inconspicuous location as per the pre-determined surgical plan. The incision may be placed around the areola or created in a keyhole pattern. Vertical or anchor shaped incisions may be used depending on the extent of fat tissue to be removed.

The surgeon will then remove the excess breast fat tissue through the incision and excise the loose skin. Underlying weak breast muscles may be tightened in a few cases. Resizing of the areolas and repositioning of nipples may also be performed. The surgeon will suture the breast tissue deep inside to support the new breast shape.

Following the breast reduction, the surgeon will carefully close the incisions with removable or dissolvable sutures. Dr. Richards receives patients from Las Vegas, NV and nearby areas for breast reduction and other surgical and non-surgical procedures.

Recovery

Within a week to 10 days after the breast reduction surgery, most patients will be in a position to return to their regular daily activities or go back to work. Bruising in the incision areas will subside from the second week, but swelling will dissipate gradually over a period of several weeks or months.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Breast revision is usually a more complex procedure than the primary breast cosmetic surgery. The patient may seek this procedure if she is dissatisfied with the aesthetic results of the primary surgery, or a complication has developed with the breast implants. The surgeon will educate the patient on all aspects of breast revision during the initial consultation.

Many surgeons prefer to present breast revision before and after photographs at the time of initial consultation. The first goal of the surgeon is to help the patient make a well-considered decision about breast revision. Board certified plastic surgeon Dr. Bryson Richards provides breast revision to patients in Las Vegas, NV and surrounding communities.

What are Breast Revision Before and After Photographs?

Before and after photographs in case of breast revision plastic surgery refer to a pair or group of pictures belonging to a previous patient who has undergone a similar revision procedure with a satisfactory outcome. The photographs include pictures taken before the surgery and after the surgery at a stage when the bruising and swelling in the incision areas has been completely resolved and full effects of breast revision are visible.

The breast surgeon will take care to ensure that breast revision before and after images are obtained with the full consent of the patient and shown to new patients in an appropriate manner. The patient’s identity may be kept confidential as required. The only purpose of the surgeon in this exercise is to use these photographs as a visual aid to explain the potential effectiveness of breast revision to new patients.

Advantages 

When a patient is considering breast revision surgery, she is more likely to be apprehensive about the outcome because she already had an undesirable result in the primary procedure. To reassure her about the revision procedure, the surgeon may make use of breast revision before and after photos.

Some patients may require minor improvements following breast lift or breast reduction, while some others may need breast implant removal or replacement following breast augmentation. The procedure and the outcomes in each case will vary, and the surgeon can help the patient to make best decisions with the help of breast revision before and after photos.

Maintaining Realistic Expectations

At the time of breast revision consultation, the cosmetic surgeon will be more careful about explaining the limitations of the revision procedure, and how far it may help to correct the problems caused by the primary surgery. The patient will be able to appreciate the results much better when she has realistic expectations.

Therefore, experienced surgeons prefer to present breast revision before and after photos at the very first consultation to let the patient know clearly what the procedure can or cannot do for her. This mitigates the risk of any disappointment occurring at a later stage for the patient. Dr. Richards receives patients from Las Vegas, NV and nearby areas for breast revision.

The plastic surgeon also has the option to present breast revision plastic surgery before and after photos on their practice website to provide free online access to the photos to new patients. Now patients can make vital decisions based on valuable information they can obtain from the comfort of their home or sitting down with their laptop at the nearby grocery store at the interior coffee shop. With vivid website pictures, patients can make more informed decisions without taking up so much of the surgeon having them explain to them the procedure.

Digital technology has altered the landscape of so many industries and the plastic surgery community is one of them. Now patients do not have to rely on picture books, the spoken word, or some brochure that only offers a glimpse on what breast implant surgery is really about and what it entails. Now patients can have a clearer reference point and a better understanding on what they are signing up for.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Recovery is a vital component of any breast revision cosmetic surgery procedure. The breast surgeon will discuss all aspects of the recovery and informed the estimated recovery time to the patient at the time of initial consultation. This will allow the patient to plan for recovery in advance and apply for leave from their workplace as required.

Dr. Bryson Richards is a board certified plastic surgeon providing breast revision and various other procedures. Dr. Richards will give detailed post-surgical care instructions and help the patient to go through a safer and faster recovery. Patients in Las Vegas, NV and surrounding communities have an opportunity to receive breast revision surgery from Dr. Richards.

Estimated Downtime

The patient should be prepared to go through a certain amount of downtime following breast revision plastic surgery. Revision procedures are less common in case of breast lift or breast reduction, but if a revision is necessary, it may involve a downtime of a week to 10 days in these procedures. In many cases, the downtime involved in these revision procedures may be more than what they had to undergo during the primary surgery.

In case of breast augmentation revision surgery, the downtime will depend on whether the procedure involves breast implant replacement or removal. In case of replacement, the procedure is usually simpler, and may only involve a downtime of five to seven days. However, in case of breast implant removal, the downtime may be about 10 to 14 days because the procedure is usually accompanied by breast lift surgery.

In any case, the downtime as well as the overall recovery period will vary from one patient to another depending on the size of breasts, the type of surgical technique used, the size of implants, the extent of revision required, the patient’s natural ability to heal, and how diligently she follows the surgeon’s recovery instructions.

Guidelines for a Speedy Recovery

Following breast revision surgery, the patient should take plenty of rest during the first week and stay hydrated. Short walks in the home are encouraged in this period to promote blood flow and expedite healing. Vigorous activities that put a strain on the incisions, heavy weight lifting, and excessive bending should be avoided for at least two to three weeks.

The patient should strictly adhere to the instructions of the cosmetic surgeon regarding refraining from smoking and avoiding certain medications, herbal supplements and vitamins even after the surgery. Smoking can interfere with the healing process and create complications. The incision areas should be kept clean and free of contact as far as possible to minimize the risk of infection.

In the first two to three days after the surgery, cold compresses should be applied over the incisions. This will help to reduce swelling. The patient should sleep on her back in a slightly elevated position to mitigate the pressure on the breasts. Post-surgical diet should be rich in lean proteins, which will support faster tissue healing. Dr. Richards receives patients from Las Vegas, NV and nearby areas for breast revision surgery.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Breast revision may have to be performed in a situation where the patient is not satisfied with the results of the primary breast cosmetic surgery, or specifically in case of breast augmentation, the implants have developed a complication.

During the initial consultation, the breast surgeon will discuss all aspects of the revision procedure, including its estimated costs. Board certified plastic surgeon Dr. Bryson Richards provides breast revision procedures to patients in Las Vegas, NV and surrounding communities.

Price Variations

Breast revision plastic surgery may be required for any breast procedure such as breast augmentation, breast lift or breast reduction. The cost of surgery will vary in each case, depending on the length and complexity of the procedure. While complications are rare in case of breast lift or breast reduction, a patient may require revision if she is unhappy with the results.

The monetary amount of revision surgery in these procedures may be higher than that of primary surgery because revisions are usually more complex. If the primary surgery was incorrect due to the surgeon’s error, they may perform the revision procedure for free, depending on their policy for revision surgeries.

The dollar figure of revision surgery in case of breast augmentation will vary according to the patient’s decision to choose implant removal or replacement. Implant removal surgery will usually involve breast lift as an additional procedure, which will have additional costs. In case of implant replacement, the procedure will be simpler but will have the additional costs of new implants.

Implant financial factors in case of revision breast augmentation procedures may be covered under the warranty program offered by the implant manufacturer. Dr. Richards is an experienced cosmetic surgeon receiving patients from Las Vegas, NV and nearby areas for breast revision procedures.

Other Price Factors

The monetary amount of breast revision surgery can vary from one practice to another depending on where the practice is located. Prime urban centers, popular tourist destinations, and cities along the coasts will typically have higher real estate costs and other living costs. Therefore, the average costs of goods and services, including cosmetic procedures, will generally be higher in these locations.

If the breast revision procedure is performed using general anesthesia, the fee charged by an anesthesiologist or a registered anesthetist nurse, will vary according to their qualifications and experience. The procedure may be performed at a hospital, accredited surgical center or a private surgical suite. The costs and benefits will differ in each case.

Patients should also account for pre- and post-operative expenses such as medical tests, specialized mammograms, prescription drugs, surgical bra, and post-surgical appointments with the surgeon. These minor costs can add up to a significant amount, and should be included in the breast revision cost estimate.

Insurance and Financing

Insurance coverage will rarely be available for breast revision because the primary breast cosmetic surgery is an elective procedure. However, patients can explore various financing options such as low interest loans from professional medical care financing firms, bank loans, credit cards, and borrowings from family and friends.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Breast augmentation revision surgery is designed to replace or remove breast implants to treat any complications that may have arisen following the primary breast enhancement cosmetic surgery procedure. Capsular contracture is a major cause of complications, which usually requires breast revision to remove or replace distorted, damaged, malpositioned, or leaking implants.

In many cases, breast revision surgery will be more complicated than the primary procedure. Implant removal, in particular, may have to be accompanied by breast lift surgery to restore youthful looking breasts. Board certified plastic surgeon Dr. Bryson Richards provides breast augmentation revision to patients in Las Vegas, NV and surrounding communities.

Removal of Saline Implants

In breast augmentation revision plastic surgery, the patient will usually have a choice to remove the implants or replace them with new ones. In case of saline implant removal, the surgeon will first deflate the implant before removing it. Saline solution is harmless to the body, which allows the surgeon to perform this technique for less invasive implant removal.

Scar tissue will usually be removed along with the implant. Insertion of new implants or a breast lift surgery will be performed at the same time once the original implants have been taken out. Revision surgery may be performed using general anesthesia or IV sedation, and may take about one hour to complete.

Removal of Silicone Implants

The cosmetic surgeon will examine the silicone implant for any signs of damage prior to its removal. The goal is to prevent leakage of silicone gel and minimize the risk. If the implants textured, their removal may be a little more complicated. In some cases, the surrounding muscle and tissue may have to be removed along with the implant.

Scar revision, breast lift or implant replacement procedures will be performed at the same time following the primary implant removal. The length of the procedure may vary according to the type of procedures performed. Dr. Richards receives patients from Las Vegas, NV and nearby areas for silicone implants.

Replacement of Implants

Breast implant replacement is quite similar to the primary breast augmentation surgery. Implant replacement options will be evaluated after taking into account the type of complications that the original implants may have caused. The original implant size, shape, texture, or positioning of the implants may have contributed to the complications.

The surgeon will prepare a breast implant replacement plan after reviewing all aspects. If the patient was unsatisfied with the aesthetic outcome of the original implants, the surgeon will usually recommend a different type and size of implant for the replacement surgery. The patient should consider the pros and cons of each implant option and also look at the latest ultra-cohesive silicone implant options.

Recovery

Recovery will be simpler and faster in case of implant replacement where the original incisions are used to replace similar type and size of implants. Implant removal may involve a slightly longer downtime because it may have to be combined with breast lift surgery. Most women can expect to resume their normal activities in one to two weeks after the revision surgery.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Prior to eyelid cosmetic surgery, the patient is like to have several questions for which they seek clear answers. The surgeon will address these questions, doubts and concerns during the pre-operative consultation to help the patient make a well-informed decision.

It may be a good idea to prepare a checklist of questions in advance. This will ensure that the patient does not forget to ask any question during their pre-op consultation with the patient. Board certified plastic surgeon Dr. Bryson Richards provides blepharoplasty to patients in Las Vegas, NV and surrounding locations.

Checklist of Questions

The patient’s list of questions to ask during the pre-operative consultation for eyelid plastic surgery may include the following:

• Are you a board certified plastic surgeon?
• How many years of training and experience in surgical procedures do you have?
• Have you performed eyelid surgery before, and what has been success rate?
• What are the cosmetic improvements I can expect after blepharoplasty?
• Will the surgery be performed using local or general anesthesia?
• Am I a candidate for upper or lower blepharoplasty or both?
• Are there any less invasive treatment options to rejuvenate the eyelids?
• Are there any risks and complications that I should know of?
• Can you provide me with a video of the procedure or some reading material or published papers related to this surgery?
• Can you provide with patient testimonials of individuals who have undergone this procedure previously?
• Will I be provided with eyelid surgery before and after photos?
• Are there any preparations that I am expected to do before the facelift?
• Will the procedure involve significant pain?
• For how many years the effects of blepharoplasty will sustain?
• Do you have a policy regarding revision surgery?
• If some people in my family have puffy eyelids, is there a chance that I may get the same?
• Are there any medical conditions that could rule out my candidacy for blepharoplasty.
• How long it will take to perform the procedure?
• How much will be the estimated downtime following the surgery?
• Where will you perform the surgery? Will be an accredited surgical center?
• If the surgery is performed at a hospital, can I choose the hospital?
• Do you have staff privileges at one or more local hospitals?
• What will be the estimated cost of eyelid surgery?
• Are there any additional costs before and after the surgery that I should be aware of?
• How long will it be before the full results of blepharoplasty appear and the complete swelling subsides?
• Is it possible to have insurance covering this procedure?
• Can your office staff assist with insurance and financing aspects for this procedure?

A dedicated cosmetic surgeon will try to address these questions transparently and accurately. Some surgeons will answer most of these questions on their own even before the patient begins with their list of queries. Dr. Richards receives patients from Las Vegas, NV and nearby areas.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

A sterling preparation for facelift cosmetic surgery will help to keep the patient healthy and relaxed before, during, and after the procedure. Preparation starts at the time of pre-operative consultation. Patients who are well-prepared for the facelift surgery will usually achieve safer and more desirable outcomes.

Board certified plastic surgeon Dr. Bryson Richards provides facelift to patients in Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV, and surrounding locations.

Tobacco and Blood Thinners

At least two to three weeks prior to facelift plastic surgery, the patient will have to stop the use of tobacco in any form. The habit of smoking prevents oxygen from flowing freely in the blood, which can delay healing and increase the risk of surgical complications.

Blood thinning medications, vitamin E and herbal supplements will also have to be stopped. The schedule of any prescribed drugs may have to be altered in consultation with the physician.

Practical Arrangements

Working people should apply for about one to two weeks leave from work to allow for safe healing at home after facelift surgery. Even non-working patients should start mentally preparing for the downtime. Arrangements for transportation from the surgical facility to home as well as after-care should be made well in advance.

Any major household chores should be completed before the surgery so that the patient is under minimal stress during the post-operative phase. The patient may consider preparing a ‘recovery kit’ that can include various handy items that may be needed during the initial downtime period. These may include:

• Prescription medications and antibiotics
• Over the counter pain meds
• Bandages
• Several pillows to keep the head elevated
• Button-down garments that do not require going overhead
• Favorite movie DVDs and music CDs

The Day before Surgery

The patient should have a thoroughly wash the hair on the day prior to the facelift surgery. This will help to reduce the risk of infection during the procedure. Alcohol must not be consumed at least one night prior to the surgery. The patient should make sure to rest sufficiently and have a good night’s sleep so that they are well-rested during the procedure.

The Day of Surgery

The patient may be administered some medication to relieve their anxiety on the morning of the surgery. Antibiotic regimen may also be started prior to the surgery. The procedure can take between two and four hours, so the patient and their attendant should have an idea of how long it may continue.

Once the procedure is over, the patient will be moved to an observation area for a few hours before they can return home. Before leaving, the surgeon will usually provide a detailed list of recovery instructions along with the date of first post-op appointment.

Transport and Aftercare

The patient should have someone to drive them back home after the surgery. For the first few days following the surgery, having some to help with daily chores can make the recovery easier. Experienced cosmetic surgeon Dr. Richards receives patients from Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV, and nearby areas for facelift.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

When an individual chooses a surgeon for facelift cosmetic surgery, they will go through a process of detailed consultation.

This consultation is a vital component of the procedure, and the surgical planning will be based primarily on the outcome of this component. Board certified plastic surgeon Dr. Bryson Richards provides facelift to patients in Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV, and surrounding locations.

Determining Candidacy

The first step of the consultation process will be to determine whether or not the patient is a good candidate for facelift plastic surgery. The patient’s medical history, degree of skin laxity and skin type, and her goals for treatment will be carefully assessed. The patient should be forthright with the surgeon about all aspects, especially regarding medical history and the use of tobacco and alcohol.

Discussing about Health

If the patient suffers from any pre-existing health conditions such as an autoimmune disorder, obesity or a skin disease, the surgeon will carefully consider whether they are fit to go through a traditional facelift procedure. If any existing medical condition may interfere with the surgery or hamper the recovery, it may not be worth the risk to have a cosmetic treatment such as facelift.

The surgeon will learn more about the patient through their health history, current or recent medications, and previous surgeries, if any. A few medical tests may be ordered, if required, to ensure candidacy. Based on the patient’s age, body weight, facial structure, skin type and skin laxity, the surgeon may recommend facelift as an independent procedure or in combination with another procedure.

Discussing Personal Goals

The patient should freely discuss their innate aesthetic needs and goals during the facelift consultation. Some patients may want to take several years off the face and create a dramatically younger look for both the face and the neck. On the other hand, some other patients may only want a subtle lift to the face or a maintenance procedure to prevent the onset of conspicuous aging.

The surgeon must have a clear idea of what the patient truly wants from the procedure. That will help them to create a delicate balance between the patient’s goals and their natural facial anatomy and structure. Highest patient satisfaction levels are usually achieved when the patient engages in free and frank communication with the surgeon. Dr. Richards receives patients from Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV, and nearby areas.

Discussing other Concerns

The patient should frankly discuss with the surgeon about all the doubts and concerns that they may have about the procedure, the estimated costs, the surgeon’s credentials, and the surgeon’s practice. A committed surgeon will address all these concerns in a detailed and accurate manner. They will help the patient to make a well-considered decision about facelift surgery.

During the initial consultation, the patient should also request for facelift surgery before and after images and testimonials of previous patients who have received facelift. This will make them more assured about the procedure and will allow them to have realistic expectations from it.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Blepharoplasty, commonly known as eyelid surgery, is a cosmetic surgery procedure designed to rejuvenate the area around the eyelids and restore alert, youthful appearance to the eyes. The procedure involves a number of steps, which can slightly vary depending on the correction required in upper, lower, or both eyelids.

Dr. Bryson Richards is a board certified plastic surgeon providing eyelid surgery and various other surgical and non-surgical cosmetic procedures. Dr. Richards will discuss the procedure steps during the pre-op consultation and address any concerns and doubts of the patient in detail. He provides blepharoplasty to patients in Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV, and surrounding locations.

Administering Anesthesia

Although eyelid lift plastic surgery is generally performed using local anesthesia and IV sedation, sometimes general anesthesia may be chosen, depending on the extent of surgery or the patient’s anxiety levels. In either case, the patient will be unconscious and fully comfortable while the procedure is performed.

Depending on the circumstances, an anesthesiologist or a certified anesthetist nurse will remain present throughout the procedure to monitor the patient. The decision about general anesthesia will be taken only after careful evaluation of the patient’s health history and current medical condition.

Lower Blepharoplasty

Lower eyelid surgery will involve small incisions placed in discreet locations to keep the scarring less conspicuous. Natural skin creases underneath the lower eyelashes may be used to create tiny incisions that will heal well and remain hidden. Loose skin and excess fat will be removed through the incisions. Underlying muscles may also be tightened in some cases.

If hollows exist under the lower eyelids, dermal filler injections or fat transfer procedure may be used to create a more even look. Once the procedure is completed, the surgeon will close the incisions with fine sutures.

Upper Blepharoplasty

Upper eyelid surgery will involve the creation of tiny incisions in the natural upper lid creases. Through the incisions, the surgeon will excise loose skin to correct the droopy upper lid appearance. This will also improve any partial vision obstruction. In some patients, the underlying weak muscles may also be tightened.

As the loose skin is trimmed away, the remainder skin will be lifted and reattached for a smoother, tighter upper lid appearance. The incisions will be closed with sutures following the procedure. Experienced plastic surgeon Dr. Richards receives patients from Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV, and nearby areas for blepharoplasty.

Transconjunctival Blepharoplasty

If the only problem is with the excess fat tissue around the eyelids, but the eyelid skin is reasonably elastic and smooth, a transconjunctival eyelid surgery may be performed. This is a less invasive surgery, which is more appropriate for patients who do not have very prominent under eye bags.

In this procedure, the surgeon will place multiple tiny incisions inside the lower eyelid after administering anesthesia. Excess fat tissue will be removed or redistributed through the incisions. No skin removal or muscle tightening will be performed in this procedure. This technique does not create visible scarring because the incisions are placed inside the eyelid.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.