Coliseum Same Day Surgery Staff

.: Body
Abdominoplasty
Endermologie
Liposuction, Tumescent
Otoplasty
Upper Arm Lift
Lower Body Lift
Thigh Lift

.: Breast
Breast Enlargement
Breast Lift
Breast Reconstruction
Breast Reduction
Gynecomastia

Abdominoplasty
If you do dozens of daily crunches and abdominal exercises and still find it impossible to lose the excess fat and skin around your midsection, abdominoplasty might be a good option for you. Abdominoplasty, also known as a "tummy tuck," is a cosmetic surgical procedure intended to give you sleeker, more defined abs.

Abdominoplasty begins with an incision made from one hip to the other, creating a skin flap. Next, the skin is separated from the abdominal muscles, which are then tightened, narrowing the waistline and flattening the midsection. The flap of skin is then folded down and excess skin is removed. Last, the flap is replaced and the incision is stitched closed. The entire procedure takes between two and five hours, depending on how much work is needed to achieve your desired results. Bruising and swelling, which typically subside within 10 days, are the most common side effects of this procedure. Please contact our office today to find out more about abdominoplasty.

Endermologie
Fight cellulite with this revolutionary skin rejuvenating treatment. Endermologie is a non-surgical method of combating the fatty deposits that lead to the formation of cellulite. Weekly sessions of Endermologie keep your skin toned and supple. The relaxing motions of this non-invasive treatment help keep your skin cellulite-free and in its best condition. Contact us to find out whether Endermologie is a good option for you.

Liposuction, Tumescent
Tumescent liposuction is a surgical procedure used to eliminate fat pockets and cells from your body's problem areas. Tumescent liposuction - considered the safest type of liposuction currently available - allows for the removal of a large quantity of fat with very little blood loss. Performed under local anesthesia, tumescent liposuction can be done quickly and has a short recovery period. Most patients return to work the next day and can resume exercise within one week. There have been no serious complications associated with tumescent liposuction. Please contact us for more information.

Otoplasty
When a child or young adult has especially large or protruding ears, self-esteem can suffer. Ear pinning (or otoplasty) is a surgical procedure that can change the size and shape of the ears. This procedure is most commonly performed on children and adolescents between the ages of 5 and 14, but it can be performed on adults as well. Ear pinning is a highly effective procedure that can improve both appearance and self-confidence.

Otoplasty begins with an inconspicuous incision made behind the ear. Next, excess cartilage is removed, and the remaining cartilage is then sutured - or pinned - into place and left to heal. An ear pinning procedure takes one to two hours to complete, and most normal activities can be resumed within several weeks. Contact us to learn more about otoplasty.

Upper Arm Lift
Excess skin on the upper arms is often an unwelcome after-effect of a significant reduction in weight, just as a major increase in weight may result in pockets of fat developing in the upper arms. Upper arm skin can also become loose and sag with age. An upper arm lift (brachioplasty) can correct these cosmetic problems by removing excess skin and surplus fat from the upper arms.

Usually performed on an outpatient basis under general anesthesia, an upper arm lift begins with a discreet incision made near the armpit or on the inside of the arm. Next, extra skin, fat, and tissue are removed. The skin that remains is then lifted and tightened, and the incision is sutured closed. Minor pain and swelling are the most common side effects, and these typically subside within a few days' time. To learn more about upper arm lift, please contact the Plastic Surgery Associates of Macon.

Breast Enlargement
A full, shapely bust line can make any woman feel more feminine and beautiful. Every woman deserves to love her body, and breast enlargement can add to a woman's sense of security and confidence. Breast enlargement, or augmentation, is a cosmetic procedure designed to increase and enhance the size and shape of a woman's breast. The end result is a more curvaceous, sexy bust line and a natural, sculpted look.

During this outpatient procedure, an incision is made under the breast, around the nipple, or under the arm, and a saline-filled implant is carefully inserted under the breast tissue or pectoral muscles. Once the implant is in place, the incision is stitched closed. The procedure is performed under local anesthesia with sedation or under general anesthesia and takes one to two hours to complete. During recovery, patients typically experience breast sensitivity, soreness, swelling, and, sometimes, temporary decreased nipple sensation. However, most side effects subside as breasts heal (usually within three to six weeks). Contact Dr. Freeman to learn more about breast augmentation.

We are proud to announce that all of our breast implants are a product of the Mentor Corporation!

Saline vs. Silicone Breast Implants

Saline-filled implants are FDA approved and filled with a saltwater solution after inserted into the breasts. They have a firmer feel than gel, but may be the choice for the patient that is concerned with leaks. If a saline implant leaks or ruptures, the saltwater is absorbed by the body.

MemoryGel implants are FDA approved and made with a unique "cohesive" gel filling. They have a much more "natural" feel and shape. According to the implant manufacturer, Mentor Corporation, "the gel holds together in a uniform manner so it doesn't leak even if the shell ruptures, and retains a natural give that resembles your own breast tissue".

Breast Lift
Gravity and time, pregnancy and nursing, and excessive weight loss or gain can all take their toll on a woman's bust line. Breast lift can correct for the natural effects of aging, like the bust line's loss of elasticity, sagging, or drooping. Breast lift can restore your curves to their youthful state.

During breast lift, excess skin and tissue are trimmed away and the bust line is tightened and lifted. Remaining tissue and the nipples will be repositioned to create the most natural-looking results. Risks include scarring, temporary bruising, swelling, and loss of feeling in the breasts or nipples. An extremely safe and effective procedure, breast lift takes one hour or more to complete, depending on the work required, and is often performed in conjunction with breast augmentation for more dramatic results. Please contact Dr. Freeman for more information about breast lift.

Breast Reconstruction
Many women feel insecure or self-conscious about the appearance of their breasts following mastectomy (removal of the breast due to cancer or pre-cancerous condition) or because of breast deformities. Breast reconstruction can restore the bust line's natural curves and drastically improve a woman's quality of life.

Breast reconstruction techniques are usually performed in stages and can span across six months. The first procedure - the longest and most complex - is typically performed at the time of the mastectomy. Subsequent surgeries are most often on an outpatient basis and involve minimal pain and recovery.

The two categories of breast reconstruction are: 1) implant-based reconstruction, and 2) techniques that use only the patient's own tissue. There are many factors and variables to consider, and a treatment plan is formulated to meet your unique and specific goals and needs. To learn more about breast reconstruction, please contact Dr. Freeman today for a consultation.

Breast Reduction
Neck and back pain, bra strap indentations on the shoulders, and general discomfort are unfortunate realities for women who have exceptionally large, heavy breasts. Oversized breasts can make a woman feel self-conscious and embarrassed as well as physically uncomfortable. Breast reduction is a reconstructive/cosmetic procedure during which the breasts are made smaller, lighter, and more proportionate to the body.

The breast reduction procedure begins with an incision, which is made around the areola (the dark circle of skin surrounding the nipple) and below the natural curve of the breast. Next, excess fat, glandular tissue, and skin are removed, and the remaining skin is tightened around the newly contoured breast. The procedure may take up to three hours and is performed under anesthesia on an outpatient basis. Although there will likely be swelling, temporary bruising, and some pain, these side effects diminish as the breasts heal. If you believe breast reduction is the right choice for you, please contact Dr. Freeman to schedule a consultation.

Gynecomastia
Many men feel self-conscious about extra fat and tissue located in their chest area. Fortunately, this condition (known as gynecomastia) can be treated with a procedure sometimes referred to as "male breast reduction." Two variations of this procedure may be used, depending on your needs. If fat, skin, and glandular tissue need to be removed, the procedure will be done using a scalpel or scalpel-liposuction approach. For this procedure, the incision can usually be placed discreetly in the underarm area or around the areola (the dark area surrounding the nipple). If only fatty tissue needs to be removed, the procedure can be done with liposuction alone, which entails a much smaller incision.

If you are interested in learning more about treatment for gynecomastia, please contact us today!

Non-surgical Skin Rejuvenation

Dermabrasion
Exposure to harsh elements over time - especially sunlight - and the natural aging process can make skin look dull, blotchy, and lifeless. Acne scars, heredity, blemishes, wrinkles, and other factors can also make skin look sallow and older than it truly is. Dermabrasion is a non-surgical method of treating the visible signs of aging.

During dermabrasion, a wire brush (or burr), attached to an oscillating handle, is used to scrape away the top layers of skin and reveal the fresher, newer skin waiting just beneath your skin's damaged outer layers. The skin will be red and swollen after the procedure, and patients typically experience some tingling, burning, and general discomfort. These effects subside as the skin heals. Soon, your skin will look radiant and youthful again!

Fat Injections
Fat injections can be used to fill in wrinkles and lines, to create contours in the face, and to fill in scars. Because fat is taken from one area of a patient's body to fill in another, there is little chance of allergy or incompatibility.

Fat injections are usually done on an outpatient basis with local anesthetic. The donor site (often the buttocks or abdomen) is first numbed and injected with fluid to make extracting the fat easier. The donor fat is collected through a needle and syringe. After the fluid is removed, another needle is used to reinsert the fat into the treatment area. The treatment area is slightly overfilled initially as some of the injected fat will be reabsorbed by the body.

Most patients can resume normal activities soon after undergoing fat injection. Some minor swelling and bruising can occur during the first few days following the procedure. Fat injections are not usually permanent. Duration of results varies among individuals, but fat injections can be repeated as necessary. Contact us for more information about fat injections.

Lip Enhancement
Full, curvaceous lips and a perfectly pouty smile can be yours through the miracle of lip enhancement. We offer a full range of lip enhancement treatments to fill in fine wrinkles, smooth the skin around your lips, and get you smiling fast - in one office visit, in most cases! Looking good increases your self-confidence and lifts your spirits, so why not try one of the following soft tissue fillers to enhance your smile?

· Collagen
Collagen is the fibrous protein that gives skin its elasticity. Collagen injections have been used for decades to replenish the skin's suppleness and to help maintain its youthful appearance. Collagen is a safe, non-surgical treatment that can smooth out facial lines, wrinkles, and scars. The effects of collagen injections can last between six months and two years. Collagen injections can be repeated as necessary.

· Radiance
Radiance is a modern, long-lasting soft tissue filler offered by our practice for lip enhancement. Radiance injections, intended to safely and easily reduce wrinkles and plump up the lips, can restore the youthful beauty of your lips almost instantly. It may also be used to fill the nasal labial folds - the lines that run from the nose to the corners of the lips - so that your face looks younger and fresher.

· Restylane
Restylane is a revolutionary solution to wrinkles and thin lips. It gently smooths away fine lines around the lips and mouth and on the forehead, leaving no scars at the injection sites. Restylane is completely biodegradable and contains no animal proteins, so it is natural and considered extremely safe. Performed in 30-minute sessions, Restylane treatments are long-lasting and can be repeated as necessary, typically every six to 12 months.

Restylane is available in three tissue varieties: Restylane, Restylane Fine Lines, and Restylane Perlane. Restylane is primarily used for lip enhancement, especially to prevent lipstick "bleeding" and to correct wrinkles. Restylane Fine Lines is most effective in filling fine, superficial lines in the chin and cheeks. Restylane Perlane is used for shaping facial contours and for lip augmentation.

For more information about the soft tissue fillers offered by our practice for lip enhancement, please contact us today.

Microdermabrasion
Microdermabrasion can help reduce the first signs of aging and help correct for imperfections, blemishes, small scars, and wrinkles. The result of microdermabrasion is smoother, more youthful looking skin.

During microdermabrasion, sterile, sand-like crystals are applied to the skin to remove toxins, impurities, blemishes, imperfections, and dry, scaly skin. The procedure is relatively simple and has virtually no side effects. To find out whether microdermabrasion is right for you, please contact our practice today.

Obagi "Blue" Peel
Obagi "Blue" Peel is an exciting new way to refresh your skin by removing its wrinkles, age spots, and scars or restoring its elasticity. The peel may include one to four steps, depending on the patient, and involves the topical application of a glycolic acid solution. This solution essentially removes the outer layers of the skin, exposing the undamaged layers underneath. For more information about Obagi blue peels, please contact us today.

Permanent Makeup
Applying makeup day after day is a tedious, monotonous job. Imagine waking up every morning looking well rested, awake, and fresh - without the daily effort! With permanent makeup application, that convenience can be a reality. Permanent makeup is one of the easiest and safest cosmetic procedures available. During permanent makeup application, a special coil machine is used to gently apply pigment to the upper lashes, lower lashes, or lips. This "makeup" can be as subtle or dramatic as you wish, but no matter which look you choose, your lashes will look thicker and fuller, your lips will have beautiful color, and your natural beauty will be enhanced. Contact us for more information about permanent makeup.

Procedures for the Face

Chin Surgery (Implants/Reduction)
Chin implants can help bring definition to the lower portion of the face, while a chin reduction can correct for a protruding or too large chin. Chin implants can strengthen a person's jaw and can bring balance and harmony to the face. A chin reduction improves the overall proportions of facial features. Balanced and harmonious facial features can boost self-confidence. For more information about our chin implant or reduction procedures, please contact us.

Cleft Lip/Cleft Palate Reconstruction
Cleft lip/palate is a common birth defect that often occurs during fetal development and affects the lip and/or palate of a newborn child. Typically, a vertical separation - or cleft - is present in the lip or palate or both. An infant's speech and feeding can be adversely affected by cleft lip/cleft palate. Reconstructive surgery can correct this deformity and is generally recommended within the child's first three months of life.

Dr. Freeman specializes in reconstructive surgery and have extensive experience in cleft lip/cleft palate reconstructions. A series of reconstructive surgeries may be needed, which can be done in stages. To find out more about cleft lip/cleft palate reconstruction, please contact Dr. Freeman at the Plastic Surgery Associates of Macon.

Eyelid Surgery (Blepharoplasty)
Drooping or puffy eyelids can make you appear tired or older than your true age. Eyelid surgery, or blepharoplasty, can restore the skin around your eyes to its natural, youthful appearance and drastically reduce the signs of aging. In some cases, it can even improve vision impaired by sagging lids.

Eyelid surgery begins with a small, discreet incision made along the eyelid. Excess fat, muscle, and skin are then trimmed away from the eyelid. This outpatient procedure typically takes one to three hours and is performed under anesthesia. Following surgery, side effects such as dry eyes, swelling, bruising, and sensitivity to light may occur, but these fade within about 10 days. Although permanent, eyelid surgery will not prevent future natural aging effects. Contact our practice for more information about eyelid surgery.

Facelift
Sun exposure, weight fluctuation, and the natural aging process make skin loosen and sag, resulting in wrinkles and jowls. The muscles on the neck can slacken, too, causing you to look years older than you are. Facelift is a surgical procedure designed to eliminate face and neck wrinkles simultaneously, thereby rejuvenating the skin and restoring your youthful appearance. Fresh, taut skin can make you look decades younger!

Facelift starts with incisions made along the hairline, by the ear, on the chin, or along the earlobe. Next, excess skin is lifted and removed. The remaining skin is then smoothened, tightened, and secured with sutures or small metal clips. Depending on the condition of your skin and your desired results, the procedure may take up to three hours. Side effects may include swelling, numbness, bruising, and tightness, but most patients report little pain and only minor discomfort. For more information about facelift, please contact us today.

Forehead Lift
Horizontal lines on the forehead and creases above the nose can make you look tired, sad, angry, or older than your true age. Wrinkles are intensified by sun exposure, heredity, and weight gain or loss. Forehead lift can subtract years - even a decade - from the appearance of your face by tightening and lifting your forehead skin, thereby eliminating wrinkles and expression lines. The end result is a more refreshed, youthful appearance.

During endoscopic forehead lift (usually chosen by younger patients who are just developing brow wrinkles), an endoscope is inserted beneath the skin. The skin and underlying muscles are then lifted and tightened. The brow will heal in the new position. Traditional and endoscopic forehead lift are often combined with other facial cosmetic procedures, including facelift, Collagen or Botox injections, or eyelid surgery (blepharoplasty). To learn more about forehead lift, please contact our practice today.

Laser Skin Resurfacing
Smooth, healthy-looking skin can be yours through laser resurfacing. Harnessing the safe but highly effective power of the laser, resurfacing can remove the damaged outer layers of skin. Wrinkles, age spots, acne scars, and other imperfections can be removed with a low chance of bleeding or other complications. Please contact us to learn more.

Lip Reduction
Overly large or puffy lips may cause embarrassment or interfere with speaking properly. Lip reduction is a surgical procedure intended to reduce the size and refine the shape of the upper and/or lower lip to create a smile that is in better proportion with the rest of the face. The benefits of lip reduction include a reduction in the anxiety and self-consciousness that often afflict people who have extremely large lips, improved speaking ability, and a more pleasing appearance. Contact our practice to learn more about lip reduction.