procedures

Breast Augmentation
Every woman has her own reasons for considering breast augmentation. Self-improvement is a natural desire. It's important to understand that
changes made to the outside of a person ma effects on the inside as well. Breast augmentation isn't just a step toward changing how you look; it
represents a transformation in how you feel about yourself and your body. Your reasons are unique and very personal, and your decision to undergo
breast augmentation surgery should be reached by you and your physician based on your own personal needs, desires and informed expectations. It's
important to realize that it’s unrealistic to make decisions about breast implants or breast enhancement based on magazine photos or
computer-generated images.
The surgery usually lasts one to two hours. You may go home that same day. The first 24 to 72 hours after your procedure is when you will
experience the most discomfort. However, your breast will remain swollen and tender for at least a month afterwards. Most patients are able to
return to work, as long as you are not doing strenuous physical labor, within 4 to 7 days. Everyone has a different level of pain tolerance and
recovery time. Do not be disappointed if it may take you longer than your friend or family member to bounce back.
Prior to surgery the patient would receive a complimentary shiatsu back treatment here in our medi-spa.    Shiatsu is a traditional hands-on Japanese
healing art. It can help in a wide range of conditions. We find it helps relax and ease tension for our patients. A complimentary post-operative back
massage is also given to our patients just because, you are worth it!

Breast Lift- Mastopexy
Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity,
the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape
sagging breasts, at least, for a time. (No surgery can permanently delay the effects of gravity.) Mastopexy can also reduce the size of the areola.
If your breasts are small or have lost volume, for example after pregnancy, breast implants inserted in conjunction with mastopexy can
increase both their firmness and their size.
Mastopexy usually takes one and a half to three and a half hours. Techniques vary, but the most common procedure involves an anchor-shaped
incision following the natural contour of the breast. The incision outlines the area from which breast skin will be removed and defines the new
location for the nipple. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower
crease of the breast. It is important to remember that mastopexy scars are extensive and permanent. They often remain lumpy and red for months,
and then gradually become less obvious, sometimes eventually fading to thin white lines.
You should also keep in mind that a breast lift won't keep you firm forever-the effects of gravity, pregnancy, aging, and weight fluctuations will
eventually take their toll again. Women who have implants along with their breast lift may find the results last longer.
Prior to surgery the patient would receive a complimentary shiatsu back treatment here in our medi-spa.    Shiatsu is a traditional hands-on Japanese
healing art. It can help in a wide range of conditions. We find it helps relax and ease tension for our patients. A complimentary post-operative back
massage is also given to our patients just because, you are worth it!

Breast Reduction
Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Very large, sagging breasts that restrict their
activities and cause them physical discomfort trouble the majority of women who have the surgery. Some women may experience a variety of
medical problems caused by the excessive weight-from back and neck pain, headaches, and skin irritation to skeletal deformities and breathing
problems. Bra straps may leave indentations in their shoulders. And unusually large breasts can make a woman-or a teenage girl-feel extremely
self-conscious. Breast reduction, technically known as reduction mammoplasty, is designed for such women.
The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the
areola. The goal is to give the woman smaller breasts in proportion with the rest of her body and to help alleviate medical problems caused by the
weight of the breasts. In most cases, breast reduction isn't performed until a woman's breasts are fully developed; however, it can be done earlier if
large breasts are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and
have realistic expectations about the results. Breast reduction is not recommended for women who intend to breast-feed.

Male Breast Reduction- Gynecomastia
Gynecomastia is a medical term that comes from the Greek words for "women-like breasts." Though this oddly named condition is rarely talked
about, it's actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain
drugs and medical problems have been linked with male breast over-development, there is no known cause in the vast majority of cases.
For men who feel self-conscious about their appearance, breast reduction surgery can help. The procedure removes fat and or glandular tissue from
the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.
Surgery to correct Gynecomastia can be performed on healthy, emotionally stable men of any age. Surgery may be discouraged for obese men, or for
overweight men who have not first attempted to correct the problem with exercise or weight loss. Also, individuals who drink alcohol beverages in
excess or smoke marijuana are usually not considered good candidates for surgery. These drugs, along with anabolic steroids, may cause
Gynecomastia. Therefore, patients are first directed to stop the use of these drugs to
see if the breast fullness will diminish before surgery is considered an option.
Prior to surgery the patient would receive a complimentary shiatsu back treatment here in our medi-spa.    Shiatsu is a traditional hands-on Japanese
healing art. It can help in a wide range of conditions. We find it helps relax and ease tension for our patients. A complimentary post-operative back
massage is also given to our patients just because, you are worth it!

                                                                    Breast Reconstruction
While there are many options available in post-mastectomy reconstruction, you and your surgeon should discuss
the one that's best for you.
Skin expansion. The most common technique combines skin expansion and subsequent insertion of an implant. Following mastectomy, Dr. Maguire
will insert a balloon expander beneath your skin and chest muscle. Through a tiny valve mechanism buried beneath the skin, he will periodically inject
a salt-water solution to gradually fill the expander over several weeks or months. After the skin over the breast area has stretched enough, the
expander may be removed in a second operation and a more permanent implant will be inserted. The nipple and areola are reconstructed in a
subsequent procedure usually performed in the office. Some patients do not require preliminary tissue expansion before receiving an implant. For
these women, Dr. Maguire will proceed with inserting an implant as the first step.
Flap Reconstruction. An alternative approach to implant reconstruction involves creation of a skin flap using tissue taken from other parts of the
body, such as the back, abdomen, or buttocks. In one type of flap surgery, the tissue remains attached to its original site, retaining its blood supply.
The flap, consisting of the skin, fat, and muscle with its blood supply, are tunneled beneath the skin to the chest, creating a pocket for an implant or,
in some cases, creating the breast mound itself, without need for an implant. Another flap technique uses tissue that is surgically removed from the
abdomen, thighs, or buttocks and then transplanted to the chest by reconnecting the blood vessels to new ones in that
region.
Regardless of whether the tissue is tunneled beneath the skin on a pedicle or transplanted to the chest as a micro vascular flap, this type of surgery is
more complex than skin expansion. Scars will be left at both the tissue donor site and at the reconstructed breast, and recovery will take longer than
with an implant.
Follow-up procedures. Most breast reconstruction involves a series of procedures that occur over time. Usually, the initial reconstructive operation is
the most complex. Follow-up surgery may be required to replace a tissue expander with an implant or to reconstruct the nipple and the areola. Many
surgeons recommend an additional operation to enlarge, reduce, or lift the natural breast to match the reconstructed breast. But keep in mind; this
procedure may leave scars on an otherwise normal breast.

                                                               Abdominoplasty-Tummy Tuck
Abdominoplasty, known more commonly as a "tummy tuck," is a surgical procedure to remove excess skin and fat from the middle and lower
abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear
in mind, it does produce a permanent scar, which, depending on the extent of the original problem and the surgery required to correct it, can extend
from hip to hip. The best candidates for Abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit
or loose abdominal skin that won't respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have
stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which
frequently occurs with slight obesity, can also be improved.
The surgery itself takes 2 to 4 hours depending on size, and excess of skin. Dr Maguire does prefer his patients stay overnight in the hospital. You
will have 3 to 4 drains held surgically in place for at least a week. The recovery time on a tummy tuck is 2 to 4 weeks for light to normal activity.
Patience and listening is the key to recovery. After surgery a compressive garment must be worn at all times underneath the clothes
for approximately 4 to 6 weeks. It is very important to wear post-operative
                                                      garments to aid the body in healing properly.
After a patient is fully recovered from surgery they are able to start Synergie treatments in our medi-spa. The first 12 treatments are complimentary
and are a half hour twice a week for maximum improvement. Synergie is a vacuum assisted massage therapy that tightens and tones the skin while
minimizing the appearance of cellulite. It works through the lymphatic system so it is recommended that the patient drink plenty of water.

Liposuction
Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks,
thighs, knees, upper arms, chin, cheeks and neck. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove
stubborn areas of fat that don't respond to traditional weight-loss methods. The best candidates for liposuction are normal-weight people with firm,
elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your
expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results
as a younger patient with tighter skin.
After surgery a compressive garment must be worn at all times underneath the clothes for approximately 2 to 4 weeks. It is very important to wear
post-operative garments to aid the body in healing properly.
After a patient is fully recovered from surgery they are able to start Synergie treatments in our medi-spa. The first 12 treatments are complimentary
and are a half hour twice a week for maximum improvement. Synergie is a vacuum assisted massage therapy that tightens and tones the skin while
minimizing the appearance of cellulite. It works through the lymphatic system so it is recommended that the patient drink plenty of water.

Belt Lipectomy-Thigh, Hip, and Buttock Lift
A belt lipectomy is a surgical procedure that lifts the thighs and buttocks by removing a circumferential segment of skin. The remaining scar lies
across the lower abdomen and just above the buttocks on the back. It is basically an abdominoplasty (tummy tuck) that is extended around the back
and is designed to be hidden by a bikini type brief. Skin striae or stretch marks if present pre- operatively, will not disappear but are usually
dramatically diminished. The major effects of the belt lipectomy procedure are buttock tightening, and removal of back rolls or excess back skin after
losing excessive weight. A simple way to test for the result of such a procedure is to widely pinch the skin just above the hips on both sides while
looking in the mirror. The effect on cellulite is readily evident.
The surgery itself takes 3 to 6 hours depending on size, and excess of skin. Dr Maguire does prefer his patients stay overnight in the hospital. You
will have 3 to 4 drains held surgically in place for at least a week. The recovery time on a belt lipectomy is 3 to 5 weeks for light to normal activity.
Patience and listening is the key to recovery. After surgery a compressive garment must be worn at all times underneath the clothes for approximately
6 to 8 weeks. It is very important to wear post-operative garments to aid the body in healing properly.
After a patient is fully recovered from surgery they are able to start Synergie treatments in our medi-spa. The first 12 treatments are complimentary
and are a half hour twice a week for maximum improvement. Synergie is a vacuum assisted massage therapy that tightens and tones the skin while
minimizing the appearance of cellulite. It works through the lymphatic system so it is recommended that the patient drink plenty of water.

Brachioplasty- Arm Lift
An arm lift, also known as Brachioplasty, is a surgical procedure to remove loose skin and excess fat deposits in the upper arm. With age, upper arm
skin can become loose and flabby. In some cases Dr. Maguire may suggest that liposuction be used alone or in conjunction with an arm lift to remove
excess fat in the upper arms.
There will be a scar that starts at the armpit and goes down the underneath part of the arm. The length will depend on body shape, size, and amount
of skin to be excised. Dr. Maguire draws the excision length on the patients arm at their consultation so when they are home the patients can live
with a ‘temporary scar’ see if this procedure is right for them.
After surgery a compressive garment must be worn at all times underneath the clothes for approximately 2 to 4 weeks. It is very important to wear
post-operative garments to aid the body in healing properly.

                                                                                      Brow Lift
A brow lift is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and
improves the horizontal lines and furrows that can
make a person appear angry, sad or tired.
In a brow lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and
minimize frown lines. A brow lift is often performed in conjunction with a face lift to provide a smoother overall look to the face. Eyelid surgery
(blepharoplasty) may also be performed at the same time as a brow lift, especially if a patient has significant skin overhang in the upper eyelids.
Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals.
Whether it is a home product regimen, in-office treatments, or a combination of both, we are committed to helping our patients achieve and maintain
beautiful skin by providing the highest quality of medically focused treatments and products in a warm, soothing and caring atmosphere. The best
way to maintain your investment is consistent skin care treatments. To show our dedication, we offer a complimentary pre-operative and post-
operative facial and or skin treatment in our medi-spa.

                                                                             Facelift-Rhytidectomy
A face lift (technically known as rhytidectomy) can't stop this aging process. What it can do is "set back the clock," improving the most visible signs
of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A face lift can be done alone, or in
conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. Face lifts are very individualized procedures. In your
initial consultation Dr. Maguire will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery.
A face lift usually takes several hours-or somewhat longer if you're having more than one procedure done. Incisions usually begin above the hairline at
the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower
scalp. In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to
improve the contour. Dr. Maguire then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure
the layers of tissue and close the incisions; metal clips may be used on the scalp.
After surgery a compressive garment and or dressing will be in place and must be worn at all times until Dr. Maguire removes them. It is very
important to wear post-operative garments to aid the body in healing properly.
Whether it is a home product regimen, in-office treatments, or a combination of both, we are committed to helping our patients achieve and maintain
beautiful skin by providing the highest quality of medically focused treatments and products in a warm, soothing and caring atmosphere. The best
way to maintain your investment is consistent skin care treatments. To show our dedication, we offer a complimentary pre-operative and post-
operative facial and or skin treatment in our medi-spa.

Eyelid Surgery-Blepharoplasty
Eyelid surgery, also known as, blepharoplasty is a procedure to remove fat usually along with excess skin and muscle from the upper and lower
eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you
feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift
sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty
can be done alone, or in conjunction with other facial surgery procedures such as a face lift or a brow lift.
The recovery time from eyelid surgery is approximately 7 to 10 days. The majority of swelling and bruising would be within the first 72 hours.
Whether it is a home product regimen, in-office treatments, or a combination of both, we are committed to helping our patients achieve and maintain
beautiful skin by providing the highest quality of medically focused treatments and products in a warm, soothing and caring atmosphere. The best
way to maintain your investment is consistent skin care treatments. To show our dedication, we offer a complimentary pre-operative and post-
operative facial and or skin treatment in our medi-spa.

Chin Augmentation-Mentoplasty
The best candidate for chin augmentation, or mentoplasty, is the individual with a receding chin and a normal dental bite. For those with a bite
dysfunction, jaw surgery, in conjunction with mentoplasty, may be necessary. The procedure commonly produces a significant improvement in the
profile and frequently makes the nose look smaller even when nothing is done to the nose.
There are two basic procedures used in mentoplasty: one involves moving the chin bone forward and the other, the use of a plastic chin implant. A
chin implant, constructed of silicone is placed deep to the soft tissue of the chin directly in front of the jawbone to create a new chin line and
profile.
Most of the swelling is gone within a week but subtle improvement may continue to be seen for a couple of months. A liquid diet may be advised for
a day or two. Return to work and usual activity is allowed within 7 to 10 days. Within a week of surgery, the external dressing is usually removed.
Whether it is a home product regimen, in-office treatments, or a combination of both, we are committed to helping our patients achieve and maintain
beautiful skin by providing the highest quality of medically focused treatments and products in a warm, soothing and caring atmosphere. The best
way to maintain your investment is consistent skin care treatments. To show our dedication, we offer a complimentary pre-operative and post-
operative facial and or skin treatment in our medi-spa.

BOTOX Cosmetic is a purified protein. When treated, it can temporarily reduce moderate to severe frown lines. Botox is administered through
small injections directly into the muscles causing the frown lines to relax. This treatement is minimally invasive and requires no down time. Patients
will not see an immediate result with Botox alone. It does take a few days to a week to see improvement.
Botox is not a filler. Using collagen fillers or Restylane in conjunction with Botox will give you a more youthful appearance.