19 Nov

Top 3 Plastic Surgery Procedures in Houston, Texas

Plastic surgery is a field that adapts to the needs of the patient. Being one of the most effective ways to help them reach their cosmetic goals, plastic surgery has gained acceptance into the media and our society. Houston, being the diverse and fast growing city it is follows the general cosmetic trends of the United States. According to WebMD the top three most common plastic surgery procedures are:

  1. Liposuction: A relatively simple and safe procedure that can help you remove unwanted body fat from areas that are hard to trim-down with diet and excessive alone. The procedure is fairly simple and consist of injecting a fat-dissolving substance into the body and then using a “fat vacuum” remove the excess fat from the body.
  2. Breast Augmentation: A procedure that helps patients increase their breast size and gain extra firmness. The procedure can be performed with or without breast implants and can dramatically improve the appearance of the patients breast.
  3. Abdominoplasty: Also known as “tummy tuck”, this procedure helps reduce body fat in the mid-section area and firm out the skin specially after weight-loss or pregnancy.

Source: WebMD 2011.

Contact us today if you would like to know more information about the different types of plastic surgery procedures available for you. We are happy to help you clarify any questions you might have.

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13 Nov

Mommy makeover, Plastic Surgery Just for Houston Moms

Moms have many things to be proud, having a baby is a true miracle. Yet after childbearing the body might have a hard time adapting back to ones normal state before pregnancy. If you are a mom and would like to regain your body contour and looks before you became pregnant and or would like to improve your appearance after years of childbearing, then a special kind of plastic surgery might help you look your best.

What is a mommy makeover?

Moms deserve the best and because childbearing can sometimes reshape the body in undesirable ways, there is a special kind of procedure than targets many of the bodily change can occur because of having a baby. A mommy makeover is a plastic surgery than combine many types of procedures with the goal to correct consequences of childbearing.

What kind of procedures might be included in a Mommy Makeover?

A Mommy Makeover is a personalized surgery that can join different procedures to help you archive the results you want. Depending on the features that you would like to work on and the areas of the body you wish to change a mommy makeover might consist of

  • Breast Lift: because of the increased size of the breast during lactation, collagen fibers might become overly stretch and as a result your breast might actually cut in size after a pregnancy. Breast augmentation is usually included in a mommy makeover to help increase the firmness and size of the patient.
  • Tummy Tuck: while some woman report recovering their normal waist line after child labor, some might notice extra skin hanging or build up of unwanted fat deposits around the abdominal area. By removing loose skin and unwanted fat, tummy tuck is also included in most mommy makeovers.
  • Body Sculpting: over all pregnancy changes the physiology, a body sculpting procedure helps literally reshape the body using its own tissue to help enhance your overall appearance. A body sculpting might be included in a mommy makeover to help the patient transfer fat from one area of the body to another. Liposuction is usually included as well in a mommy makeover procedure.

 

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20 Oct

Scarless Breast Implants, Breast Augmentation without Scars?

There is a lot of controversy among patients about the claims some plastic surgeons make about “scarless breast lifts” and other forms of “scarless plastic surgery“. Although there have been a lot of amazing technological breakthroughs and a great deal of innovation in plastic surgery procedures, to claim that any surgery can yield “scarless results” is a false claim. There are many ways to decrease the appearance of a scar after a cosmetic procedure such as breast augmentation or tummy tuck. Because every person heals differently some patients undergoing breast lift might experience minimal scaring tissue after a few months of the procedure, but results cannot be generalized to all cases.

There is no real “scarless breast lift”

If scars are a major concern to you, there is an alternative that might help you improve the appearance of your breast and yet at the same time have a very reduced scar as a result. This procedure is called “short-scar breast lift”. You can find out more about this amazing procedure by following this link: http://bodylifthouston.com/home/breast-lift-houston/

Do you have questions? We have answers. Contact us today and let us help you look your best.

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19 Oct

Dr. LoMonaco Reviews: Cosmetic and Plastic Surgery

Here are some of our patients reviews kindly submitted to several medical doctor review sites. Hopefully you can find the information that you need to decide what kind of plastic surgery/procedure is right for you. Give us a call today and see why so many people are talking about Dr. LoMonaco.

 

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15 Oct

Tummy Tuck Cost in Houston, Texas

Patients looking to increase the firmness of their body might consider abdominoplasty (or tummy tuck) as a viable option. A tummy tuck might help you specially after pregnancy, fast weight loss, and even age. This procedure can be performed as a “mini tummy tuck” or as a full tummy tuck.

  • Mini Tummy Tuck: Relatively simple procedure that might help patients remove excess skin and stretch marks. A small incision is made just above the pubic hair-line. A great option for patients looking to give their bodies a quick sculpting to correct minor cosmetic imperfections.
  • Full Tummy Tuck: A surgical procedure that usually involves a 24 hour observation period but can yield dramatic results in some patients needing to reduce excess skin and body fat deposits. The best option for patients that have great struggles losing weight with diet and excercise alone.

Tummy Tuck in Houston, TX Cost: Because each patient is unique and each procedure requires individualized attention, the cost of an abdoninoplasty procedure varieties according to individuality cases. The average price according to Real Self  of a tummy tuck in Houston, Texas is $8000. Yet, there are several factors to consider when deciding how to finance this life-changing procedure. Some of the factors that you might want to take a look at are:

  • The Surgeon’s fee: $3000-$7000 depending on the type
  • The anesthesiologist’s fee: $2000-$4000
  • Facility fee

Other factors that can affect the price include: the doctor’s use of pain pump device for pain control, the use of an insurance program to cover complications, post-operative garments, supplements and scar care.

If you are looking for ways to finance your Tummy Tuck Procedure, contact us today. We can help you find the best financing package available for you fast so you can start making preparation for an amazing life changing experience that will help your body match your inner beauty.

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14 Sep

About Dr. LoMonaco

Dr. John LoMonaco attended Medical School at the University of Texas Health Science Center at Houston, and completed his 9 years of postgraduate training there as well. He trained at major hospitals in the Texas Medical Center, including Memorial-Hermann Hospital and M.D. Anderson Cancer Institute. During his training, he conducted laboratory research for two years at the Medical School studying tissue healing and helping develop skin substitutes for burn victims.

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Dr. LoMonaco graduated from a rigorous residency in general surgery, and received board certification by the American Board of Surgery. He then went on to complete an accredited fellowship in plastic surgery, and received board certification in Plastic Surgery during his first year of practice. During his formal training, Dr. LoMonaco participated in over 5,000 surgical procedures.

After graduation, Dr. LoMonaco taught plastic surgery for 2 years at the University of Texas Health Science Center at Houston, and served as Director of Plastic Surgery at the LBJ Hospital. In 1999, he traveled to El Salvador as part of a medical relief mission to perform surgery on children with facial deformities.

Dr. LoMonaco’s  practice is focused on breast and body contouring surgery, with a special emphasis on post-bariatric surgery reconstruction. His office is near the Webster Medical Center, which offers both convenience and privacy. Dr LoMonaco is on the staff of several Medical Center hospitals and maintains privileges at private surgery centers. He is a member of both local and national medical societies.

 

Click here for Dr LoMonaco’s CV

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14 Sep

Liposuction and Liposculpture

Liposuction is one of the most common cosmetic surgery procedures performed in the United States today. This procedure allows the removal of the areas of unwanted fat from almost any area of the body. The most common areas treated are the hips, thighs, and abdomen. Other areas that are also treated include the arms, knees, ankles, and fat around the neck and lower face. This procedure can be performed safely in our office surgery facility. However, larger procedures may need to be done in the hospital.

Liposuction is best for patients who are close to their ideal body weight and wish to have certain areas of the body sculpted for a more contoured look. Other patients who are good candidates for liposuction are those who are also undergoing tummy tuck or other procedure. Liposuction is a valuable part of these procedures as well. Liposuction is performed by first injecting the fat with a special solution, which aids in its removal. The solution also has medication to help reduce pain and swelling after the procedure. A special garment is worn for several weeks after surgery to help support the new shape.

I urge my patients to begin a diet and exercise program for the best possible results. For those already in a fitness program, I allow a gradual return to activity over a period of 3 to 4 weeks.

Liposuction, Case 1.

Liposuction, Case 2.

Liposuction, Case 3.

Liposuction, Case 4.

Liposuction, Case 5.

Liposuction, Case 6.

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14 Sep

Lower Body Lift

The LoMonaco Lower Body Lift

Massive weight loss from surgery, or by diet and exercise, can leave individuals with a large amount of excess skin. The extra skin may cause infections, and it also interferes with the proper fit of clothing. Many patients also feel that the excess skin is a unpleasant reminder of their former selves, and find that it interferes with the positive psychological progress they could make after their weight loss.

In the past, skin excess of the abdomen, hips, thighs, and buttocks were corrected by separate operations without consideration that all areas of excess skin are in fact related to one another. To provide a more comprehensive and patient-friendly alternative, Dr. LoMonaco developed a lower body lift procedure that corrects many areas of skin excess through a single incision at one surgery.

This allows the patient to experience only one downtime, one period of time off work, and one exposure to anesthesia. A Lower Body Lift is an advanced operation that can treat laxity of the abdomen, waist, hips, and buttocks. If needed, a pubic lift and buttock augmentation can easily be integrated, again using no separate incision.

A lower body lift is always custom tailored to meet the needs of the individual patient, but usually includes:

  • Tummy tuck
  • Buttock Lift
  • Front thigh lift
  • Outer thigh lift
  • Pubic reduction
  • Liposuction of all areas
  • New belly button

Other procedures, such as breast lift, inner thigh lift, and arm lift can also be combined with a lower body lift, depending on the patients anatomy and their desires.

A special word for weight loss patients

Individuals who have lost a large amount of weight  pose special concerns for the plastic surgeon. There is usually a marked excess of skin, and that skin has often been damaged by extreme fluctuations in weight. The longer a person has been overweight, the more pronounced the skin laxity will be. Age and nutritional status also play important roles in how the skin responds to weight loss and the lifting and tightening procedures of plastic surgery.

In most cases, patients who have lost over 60 pounds will require plastic surgery techniques that surpass what is needed by the general population.

Patients who have had bariatric surgery have even more specialized needs that must be met by the plastic surgeon. In general, the nutritional alteration brought about by the weight loss surgery will negatively affect healing.  Dr. LoMonaco is familiar with the specific nutritional defects that the various forms of weight loss surgery produce, and is knowledgeable in treating them.

Each type of weight loss surgery requires special considerations:

Lap band: the lap band port is usually repositioned to a less noticeable location at the time of tummy tuck or body lift. Dr. LoMonaco is familiar with these techniques, and can also switch patients to a lower profile port if they desire.

The small gastric pouch will not stretch much, so a form of liquid protein tolerable to the patient must be selected prior to surgery so the patient can meet their goals for optimal healing.  Malabsorption of iron may produce anemia, which also must be addressed before surgery.

Finally, the band should be unfilled for surgery to allow adequate nutrition and also to prevent stomach swelling, nausea, and vomiting after surgery.

Roux-En-Y bypass: RNY patients often have anemia and have an increased need for water-soluble vitamins, as these are poorly absorbed and may be deficient.  Special consideration for proper protein supplements must be made and an evaluation for incisional hernia and Peterson hernia must also be considered.

Duodenal Switch: In additional to requiring increased protein intake after surgery, DS patients may be deficient in calcium and Vitamin D. Because appetite may be suppressed after surgery, an appropriate regimen to ensure proper nutrient intake must be developed.
Goal Weight and Timing of Surgery

Dr. LoMonaco will discuss with you the proper timing of surgery. Rather than fixate on a certain goal weight, he may decide to wait until you reach a stable weight over several months. Consultation with your bariatric surgeon may be needed, but most patients can consider plastic surgery about 1 year after their bariatric surgery The timing of surgery also depends on your original weight, your current BMI and body fat percentage, and the type of weight loss surgery you have had.

We Build Safety Into The System 

Plastic surgery after weight loss poses increased risks of bleeding, infection, delayed wound healing, and need for revision surgery compared to standard cosmetic surgery. As such, it is critical to have systems and personnel in place to address all possible complications or problems.

Dr LoMonaco operates only at accredited facilities with a 24 hour doctor in house, a fully staffed hospital ICU, blood bank, laboratory, and radiology services. In addition, the protocols for aftercare of all patients while in the hospital is standardized, so that care after complex cases becomes more predictable and routine for hospital staff.

Fluid collections after surgery

Because a large amount of skin is often removed, space is left beneath the skin. Drains are placed to remove this fluid until your body is healed. This process can take many weeks. Drain care is simple and can be done at home, but your doctor will tell you about your chances of developing a fluid collection. The retained fluid can become infected and require aspiration or re-insertion of drains to treat. Hospitalization is rarely needed but is a possibility. Wearing your compression garment and following your doctor€™s directions after surgery can help minimize the chances of a fluid collection after surgery.

Insurance, Costs and Financing

Surgery to remove excess skin may be covered by insurance but only if you have significant medical problems from the excess skin. This means multiple visits to the doctor for skin rashes or infections with prescription medication. Patients who have an abdominal hernia may also receive help from insurance at the time of excess skin removal. Check the section PATIENT RESOURCES to learn more about insurance coverage. Dr LoMonaco’s office has various financing plans to help you meet the out of pocket costs associated with many procedures. Approval for financing can often be accomplished in one day.

More is More

As part of your surgical fee for a Lower Body Lift, Dr. LoMonaco’s office includes at no additional cost some important items and services for your comfort, safety, and convenience. We include a pain pump and medication for the first 2-3 days after surgery for an additional fee. The pain pump system often allows patients to lessen their dose of narcotics and pills after surgery, and can greatly aid in recovery. We also include the VitaMedica line of vitamins and nutritional supplements to speed your healing and recovery.

Nutrition

All weight loss patients have special nutritional needs. Before surgery, it is very important to be sure you are getting enough protein intake. This is essential for normal healing. Your vitamin absorption may also be limited, and proper intake of vitamins is also needed to ensure the best nutritional status before surgery. Your doctor will perform blood tests before surgery to determine any deficiency you may have. Excessive dieting before surgery should be avoided, as it can lead to poor nutrition and cause healing problems.

Some patients may develop a mild anemia after weight loss surgery, and this should also be corrected as much as possible before surgery. The anemia may make a blood transfusion more likely, and your doctor will discuss this issue carefully with you. Several options are available in case a blood transfusion is needed after surgery.

Your emotional status before and after surgery 

Weight loss surgery represents a major change in a person’s life. Often, there is a period of time needed to adapt to these new changes. Friends and family may have mixed feelings about the weight loss surgery, plastic surgery, or both. Take time to work through these issues before surgery so that you and those around you are comfortable with your decision.

Many patients may experience depression or anxiety in the months following surgery. Dr. Lomonaco and his staff are familiar with this phenomena and are available to help you gain acceptance of your new body image. This is a process that may take several months to resolve.

Enlist your doctors help to explain the procedures and the recovery process to those close to you. Many times, they are more concerned about your comfort and safety than you are!

Plastic surgery after weight loss is a big decision, but can go a long way to give you a feeling of normalcy, control, and help restore your self-confidence.

Lower Body Lift, Case 1.

Lower Body Lift, Case 2.

Lower Body Lift, Case 3.

Lower Body Lift, Case 4.

Lower Body Lift, Case 5.

Lower Body Lift, Case 6.

Lower Body Lift, Case 7.

Lower Body Lift, Case 8.

Lower Body Lift, Case 9.

Lower Body Lift, Case 10.

Lower Body Lift, Case 11.

Lower Body Lift, Case 12.

Lower Body Lift, Case 13.

 

 

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14 Sep

Just for Women Labiaplasty

Todays society has greater sexual openness, both in the media and between partners. There is more awareness about mens sexual health issues, with frequent advertising and availability of new medications such as Viagra, Cialis, Levitra, and others.

Women are also perceiving themselves in a new way, and like men are more aware of themselves as they appear to their partner. Women also want to “look good,” and this is a perfectly normal self-expectation.

Many women feel that the size or appearance of their labia interfere with either their self-esteem, performance, or health. Labiaplasty is a procedure that can benefit women who desire to make a change.

What is Labiaplasty?

Labiaplasty may be done to reduce the size of the labia majora (outer lips) or the labia minora (inner lips) of the female genitalia, and benefits women who developed enlarged or stretched labia following childbirth. Sometimes labial changes may simply be a natural part of the aging process, but in some cases, labiaplasty is done on women who were simply born with large labia. Other common names for labiaplasty are Aesthetic Vaginal Surgery, labia minora reduction or labial reduction.

In the past, labiaplasty (reduction of the size of the labia) was commonly performed only on women such as swimsuit and centerfold models. Today, however, many women who choose labiaplasty have a more specific idea on how they should look. Labiaplasty can improve the appearance of their genitalia, and restore self-confidence. Sculpting of the labia, or vaginal beautification, can also help women who are older obtain the look they had when they were younger.

There are also medical reasons for labiaplasty. Large or thick labia minora can result in irritation in fitted clothing, and discomfort when engaging in sports or other physical activities.

Labiaplasty can be done along with other procedures such as tummy tuck or body sculpting, or can be done as an outpatient procedure. The healing time usually less than a week, and return to more vigorous physical and sexual activity is usually allowed after at 2 or 3 weeks.

What is Monsplasty?

Pubic lift, or monsplasty, is another procedure that often benefits women who have excess skin and fat of the lower abdomen and pubic mound. This condition may follow Cesearean section or weight loss. Like labiaplasty, monsplasty can not only improve the appearance of the female genitalia, but also improve a womans self-confidence and comfort level in fitted clothing.

The procedure is simple, and can be done through a bikini incision or existing C-section scar. Frequently, it is part of a tummy tuck or body lift, but can also be done as an isolated procedure.

Labiaplasty, Case 1.

Labiaplasty, Case 2.

Labiaplasty, Case 3.

 

 

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14 Sep

PitStop Procedure for Underarm Sweating

Excessive underarm sweating, or hyperhidrosis, can be a problem for both men and women. Individuals who have hyperhidrosis may suffer from the embarrassment of odor, ruined clothes, and apprehension when they remove their jackets. Excessive sweating may also give the unwanted appearance of stress.

The traditional treatments for underarm sweating have been transthoracic endoscopic sympathectomy (TES) and Botox.

TES is surgery under general anesthesia, and involves an endoscope being placed through the chest wall to gain access to the nerves that control sweating. The nerves are then cut, and sweating is stopped. However, in some cases sweating in other areas such as the hands or feet may actually increase. This compensatory sweating is a major drawback of the procedure.

Botox injections, done in a series of 20 on each side, can also effectively stop underarm sweating without any major side effects. The drawback is that the treatment only lasts for 6 -8 months before the sweating returns and the treatment must be repeated. At an average cost of $2000 per session, most people find the long-term cost prohibitive.

Ultrasonic liposuction is a decade old technique that has been used to melt fat, and had been used in over 1000 patients in several research trials. Through a tiny incision in the armpit, numbing medicine is applied and then the ultrasonic probe is placed under the skin. The technique permanently destroys or disables the sweat glands, or reduces sweating to a very low level in almost all cases. Complications are related to skin damage or burns, and are rare. The cost is much less than surgery or Botox, and repeat treatment is simple and free of charge.

Research studies showing the safety1, effectiveness2, and superiority3 of the ultrasonic approach have been published.

1. J Plast Reconstr Aesthet Surg. 2006;59(9):978-82. Epub 2006 May 11

2. Aesthetic Plast Surg. 2009 May;33(3):312-23. Epub 2009 Jan 3

3. Surg Neurol. 2008 Dec;70 Suppl 1:S1:64-8

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