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The Different Types of Anesthesia Used in Plastic Surgery

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Today, plastic surgery is safer than ever before. However, having anesthesia during a procedure can still make anyone nervous. There have been many advances made in surgery as well as in anesthesia. Many different types of anesthesia can be used on a patient depending on their specific needs and at times, requests. It is important to always feel safe and comfortable when you are undergoing a surgery. Do your research on the different types of anesthesia that are available as well as finding the right medical professionals who are qualified to perform your plastic surgery. Here are the different types of anesthesia that are used in plastic surgery:


Local anesthesia is only numbing medication. This kind of anesthesia is the safest and easiest to recover from. With local anesthesia, the area that is being treated, is injected with a numbing medication (usually Lidocaine). This will make that area numb so that you will feel only pressure and no pain during your procedure. The best part about this kind of anesthesia is that there is no recovery so you will be able to drive yourself home.

Twilight Anesthesia

Twilight anesthesia, also referred to as IV sedation, is where you would have medication through an IV which is still general anesthesia. Typically, the IV is placed in your arm, and then during the procedure you will receive medication through your IV to help you relax. You will become a little groggy. You will not be put to sleep with this kind of anesthesia, but you will not remember much. Since it is still general anesthesia, you will need someone to drive you home.

General Anesthesia

Under general anesthesia, you are completely unconscious and unable to feel pain during any medical procedures. General anesthesia is more than just being asleep as the anesthetized brain does not respond to pain signals or reflexes.

The goal of general anesthesia during surgery is to achieve the following five points:

  • Pain relief
  • Loss of memory of the procedure
  • Loss of consciousness
  • Motionlessness
  • Weakening of autonomic responses

There are two major types of anesthetics used for general anesthesia which are inhalation and intravenous anesthetics.

Inhalation Anesthetics

Which are sometimes called volatile anesthetics, are compounds that enter the body through the lungs and are carried by the blood to the body tissues. Inhalation anesthetics are less often used alone in recent clinical practice as they are typically used together with intravenous anesthetics. A combination of inhalation and intravenous anesthetics is called balanced anesthesia.

Intravenous Anesthetics

General anesthesia which is produced by injection of the central nervous system with depressants into the venous circulation.

The anesthetist and medical professionals provide supplemental oxygen. Patients are monitored closely. Vital signs, blood pressure, pulse rate, oxygen saturation, respiratory rate, and temperature are monitored throughout the surgery. The patient’s level of consciousness is also closely watched. Minor side effects from general anesthesia, including nausea, sore throat, headache, and muscle aches, tend to resolve on their own within hours or a few days after surgery. Patients who undergo general anesthesia will not be permitted to drive or operate heavy machinery for a minimum of 24 hours following the procedure.

The type of anesthesia that your surgeon will select depends on factors such as the type of surgery, complexity of surgery, length of surgery, and the patient’s overall health. Sometimes a patient will be asked for his preference among methods of anesthesia.

Choosing the Right Surgeon

When undergoing surgery, you should always choose a surgeon whom you can trust and with whom you can have candid, comprehensive and open communications. Dr. Chiu provides a relaxed environment for patients and ensures that your consultation is a comfortable, enjoyable experience in which you feel confident expressing concerns and asking any and all questions regarding your procedure(s). Dr. Chiu takes the time to thoroughly understand your goals and objectives so he can help you achieve the aesthetic results you desire. If you are considering plastic surgery, please contact us here today to schedule a consultation.






Top Liposuction FAQ’s

Liposuction is the number one most requested procedure because it can sculpt the body into a sleek, beautiful, and desired shape. Many individuals choose liposuction to help them achieve their desired body because of the procedure’s many benefits. Here are some liposuction FAQ’s to help you learn more about liposuction:

What is Liposuction?

Liposuction is a surgical procedure that removes localized fat deposits from the body that are difficult to eliminate with just diet and exercise. This procedure surgically removes the excess fat with a thin, straw-like instrument called a cannula. The cannula is inserted into the fat layer under the skin, where it is manipulated within the layers to remove unwanted fatty deposits. The results correct bulging and fatty areas into more attractive contours.

Is Liposuction Safe?

Liposuction is a completely safe procedure that consistently delivers satisfying and noticeable results. Dr. Chiu performs minimally invasive liposuction with local or general anesthesia. Additionally, Dr. Chiu’s specialized skills and technique greatly minimize any possible risks during surgery. Upon consultation, our team will familiarize you with any risks involved and ensure that you are physically fit to undergo surgery.

Who is a Good Candidate for Liposuction?

For certain individuals, exercise and diet is not enough to get rid of areas with stubborn fat. A good candidate for liposuction can relate to the following:

  • A minimal amount of excess skin and good skin elasticity. Lack of skin elasticity can compromise liposuction results.
  • Localized deposits of fat in your abdomen, arms, thighs and/or neck.
  • A good candidate is physically fit. It is best that the individual is no more than 20 pounds overweight. If you are planning to lose or gain a significant amount of weight, you should do so before the procedure.
  • It is best to be closest to your ideal weight before undergoing liposuction.

Is Liposuction is Designed for Weight Loss?

Liposuction should not be viewed as a method to lose weight. It is designed to remove localized fat that has been unresponsive to diet and regular exercise or that has been genetically predisposed to accumulate in a specific area of the body. Patients should be as close to their ideal weight as possible to ensure the best results.

Can Liposuction Treat Cellulite?

Although liposuction can make your cellulite less visible, cellulite cannot be completely removed because it is not localized fat that this procedure is designed for. If it’s a concern for you, consult Dr. Chiu to discuss treatment options for reducing the appearance of cellulite.

How Do I Maintain the Results of Liposuction? 

While liposuction removes the fat cells permanently from the treated area, the fat cells in other parts of the body continue to naturally thrive. To keep your body fit and lean after liposuction, a healthy diet and regular exercise will help you to maintain the amazing results of your liposuction procedure.

If you are concerned about weight gain after your procedure, you can discuss diet and exercise options with your doctor. Making a commitment to maintain your health regimen will ensure long-lasting results as well as maximize your investment.

What Can I Expect After the Procedure?

After your procedure, post-operative instructions will be provided. You will wear a compression garment regularly to help reduce swelling. It works by compressing the skin as it re-adjusts after the liposuction procedure. It is important to wear compression garments regularly as skin tissue needs to be supported and sculpted for proper re-shaping to occur. Pain medication will be prescribed to ease any swelling and discomfort.

After the first week, patients are usually able to return to work and light activities. Active stretching is advised. Strenuous exercise and heavy lifting should be avoided. Swelling and bruising will begin to resolve during this week. 6 months after the procedure, all residual swelling will have dissipated. Final results will be apparent, though tightening of the tissues will continue for the rest of the year.

Choosing the Right Surgeon 

Known as “The Curve Creator,” Dr. Chiu is a board-certified plastic surgeon with extensive skill and experience performing liposuction for thousands of satisfied patients. He possesses a keen eye for aesthetics and the medical knowledge to achieve beautiful results. Dr. Chiu and his qualified staff are dedicated to patient safety, satisfaction, and comfort. To help you make the best decisions when it comes to your cosmetic needs, schedule a consultation with Dr. Chiu.




Facial Implant Benefits

Posted in Cosmetic Surgery — Tags:

Facial implants are specially formed solid materials that are compatible with human tissues. Implants are made from artificial materials such as silicone or polythene. They are designed to enhance or augment the physical structure of the face.

Facial implants can reconstruct and rejuvenate a weak jaw, small chin, thin lips, or lack of facial contour. While any area of your face can be augmented with implants, the chin, cheeks, jaw, and lips are the most common areas for the procedure.

Facial implants are intended to define the overall appearance of your face by creating more distinct features through enhancing the physical structures that make up your face. Facial implants may be used to correct facial symmetry or create permanent contour. Implants in the forehead help negate the aging effect caused by gravity. They help to lift the forehead to maintain a more youthful appearance of the upper face. Some implants are designed to help lift the cheek and mid-face. Facial implants may also be used following an accident or trauma to restore the structure of the face.

If your face is disproportionate, it can significantly affect your overall self-image. Those features can cause insecurities and discontent for many people. Fortunately, these facial implant benefits can be the answer to these problems.

Facial Implant Benefits

There are many benefits from facial implants that numerous people can experience. They include:

  • A rejuvenated and youthful appearance.
  • Correct facial symmetry. Create balance and better proportion to the structural appearance of your face.
  • Create permanent facial contour.
  • Improve a weak profile.
  • Facial implants come in a variety of sizes and shapes to accommodate any kind of facial structure.
  • With the assistance of an experienced medical professional, you can get the results you want, no matter how subtle or dramatic.
  • Facial implants are safe and the recovery time is quick.
  • The results of an improved facial structure and feature increases self-confidence and self-esteem, which can positively impact both your personal professional life.

Are Facial Implants Right for You?

The best way to determine if facial implants are right for you is to consult with a medical professional. If you are thinking about getting facial implants, consider these preliminary indicators to help you make your decision:

  • You have a weak or receding chin
  • Your cheeks are sunken or flat and you wish to increase their definition
  • You have facial asymmetries or deformities that you wish to correct
  • You have facial sagging due to aging
  • You want to add definition and symmetry to your facial features

Good candidates for facial implants are in healthy physical and psychological condition. They must have no major medical conditions and no allergies to the implant material. Individuals should have specific goals and realistic expectations in mind. Interested candidates should discuss their goals with Dr. Chiu in detail to determine whether chin augmentation, cheek augmentation, or another procedure or procedures would best accomplish their desires.

Facial implant procedures construct permanent and predictable results that can completely redefine your face shape. They can create a more attractive profile and facial features so that your face looks naturally beautiful from all sides.

Choosing the Right Plastic Surgeon

If you are looking for a top surgeon to perform your facial implant, then schedule a consultation with Dr. Chiu of Beverly Hills Plastic Surgery, Inc. As a highly qualified, board certified plastic surgeon, Dr. Chiu has the knowledge and skills to help you make the best choice when it comes to your implant needs. During your consultation, Dr. Chiu will analyze your goals, facial structure, and facial proportions. He will then recommend the appropriate implant type(s) and determine which techniques to use for your procedure(s). For each procedure, either a solid or semi-solid implant will be selected based on your facial structure and proportions.



What is a Thread Lift?

Posted in Face Lift — Tags:

Invasive surgical options are often the first solution for many to reverse the signs of facial aging, however, with advancements in cosmetic procedures, an alternative way is possible. A thread lift is a minimally invasive facelift that can instantly tighten and lift areas compromised by volume loss and sagging such as the nasolabial folds, neck, cheeks, jowls, eyebrows, and eyelids. In some cases, it can also be implemented as a precursory procedure to a standard facelift as well as used in conjunction with a brow, chin, and face lift for an overall rejuvenated, relaxed, and natural looking appearance.

Is Thread Lift Right for Me?

One of the many benefits of this minimally invasive facelift procedure offers is the lack of downtime included in recovery. Patients between the ages of 35 to 45 with minimal to moderate signs of aging may lack the time needed to recover from a face lift and find a thread lift to be the ideal alternative. Younger patients with sagging cheeks and brows caused by weakened muscles, as well as patients relapsing from a face or neck lift may also be the right candidate for a thread lift. Many others for either personal or medical reasons will find a thread lift preferable because it is a non-invasive procedure. No matter the case, discussing the procedure’s benefits as well as your expectations with a qualified surgeon will best determine if it is the right choice for you.

What to Expect with a Minimally Invasive Facelift

A thread lift typically takes an hour to complete and because of this, is performed under a local anesthesia with intravenous sedation. The procedure begins with the surgeon using a thin, hollow needle to insert threads (barbed sutures) under the skin and facial tissues. The barbs on the sutures then attach to the underlying skin to instantly tighten and lift problem areas while simultaneously causing inflammation. This stimulates collagen growth over time and helps reobtain naturally firm elasticity to the face. The upper section of the threads is also attached to a higher portion of the face to maintain the lift; multiple threads may be used depending on the surface area that needs elevation.

Are the Results Immediate?

A thread lift shows immediate results and achieves 30% to 70% of what an invasive facelift may achieve and well over 90% of patients report full satisfaction with their appearance. A thread lift has the potential to last three to five years and may be repeated. Many patients have also found success in combining a thread lift with other procedures such as a brow and chin lift.

What is the Recovery Process?

There is minimal downtime for a thread lift which allows patients to return home typically one hour after the procedure. Immediately following the procedure, the face may show signs of swelling and bruising that resolve after just a few days. There may also be numbness and mild pain, which can be treated with pain medication. A thread-lift surgeon may advise their patient to rest with their head elevated to reduce any swelling. It is also recommended to have a trusted individual look after the patient during the first 24 hours following the procedure.

Normal activities may be resumed a few to several days after the procedure, and depending on the patient’s occupation, should be able to return to work during this time. Cosmetic issues such as bruising can be covered up with light makeup, however contouring as well as rubbing the face should be avoided for up to three weeks after the procedure.

Choosing the Right Plastic Surgeon

While a thread lift is a type of minimally invasive facelift, it is still a delicate procedure that involves very fine surgical sutures. It is imperative that your surgeon of choice have a proficient understanding of the facial anatomy and the placement of the threads for the best lifting effect. If a neck or face lift is also required, finding a surgeon with experience in a variety of facial surgeries would be the ideal choice to deliver the aesthetic results you desire. Dr. Chiu provides both the knowledge and experience, as a highly qualified, board certified plastic surgeon, Dr. Chiu will help you achieve all of your thread lift needs. Contact us today on getting started with a consultation.



Men’s Eyelid Surgery (Male Blepharoplasty)

Posted in Eyelid Surgery — Tags:

Whether it is due to age, genetics, or a variety of different causes eyelids can lose their vitality by gaining excess fat and loose skin. Men’s eyelid surgery (blepharoplasty) removes and tightens these facial detractors to revitalize someone’s appearance and in some cases, restore levels of peripheral vision. For men, blepharoplasty has become one of the most popular cosmetic surgeries not only because it restores a youthful appearance, but has made recent strides in creating natural looking results.  While the surgical aspects of blepharoplasty do not differ greatly between the sexes, the male procedure must be performed at a more conservative level. The initial incisions as well as the removal of fat and skin are done with detail-oriented precision to avoid feminizing the eyelids, appearing as natural as possible. The male blepharoplasty procedure mainly consists of both or either an upper and lower eyelid surgery with possible additional treatments such as a brow lift, and cosmetic fillers for a refreshed overall look. The crucial differences from the female blepharoplasty rely on the cosmetic surgeon’s aesthetic as well as technical eye when making incisions, removing fat, skin, tissue, and possible fat repositioning.

Upper Eyelid Surgery

Upper eyelid surgery is primarily for removing excess fat pockets and skin that accumulates over the eye. Many male patients undergoing this procedure want to have the appearance of wider and more alert eyes, however, there is also a need to retain a natural look. The male upper lid blepharoplasty maintains the naturally masculine visage with the initial incision which is generally placed lower on the lid than the female blepharoplasty. This lower placement makes for a more gentle and smooth contouring of the eye versus the female blepharoplasty, which favors a higher arching look. Maintenance and light removal of fat and skin are also practiced more heavily on the upper lid to conserve the male complexion

Lower Eyelid Surgery

A lower lid blepharoplasty removes fat deposits and excess skin that forms on the lower eyelids and is perfect for men that exude a tired appearance from either volume loss (hollowness) or excess fat also known as “bags” that take shape along the tear trough. For male patients undergoing this procedure the transconjunctival blepharoplasty is a preferable type of lower eyelid surgery because it leaves no external scar and better preserves the natural eye shape. The procedure begins with a minimally invasive incision made on the backside of the lower lid to reduce any chance of visible scarring. Like the upper eyelid surgery, the removal of fat deposits, skin, and excess tissue are done conservatively to ensure that the appearance remains masculine.

Additional Procedures for Men

Along with a lower and upper men’s eyelid surgery, patients may need an additional procedure such as a brow lift, laser resurfacing, fillers or chemical peels for an all-around revitalized and youthful appearance.

Brow Lift

A male brow lift procedure, usually in combination with an upper eyelid surgery, alters the male browline less so than the female brow lift. When making the initial consultation, a cosmetic surgeon will consider the shape of the brow itself to determine the height of the lift. Generally, the male brow is more horizontal in shape in comparison to the curved female brow and thus is minimally lifted to keep a more natural appeal. One of the more beneficial brow lifts for men is the endoscopic procedure which is performed with small incisions behind the hairline to retain the position of the hairline and leave no visible scarring.

Repositioning of Fat and Cosmetic Fillers

Before the eyelid procedure a cosmetic surgeon may recommend the addition of fat repositioning, fat grafting, or cosmetic fillers to reduce the hollowing effect under the eyes. Fat repositioning uses localized eyelid fat from excessive pockets to areas where it is deficient, while fat grafting obtains fat from distant areas and transfers it into the eyelid. This transferring of fat requires great preservation or augmentation of eyelid fat for male blepharoplasty. Fat transfer can also be achieved with fillers and BOTOX® Cosmetic to improve the appearance of the eyelids. Akin to the natural fat repositioning the injectable fillers are carefully administered to create a smooth transition from the lower eyelid to the upper cheek; this maintains a natural appearance while reducing hollowness.

Laser Resurfacing and Chemical Peels

Additional treatments such as laser resurfacing and chemical peels are the least invasive options to reducing wrinkle lines, tightening skin, and reducing sun damage to the eyelid area. Men and women’s laser resurfacing and chemicals are generally approached in a similar manner. Men may favor these procedures over surgical options because they reduce the chance of altering the lower eyelid shape.

How to Ensure the Best Male Blepharoplasty

The aesthetic and technical aspects of a men’s eyelid surgery are what significantly separate it from the female equivalent and because of this, may be difficult for many surgeons to perform the procedure adequately. Having a surgeon who is familiar with the nuances of male blepharoplasty helps to ensure the best surgical results. Dr. Chiu is one of the top surgeons in his area with extensive experience in facial cosmetic surgery for both men and women. Contact us for a consultation to learn more about the benefits of male blepharoplasty and Dr. Chiu’s expertise in creating a youthful and natural appearance for his patients.

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