*Results may vary
Dr. Frenzel in the only Dual-Fellowship Trained Bariatric and Cosmetic Plastic surgeon in the DFW Metroplex and East Texas area and one of only a few in the entire country. He specializes in bariatric and post-bariatric cosmetic plastic surgery.For more information about post bariatric cosmetic plastic surgery visit Dr. Frenzel’s cosmetic plastic surgery website at: www.advancedcosmeticsurg.comYou can also contact our team at (817) 342-0232. While this section explores cosmetic surgical offerings, many of these procedures may also fulfill true medical needs. You should understand that the circumstances and experience of every individual will be unique.
Abdominoplasty
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| Procedure: | Flatten abdomen by removing excess fat and skin and tightening muscles of abdominal wall. |
| Length: | 2 to 5 hours. |
| Anesthesia: | General, or local with sedation. |
| In/Outpatient: | Either depending on individual circumstances and extent of surgery. |
| Side Effects: | Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months. |
| Risks: | Blood clots. Infection. Bleeding under the skin flap. Poor healing resulting in conspicuous scarring or skin loss. Need for a second operation. |
| Recovery: | Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years. |
Brachioplasty
(Arm Lift)
| Procedure: | Reshapes the underside of the upper arm addressing lose, saggy skin. |
| Length: | 2 to 3 hours. |
| Anesthesia: | General, or local with sedation. |
| In/Outpatient: | Either depending on individual circumstances and extent of surgery. |
| Side Effects: | Temporary pain. Swelling, soreness, numbness of skin, bruising, tiredness for several weeks. |
| Risks: | Blood clots. Infection. Poor healing resulting in conspicuous scarring or skin loss. |
| Recovery: | Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years. |
Breast Enlargement
(Augmentation Mammaplasty)
| Procedure: | Enhance the size of breasts using inflatable implants filled with saline. |
| Length: | 1 to 2 hours. |
| Anesthesia: | Local with sedation, or general. |
| In/Outpatient: | Usually outpatient. |
| Side Effects: | Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks. |
| Risks: | Lack of implant permanence — surgical removal or replacement of the implants may be required to treat problems, including: deflation; the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard; bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent. Mammography requires a special technique. (Note: Some women have reported symptoms similar to those of immune disorders. Ask your doctor about these and other FDA concerns.) |
| Recovery: | Back to work: a few days. Physical contact with breasts: 3 to 4 weeks. Fading of scars: several months to a year or more. |
| Duration of Results: |
Variable. Implants may require removal or replacement. |
Breast Lift
(Mastopexy)
| Procedure: | Raise and reshape sagging breasts by removing excess skin and repositioning remaining tissue and nipples. |
| Length: | 1 to 3 hours. |
| Anesthesia: | Local with sedation, or general. |
| In/Outpatient: | Usually outpatient. Sometimes inpatient. |
| Side Effects: | Temporary bruising, swelling, discomfort, numbness, dry breast skin. Permanent scars. |
| Risks: | Thick, wide scars; skin loss; infection. Unevenly positioned nipples. Permanent loss of feeling in nipples or breast. |
| Recovery: | Back to work: 1 week or more. Strenuous activities: 1 month. Fading of scars: several months to a year. |
| Duration of Results: |
Variable; gravity, pregnancy, aging, and weight changes may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure. |
Eyelid Lift
(Blepharoplasty)
| Procedure: | Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects) |
| Length: | 1 to 3 hours. |
| Anesthesia: | Usually locally with sedation or general. |
| In/Outpatient: | Usually outpatient. |
| Side Effects: | Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks. |
| Risks: | Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare). |
| Recovery: | Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks. |
| Duration of Results: |
Several years. Sometimes permanent. |
Facelift
(Rhytidectomy)
| Procedure: | Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40. |
| Length: | Several hours. |
| Anesthesia: | Local with sedation, or general. |
| In/Outpatient: | Usually outpatient. Some patients may require short inpatient stay. |
| Side Effects: | Temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned. |
| Risks: | Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline. |
| Recovery: | Back to work: 10 to 14 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months. |
| Duration of Results: |
Usually 5 to 10 years. |
Forehead Lift
(Browlift)
| Procedure: | Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. May be done using the traditional technique, with an incision across the top of the head just behind the hairline; or with the use of an endoscope, which requires 3 to 5 short incisions. Most often done on people over 40. |
| Length: | 1 to 2 hours. |
| Anesthesia: | Local with sedation, or general. |
| In/Outpatient: | Usually outpatient. |
| Side Effects: | Temporary swelling, numbness, headaches, bruising. Traditional method: Possible itching and hair loss. |
| Risks: | Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scarring. |
| Recovery: | Back to work: 7 to 10 days, usually sooner for endoscopic forehead lift. More strenuous activity:several weeks. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months. |
| Duration of Results: |
Usually 5 to 10 years. |
Liposuction
(Suction-Assisted Lipectomy)
| Procedure: | Improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Can be performed using the tumescent technique, in which targeted fat cells are infused with saline containing solution with a local anesthetic before liposuction to reduce post-operative bruising and swelling. Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.For larger volumes of fat or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a new technique in which a ultrasound probe is inserted beneath the skin to “liquify” the fat before it is suctioned. |
| Length: | 1 to 2 hours or more. UAL: 20-40 percent longer than traditional liposuction. |
| Anesthesia: | Local, epidural, or general. |
| In/Outpatient: | Usually outpatient. Extensive procedures may require short inpatient stay. |
| Side Effects: | Temporary bruising, swelling, numbness, soreness, burning sensation. Tumescent: Temporary fluid drainage from incision sites. UAL: Larger incisions for cannula. |
| Risks: | Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection. UAL: thermal burn injury caused by the heat from the ultrasound device. |
| Recovery: | Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or more. Use of tumescent technique or UAL may decrease post-operative bruising and swelling. |
| Duration of Results: |
Permanent, with sensible diet and exercise. |
Thighplasty
(Thigh Lift)
| Procedure: | Reduce excess skin and fat around the thighs for a more proportional contour. |
| Length: | 2 to 5 hours. |
| Anesthesia: | General, or local with sedation. |
| In/Outpatient: | Either depending on individual circumstances and extent of surgery. |
| Side Effects: | Temporary pain. Swelling, soreness, numbness of thigh skin, bruising, tiredness for several weeks or months. |
| Risks: | Blood clots. Infection. Bleeding under the skin flap. Poor healing resulting in conspicuous scarring or skin loss. Need for a second operation. |
| Recovery: | Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years. |