Terracina Surgical Arts

Chin & Cheek Augmentations at Terracina Surgical Arts in the Inland Empire

Dr. Punjabi uses facial implants to improve and enhance facial contours. Frequently, these implants will help provide a more harmonious balance to your face and features so that you feel better about the way you look. Facial implants are used to balance facial proportions to achieve aesthetic harmony. Implants can be used in the cheek, chin, and other parts of the face as needed. These implants are usually made from silicone or polytetraflourethylene. The risks associated with implants include infections, capsular contracture, extrusion and scarring. An alternative to facial implants in some cases is autogenous fat grafting , where fat is transferred from one area of the body to areas of the face where it is needed by a specialized technique. There are many implants available, manufactured from a variety of materials. They may help bring the chin or cheekbones into balance with the rest of the face.

Chin and cheek implants can improve your appearance and enhance your self esteem. If you are looking for improvement, not perfection, in your appearance and are realistic in your expectations, you may find that a facial implant is the right choice for you. Dr. Punjabi will frequently use such implants to bring better balance to the features of a younger patient. For instance, a teenage girl may want her chin brought forward so that her face is better proportioned. The more mature patient may choose to have an implant placed in conjunction with another cosmetic procedure. For example, during a facelift , a patient may wish to have implants placed over the cheekbones to help restore a more youthful appearance. Cheek implants may also be selected to fill out a face that appears “sunken” or tired.

Insertion of a chin implant may take anywhere from 30 minutes to an hour. During the procedure, the surgeon selects the proper size and shape implant to enhance your appearance and inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area. Usually, the chin is taped after surgery to minimize swelling and discomfort. Sutures in the skin will be removed in five to seven days. If an intra-oral incision is used, the sutures will dissolve.

Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift , forehead lift or eyelid surgery , the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted. After surgery, a dressing will be applied to minimize discomfort and swelling. The severity and duration of such side effects may vary, especially if another cosmetic procedure was performed at the same time.

You may not be able to accurately evaluate your appearance for weeks, or perhaps even months. Give yourself plenty of time to get used to your new look. You may be surprised to find that most people won’t recognize that you’ve had facial implant surgery — only that you look better. If you’re interested in having a consultation with Dr. Punjabi, give Terracina Surgical Arts a call and set up your appointment today!

Cosmetic Surgery in the Inland Empire: Meet Dr. Punjabi

Are you looking for cosmetic surgery in the Inland Empire? At Terracina Surgical Arts, our professional staff along with Dr.Punjabi will help you achieve your aesthetic goals and provide cosmetic surgery solutions in the area of Inland Empire California. Dr. Punjabi’s scope of expertise includes cosmetic surgery & reconstructive plastic surgery of the face and body and oral & maxillofacial surgery. Dr. Punjabi and his 5-star team provide the most modern and sophisticated surgical techniques to provide their patients with amazing cosmetic surgery results and minimal downtime. Their philosophy is based upon the concept that a successful result from cosmetic surgery stems from a successful partnership between the patient and the practice. Such a partnership is based on professionalism, trust, education, and understanding. Dr. Punjabi and his staff are dedicated professionals who are committed to achieving the best possible cosmetic surgery for each patient. They work diligently to tailor this approach to suit each individual’s needs and cosmetic goals. They will also take the time to listen to your desires and give you a realistic idea of what can be done for you. With his expertise and artistic touch, Dr. Punjabi brings the knowledge and skill that is necessary for successful results.

Dr. Punjabi graduated from the Government Dental College at Bombay University, India, University of Southern California School of Dentistry, Los Angeles and Case Western Reserve University (CWRU) School of Medicine, Cleveland, Ohio. Dr. Punjabi has completed training in two specialties: oral and maxillofacial surgery at MetroHealth Medical Center Campus of the CWRU and plastic and reconstructive surgery at the University of Miami/Jackson Memorial Hospital, Miami Florida.

Dr. Punjabi has been in practice since 1999, first in faculty practice at Loma Linda University Medical Center (LLUMC) and Riverside County Regional Medical Center (RCRMC) before opening his private practice in Inland Empire. He continues to serve as an Associate Clinical Professor of Plastic Surgery in the School of Medicine and Oral & Maxillofacial Surgery in the School of Dentistry at Loma Linda University. His experience also includes a private practice of dental/oral surgery in Jamaica, West Indies. Dr. Punjabi provides the following surgeries: facelifts, eyelid surgeries, nose jobs, chin reshaping, forehead lifts, facial implants, breast augmentations, reductions and lifts as well as liposuction, tummy tucks, and many other types of cosmetic surgeries.

Skin enhancement services include collagen injections, Botox, chemical peels and laser resurfacing. Full-service skin care is available with a licensed medical aesthetician. Dr. Punjabi’s priority is to provide you with the skill, experience and care that you are looking for in a cosmetic and reconstructive surgeon. You can be certain that his input and interest in your expectations and desired goals will make you feel comfortable and confident that you are in good hands!

Dr. Punjabi appreciates the value of clinical experience, surgical expertise, current innovative technology and consistently delivering excellence in patient care. Because of his unique dual qualifications in medicine and dentistry, Dr. Punjabi’s expertise gives him a distinct perspective in solving complex cosmetic and reconstructive challenges of not only the face, head, and neck, but also the breast, body, and extremities.

Terracina Surgical Arts offers a complete range of surgical and nonsurgical cosmetic procedures provided by our double board certified plastic surgeon, Dr. Punjabi. All your cosmetic goals can be achieved in our well-equipped facility. With over 18 years of experience, we focus on delivering outstanding patient care with top-rated cosmetic plastic surgery results. We treat each patient as a unique individual and discuss all the pre-operative concerns and preferences in great detail prior to treatment. Our overall goal is to provide you with safe, effective, and natural-looking results. We are full of appreciation to be serving the beautiful Inland Empire community. Call now to set up your consultation with Dr. Punjabi and see what options are right for you and your lifestyle. We look forward to meeting you and welcoming you into our family!

Dental Implants in the Inland Empire

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth when implanted by an experienced implant surgeon like Dr. Punjabi. The person who has lost teeth regains the ability to eat virtually anything, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence.

What are Dental Implants?
The implants themselves are tiny titanium posts, which are surgically positioned into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes providing stable anchors for artificial replacement teeth. Once in place, they allow the dentist to mouth the replacement teeth onto them. The bone bonds with the titanium, creating a strong foundation for artificial teeth, making them stronger and giving the patient the ability to eat normally without concern of the teeth to fall out. Small posts are then attached to the implant, which protrudes through the gums. Dental implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing. This can prevent the sag or sunken face that is common in people without teeth.

The Surgical Procedure
For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your dentist is forming new replacement teeth. After the implant has bonded to the jawbone, the second phase begins. Dr. Punjabi will uncover the implants and attach small posts, which will act as anchors for the artificial teeth. These posts protrude through the gums. When the artificial teeth are placed, these posts will not be seen. The entire procedure usually takes six to eight months. Most patients experience minimal disruption in their daily life.

What Types of Prostheses are Available?
A single prosthesis (crown) is used to replace one missing tooth each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist. Dr. Punjabi performs in-office implant surgery in an operating suite, thus optimizing the level of sterility. Ambulatory Surgery Center or In hospital surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.

Benefits of Dental Implants

Improved Oral Health: Dental implants don’t require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.

Improved Appearance: Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.

Improved Speech: With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.

Improved Comfort: Because they become part of you, implants eliminate the discomfort of removable dentures.

Easier Eating: Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.

Improved Self-Esteem: Dental implants can give you back your smile and help you feel better about yourself.

Durability: Implants are very durable and will last many years. With good care, many implants last a lifetime.

Convenience:  Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.

If you’re thinking about getting dental implants, give our office a call! We would be happy to go over any questions regarding the procedure, healing times, and financing options that we offer. Call (909) 798-9950 to schedule your consultation, today!

Oral and Maxillofacial Reconstruction Surgery: Facial Trauma

By virtue of Dr. Punjabi‘s dual board certifications in both Plastic Surgery and Oral and Maxillofacial Surgery in the Inland Empire he is experienced, skilled and uniquely qualified to manage and treat Facial Trauma. Injuries to the face, by their very nature, impart a high degree of emotional, as well as physical trauma to patients. The science and art of treating these injuries requires special training involving hands-on experience and an understanding of how the treatment provided will influence the patient’s long term function and appearance. Examples of traumas are not limited to, but may include: Facial Lacerations, Intraoral Lacerations, Avulsed (knocked out) Teeth, Fractured Facial Bones or Fractured Jaws.

Dog Bites

There are a number of possible causes of facial trauma such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work-related injuries. Types of facial injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face. Typically, facial injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves or the salivary glands).

When soft tissue injuries such as lacerations occur on the face, they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands and salivary ducts (or outflow channels).

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together). If a tooth is knocked out, it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket, the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists who may need to repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

Fractured Jaw

The proper treatment of facial injuries is now the realm of specialists who are well versed in emergency care, acute treatment, long term reconstruction and rehabilitation of the patient. If you are ever affected by a facial trauma, Dr. Punjabi is one of the most qualified and best surgeons in the Inland Empire. Give our office at Terracina Surgical Arts a call to learn more about Maxillofacial and cosmetic plastic surgery in the Inland Empire.


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Liposuction in the Inland Empire

Liposuction is a very common, popular procedure; it is designed for the permanent removal of fatty tissue, which is underneath the skin and may include cellulite. It is an elective procedure that allows the plastic surgeon to remove undesirable, subcutaneous fat in isolated areas that do not respond to diet and exercise. These areas include the hips, thighs, abdomen, knees, ankles, face and neck. Liposuction is most successful in people with good skin tone who have fatty deposits. It is not a treatment for obesity. If weight gain occurs following liposuction, the fat will be deposited in areas that have not been treated. The procedure can be repeated, if necessary.

The liposuction procedure can be done in the office for smaller area incisions, while larger area incisions are done on an outpatient basis under conscious sedation or general anesthesia in a hospital or surgical center. A cannula is inserted within the small incision and attached to a suction machine. Depending on the size of the area being treated, the procedure may last up to an hour or longer.

During the recovery process, expect swelling and bruising in the following 2 weeks post-surgery. Special garments will be provided to apply pressure, minimize swelling and provide support during your healing process. As soon as swelling subsides you will be able to immediately see results and will continue to improve as swelling diminishes. The day after surgery, you should be able to be up and walking around and will be able to resume normal activities within the next 2-4 weeks, while returning back to work after 3-5 days. It is important to be increasing your daily activity to ensure that you will be back to full activities after the 2-4 weeks. It is also important to avoid any direct sunlight until all bruising has subsided, wearing sunscreen should be worn and used routinely.

While the results of liposuction are permanent, it may be recommended that multiple treatments are done to achieve fully desired results. If a large amount is gained post-surgery, you may notice rippling within the treated areas depending on your skin elasticity.

Speak to our board certified plastic surgeon to go over any questions and concerns that you may have with the procedure and ensure you are in your best health pre-surgery date to ensure a healthy and fast recovery. If you’re interested in getting liposuction with Dr. Punjabi, please call our office, Terracina Surgical Arts at (909) 798-9950 to schedule a consultation.

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Botox and Injectable Fillers

Botox and Fillers have become a revolutionary non-surgical procedure in recent years; reversing the effects of facial wrinkles, sun exposure and the effects of facial movement and  gravity over the years. Injectable fillers keep your skin looking youthful by keeping the skin plump where areas with the most muscle movement begin to break down. Whereas Botox may sound similar to the injectable fillers, it is a complete different procedure that consists of paralyzing the muscles to reverse and remove the effects of wrinkles. The main difference between Botox and injectable fillers is that Botox stops the muscles in your face from performing movements that cause wrinkles, whilst fillers plump the wrinkles, smooth out the wrinkles and create the effect of making the skin more youthful.

Woman Receiving Botox on Forehead


Botox is a temporary non-surgical procedure; Botox is a cosmetic injectable neurotoxin that is diluted to the form of Botulinum Toxin. The diluted format is used to relax and paralyze your muscles which consist of tiny injections typically injected on your forehead and around your eyes. Because the procedure is not entirely painless, topical anesthesia is available to mitigate the discomfort of small stings when injections are made into the skin. Botox is a non-permanent procedure and may need to be repeated up to 2-3 times per year to maintain the effects you received on your first treatment. Botox was approved by the FDA in 1989, and in 2002 for cosmetic procedures, it is a very common and highly-requested procedure, most commonly used for cosmetic concerns but also serves as a slew for other health concerns as well. To ensure the procedure will go safely and smoothly, take the time to do your research and be certain the procedure is only being performed by a board certified dermatologist or a plastic surgeon. You can never ask too many questions, as it is important to be comfortable with your medical professional before receiving the treatment.

Injectable Fillers

In recent years, injectable fillers such as Restylane, Juvederm, Sculptra and fat transfers have become very popular. Fillers are small injections of gel that typically consist of hylauronic acid which fill in wrinkles and add volume to softer tissue, such as lips, cheeks, eyes and even your jaw line. Injectable fillers typically restore lost volume in the face and smooth out deep set lines. While it depends on how each individual reacts to the treatment, but expect the filler to last roughly between 6 and 18 months. To ensure there is minimal discomfort during the procedure, your medical professional will apply an anesthetic cream before the treatment begins. Your face has many underlying sensitive structures, such as nerves, vessels and veins that can be damaged if the treatment is not performed by a trained and experienced medical professional.

Fat transfers are another type of injectable filler, which is harvested by the patient’s own body fat and re-administered to enhance facial fullness, fill creases or build up shallow contours. Fat Transfers are a natural, safe and non-allergic treatment option to fill in sunken areas or recontour your facial features. Typical areas for the patients “donor-area” consist of the abdomen, thighs or buttocks; micro-liposuction is used to transfer the fat as a graft to the injectable areas. In most cases, about 50% of the fat injected will survive and will last for a lifetime, but in other cases multiple fat transfers can be needed to achieve the desired results.

If you’re interested in learning more about getting Injectable Fillers or any type of plastic surgery in Inland Empire, please give us a call at Terracina Surgical Arts in Redlands, CA. (909) 798-9950.

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Are You Looking for Breast Implants in the Inland Empire?

Searching for the best plastic surgeon to perform your breast implant surgery can be extremely intimidating, especially in the Southern California area.  There are so many doctors, all claiming that they’re the best and that they provide the greatest services in the area.  However, before picking the first doctor you feel somewhat confident with, it is important to remember that it is your body and your health that is potentially at stake here.  So, it is much better to have multiple doctors you are comfortable with and then have a meeting or consultation with each of those doctors.  This way, you can be absolutely sure that the one you have chosen to perform your surgery is the best fit for you.

If you are in the Southern California area and looking to have breast augmentation surgery, take a look at the premier services we have to offer here at Terracina Medical Arts.  Located in the Inland Empire, Terracina Surgical Arts has many procedures in plastic and cosmetic surgery, with breast augmentation being one of them.  Dr. Anil Punjabi of Terracina has many years of experience performing breast augmentation surgeries, and we know you will have a positive surgical experience and the results of your dreams upon visiting us.  To learn more about how to receive the best breast implant surgery in the Inland Empire, keep reading.

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Here at Terracina Surgical Arts, we understand that it is natural for many women to consider undergoing breast augmentation at some point in their lives.  Maybe it’s genetics, maybe it’s age, maybe it’s weight loss, or maybe you’re post-pregnancy and post-breast feeding.  Whatever your case may be, Dr. Punjabi and the rest of the Terracina team is here to help you reach your goals and give you the appearance you’ve always wanted.  Even if your desired breast surgery is a reduction or a reconstruction, we are also able to provide you with these services – and they’re all right here in the Inland Empire.

When you come in for your breast implant consultation with Dr. Punjabi, you will have a deep and thorough discussion with him about your personal goals and desires in undergoing the surgery.  After Dr. Punjabi has a well-rounded understanding, he will be able to make his recommendations and develop a treatment plan that works best for you and your personal needs.  You will be explained everything you need to know about the cost, the specifics of how the procedure is performed, and the potential risks associated with the procedure.  A physical examination will also take place to ensure you are in a good state of health. Then, a custom surgical plan will be created based on all of the existing factors.  This custom surgical plan will include everything from where incisions are placed to how the implant is inserted into the breast.

The breast implant procedure itself starts by Dr. Punjabi making a short incision of about one inch around the areola, along the crease of the breast, or in the armpit area.  These incisions will help to create a pocket in which the implant will sit.  Once the implants are in the desired position, all incisions will be closed and the necessary bandages and dressings are applied.

The breast augmentation surgery lasts about one hour to ninety minutes, with post-op recovery room time going anywhere from one to two hours.  After the recovery room time is up, you will be sent home, as long as the team thinks you are ready and able to go home.  During the first two days post-procedure, you should expect moderate amounts of discomfort; this will be able to be controlled via prescription pain medication.  You may also experience pain when performing actions such as lifting the arms or transitioning from a lying to a sitting position, or from a sitting to a standing position.  Bruising and swelling is also very common throughout the first few days post-surgery.  It is important to remember that you need to limit your activity during this point of your recovery and be patient to ensure the healing process goes smoothly and has no induced complications.

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After your breast implant surgery, you will come in to see Dr. Punjabi in the Inland Empire for your post-operative visit within one or two days.  Your dressings will be removed and you will then be fitted with a specialty bra that you will need to wear for the following weeks.  The majority of patients feel that they are ready to return to moderate work within just a few days of their surgery, though variations in healing between individuals is common.  You should expect to tire more easily than usual throughout the beginning stages of your healing process; so, it is important to avoid strenuous activity to avoid injury and causing potential complications.  After the first several days, you should also find that your swelling has gone down significantly, and you may feel ready to resume your normal body routine.  As your body heals, you will start to see your true results; you will find that your breasts appear younger, lifted, and have a more appealing shape.

So, what are you waiting for?  The appearance of your dreams is only a phone call and a consultation away.  Come visit Terracina Surgical Arts in the Inland Empire to get more information about your breast implant surgery.

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Are You Looking For a Tummy Tuck in the Inland Empire?

Are you amongst the millions of people looking to get rid of that seemingly indestructible excess abdominal skin and fat?  Maybe your goal is to regain your slim, pre-baby body; maybe you’d like to tighten up that residual loose skin and muscle from your weight loss journey; maybe you’re simply aging.  Many people try just about anything to get rid of their excess abdominal skin – everything from diet to exercise to harmful supplements to the “flat tummy” detox teas and juices.

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However, there is an alternative solution.  Abdominoplasty (more widely known as a tummy tuck) is a surgical procedure done to correct these stubborn byproducts of life and natural aging.  This procedure is twofold.  The excess abdominal skin and fat is removed, and then the structure is repaired by tightening the muscle and fascia of the abdominal wall.  If you’ve ever heard of the term “Mommy Makeover,” this is the step that plays the lead role in the comprehensive procedure.  It is extremely common for both men and women, with 2016 bringing in almost 182,000 total tummy tucks, making it number three on the list of most performed surgical procedures last year.  At Terracina Surgical Arts Center, we pride ourselves in providing clients with the most advanced techniques, making for a comfortable and minimally invasive session in the OR with a swift and strong recovery to follow.

Terracina Medical Arts Center’s high reputation and standard of quality can be attributed to Dr. Anil Punjabi.  His eighteen years of experience in conjunction with his dual licensing in both medicine and dentistry make him one of the most distinguished and well-renowned plastic surgeons, not only in the Inland Empire, but all of Southern California.  Dr. Punjabi is a Board Certified Plastic Surgeon and a Board Certified Oral and Maxillofacial Surgeon.  He runs his Redlands practice with extensive clinical experience, surgical expertise, modern technique, and a strong value for delivering the best and most effective patient care possible.

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The tummy tuck procedure itself is carried out on an outpatient basis.  This essentially means that the patient will have the surgery done at the practice or a local hospital and will likely not be admitted for an extended stay.  This does vary depending on the patient and his or her specific needs, but on a general basis, there is no need for overnight stays.  The surgery is done using general anesthesia.  Under general anesthesia, the patient is unconscious and unable to feel any pain.  This may also vary depending on the patient and the case, with the alternative being local anesthesia and sedation.  The procedure then begins with a supra-pubic incision going from hip to hip.  The second incision is made to separate the navel from its surrounding tissues.  The skin is lifted and the midline abdominal muscles are brought back together.  The muscles are tightened, and any excess skin in the general area is trimmed.  The bellybutton will then be repositioned slightly higher on the abdomen, creating a more youthful appearance on the torso.  The ultimate goal is to have a tight, defined abdomen with no surplus of skin.

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Dr. Punjabi’s goal is to offer the best tummy tuck in Inland Empire with affordable cost options. Email or call us to explore how affordable your tummy tuck surgery can be.

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The Ultimate Guide To Plastic Surgery

How To Find The Right Plastic Surgeon For You 

If you are considering plastic surgery, you have some decisions to make. While most people spend time thinking about the potential results and procedure, there is a much more important matter to consider. That matter is the choice of the plastic surgeon you decide to go with. You need to carefully evaluate the surgeons on your list before making a decision. This is not only important for your appearance, but most importantly, your safety. Some of these decisions include things like: Is your surgeon board certified? How much experience does the surgeon you are interested in have? And last but certainly not least, how is their operating facility, and how does their staff make you feel?

1. Plastic Surgeon VS. Cosmetic Surgeon

When patients are searching to find the perfect surgeon for them, one of the most common things he/she is not aware of is that there is a huge difference between a plastic surgeon and a cosmetic surgeon. Making sure you know the difference between the two is very crucial. Both must finish medical school however a Plastic Surgeon must complete a residency and/or fellowship in plastic surgery, and then become certified by the American Board of Plastic Surgery.

Plastic Surgeon

The American Board of Plastic Surgery is the only board acknowledged and approved by the National Board of Medical Specialties. A plastic surgeon has had at least 6-8 years of training in all aspects of aesthetics and reconstructive techniques of surgery. After the rigorous training has been examined by the American Board of Plastic Surgery (which is the only specialty recognized by the American Board of Medical Specialties), they then can perform procedures on patients. A plastic surgeon will have the right education, certification and training for the procedures in their facility.

Cosmetic Surgeon

A cosmetic surgeon is any licensed physician being a pediatrician, psychiatrist, internist, obstetrician, dermatologist, etc. Following with that, many physicians are unfortunately not under the guidance of a properly credentialed board. Some cosmetic surgeons and other medical training individuals think they can offer plastic surgery procedures. However, they really do not have their certification to do so.

2. Find a Plastic Surgeon whose aesthetic sense is appealing to you

Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects such as: birth disorders, trauma, burns, and disease. However, in some cases you can spend the time researching what exactly your end goal is, and what surgeon will be the best for you depending on your case. When choosing a plastic surgeon, be sure to find one who appeals to your needs in every way.

Tips to determine the right plastic surgeon for your aesthetic needs:

  • Looking at your surgeons before and after photos of his/her past procedures is always a good idea when you have an end goal in mind.
  • Look for past patients who had a similar reconstruction done to them. This is helpful to give you a small glimpse as to what you can expect.
  • Look for consistency. Do their post-op pictures appeal to you?

3. How do the surgeon and their staff make you feel?

Being 100% comfortable around your surgeon and their staff is KEY. Make sure that you can put all your trust into your surgeon before committing to a life changing surgery.

Ask yourself:

  • Do I enjoy coming to my appointments?
  • Do I trust this surgeon to know what’s safe and what isn’t?
  • Would I recommend this surgeon to friends/family?
  • Can I ask my surgeon any question I may have throughout this process?
  • Can I disclose all of my medical history to my surgeon? (Very important!)

4. How is the operating facility?

ASPS require that member surgeons use surgical facilities that meet established standards for quality and safety. Ensuring that your surgeon operates in an accredited surgical facility means a number of things that are crucial for your safety and well-being are in place. Accredited agencies verify that the operating room has everything needed to respond quickly and appropriately in life-and-death situations. Luckily, it’s pretty easy to do and won’t take much of your time. Here are a few steps that you can take.

What to ask/look for:

  • Find out your facilities level of accreditation. Look for AAAASF, AAAHC or JCAHO
  • Know that you can ask for these qualifications. You are looking for someone who is a Certified Registered Nurse Anesthetist, or a Board Certified Anesthesiologist that is going to be administering your anesthesia.

5. How does this facility treat their customers?

  • Is the staff approachable and helpful?
  • Am I getting reliable information about my surgery?
  • When I have any questions regarding my surgery, am I getting a prompt reply?

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Are You Looking for a Nose Job in the Inland Empire?

Nose job surgery, also known as rhinoplasty, is a surgery that is performed to alter the appearance of the nose with the goal of enhancing facial harmony and the proportional relationships of the facial features.  This is one of the more invasive, yet functional, cosmetic surgeries that many people will undergo at some point in their lives.  So, when deciding where to get your rhinoplasty done, it is very important to consider as many doctors as possible and see what each one of them has to say about your case.  Especially in the Southern California area, there are almost too many options to choose from as far as plastic surgeons are concerned.

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However, we are here to tell you that you have come to the right place.  If you are in the Southern California area and are looking to receive a nose job, look no further than Terracina Surgical Arts in the Inland Empire.  Terracina is run by the exceptional Dr. Punjabi, along with his amazing team of associates and technicians.  Dr. Punjabi has many years of experience in performing nose jobs, and he has provided countless patients with the nose of their dreams throughout the years.  Whether you’re looking to go bigger, smaller, have a change in shape, or are having a respiratory problem, Dr. Punjabi will be able to help you reach whatever your end goal may be.  Plus, all of these amazing services and more are available to everyone right here in the Inland Empire.

People elect to undergo rhinoplasty for many different reasons.  One of the most common of these, however, is obstructed airways.  Airway obstruction cases are ones that require more careful evaluation than cosmetic cases, being that these are directly related to the nasal structure.  This is in stark contrast to cosmetic cases, which are typically done due to a dislike of the shape or appearance of the nose.

Before undergoing your nose job here in the Inland Empire, Dr. Punjabi will ask you stop smoking for at least six weeks prior to the procedure.  Taking this step will promote more efficient healing.  You will also need to stop taking aspirin and other anti-inflammatory drugs, along with any herbal medications that may increase bleeding.  Hydration is also extremely important to help increase your chances of a safe and speedy recovery.

Medications will be administered for your comfort during the procedure.  General anesthesia is commonly used, although local or intravenous anesthesia may be more desirable, depending on the case.  For your assured safety during surgery, multiple monitors will be used in order to keep track of your heart rate, blood pressure, and blood oxygen levels.  Depending on the type of work that needs to be done and how much work needs to be done, your rhinoplasty may utilize either a closed or an open technique.  Incisions for closed rhinoplasties are made entirely on the inside of the nose whereas open rhinoplasties require additional small incisions made on the underside of the nose on the skin between the nostrils.  The nasal skin will then be separated from the underlying bone and cartilage and the existing framework will be given a new shape.  Here at Terracina, we focus not only on the shape, but also on the function of the nose.  So, upon altering the shape, we will make sure that you will still be able to breathe normally and will not have any post-surgical obstruction.

After your rhinoplasty is completed, you will be taken into the recovery room where your conditions will be closely monitored, and you will be discharged when you are sufficiently recovered.  There will be a splint placed on the outside of your nose to help support the new shape as you go through the healing process.  A nasal splint or packing may also be placed in the nostrils to provide any necessary additional support.  The packings will be removed after about four to seven days after surgery, and the splint and additional bandages will be removed in seven to ten days.

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As you go through the healing process, you should expect bruising, swelling, and some discomfort.  Your face overall will be swollen, and the areas specifically around your eyes and nose will be darkly bruised.  This swelling and bruises typically will mostly dissipate within the first ten to fourteen days.  You may need to make sure that you keep your head elevated and as still as possible for the first few days after your procedure.  If necessary, Dr. Punjabi will prescribe pain medication to help you manage any severe discomfort you may be having.  He may also instruct you to limit your physical activity for anywhere from a few days to a few weeks.

It is extremely important that you listen closely to all of the post-rhinoplasty instructions you are given by Dr. Punjabi.  If you do not pay attention to and execute your post-operative care the way you are told, you may experience serious complications and your end result may not be what you were hoping for.  Keep in mind that minor swelling of the nose can occur for up to a year after surgery, so if you experience this, there is no need to fear of a serious complication, for it is fairly normal for this to be the case.

Dr. Punjabi has given many people the nose of their dreams and has improved their breathing throughout his extensive career in cosmetic and reconstructive surgery.  So, if you’re in Southern California and thinking about getting a nose job, look no further than Terracina Surgical Arts.  Our amazing team is right here in the Inland Empire to help you finally get the nose you’ve always wanted.  Visit our website and give us a call today to schedule your rhinoplasty consultation with Dr. Punjabi and the rest of the Terracina team.


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