Terracina Surgical Arts
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
- 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?
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.
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.
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.
As summer winds down, fall swiftly comes in for the season of leaves, pumpkin spice latte, and possibly plastic surgery. As leaves are changing, so should you, it’s time to fall in love with a new you in this new time of season.
Do you feel the need to cosmetically enhance your imperfections in this time of season? Don’t worry, you’re not alone as men and women begin the season of facial enhancements. Plastic surgery in Inland Empire waits for those who are ready to start the season with a big bang. Luckily, here at Terracina Surgical Arts, we provide one of the best facelifts in the Inland Empire for all types of patients. Together, we will go over our custom procedure in facelifts for this right time of season.
What is a Facelift?
Rhytidectomy, or most commonly known as a facelift, is a procedure for cosmetic surgery in Inland Empire where we offer at our facility. Rhytidectomy involves an operation in skin-tightening treatments alongside the removal of sagging tissues in your cheeks, forehead, chin, etc. Terracina Surgical Arts offers a facelift with corresponding treatments to overall augment a satisfying facial rejuvenation treatment.
3 Reasons to Fall in Love With Terracina Surgical Art Facelifts
- Look Young Once Again. With all the excess skin wrinkles and saggy face tissue, a facelift can alleviate all concerns once treated. Immediately you’ll see results with a brand new, young-looking face.
- Deep Facial Creases No More. It’s already annoying as is when you’re confident with a new fall look but struggle to feel confident in your own skin, let alone deep creases showing along your face. Rhytidectomy reduces facial creases (nasolabial folds) between the mouth and nose to brighten a new look for the fall season.
- Alleviate Skin Wrinkles Around Your Neck, Chin, Jawline, etc. Facelifts aren’t just for the cheekbones and forehead alone; facelift can help diminish wrinkles anywhere else around the face. Don’t settle for small fixes here and there but transition to an ultimate new you with facelifts all around.
Procedures With Facelifts
- Blepharoplasty(Eyelid Surgery): If you’ve had long nights or stress over work, relationships, and life then it’s a common understanding of your eyes resulting in puffiness and wrinkles around them. It’s one of the most common procedures correlated with facelifts, blepharoplasty offers a treatment in eliminating all wrinkles surrounding tired eyes.
- Brow and Forehead Lift: Do you fret over the lines above your forehead and brow? Alongside a facelift, receive a brow and forehead lift to bury those worrisome wrinkles away.
- Liposuction: Also known as one of the most popular procedures a patient undergoes, Liposuction perfectly complements any form of a facelift to help increase your confidence. Liposuction slims down one’s stomach and reshapes it to a patient’s ideal body image by eliminating excess fat.
New Season, New You
It can be difficult to find the right plastic surgeon in Inland Empire; luckily, Terracina Surgical Arts provides one of the top surgeons in the area. We care about our patients feeling the utmost importance while also maintaining up to par service. Begin this new season with a facelift by contacting us today!
Deciding to have children and becoming a mother can lead to some of the most rewarding and transformative years of a woman’s life. However, most mothers can tell you that some of the things it does to your body are not so wonderful. There seems to be a heightened demand for mommy makeovers due to the media and celebrities. We tend to see women who recently just had a baby, and begin to wonder how their baby weight is nowhere to be seen. While most of these individuals we see in our media are celebrities that have dietary restrictions, fitness trainers, and the money for plastic surgery. Wouldn’t it be amazing to jump back that fast after having a baby? Luckily we offer some of the best procedures to get rid of that stubborn baby weight.
Understanding What A Mommy Makeover Does
Any reputable plastic surgeon will require you to wait at LEAST 6 months after giving birth before you have any invasive surgery. It is best to wait this long so that your abdominal muscles have a chance to fully heal before you have a tummy tuck. Pregnancy often leads to loose skin and damaged muscles in the abdomen, that is why it is much harder to get your pre baby bod back again. Damaged abdominal muscles however can only permanently go away with surgery.
What Is Involved In A Mommy Makeover?
If you are considering getting a mommy makeover, know that your procedures will be personalized during your consultation to reflect your needs. Not all women need to have every procedure that a mommy makeover entails, but the only way to find out is to talk to your board-certified plastic surgeon. With that in mind, here is a list of the mommy makeover procedures that we offer:
● Tummy Tuck: (Abdominoplasty) addresses excess stomach skin. A long incision is made on your lower abdomen along your bikini line, which allows your surgeon to pull the skin and muscle to achieve a flat tummy. This option is great for patients who are looking to reduce their excess fat, sagging skin and stretch marks.
● Breast Augmentation/Lift: To correct reduction in breast volume after pregnancy, a breast augmentation or lift is highly recommended. This procedure helps to restore the lost firmness and elasticity that is lost after pregnancy weight gain and breastfeeding.
● Liposuction: This procedure is used to remove the stubborn fat deposits that wouldn’t go away with just a tummy tuck. Pregnancy tends to make women gain weight in places where they typically wouldn’t gain wait.
Before Booking A Consultation
After waiting six months or more after giving birth, you will need to make sure that you are meeting all of the following criteria before you can have your mommy makeover.
● Good Overall Health: Most people don’t realize that before you have an invasive surgery, you need to be in good physical health. This includes not smoking, and having your primary doctor clear your health history.
● Healthy Weight: Although you will be losing weight after your procedure/s, it is important that you make note that these surgeries are not weight loss procedures. It is recommended that you weigh no more than 25 pounds over your goal weight before your surgery.
● Budget Accordingly: When you are having so many invasive surgeries at once, you need to keep in mind that it is going to cost more money than just getting one procedure done. These surgeries typically range anywhere from $10,000$20,000.
● Ideally Be Done Having Children: Although this is not strictly necessary, we recommend this because if you were to get pregnant AFTER your surgeries, you would essentially be undoing your results. The skin that was pulled and cut away from your mommy makeover will again be getting stretched out, which will result in revision surgery. A revision surgery is also going to cost you more money and you will have a high risk or scarring as well.
What To Expect For Your Mommy Makeover Recovery After you have completed your mommy makeover surgery, it is now time for your recovery process. This process is not brief, and it usually puts most patients on bed rest for approximately two weeks. Tummy tucks are particularly longer when it comes to recovering; you can expect somewhere near two to three months healing from this surgery because of how invasive it is. It is a requirement that you are not lifting anything more than 25 pounds as this can cause your incisions to open.
Lastly, we want to tell you that your results will not be evident immediately. You will be experiencing swelling in your body as well which is your body’s natural inflammatory response, and this is normal.