by on January 5, 2015

Finesse Rhinoplasty

dr mark prysi finesse rhinoplasty naples, florida plastic surgeonRhinoplasty is one of the most demanding and artistically challenging procedures in plastic surgery. My approach to rhinoplasty has produced a number of extremely satisfied patients who now feel more confident in their facial appearance.

Rhinoplasty helps to address the following:

  • Oversized nose
  • Bump on the bridge of your nose
  • Unrefined nasal tip
  • Oversized or flared nostrils
  • Crooked nose
  • Asymmetrical nose (as the result of an injury or trauma)
  • Deviated septum
  • Wide or broad nasal base

Through small incisions inside the nose, we make millimeter/half-millimeter changes to the bone and cartilaginous architecture to change the external appearance of the nose. As a result, your nose is more consistent with your existing facial features.

Typical rhinoplasty patients have a large dorsum with an overly protruding nose, where the nose is noticeable on the face at first glance. Our goal is to bring the nose back into proportion with the rest of the facial features. This is done through subtle artistic changes, as mentioned above, that bring the nose into harmony with the face.

With other patients, it is mainly an issue of the nasal tip. Through the inside of the nose, small sutures are used to structurally change the tip of the nose so the external appearance is more consistent with the lines and shape of the face.

After rhinoplasty, your nose will feel sore and swollen. It is important to rest and refrain from strenuous activity. We will supply you with instructions on how to care for your nose as well as schedule follow-up appointments to check on your progress. A splint is worn for about a week, with patients generally reporting back to work within 7-10 days.

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by on November 10, 2014

Eyelid Surgery

eyelid surgeryEspecially for the patient over thirty, it is critical that a correct diagnosis is made.

Diagnosis: Is Surgery Needed?

If the eyes feel heavy or look heavy, the first thing you have to do is make sure the structures around them are not contributing to this appearance.

Upper Eyelid

Specifically, on the upper eyelid, you have to make sure the brows are in the correct position. The brow goes up, about sixty percent of the time, you do not need upper lid surgery, or only minimal surgery is required.

Lower Eyelid

If the lower lid has a bulge in it, you first have to make sure the mid face is not collapsed. If the midface is up, about seventy percent of the time, you do not need lower lid surgery, and in fact it would be a mistake as it would make the eye more hollow.

The Procedure

However, sometimes you do need to take a little skin out of the upper lid, and fat out of the lower lid to get the optimal result. The upper lid requires usully just a small incision and the with the lower lid, just removing a small amount of fat to get the ring in the lower eye removed. This is done through the inside of the lid, so there is no scar on the lid, and no risk of eyelid pull down.

A typical patient, with her eyes in a good position, we know that the extra skin is just from eyelid skin which we can remove. Her lower eyelids mainly have wrinkles on them, so we can treat that with laser therapy, and a small incision inside to get rid of the little bulge.

The Result

Our final result shows the area where the eye shadow goes re-exposed, and the lower lid smooth with no ring anymore, and no tell tale signs that the laser therapy was done.  All that is left is a natural appearance.

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by on October 2, 2014

Ultrasonic Liposuction

Dr. Mark Prysi, Naples Plastic Surgeon reports on Ultrasonic Liposuction.

Today we are going to talk about Liposuction. Dr. Mark Prysi performs a superior type of Liposuction called Ultrasonic Liposuction. This method simulates skin tightening and allows for more complete removal. Which is beneficial in beauty for all patients, and especially in fat removal for patients over the age of forty.

Dr Mark Prysi, Liposuction

Permanent Fat Areas in Men and Women

There are certain areas of the body that resist the effects of diet and exercise. In a woman, its the abdomen, hips, and inner and outer thighs. In men, its usually the abdomen and love handle area.

Traditional Liposuction

With liposuction we make small incisions, very inconspicuous. Often in the lower buttocks crease, or in the belly button, or the abdomen. Typically each incision is only about a centimeter wide.

Ultrasonic Liposuction

With ultrasonic energy, we can perform a specific type of liposuction. Here, the skin is at the top, the muscle at the bottom, and the fat in between is removed gently by ultrasonic energy which liquifies the fat and also stimulates the epidermis of the skin (the underlying skin) and helps it shrink down.

With this process you can remove much more fat, and you experience a lot less blood loss, and it stimulates skin tightening at the same time, which allows for much better definition.

In a particular patient of Dr. Prysi’s, her concern was her inner and outer thighs. Her abdomen was flat, but this is a different type of fat cell. It is called brown fat, most often saved from pregnancy. Even in your 20s, however, you can have a disproportionate amount.

In this case, Dr. Mark Prysi did just the inner and outer thigh liposuction which reveals excellent definition in the legs and hips, accentuated by the inner and outer thighs, and also their skin smoothness.

In the case of a gentleman patient, Dr. Prysi took 5 liters off his abdomen, and only with the ultrasonic energy would he have been able to get skin tightening the way it did.

Recovery Time

The recovery time of ultrasonic liposuction is usually quick, lasting around 3 to 4 days, and after a week you can return to work and most of your normal activities.

Don’t forget to check out Dr. Mark Prysi’s other work and recommendations on LinkedIn, and follow Dr. Prysi on Twitter @drmarkprysi.

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by on September 2, 2014

CoolSculpting

Based on an interview with Dr. Mark Prysi and ABC7.CoolSculpting

CoolSculpting is a new breakthrough technology to remove stubborn fat deposits in the body non invasively. It was developed by Harvard scientists who found that by freezing fat, you could selectively destroy the fat cells, but leave all the other tissues undisturbed.

This way you can find different areas of the body which are stubborn for this kind of fat to be removed, such as the abdomen, hips, and outer thighs, apply the suction device to freeze the fat, and you can do it all non invasively with no down time and no anesthesia.

Why CoolSculpting is so Popular

The main reason is that a lot of patients do not want to go through anesthesia or the surgery, or the expense of that. This way you can do it in the office with no downtime, there is no risk of anesthesia, and there is no invasiveness to it. You can actually go right back to work after an hour’s session, or workout the same day.

What areas of the Body is CoolSculpting used most?

The first two areas of the body CoolSculpting was used on were the abdomen and the love handle area. They just developed a new attachment where they can do the inner and outer thighs, and actually all the arms. A lot of women and men have excess fat in the arms, and just one treatment there will get rid of 25% of the fat in that area.

To get a hold of Dr. Mark Prysi, try contacting his office in Naples, Florida.

 

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by on July 30, 2014

Breast Implant Size and Location

Dr Mark Prysi, Breast Implant SizeIn breast augmentation it is critical to pick a natural implant for the patient.

Most of my patients are looking for a natural result, and what people notice is that breasts are too small, or too big. If its a perfect woman, she would be born with a C cup. Then you don’t even notice the breasts, you take in the whole figure.

The critical determinant is the measure of the size of your chest. So in other words you want to measure where the cleavage starts in the midline, and where the breast just covers the outer part of the chest. That diameter should be the correct diameter of the implant. And every implant has a set diameter.

If you pick a diameter too small, you’re going to have a wide cleavage even with the breasts out. If you pick a diameter too big, it doesn’t fit, and you get that artificial ring at the top of the breasts that most patients don’t want.

So once we find the correct diameter, then we talk to the patients. Do you want a full C? One implant above that, or a small C, one implant below that?

With every one, you are going to have different widths of their chests, so everyone is going to have a unique implant size to give them the absolutely most natural C cup.

Almost all my patients, the implants are put in below the muscle. Three reasons: less apt to feel the edge of it, massaging acts of the muscles keep it soft, and it is better for mammography in later years because it separates the breast tissue from the breast.

If you go into the muscle, that’s probably the part of the experience that can make you most sore, and takes time to recover from, and it is usually just the first 72 hours. It usually feels like you over worked out. So what I tell my patients is that in the first 72 hours, we will give them some valium, which is a muscle relaxant, usually a light pain pill, but by 72 hours you should be on just extra strength Tylenol.

Most of my patients can return to work within four to five days. Heavy exercise is two to four weeks.

This blog post is based on an interview of Dr. Mark Prysi about Determining Breast Implant Sizes and Location at the 2014 ASAPS conference in San Francisco, CA.

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by on June 2, 2014

Dr. Mark Prysi: Choosing Your Plastic Surgeon

If you are considering Plastic Surgery, one of the most important decisions is choosing your plastic surgeon. To help inform yourDr. Mark Prysi, Choosing Your Plastic Surgeon decision, here are six questions you should keep in mind.

Remember, a well qualified, experienced surgeon with an artistic eye is most likely to produce the results you deserve.

Certification by the American Board of Plastic Surgery

Is your surgeon a member of the American Board of Plastic Surgery? There is only one board certifying plastic surgeons that is recognized by the American Board of Medical Specialities, that certify almost all other surgery boards.  Newsweek Magazine did a study in 1999 and came to the conclusion that the gold standard of plastic surgery is certification by the American Board of Plastic Surgery.

Active Member of a Local Hospital

Is your surgeon an active member of a local hospital and a member of the Division of Plastic Surgery? You call your county and you have two hospitals and both have only one plastic surgery division and all members are certified by the American Board of Plastic Surgery.

These first two considerations do not mean you are going to get an excellent result, these considerations should really serve as baselines for your decision. If these two criteria are not met, you should absolutely keep looking for your plastic surgeon.

Examples of the Surgeon’s Work

If you should remember anything, you should remember this. So, most importantly, have you seen many examples of the surgeon’s work? You should see eight to twelve before and after photos, and meet two to three patients in person. This will trult be your best guiding factor to what your results could and would be.

Surgeon’s Skill with the Latest Techniques, and Technology

Is the Surgeon skilled in the latest advanced cosmetic procedures? There are many fresh advancements in the field of Cosmetic and Plastic Surgery. Some allow a surgeon to be more precise, some ensure a greater deal of comfort for the patient. If your surgeon is not up to date with the latest advancement’s in his field, you may be settling for a less, and are unlikely to receive an optimal surgery experience.

Artistic Ability

Does the Surgeon have artistic ability? No matter how technically good a surgeon is, if they are lacking artistic ability, you are not going to be able to get the best results. After all, wouldn’t you feel better off in the hands of someone who can see clearly his and your intentions, and bring your aesthetic desires to light?

Hospital Accredited Surgery Center

Does your surgeon use a hospital accredited surgery center with MD anesthesia? Some places of surgery are accredited just like a hospital operating room, with their own private space, or in a freestanding surgery center on the campus of a nearby hospital. Make sure your plastic surgeon is accredited by the county’s board of plastic surgery, and you’ll be ensuring that you get the optimal care you deserve.

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