Advanced Surgical Procedures Provide Optimized Patient Results
Blepharoplasty involves the removal of protruding fat and excess skin from the upper and lower eyelids.
Breast Reduction (Reduction Mammoplasty)
Breast Reduction surgery can be one of the most rewarding procedures a woman can have. The benefits are many and include relief of neck and upper back pain, finger tingling (neuralgia), healing of rashes and better-fitting clothes. The surgery is indicated for women whose breast size cause neck and upper back pain that impairs their ability to perform their normal activities of daily living and/or require daily pain medication. Patients would need to be seen by their Primary Care Physician and either a Chiropractor or Physical Therapist and failed to experience pain relief with these modalities. These initial evaluations are very important as they rule out other more severe causes of neck and back pain. Once these evaluations and therapies are completed, then an appointment is made to see Dr. Fripp to decide if you are a candidate for Breast Reduction surgery.
Like all surgery there are risks associated with this procedure and they include but are not limited to asymmetry in the size and shape of the breasts (all women have some degree of asymmetry preoperatively), loss of sensation to the nipple and breast skin, loss of nipple-areolar complex, fat necrosis (hardening of the breast tissue), wound dehiscence and the possible need for additional surgery.
Breast Augmentation (Augmentation Mammoplasty)
Breast Augmentation procedures have increased dramatically in the last ten years. Women are having the procedure done to naturally enhance their breast size and achieve more self-confidence. The procedure is also done to correct asymmetries of the breast and congenital deformities. The procedure involves the implantation of either a saline or gel implant above or below the Pectoralis major muscle through a small incision on the chest wall. The type of implant and incision site will be determined together with the patient during the evaluation process. The risks and benefits for augmentation will also be discussed and a booklet on the procedure given for the patient to peruse at home. Breast augmentation is a surgical procedure and should not be done without an evaluation by a Board certified Plastic Surgeon so that the correct information is given.
Breast Lift (Mastopexy)
Over time the ligaments that support the breast tissue begin to loosen and the breast develop some degree of ptosis (drooping). In addition to time, this process can be accelerated by pregnancy, nursing and weight loss. Breast lift procedures restore the breast volume to its position on the chest wall giving the breast a youthful appearance and by reestablishing fullness and creating cleavage. This procedure can be done through a number of incisions to make the final scar as inconspicuous as possible. The type of incision chosen will depend on several factors, which will be discussed during the evaluation to ensure your goals are met. The risks and benefits will also be discussed during this evaluation.
Breast reconstruction after partial or total mastectomy is every woman’s right. Dr. Fripp is passionate about this and is working to ensure that every woman in the District of Columbia is informed of her right to have reconstruction during the planning of the mastectomy. Breast reconstruction not only restores a women’s breast shape but also restores a women’s self-confidence after surgery. Techniques use range from implant-based reconstruction to autologous tissue (a women’s abdominal or back muscle and fat) to microsurgical techniques, which use little or no muscle.
The consultation process with Dr. Fripp includes watching a video on the reconstructive options, discussing the options using drawings and aids and of literature to review at home. The patient is subsequently scheduled for a return visit where together a decision is made regarding the breast reconstruction procedure to be performed. This allows the patient to be a part of the entire process and have a full understanding of the risks and benefits of the procedure.
Gynecomastia (Male Breast Reduction Surgery)
Gynecomastia is defined as enlargement of male breast tissue. Men suffering from this condition have several options for treatment. The initial treatment involves examining potential causes of the condition. In some cases, if the cause is treated the condition regresses. In other cases, surgical intervention is the solution to the condition. Treatment of this condition is very rewarding and can restore self-esteem and alleviate the self-consciousness associated with the condition. Some insurance plans cover the treatment of this condition.
Liposuction is the removal of excess fatty tissue from a specific area of the body. This procedure is designed for those patients who have a discreet area(s) of adipose (fat) tissue with minimal skin excess. It is not a weight loss procedure but rather a body contouring procedure. Compression garments are worn after the procedure to further mold the body and compliance is a requirement.
Abdominoplasty removes excess skin and fat that usually develops in the lower abdominal area. The excess skin and fat are removed, the rectus muscles realigned and tightened. It is also my practice to use liposuction as an adjunct to contour the abdomen and flanks to achieve an optimal aesthetic result. Some patients add on liposuction of the back (dorsal rolls) to improve their profile. With the use of pain pumps patient’s postoperative pain is minimized and they leave the surgery ambulating immediately after surgery. Recovery is typically 5-7 days after surgery; however, it is dependent on the patient as every patient is different.