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Dr. Tom Haas Best Plastic Surgeon
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Plastic Surgery Louisville Kentucky
Cosmetic Procedures
Frequently Asked Questions


Breast Lift and Breast Augmentation

Patients will frequently ask over the phone about breast lifts and/or breast augmentations. Most patients seem to know that they need a breast lift, and they are not usually surprised when Dr. Haas informs them so during their consultation. Of course, without seeing the patient, it can be difficult to give patients precise financial figures.

Some guidelines to determine if you need a breast lift or breast augmentation:

  1. If your nipple is below the crease under your breast, you probably need a breast lift.
  2. The lower your breast, or the more breast lift you need, the more incisions will be made to reshape your breast...this means more scars.
  3. Adding an implant will probably make the incisions required less, thus less scar. Dr. Haas will help the patient decide if the scars are a good trade for a better shape and size.
  1. Where will my surgery be performed?
    1. You have a choice. We have a certified cosmetic surgery suite in our office, and we do breast lifts and breast augmentations here hundreds of times per year. Imaage® is the only plastic surgery office with a JCAHO-accredited in-office cosmetic surgery suite. Your surgery experience will be very private and luxurious. We only do cosmetic surgery, so the staff you meet on your first visit will be with you throughout.
    2. For some patients, such as those with medical conditions or if they prefer, Dr. Haas has privileges at local hospitals for your cosmetic surgery.
  2. What type of anesthesia will be used?
    1. A combination of local anesthesia and IV sedation is used in our cosmetic surgery suite. This is under the care of an anesthetist that we have used for years. You will not feel or remember anything, but you do not need general anesthesia.
  3. When can I resume normal activities?
    1. Everyone heals differently, but as a guideline...two weeks to exercize, and about 4 weeks to 95% recovered.
  4. What are some of the risks of breast lift and breast augmentation surgery?
    1. Every surgical procedure has risks. Infection, reaction to medication, bleeding are a few of these. You will be fully informed of all possible risks during your pre-op visits.
  5. How sore will I be?
    1. Of course everyone is different and their response to cosmetic surgery will different. Dr Haas wants you to have as pleasant an experience as possible. We use the 'On-Q' pain pump a lot to eliminate about 90% of the soreness. All this is of course discussed with you at your consultation.
  1. How much does this cosmetic surgery cost?
    1. It can be difficult to give an exact figure over the phone before we see you. Most breast augmentations have a pretty standard fee, and we can generally give these to you over the phone. Breast lifts can be more difficult to estimate without seeing you...a small lift costs less than a full lift. Dr. Haas wants you to be as informed as possible, so he will discuss your options during your consultation.
    2. These fees are all inclusive and we do the cosmetic procedure here. Be aware that if you are calling around for quotes to compare apples to apples...some offices will give surgeon fees only and not mention hospital/anesthesia charges.
  2. Payment options
    1. We have a variety of payment choices for you, including cash, check, credit card, or financing options. Refer to our finance links to easily apply for financing.

Liposuction

  1. What type of liposuction do you do?
    1. We use tumescent liposuction, assisted with external ultrasound and a power-assisted canula. These techniques are state-of-the-art and the most modern available.
  2. Where will my cosmetic surgery be performed?
    1. You have a choice. Imaage® is the only plastic surgery office in the area with a JCAHO-certified in-office surgery suite. We do liposuction hundreds of times here every year. Dr. Haas feels the office allows the patient to have a safe, private, luxurious experience and our patient feedback has been uniformly positive.
    2. We can go to a local hospital if you prefer, however it is not necessary.
  3. What type of anesthesia will be used?
    1. A combination of local anesthesia and IV sedation in used in our cosmetic surgery suite. This is under the care of an anesthetist that we have used for years. You will not feel or remember anything, but you do not need general anesthesia. We can do your cosmetic surgery under general anesthesia, but it will be in a local hospital or surgery-center.
  4. Where will the incisions be?
    1. The incisions are about ¼ inch long. We try to hide them in natural creases. Usually there are 1-2 incisions per area.
  5. When can I expect to resume normal activities?
    1. People usually describe liposuction discomfort as feeling like a hard workout. Light activities can be done the day after the cosmetic procedure. Anything that jostles the skin will be sore for a few weeks.
  6. What are some of the risks associated with liposuction?
    1. Every cosmetic surgical procedure has risks and liposuction is no exception. Infection, reaction to medication, bleeding are a few of the risks. You will be fully informed of all possible risks during your pre-op visits. Liposuction is very routine, safe surgery, but we still need to be careful.
  7. How much does liposuction cost?
    1. The price depends on the number of areas involved. It can be difficult to give exact figures over the phone before we have seen you. Of course you will get a precise quote at your office visit.
    2. Some patients want improvement in their tummy area with liposuction, when they may actually need a tummy-tuck, or vice-versa. Again, this makes quotes difficult to give over the phone. Dr. Haas wants you to be as informed as possible, so he will discuss these options with you at your consultation.
    3. Remember that these fees are all inclusive and we do the procedure here at Imaage®. Be aware that if you are calling around for quotes to compare apples to apples...some offices will give the surgeon fees and not mention hospital/anesthesia charges.
  8. Payment options
    1. We have a variety of payment choices for you, including cash, check, credit card, or financing options. We refer our patients to high-quality, dependable finance companies. You can easily find these companies by navigating our web site...www.myimaage.com.

Tummy Tuck

  1. How can I tell if I need a tummy tuck or liposuction?
    1. Of course the only real way is for Dr. Haas to examine you, but we can give you some guidelines. If you have an overhanging flap of skin at your lower abdomen, you probably need a tummy tuck. This can be the result of weight loss, child-bearing, or your genetic background. If you have good elasticity in your skin and a relatively thick layer of fat (a pinch test of 2 inches or more), you may only need liposuction. Any area that can be grabbed and you can feel a significant amount of fat is an area that Dr.Haas can greatly improve with liposuction. In almost all tummy tucks, we liposuction the posterior flanks or hip roll area.
  2. How long and where will the scar be in my tummy tuck?
    1. The scar for a tummy tuck runs from hip to hip in a gentle arc, think 'smiley-face', along the pubic hair line. If you have a c-section scar, extend that on either end out to your hip bone. Dr. Haas tries to hide this by placing it low where a bikini can cover the scar. Like in a lot of our surgeries, Dr. Haas and the patient decide if the improvement in contour and appearance are a good trade for the scar involved. A tummy tuck is a great operation...it is the only thing that will give you a flat abdomen and tighten up loose skin typical after child-birth...the downsides are the scar and the recovery. Again, this will all be discussed at your consultations.
  3. Where will my surgery be done?
    1. Dr. Haas does all his tummy tucks in Imaage®'s JCAHO-approved in-office surgery suite. Our patients love the privacy, luxury, convenience and safety this provides. Dr. Haas maintains privileges in local hospitals and the surgery can be performed there, but that is rarely necessary and rarely requested by our patients.
  4. How long does the surgery take?
    1. A tummy tuck usually takes 2-3 hours depending on how involved that particular patient's procedure is. Patient's families usually relax in our video room. Dr. Haas immediately talks to the patient's family after surgery. Between paperwork, surgery, and recovery, the patient is usually here for 4-5 hours on the day of surgery.
  5. I've heard tummy tucks are quite sore...is that true?
    1. Tummy tucks in the past were quite sore. However, we use a lidocaine pain-pump that works as a 'soaker-hose' through catheters placed during surgery. These catheters continuously bathe the area of surgery with nocaine-like anesthetic. The patient does not have to do any manipulation of this system. The catheters, which are about the size of an IV catheter, are easily removed in 3 days. This gives a great start to healing and all of our patients are pleasingly surprised by their soreness level...they expected to be much more sore than they were.
  6. How much does a tummy tuck cost?
    1. This is difficult to estimate until seen by Dr. Haas, as everyone is slightly different and may have different requests, different areas to lipo, also want a breast augmentation at the same time, etc. Feel free to call IMAAGE® and the staff will be glad to give you some guidelines, and of course when you are seen by Dr. Haas, you will be given your exact price quote.
  7. How long do I need to take off work? What about recovery?
    1. Dr Haas tells every tummy tuck patient to expect to take 3 weeks off work. If you recover faster and want to go back to work and your job does not require strenuous activity, you may return sooner...however, we like to make sure the patient's schedules are pretty clear for those 3 weeks. We tell everyone who has this procedure to expect to be 75% recovered at one month, and it takes two months to be 100%. Again, this will all be discussed at your consultation.