I encourage men and women in their mid thirties to begin using Botox. If you wait until your mid or late 40's you may have already etched deep lines in your forehead that will now need more than Botox to remove them.
Do I have to have general anesthesia and a tube down my throat?
No. The only procedure I routinely insist be done under general anesthesia is Rhinoplasty (performed in Miami office). This is to protect the airway from blood and secretions during the procedure. All other procedures (i.e. facelifts, chin implants, eyelid surgery) can be done in Miami with IV sedation or even local anesthesia. However if there is any question that an anesthesiologist should be present for medical reasons this will never be compromised.
Who does your anesthesia?
I have used the same board certified anesthesiologist in my office for the last six years. I have complete trust in her skills and patient care. I never use anyone that I have not had extensive experience working with.
If you were me how would you chose a surgeon?
1. Must be a board certified specialist in facial plastic surgery or general plastic surgery. 2. A minimum of 10 years surgical practice and experience. 3. Routinely does whatever procedure you are requesting on at least a weekly basis. 4. Must have large photo album of before and afters showing a wide range of patient experience and success. 5. Must have a list of "happy" patients who will gladly talk with you about their experience. 6. All the rest: what school a surgeon went to, what teaching position he holds, what magazine he was featured in, have very little to do with whether he will get you a good cosmetic result.
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