Summit Health is proud to provide our patients with a broad range of state of the art plastic surgery procedures. Our team of highly trained doctors and nurses regularly perform both reconstructive and cosmetic surgeries for patients of all ages. We also offer plastic surgery consultations, during which patients can ask their physician any questions about the procedure.
When patients lose a substantial amount of weight, be it through exercise, diet, surgery, or some combination of the three, they will report many physical and mental benefits. These can include increased stamina, sleeping better, and greater confidence in their everyday lives. One of the adverse side effects that major weight loss can bring about is loose skin. Our bariatric body contouring can help patients look as healthy and beautiful as they feel. We also offer liposuction, to help patients rid themselves of extra fat in specific areas. Often, these areas are little affected by diet and exercise, leaving liposuction as the only solution.
One of our most popular procedures at Summit Plastic Surgery & Skin Care Center is breast augmentation. Many women elect to have this procedure done after giving birth or losing weight, or to simply feel more confident and beautiful. Our doctors are very knowledgeable about the latest advances in the field and are up to date on the newest methods. Each patient will meet with our staff to discuss the procedure, including such things as silicone or saline, under or over the muscle, incision location, and implant size, among other issues. Also, we proudly offer breast reconstruction surgery for patients who had a mastectomy or lumpectomy. We also provide breast reduction services for men and women suffering from symptoms caused by large breasts, such as back and neck pain.
Facial and Ocular Procedures
Many patients who come to us for cosmetic surgery do so because their body does not reflect who they feel they truly are. Our eyelid surgery removes wrinkles and lines from around the eyes, making the patient look younger. A facelift can remove other facial lines, as well as sagging cheeks and jowls. We also offer dermal fillers to reduce the appearance of aging, so patients can look as young as they feel. Our rhinoplasty services can help both patients who suffer from breathing issues due to the physical structure of their nose, or it can help those who would like to alter their appearance.
Our hand surgery procedures restore function and appearance to a patient's hands.
Summit Plastic Surgery & Skin Care Center is proud to use our plastic surgery skills to reduce the physical and cosmetic impairment wounds have on our patients.
To learn more about our practice, or to schedule an appointment, contact us today. Read on below for more information about all of our procedures.
Explore Surgical Procedures
Bariatric Body Contouring
Dramatic weight loss, whether achieved through diet and exercise or as a result of bariatric surgery, can lead to many benefits. However, many patients can be left with loose or sagging skin that does not match the new fit and healthy body image associated with the weight loss. Procedures such as tummy tucks and arm, breast, or thigh lift can help achieve an overall healthy appearance.
Liposuction removes excess fat from an area to smooth and reshape that part of your body. Some of the most common areas include chin and neck, hips, stomach, inner and outer thighs, knees, ankles, and buttocks.
If you have stubborn pockets of fat on your stomach or flanks, our in-office liposuction under local anesthesia may be an option. Contact us for details.
Breast augmentation or enhancement is one of the most popular cosmetic procedures in the United States as well as in Franklin County. There are many reasons women come to see Dr. Ledinh to discuss breast surgery – a desire to have larger breasts and cleavage, to return to their pre-pregnancy shape, or to achieve a more balanced and youthful body shape. For many of these women, breast size and shape is an important factor in feeling healthy, confident, and attractive.
Saline vs Silicone Implants
The two types of breast implants currently used in the United States consist of a silicone shell with either a saline (salt water) or silicone fill. Both implant types are safe and have their respective advantages. It is important to discuss with Dr. Ledinh what your cosmetic goals are, as they may affect the choice of implant used. The main advantages of silicone are that it tends to produce less rippling and has a more natural look and feel than saline. Having said that, saline implants used in the correct patient and situation can achieve a result essentially indistinguishable from that of a silicone implant.
There are pros and cons of each type of implant. Patients should take into consideration that saline implants are generally less expensive and require a slightly smaller incision as compared to silicone implants. Saline implant leaks are also easier to detect, as the body will absorb the fluid and lead to noticeable implant deflation. On the other hand, silicone implant leaks are much less noticeable – therefore, the FDA recommends an MRI 3 years after silicone breast augmentation and then every 2 years thereafter for surveillance. The main side effect of an implant leak is capsular contracture (a hardening of the scar tissue surrounding any implant or foreign body, which can lead to pain or distortion and may require implant removal or revision).
Under vs Over the Muscle
Breast implants can be placed above (subglandular) or below (subpectoral) the chest’s pectoralis muscle. The pectoralis is the large muscle seen in body builders, on top of which sits the breast tissue. In general, Dr. Ledinh will place the implants below the muscle, as he feels that this provides for a more natural look than when the implant is placed only beneath the breast tissue. Other advantages to subpectoral implant placement include decreased risk of capsular contracture and less interference with mammograms. A possible disadvantage of subpectoral placement is increased pain in the immediate post-operative period due to the stretching and cutting of muscle required to position the implant. Subglandular breast implant placement is typically reserved for those women with a moderate amount of existing breast tissue and female body-builders. During your consultation, Dr. Ledinh will help you to decide which option is best suited in your situation.
The available locations for incision placement are: in the lower breast fold (inframammary), along the outer edge of the areola (periareolar), in the arm pit (transaxillary), and through the belly button (transumbilical).
The inframmamary incision is by far the most common approach used. It is hidden in the fold underneath the breast, not being visible in the sitting or standing position, and offers ideal visibility for the procedure.
A periareolar approach is ideal for patients who have a medium to large-sized areolar diameter. The scar is usually difficult to detect as it is concealed by the color and texture difference between the areola and surrounding breast skin.
The transaxillary and transumbilical approaches are less seldom used in breast augmentation. These incisions are smaller and located away from the breast tissue. As a result, there are more difficulties in creating a more precisely defined pocket for the breast implant, which may lead to a less natural and less than ideal result. Furthermore, these two approaches are generally limited to the use of saline breast implants.
Many women come to Dr. Ledinh seeking a change in their breast to a specific cup size. The problem is that cup size is not standardized in the clothing industry – one company’s cup size is usually not the same as that of another company. Cup size also changes depending on the chest or band size (for example, the volume in a 32C is smaller than the volume in a 40C bra).
Dr. Ledinh will work with you to decide what implant size will best help you to achieve your desired look. This will depend on a variety of factors, including the amount of existing breast tissue, your body frame, any difference between the two breasts, and breast droop. Dr. Ledinh finds that the most accurate way to choose implant size is to try on sizing implants during your consultation. We recommend that you bring in a form-fitting top as well as a sports bra to try on with the sizers.
Breast implants not only come in a variety of sizes, but also shapes, textures, and projection profiles. There are many decisions to make during the breast augmentation process and this can be overwhelming. Dr. Ledinh will educate you and help you to understand how each of these decisions can affect the surgical result. Working together, the best implant and technique will be chosen to help you achieve the desired look to enhance your attractiveness and confidence.
Breast augmentation surgery is usually done under general anesthesia and takes about 2 hours from the start of anesthesia to entering the recovery room. Although every patient is different, it is advisable to take at least 1 week off before returning to work and to refrain from strenuous exercise for 4-6 weeks. Patients need to consider the risks of the procedure prior to undergoing such an operation. Some considerations are discussed here:
General Surgical Risks
Every surgery carries risks of bleeding, infection, and complications of anesthesia. Although these risks are relatively low in breast augmentation surgery, they are important to consider. Bleeding can require return to the operating room or blood transfusion. A superficial infection may be treatable with antibiotics, but deeper infections closer to the implant itself may require implant removal. Infections have even been reported to occur years after breast augmentation surgery. As with any surgical case involving anesthesia, patients are more susceptible to pneumonia, heart attacks, blood clots, and other problems in the recovery period.
Breast implants have come a long way from when they were first introduced in the 1960s. The latest generation of implants carries roughly a 1% risk of leak per year. Leak of saline implants will be immediately noticeable, whereas the leak of silicone implants is more inconspicuous. Implant leak may possibly lead to the development of capsular contracture.
A film of scar tissue will form around any foreign body or implant in the human body. Capsular contracture occurs when this film of scar tissue thickens and hardens, which in the case of breast augmentation can lead to pain, implant distortion, and firmness of the breasts. The exact cause of capsular contracture is unknown, but is thought to be related to bacterial contamination, implant leakage, or bleeding around the implant. Depending on the severity of the capsular contracture, the answer to the problem may require implant removal or surgical revision of the breast augmentation.
According to a study published in the May 2013 issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons, 98% of women undergoing breast augmentation surgery reported that the results met or exceeded their expectations. Breast augmentation is a long-lasting result whose cosmetic outcome depends partly on the size, shape, and contour of the breasts before surgery. It is important to remember that no two breasts are alike and that there is no way to fully counteract gravity and the natural aging process. Dr. Ledinh will discuss the realistic expectations and goals of breast augmentation with you during your consultation.
Changes in sensation of the nipple are not uncommon after breast surgery. Most women will report increased sensitivity that resolves or improves after several weeks. Permanent numbness or decreased sensation, although rare, has also been reported.
Breast Feeding after Breast Augmentation
In general, breast feeding after breast augmentation is unaffected. However, there have been some reports of decreased milk production or inability to lactate (usually associated with decreased nipple sensitivity). It is important to note that there is an increased chance of eventually requiring a breast lift or breast augmentation revision in those women who have significant enlargement of their breasts during pregnancy and lactation.
Mammography after Breast Augmentation
Studies have shown that mammography can be more difficult to read in patients who have breast implants. Special views are required and these women are more likely to require a subsequent study such as an ultrasound or MRI.
Cancer patients who have undergone a mastectomy or lumpectomy may benefit from Breast Reconstruction. Depending on the patient’s preferences and cancer treatment, there are several options for reconstruction, such as using their own natural tissue or using implants.
Your care team members – including a dedicated breast surgeon, a breast health patient navigator, a plastic surgeon, oncology, and radiation oncology – will work closely with the patient’s family doctor or radiologist reading mammogram results to develop a plan of treatment.
For more information on Summit Breast Care Services, please call (717) 709-6599.
Breast Reductions may relieve some women of neck pain, back pain, or other physical symptoms caused by large breasts. The procedure involves removing excess skin, tissue, and fat to reduce the size of the breast. Men with certain conditions (such as gynecomastia) may also benefit from the procedure.
Eyelid surgery, or blepharoplasty, helps rejuvenate the face by improving the look of skin around the eyes as skin ages and loses its elasticity. Surgery can be performed on the upper lid, the lower lid, or both.
A facelift helps to improve the overall facial appearance through tightening and repositioning loose skin and tissue on the face and neck. It can help to rejuvenate the face by correcting marionette lines, jowls, double chins, and sagging of the cheeks.
Facial Cosmetic Injections
Injections, such as Botox and dermal fillers, can be used to reduce signs of facial aging such as forehead wrinkles, deep creases around the mouth, and frown lines. Lips can also be enhanced to appear fuller.
Nose Surgery or Rhinoplasty
A “nose job,” or rhinoplasty, helps to enhance facial harmony by altering the shape of the nose. Nose surgery can also correct breathing problems or disfigurement related to structural defects.
Hand surgery aims to restore the form, function, and look of the hand as much as possible depending on the extent and severity of the problem.
Wounds, such as burns, that have caused limited mobility, loss of sensation, disfigurement, or other physical symptoms, might benefit from plastic surgery. A number of options are available to help improve function and look, such as skin grafts, local tissue rearrangement, flaps for wound coverage, and more.