Genesis Plastic Surgery & Medical Spa

BOTOX Treatment for Men and Women The last few years have brought some amazing advances in the field of facial rejuvenation. These advances have predominantly been in non-invasive techniques that work to rejuvenate the face. Women in the prime of their careers do not wish to wait until the age of 60 to have a facelift – they wish to maintain a youthful appearance while they are still working and socializing. They wish to have these procedures done with minimal downtime and, at the same time, have consistent, good results. Of all the products that Dr. Panchal has worked with, none have revolutionized plastic surgery as much as BOTOX® Cosmetic (hereafter referred to as BOTOX®). BOTOX has become the most frequently used treatment in the U.S., with more than 2 million procedures performed. According to the American Society of Plastic Surgeons, only 786,000 patients had Botox in 2000 as compared to over 6 million in 2015, a phenomenal increase of more than 700%. In spite of its popularity, Dr. Panchal regularly sees patients who have little to no knowledge of what BOTOX is, how it works, and what the possible complications could be. More importantly, many patients do not realize that BOTOX is an adjunct treatment, which should be used in conjunction with other procedures. Patients should have an evaluation of their face by a plastic surgeon and discuss their long-term goals for the next five years, rather than using BOTOX as a single modality to look younger. Think of it this way: shouldn’t you be spending more time with the physician who helps you achieve your long-term facial rejuvenation goals than you would with a car dealer when purchasing a new car? Recently, BOTOX has been used to help treat depression in people who haven't seen success with other methods. The following information will attempt to answer your questions about BOTOX® treatments. If you still have questions after reading this information, please feel free to contact us by calling 405-340-9949. Along with our established location in Edmond, Genesis Plastic Surgery & Medical Spa has a location in Norman, OK offering BOTOX treatments to the southern Oklahoma City metropolitan area. BOTOX FAQs How Does BOTOX Work? How Long Does This Effect Last? Do I Need to Have BOTOX Every 3-4 Months? Can I Get Addicted to BOTOX? Are There Any Adverse Long-Term Effects? Where Can BOTOX Help Me? Can BOTOX Be Used to Shape My Eyebrows? Is It True that BOTOX Can Be Used to Treat Migraines? Does BOTOX Make Me Lose Facial Expression? Can Anyone Be Treated with BOTOX? What Can I Expect at the Doctor's Office? How Soon Will I See Results? What Are the Possible Side Effects of BOTOX? Are There Alternatives to BOTOX® Cosmetic? How Does BOTOX Work? BOTOX is essentially a purified protein that has been approved by the FDA for facial rejuvenation. Every nerve stimulates the muscles to contract by releasing a chemical known as acetylcholine. BOTOX essentially blocks the release of acetylcholine. This blockage is, fortunately – or in some ways, unfortunately – temporary, and the nerve regenerates its ability to overcome the block over time. Put simply, BOTOX temporarily paralyzes the muscles at the location where it is injected. Most wrinkle lines develop due to overactivity of the facial muscles – so they tend to lie perpendicular to the contracting muscles. BOTOX temporarily paralyzes the muscles, thereby reducing or erasing the wrinkles. How Long Does This Effect Last? Results will vary from person to person, but generally anywhere from three to four months. To see other patients’ results, view before and after photos. Does That Mean I Need to Have BOTOX Every 3-4 Months? Although you may see some muscle activity return, you need not rush back to your plastic surgeon for more BOTOX immediately. It is advisable to have the treatment two or three times each year. For example, you could have a treatment done in October so that it lasts through the holiday season, and again in the spring to make you look rejuvenated during the spring/summer vacation seasons. Can I Get Addicted to BOTOX? Are There Any Adverse Long-Term Effects? None of the medical studies to-date have found any addiction or cumulative adverse long-term effects from BOTOX. Keep in mind that more than 6 million BOTOX-related procedures are performed every year just in the US – and that is a staggering number. Where Can BOTOX Help Me? Between the brows (glabella) – this helps eliminate “frowning” by preventing the eyebrows from coming close to each other and depressing the eyebrows Forehead wrinkle lines – this helps erase the horizontal lines on your forehead by paralyzing the frontalis muscles, which elevate your eyebrows Crow’s feet around your eyes – this helps decrease the lines around the eyes, but does not completely eliminate them

Dermal fillers are used to add volume to areas of the body that have lost fullness due to aging and lifestyle choices. Typically used on the central and lower part of your face, some of the dermal fillers offered at our OKC area offices can also be used to treat aged and wrinkly skin on the ear lobules, temples, jaw line, chin and even the bridge of your nose. Nonsurgical and minimally invasive, dermal fillers offer a quick, safe, and effective solution for hollow or sunken skin and may produce results that last for as long as a year. If you are interested in learning what dermal fillers can do for you, please call Genesis Plastic Surgery & Med Spa at 405-340-9949 to schedule your consultation with Dr. Jayesh Panchal today. We maintain offices in Edmond and Norman to better serve men and women living throughout the Oklahoma City area. Our Dermal Filler Options Fillers available at our med spa include: RESTYLANE products are our primary line of offering. These products are designed to work specifically for each area of your face delivering improvement for each specific area. Each of these products are made primarily of hyaluronic acid and they have a distinct advantage that they can be completely reversed if you do not like them by injecting a hyaluronidase enzyme. These fillers can last up to 1 year. Restylane has a large number of products each serving a specific purpose on the face. Restylane Kyss designed specifically for the lips. The product is soft and you won't be able to even feel it in your lips. Restylane Lyft is used primarily to lift your sunken cheeks. It is the only product in the market that provides the most lift. Restylane Defyne and Refyne helps to erase wrinkles over the laugh lines and Marionette lines. Restylane L is used primarily to erase your under eye lines Versa: a hyaluronic acid filler with unique uniformly spherical particles designed to treat mild to moderate facial wrinkling and laugh lines. Every syringe of Versa is individually tested to ensure optimal purity and efficacy. See before-and-after pictures of Filler Injections. The fillers offered at Genesis Plastic Surgery & Med Spa have active ingredients that occur naturally in the human body, During your initial consultation with Dr. Panchal, all of your options can be reviewed to help you choose the best dermal filler for your needs. What Areas Can Dermal Fillers Treat? Fillers can be used to enhance the following areas. At Genesis, we have been performing this since 2005 and have immense experience to get you looking younger in less than 30 minutes. Parentheses lines: Nasolabial or laugh lines can be erased with Restylane Defyne, Refyne, Versa. Cheeks: As we age, we lose volume in our cheeks. Enhance your cheeks bones with Restylane Lyft. Marionette Lines: Tired of your Marionette lines? Let Versa or Restylane Defyne make them disappear. Lips: Enhance your lip and diminish your vertical lip lines with Restylane Kyss. Under your eyes: Use Restylane L to didminish your lines under your eyes and correct the hollow look. Temples: Hollow temples due to aging or weight loss can be corrected with Restylane Lyft. Bridge of the nose: Imperfections in bridge of your nose can be easily corrected with Restylane Defyne It is much easier than having a rhinoplasty surgery. Chin: the chin can easily be enhanced and its projection increased with Restylane Lyft. Jaw line: Define you jaw line with Restylane Lyft. Ear Lobules: Plump your lobules and make them look younger with Restylane Defyne. Rejuvenate your hands: with Restylane Lyft. Little to No Down Time: Most dermal fillers come with little to no downtime. You may experience some redness, swelling, bruising, or discomfort in the days immediately following treatment, but these things tend to self-correct. During your initial consultation and following your treatment we will provide you with information about home care to help reduce any discomfort. At Genesis Plastic Surgery & Medical Spa, we use a microcannula with a blunt tip to deliver injections and reduce risks for pain and bruising. Numbing of the treatment area is offered as well for patients who desire it or for those who may benefit from it. Some discomfort may be present following dermal filler injections, but most people are able to resume all normal activities within hours. Unlike surgical procedures, there will be no limitations on physical activities, though we do recommend you give yourself time to rest before undergoing more strenuous endeavors. This can be discussed in greater detail during your time in our care. And the most important thing to remember about Dr. Panchal - he injects each patient himself and he is extremely particular to create a natural result that will keep others guessing why you look younger and refreshed.

Kybella is the only FDA-approved injectable treatment that helps to improve the profile of your neck. Read on to learn more about the following topics: Who Is a Good Candidate for Kybella? How Does Kybella Work? How Is Kybella Treatment Performed? How Many Treatments Will I Need? How Much Time Will I Need to Recover? What Are Common Side Effects? Should I Have a Neck Lift or Kybella? Who Is a Good Candidate for Kybella? You are a good candidate for Kybella if: You’re bothered (unhappy, self-conscious, embarrassed) by fat under the chin, also known as submental fullness You feel the condition makes you look older or heavier than you actually are You don’t want to have surgery You eat well and exercise, but submental fullness does not go away How Does Kybella Work? The active ingredient in Kybella is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, Kybella destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal. How Is Kybella Treatment Performed? Treatment can only be administered by a Kybella-trained healthcare specialist. At each treatment, you will receive multiple small injections under your chin, and the injection process takes about 15 to 20 minutes. The exact number of injections will depend on the amount of fat you have under your chin and your desired profile. How Many Treatments Will I Need? The number of treatments varies upon the severity of the fatty deposits under your chin. Dr. Panchal will determine the number of treatments necessary to achieve the results. The treatments will be spaced 1-2 months apart and typically will include two treatments. Additional treatments may be necessary to get the optimal outcome. See before-and-after results for Kybella treatment How Much Time Will I Need to Recover? After Kybella treatment, you will likely have some swelling, bruising, or numbness under your chin. Be sure to inform your healthcare professional if you develop an uneven smile, facial muscle weakness, or difficulty swallowing. What Are Common Side Effects? Common side effects include: Bruising Swelling Pain at the site of injection Numbness Redness Areas of hardness

Excess facial or body hair can be a nagging cosmetic concern for women. While depilatories, shaving, waxing and electrolysis are common solutions for temporary hair removal, they can be uncomfortable, time-consuming and temporary. At Genesis Plastic Surgery & Medical Spa in Oklahoma City, we offer laser hair removal as a revolutionary solution to control and eliminate unwanted hair. The following information will address common questions and concerns relating to laser hair removal. If you still have questions, please feel free to contact us by calling 405-340-9949. Genesis Plastic Surgery & Medical Spa serves patients in and around Edmond, Norman, and other areas of Oklahoma. How Does Laser Hair Removal Work? Advantages of Laser Hair Removal Are You a Good Candidate for Laser Hair Removal? How Many Laser Treatments Will You Need? How Does Laser Hair Removal Work? Our laser hair removal procedure uses a low-energy laser to gently remove unwanted hair. The laser energy passes through the skin and is absorbed by the pigment in the hair follicle. In a fraction of a second, the energy is transformed into heat and the follicle destroyed. The procedure is quick and convenient – full-face, bikini and underarm treatments could take as little as 15-30 minutes. Hair follicles are in different growth cycles and some may be active and some may be dormant. Therefore, several treatments (typically six) are required to destroy hair follicles in different growth cycles. Since the laser targets the pigment of the hair follicle, laser hair is most effective on light-skinned patients with dark hair. No procedure can guarantee permanent hair removal, but most patients can expect a major reduction in hair growth, leaving remaining hair thinner and lighter in color. Advantages of Laser Hair Removal A safe, effective alternative to daily or weekly shaving Useful for large or tough-to-reach areas Are You a Good Candidate for Laser Hair Removal? If you are light-skinned and dark-haired, you are an ideal candidate for laser hair removal. As a rule, the pigment in dark hair absorbs more laser energy, making black or brown hair easier to treat. Light hair, such as blonde, red or gray, contains a pigment that absorbs laser energy less readily and therefore does not respond as well. While laser treatments for darker-skinned patients have improved the amount and texture of unwanted hair in these patients, patients with tanned skin are not ideal candidates. It is recommended they wait at least four weeks until their tan fades before proceeding with laser hair removal. How Many Laser Treatments Will You Need? The number of hair removal treatments that you will need for optimal long-term benefits usually depends on a few factors, including: The area being treated The density of the hair A Patient’s Hair Distribution Is Also Affected by a Few Factors, Including: Age Ethnicity Weight Hormones Diet Medication Metabolism Total hair removal usually requires six to eight sessions for optimal results.

ThermiVa® is a non-surgical vaginal rejuvenation option that may be ideal for women who have suffered urinary incontinence, a loss of sexual pleasure, or a general sagging of labial skin due to childbirth, aging, menopause, and similar issues. With ThermiVa: You can be Mommy and Sexy at the same time. You don’t have to trade motherhood for sexuality You can be over 50 and sexy at the same time. You don’t have to trade the years in your life for the life in your years At Genesis Plastic Surgery & Medical Spa, we believe that vaginal delivery and menopause should not cost you your sexual health and well-being, but understand that labiaplasty, surgical vaginal renewal, is neither attractive nor appropriate for every woman. We are here to listen to your concerns and help you determine the best solution for your needs. Vaginal Rejuvenation Treatments In Norman or Edmond, OK Please contact Genesis Plastic Surgery & Medical Spa to schedule a ThermiVa consultation with Rebecca Strange, a licensed practical nurse with significant experience helping women restore comfort and form through nonsurgical vaginal rejuvenation. Call our Norman office at 405-310-6767 or our Edmond office at 405-340-9949 to schedule your consultation today. About ThermiVa ThermiVa uses radiofrequency energy to gently heat vaginal tissue to reclaim, restore, and revive feminine wellness, without any discomfort or downtime. Non-ablative and noninvasive, the proprietary ThermiVa wand applicator can be applied externally where it delivers precise amounts of energy to specifically targeted areas of labia and vulva. This helps to restore normal tissue tone and function. The specially designed handpiece may also be used to deliver radiofrequency energy inside the vagina to revive atrophic tissue and other structures. How Many Treatments Will I Need? Sexual comfort and function are often restored after just one session, but optimal results will require around three treatments spaced over the course of three to four months. Each treatment lasts approximately 30-minutes and, because you will not need any sedation or pain medication prior to treatment, you can come here on your own and go back to work immediately. It is truly a lunchtime procedure. What ThermiVa Does ThermiVa gently tones and firms vaginal tissue in order to: Improve the general appearance of the labia majora Eliminate vaginal dryness Improve lubrication both during intercourse and throughout the day Address sexual dysfunction and problems reaching orgasm Eliminate stress urinary incontinence This comfortable, in-office treatment requires no surgery, anesthesia, or downtime. You may resume all of your normal activities, even sexual intercourse, within hours of treatment. Most women experience an immediate improvement in the appearance of the labia majora after their first session as well, though, again, up to three sessions may be needed to produce the most desirable results. How Long do ThermiVa Results Last? Your results from ThermiVa will last more than a year. You may need maintenance treatment every year or so to help ensure continued comfort and results. This is different for each woman and can best be determined during your evaluation at one of our OKC-area offices Am I a good candidate for ThermiVa? You may be a good candidate for ThermiVa if vaginal laxity has resulted in physical or emotional discomfort, interfered with clothing options, prevented you from enjoying intercourse, or resulted in a leaky bladder. Are you experiencing a loss of self-confidence? Loss of interest in sex? Loss of desire? Do you feel “loose” vaginally since childbirth and/or menopause? Do you feel dry during intercourse? Do you have trouble reaching orgasm? Do you occasionally dribble or leak when you sneeze, cough, or exercise? Have you ever “not quite made it” to the bathroom on time? If you can answer “yes” to any of these questions, you may be the ideal ThermiVa candidate. The easiest way to find out is through a private, confidential, one-on-one consultation with board-certified plastic surgeon Dr. Jayesh Panchal. During this visit, Dr. Panchal will listen to your concerns and discuss all of your options to help ensure your needs are being met. Good candidates for ThermiVa must be in generally good health and be able to produce results from a negative pap smear conducted by an Ob/Gyn within the last year. You will not be able to undergo ThermiVa treatment if you are pregnant, have a pacemaker, have an active UTI or STD, or have had a recent vaginal prolapse. We will discuss all of these things in greater detail during your initial consultation. How Much Does ThermiVa Cost? At Genesis Plastic Surgery & Medical Spa, a package of three ThermiVa treatments cost approximately $3,500. We offer various financing options, including CareCredit® and Prosper® Healthcare Lending to help make our procedures accessible.

Doctor-Recommended Skin Care Products You Can Trust There’s something to be said for being adventurous, but for some things – like testing out new skincare products – you’re better off with a recommendation from a person you trust. Your doctor is a good resource for finding products that actually work, and that specifically work for you. At Genesis Plastic Surgery & Medical Spa, we don’t really believe in one-size-fits-all solutions. We only recommend a few products that we know to be effective and safe for most of our patients. Here are our picks: LATISSE Eyelash Enhancement Many women will swear up and down that their male friends have covetable eyelashes: long, naturally curled, and dark. Meanwhile, they’re mastering the art of mascara application and – on special occasions – temporary eyelash extensions or false eyelashes. Let’s not mince words here: temporary eyelash enhancement products are a pain. On the other hand, a product that advertises itself as an eyelash savior seems too good to be true. You apply a solution each day much like you’d apply mascara, and your lashes grow overnight? It’s admittedly not that simple. It takes a few weeks for the treatments to show results – but the results do turn up, and they’re impressive. With Latisse, your lashes won’t become darker or more curly, but they will become significantly longer and fuller. ZO Skin Health Dr. Obagi’s new skincare line is cutting edge and comprehensive. These products treat a wide range of skin types that optimize the health of your skin. Protocols are designed around you to create and maintain healthy skin that is smooth, strong, firm, evenly toned, and hydrated. BEST SELLERS: Ossential Daily Power Defense – helps to tighten and firm skin, repair damaged skin and protect against future skin damage while providing antioxidant protection. Ossential Growth Factor Serum Plus – reduces the appearance of fine lines and wrinkles, strengthens weak skin, restores hydration, provides a protective barrier, promotes healthier and brighter skin. 3 Step Peel – an in-office treatment that targets melasma, fine lines, acne, rough texture, dullness, and large pores. Lasting results are achieved by at-home products tailored to you. The 3 Step Peel is suitable for all skin types. Visit www.zoskinhealth.com for more information. DefenAge The DefenAge system utilizes defensins, target-specific peptides that work with stem cells in your body to create new skin and produce remarkable results. Easily added to any existing skincare routine, DefenAge products are clinically proven to hydrate, nourish, and soften the skin, helping to reduce the appearance of pores, fine lines, coarse wrinkles, and uneven pigmentation. Defensins may also help improve skin tone and reduce visible oiliness in individuals with combination/oily skin. We offer the DefenAge Clinical Power Trio, which contains everything you need to get started on your journey towards healthier, more attractive skin. During your initial consultation, we can discuss DefenAge, along with its uses and benefits, in greater detail to help you determine if this remarkable skin care line would prove useful for your needs. For an initial consultation with our team that includes a full overview of our non-surgical skin rejuvenation options, call Genesis Plastic Surgery & Medical Spa at 405-340-9949 today.

Breast augmentation has been the most popular plastic surgery procedure at Genesis Plastic Surgery & Medical Spa for a number of years – and for good reason: it is exceptionally effective at enhancing the size, shape, and profile of the chest, helping to bring the bust into perfect alignment with all surrounding curves and features. Board-certified Oklahoma City plastic surgeon Dr. Jayesh Panchal offers a range of breast implant options and breast augmentation techniques to help ensure each procedure he performs meets the specific needs of the individual. If you have been considering breast augmentation, we encourage you to get in touch with Dr. Panchal for a private and confidential one-on-one consultation where he can listen to your desires, discuss all of your options, and guide you towards the most effective solution for your needs. Genesis offers an exciting way to see your future breast prior to your surgery. When you come in for a consultation to see Dr. Panchal, he will create 3D images of your breasts and place your new breast implants in the 3D image. You will be given virtual reality glasses and you will be able to see your new breasts today. Click here to learn more. Call Genesis Plastic Surgery & Medical Spa in Norman at 405-310-6767 or in Edmond at 405-340-9949 to schedule your breast augmentation consultation today. Dr. Panchal welcomes women from Oklahoma City and all surrounding areas of Oklahoma. Who is the best candidate for breast augmentation? What is a breast implant? How Can I Find the Best Types of Implants? Silicone vs Saline Implants What Size Implant is Right for Me? Enhancement with Fat Injection Where Will Surgery be Performed Types of Anesthesia Implant Placement Breast Lift with Implants What are the Risks Following Breast Augmentation Recovery (How Long Before I'm Back to Normal?) Who Is the Best Candidate for Breast Augmentation? Many people wonder what exactly breast augmentation is. Breast augmentation, also known as augmentation mammoplasty, is a procedure in which a woman’s breasts are enhanced in size and shape. Many women seek out this surgery because: It can improve the body shape of a woman who feels her breasts are too small It can restore the lost volume in the breasts resulting from weight loss or pregnancy Panchal Breast Aug page Image It can help correct proportions in breasts that are asymmetrical in shape and size It can help sagging breasts regain their shape and firmness. To achieve an improvement in the bust line, a surgeon must insert a breast implant behind each breast. If you are considering breast augmentation surgery, a basic understanding of the procedure can help answer many of your questions. If you still feel like your questions have not been answered, please feel free to ask Dr. Panchal. Call Genesis Plastic Surgery & Medical Spa in Edmond or Norman, Oklahoma, at 405-340-9949 today. What Is a Breast Implant? A breast implant is a silicone shell that is filled either with an elastic silicone gel (memory gel/gummy bear). After being researched, tested, and reviewed by a panel of physicians for safety, silicone implants have been approved by the U.S. Food and Drug Administration (FDA) since 2006. How To Find the Best Types of Breast Implants Genesis has the variety of breast implants Oklahoma City needs. Based on a woman’s breast anatomy, body type, and desired size increase, Dr. Panchal can determine the best type of implant filler, implant size, and implant shape. Other considerations include your lifestyle, goals, and personal preferences, as well as Dr. Panchal's recommendations. There are plenty of new styles and types of breast implants available for you to choose from. New FDA-approved silicone breast implants: In November 2006, the FDA approved the use of silicone breast implants for all patients requesting breast augmentation over the age of 22 and for breast reconstruction. Silicone breast implants have been in use for the last 10 years and over a million women have used them all around the world. They are now available to you in the U.S. New FDA Approved Silicone Implant The new silicone breast implants have Memory Gel which features cohesive gelatin-like gel which acts more like a solid rather than a liquid. It holds together uniformly while retaining the natural feel of the breast tissue. They are also called gummy bear implants. In the past there has been a worry about the silicone implant rupturing and the gel leaking, resulting in lumps in the breast. The newer implants are much safer. In fact, when the implant is cut in half and the implant is held upside down, the gel does not flow but stays within the implant. Unlike a saline implant, the silicone gel implants have a feel that is very natural and therefore result in a natural-looking breast rather than an unnatural augmented look.

An abdominoplasty, or tummy tuck, is a procedure that: Removes excess skin and fat from the middle and lower abdomen Tightens the muscles of the abdominal wall Slims and tones the midsection of the body Abdominoplasty can dramatically reduce the appearance of a protruding abdomen and restore a more defined and attractive appearance to the stomach, hips, and waist. Call Genesis Plastic Surgery & Medical Spa today at 405-340-9949 for a consultation with Dr. Jayesh Panchal at our Oklahoma City area offices in Edmond or Norman. Am I a Good Tummy Tuck Candidate? Preparing for Tummy Tuck Surgery The Abdominoplasty Procedure Tummy Tuck Recovery Your New Look / Maintaining Results Abdominoplasty Risks Why Choose Dr. Panchal? Contact Genesis Plastic Surgery & Medical Spa Am I a Good Candidate for Abdominoplasty? If you are unhappy with the way your midsection looks and feels, you may be a good tummy tuck candidate. While not a good method of weight loss, this body contouring procedure is ideal for men and women with localized fat deposits who are otherwise in good shape. Good candidates for this procedure need to be close to their ideal BMI for optimal results. If your BMI is over 30, some steps will need to be taken prior to abdominoplasty to improve your candidacy. Tummy tuck surgery may be ideal for women who have had multiple pregnancies that have left them with loose muscles and excess skin. It is often included in the mommy makeover procedure. Abdominoplasty may also be ideal following excessive weight loss, such as occurs following bariatric surgery. The best candidates for tummy tuck are: Nonsmokers who are in good physical and emotional health Able to take time to recover before returning to work or family obligations Willing to closely follow all pre and postoperative instructions Is Abdominoplasty right for me You should wait to have an abdominoplasty if you: Intend to lose a lot of weight Plan to have more children Have a BMI that is greater than 30 Cannot commit to a healthy lifestyle to maintain results The best way to learn if you are a good candidate for tummy tuck surgery is through a one-on-one consultation at our Edmond or Norman, OK location. During this consultation, Dr. Panchal will listen to your concerns, carefully assess your frame, and help you decide if tummy tuck surgery is the best fit for your needs. How to Prepare for Your Tummy Tuck Surgery: Preparing for Tummy Tuck During your initial visit, Dr. Panchal will ask about your medical history, which may impact your ability to have this surgery. For example, if you are a smoker, it is very important that you stop smoking prior to and after your abdominoplasty. Nicotine, even in vaped forms, slows the healing process and encourages the development of thick and highly visible scars. What’s more, smoking during recovery increases the risk of infection, oxygen depletion, and skin necrosis (death) in the surgical area, all of which will drastically impact your final results. If you have a minimum or mild amount of excess skin, Dr. Panchal will recommend a mini-abdominoplasty, allowing for a shorter incision and reducing the risks of visible scars. If you have maximum excess skin, you will require a regular abdominoplasty which will require a larger incision. Every effort is made to minimize risks of scaring. Dr. Panchal will discuss proper incision care during your time with us to make sure you are equipped with the information you need to reduce risks and improve your healing response. It is not unusual to combine abdominoplasty with liposuction to your love handles, thighs, or abdomen to further enhance your outcome. During your initial consultation, Dr. Panchal can help you determine if additional contouring services will help improve your outcomes and produce a look more in line with your ideal. You will need to wear a compression garment for around 6 weeks to reduce pain and swelling following surgery. Back to Top How is Tummy Tuck Surgery Performed? Abdominoplasties are performed under general anesthesia, which means you’ll be asleep during the surgery. Dr. Panchal performs both mini and complete abdominoplasties in an outpatient surgical center to help protect your safety and ensure your comfort. You will most likely spend one night at the outpatient center following surgery allowing observation to help guard against unforeseen complications. Complete abdominoplasty usually takes 2 ½ to 3 ½ hours, depending on the extent of the liposuction required. A mini-abdominoplasty only takes one to two hours.

If you have very large, pendulous breasts, you have probably experienced a dragging sensation at the end of the day. You may have low neck pain or a upper back pain. You are unable to sit upright and do a variety of activities in sports or at home. Your bra straps may indent your shoulder and you may have excessive sweating underneath your breasts. Breast size can be reduced to help you with these symptoms. Some teenagers also experience this problem and surgery can be done to improve their self-image. shutterstock 40148392 3 Breast reduction, or mammoplasty, helps women who have these problems. This procedure helps remove fat, skin, and glandular tissue to make breasts smaller, tighter, and firmer. It also helps reduce the size of the areola, which is the darker skin around the nipple. By giving you a smaller, better-shaped breasts, the goal of breast reduction is reached. Who Are the Best Candidates for Breast Reduction? Plan for Your Surgery Prepare for Your Surgery How small can you go with a Breast Reduction? Are there any risks with Breast Reduction Surgery? Where Your Surgery Will Be Performed Are there any risks with Breast reduction Surgery? The Surgery Immediately after Surgery What is Recovery like? Can I combine Breast Reduction Surgery with other procedures? Will there be noticeable scarring after the procedure? Your New Image Who Are the Best Candidates for Breast Reduction? Performed mainly for physical relief than cosmetic improvement, this surgery helps women who have sagging breasts that stop a woman from activities. The surgery is performed when a woman’s breasts are fully developed but they can also be performed earlier if the breasts cause serious physical pain. Women who are mature enough to comprehend the procedure and have realistic goals are great candidates for this surgery. You should not have this surgery if you plan to breast-feed. To find out if breast reduction is right for you, call Genesis Plastic Surgery & Medical Spa at 405-340-9949 to schedule a consultation with Dr. Jayesh Panchal. We serve patients throughout the Oklahoma City area from offices in Edmond and Norman. Visit our before-and-after gallery for photos of breast reduction patients. Are there any risks with Breast Reduction Surgery? General surgical risks include bleeding, infection, poor incision healing, and negative reaction to medication. You can help to avoid these problems by disclosing all medications and supplements that you take and carefully following pre and postoperative instructions. Risks specific to breast reduction surgery include asymmetric results, excessive breast firmness, changes in nipple or breast sensation, and breast contour and shape imperfections. These risks may be reduced when you choose to work with an experienced and board-certified plastic surgeon who utilizes advanced techniques and performs the procedure in an accredited surgical facility. Plan for Your Surgery Dr. Panchal will examine and measure your breasts and make a determination based on your size of the breasts, your weight and height, what your final size ad shape of the breasts will be. The location of the incisions and the final location of the nipple and the areola will also be discussed. You and Dr. Panchal will describe the procedure in detail, explaining its risks and limitations. Prepare for Your Surgery A mammogram may be essential prior to the surgery. You may have to purchase a garment or a support bra prior to the surgery. You will need for someone to take care of you for the first few days after the surgery. How small Can you Go with a Breast Reduction? The purpose of breast reduction surgery is to reduce the physical discomfort and aesthetic issues caused by overly large breasts. The procedure is used to bring your breasts into ideal proportions with surrounding features and is different for every woman. Depending on your anatomy, specific needs, and goals, breast reduction may be used to decrease the size of your breasts by one or more cup sizes. The best way to learn how much reduction will be necessary to achieve optimal comfort is through a one-on-one consultation with an experienced and board-certified plastic surgeon. Is Breast Reduction Surgery Painful? Breast reduction surgery is performed under general anesthesia. You will not experience any discomfort during your procedure. There will, however, be some swelling, bruising, and slight discomfort during the recovery period of breast reduction surgery. You can reduce discomfort by taking time to rest and recover, keeping your incisions clean and dry, wearing a compression garment, and using the medications prescribed by Dr. Panchal. Where Your Surgery Will Be Performed Breast reduction is nearly always performed under general anesthesia. You'll be asleep through the entire operation.

Eating a healthy diet and getting plenty of exercise are the best ways to maintain a toned, fit body. However, there are many times when your efforts don’t deliver the results you expect. This is largely due to genetics. Your body is wired to store fat in certain areas, and you may not like the areas where this fat accumulates. If you have a few stubborn areas of fat that haven’t responded to your fitness efforts, then you may benefit liposuction. At Genesis Plastic Surgery and Medical Spa, we perform liposuction for men and women who would like to remove targeted areas of fat in order to achieve a more toned body contour. For many people, liposuction is the ideal option to put the finishing touches on your workout regimen and deliver the beautiful figure you desire. You can learn about your liposuction options and receive individualized treatment recommendations by speaking with Dr. Jayesh Panchal in person. Please call 405-340-9949 to schedule a consultation at our office in Edmond, Oklahoma. Benefits of Liposuction Areas Liposuction can Treat Am I a Candidate for Liposuction? Liposuction Techniques Your Customized Liposuction Procedure Liposuction Recovery Liposuction Risks Fat Cell Removal is Permanent Fat Transfer: Putting Your Unwanted Fat to Good Use What Makes Dr. Panchal Different? Benefits of Liposuction Many of our liposuction patients find the procedure to be a life-changing experience. You may experience a variety of benefits, including: Improved and more proportional body contour More toned, fit physique Improved self-confidence Improved appearance in clothing and swimsuits It is also common for individuals to find that they are more motivated to live a healthy, active lifestyle after liposuction in order to maintain their results. Ultimately, these lifestyle adjustments will pay huge dividends in the long run, helping you stay healthier as you get older. Areas Liposuction can Treat Liposuction is an extremely versatile body contouring procedure and can be used to remove unwanted pockets of fat in just about any area of your body. Some of the most common liposuction treatment areas include: Abdomen Flanks (to eliminate “love handles” or “muffin tops”) Back Hips Buttocks Thighs Face, neck and jowls Chin Upper arms Calves Ankles Chest (as part of a male breast reduction procedure) Dr. Panchal often performs liposuction as part of a mommy makeover in order to help women get rid of excess baby fat that has lingered after childbirth. Am I a Candidate for Liposuction? Ideal liposuction candidates: Are in good overall health Have realistic expectations for the outcome of the procedure Are at or near a stable, healthy weight Exercise regularly and are physically fit Have one or more localized areas of fat they would like to eliminate Do not smoke or are willing to quit smoking prior to surgery and throughout the recovery period in order to promote proper healing and the best possible results While liposuction will help remove unwanted fat from targeted areas of your body, it’s important to understand that this procedure is not a tool for weight loss. In order to be considered a good candidate, you must already be able to maintain a healthy weight. Liposuction should be considered a way to put the finishing touches on your diet and exercise efforts, not a substitute for maintaining a healthy lifestyle. Liposuction Techniques Dr. Panchal uses some of the most advanced liposuction techniques, including: Tumescent liposuction – This traditional liposuction method uses a fluid containing local anesthesia (lidocaine and epinephrine) and adrenalin to break up the fat and facilitate its removal Ultrasound-assisted lipoplasty (UAL) – Ultrasonic energy is used to facilitate the breakup of fat cells Power-assisted liposuction (PAL) – A vibrating cannula is used to break up fat cells (excellent for removing larger quantities of fat) VASER liposuction – Low-power, minimally invasive ultrasound technology is used to break up and remove fat, ensuring gentle reshaping, precise results and a shorter recovery period SmartLipo – Laser energy is used to melt the fat cells (excellent option for removing a small quantity of fat) Super wet technique – A dilute local anesthesia fluid is injected into the treatment region to facilitate the breakup of fat HydraSolve® – HydraSolve® utilizes warmed and low pressurized saline solution and a specially designed cannula employing Tissue Liquefaction Technology (TLT) to simultaneously liquefy and remove fat without damage to other vital tissues These techniques allow for better definition of the areas where liposuction is being performed while reducing bruising and swelling after surgery. Dr. Panchal will determine the right liposuction technique for your procedure based on the area being treated and your unique aesthetic goals.

After nine months of pregnancy, giving birth to your child is a moment you’ll remember for the rest of your life. While the experience of parenthood can bring immeasurable joy, the effects of pregnancy and childbirth can change your body in many significant and often unwanted ways. If you love your children but not your post-baby body, Dr. Jayesh Panchal can help you address the common cosmetic concerns shared by countless mothers after childbirth. To learn more about how Dr. Panchal can help you regain your pre-baby shape or achieve the body contours you’ve always dreamed of, please call Genesis Plastic Surgery & Medical Spa today at 405-340-9949 to schedule a consultation. We have offices in offices in Edmond and Norman, Oklahoma. What is a Mommy Makeover? Common Procedures in a Mommy Makeover Am I a Good Candidate for a Mommy Makeover? Recovery After a Mommy Makeover How is Dr. Panchal Different from other Surgeons? What Is a Mommy Makeover? A mommy makeover is a comprehensive combination of plastic surgery procedures designed to improve the shape and appearance of the breasts, abdomen and waistline. A mommy makeover is all about you, restoring your body to more closely resemble your pre-pregnancy appearance. Like our patients, every mommy makeover is unique, and customized to meet every mom’s personal goals. Mommy makeovers can: Save money and recovery time by combining procedures Reduce the appearance of scars and stretch marks Improve your self-confidence Panchal mommy makeover page image Common Procedures in a Mommy Makeover During your personal consultation with Dr. Panchal, you will discuss your concerns and aesthetic goals. Depending on your desires and physical characteristics, Dr. Panchal may recommend any of the procedures listed below. While any of these procedures may be performed alone, there are benefits to combining multiple surgical procedures in a single visit. By undergoing various procedures in one visit, you can limit your overall recovery time and certain surgical costs. Typically, mommy makeovers can involve: Breast Augmentation: Most women experience a moderate to significant volume loss in their breasts following pregnancy and nursing. Breast augmentation is designed to restore lost volume to your breasts. This incredibly popular procedure involves a variety of breast implant and incision options to help you achieve the results you desire, whether you want to restore your pre-baby shape or enlarge the size of your breasts. Breast Lift (Mastopexy): Although many women focus on the size of their breasts, the position and profile of your breasts can also have a dramatic impact on your overall appearance. A breast lift can help remove excess skin and tighten up the surrounding tissue to produce a “perkier”, more youthful look. Tummy Tuck (Abdominoplasty) Your skin is naturally very elastic. However, it can only take so much stretching before the effects become permanent. Pregnancy often leaves women with excess skin and residual fat around the midsection. A tummy tuck removes excess tissue to create a smoother, trimmer, flatter waistline. Liposuction: Following pregnancy, many women are left with excess fat deposits around the midsection, thighs and back. Liposuction is a body-sculpting surgical procedure that removes localized pockets of fat from various targeted parts of your body. In some cases, patients choose to include non-invasive procedures, such as ThermiVa vaginal tightening treatments to enhance their surgical results. Your mommy makeover will be tailored specifically for you to achieve all of your unique goals. Although plastic surgery is very safe, surgical procedures can put a strain on you, both physically and mentally. Because mommy makeovers involve multiple surgical procedures at once, it’s crucial to ensure you are a good candidate before proceeding with any surgery. Generally speaking, ideal mommy makeover candidates are women who: Are in good health Are at or near their target weight Are no longer breastfeeding Are done having children Don’t smoke There is no perfect age for mommy makeovers. The best time for your procedure depends on when you are physically ready and prepared to make an investment in your appearance and self-confidence. Although the desire to have more children in the future doesn’t necessarily negate your candidacy, a future pregnancy will have a detrimental effect on your results. Recovery After Your Mommy Makeover Surgery After your surgery, Dr. Panchal will administer Exparel, a long-acting local anesthetic in your incisions. This medication will provide pain relief for up to three days following your surgery. Dr. Panchal will also prescribe medication to control further discomfort during your recovery period.

s we age, overexposure to the Oklahoma sun can cause our skin and the fat over our face to sag. This affects more over the midface (cheek area) and results in nasolabial folds (laugh lines from the side of the nose to the lips). Some develop jowls and in others, the neck tends to sag. The fat in the midface tends to drop down, resulting in a deflated face. Rhytidectomy, or a facelift, cannot reverse the effects of aging, but it can certainly turn the clock back so that you look a decade younger. However, all facelifts are not equal. In the past, facelifts have been associated with the stigma of a tight and stretched face. It was as if men and women with facelifts could be recognized a mile away at a party. The good news is that things have changed. Facelifts are now done very differently: the downtime is reduced to a week and surgeons do less but achieve more. An extended deep facelift and neck lift done by Dr. Panchal has minimal to near-invisible incisions after surgery. The predominant correction of sagging is vertically up so that your face looks full, not stretched. A Naturale facelift at Genesis Plastic Surgery & Medical Spa seeks to create a natural full face which looks youthful and rested. To learn more, please call 405-340-9949 or 405-310-6767 to schedule a consultation today. With offices in Edmond and Norman, Dr. Panchal is able to serve patients throughout the Oklahoma City area. Am I a Good Facelift Candidate? What is Facelift Surgery Like? What is Recovery from Facelift Surgery Like? Where Will My Facelift be Performed? What are the Risks of Facelift Surgery? Can I Finance Facelift Surgery? Why Should I Choose Dr. Panchal? How do I schedule a facelift consultation? Back to Top Good Facelift Candidates You are a good candidate for a Naturale deep facelift if you have: Excessive skin in the lower half of your face below your eyes Excessive skin under your chin Excessive fat in your neck or double chin Deflated and sagging midface or cheek area You are not a good candidate for a lower facelift/neck lift if you also have excessive skin and laxity of the upper face brow and temple area. Additionally, good candidates for this procedure should be in generally good health and willing to follow pre and postoperative directions that may include temporarily stopping certain medications, herbs, and supplements as well as quitting smoking. Smoking slows recovery and increases the risks of thick and visible scars. At Genesis Plastic Surgery & Medical Spa we use 3D Crisalix OCULUS virtual technology to help you decide if a facelift is right for you. Using virtual reality glasses, you will be able to “see” how a natural facelift or neck lift will change your overall appearance before making your decision. Patient Testimonial "I have been a patient of Dr. Panchal for almost 15 years. He and his staff are the best at everything they do. They have communicated clearly with me my choices for aging gracefully and with dignity and answered my questions thoroughly regarding any procedures we discussed that might be appropriate. Their compassionate care and professional expertise have always been the ultimate . I highly recommend that anyone considering the services they offer choose Genesis Clinic for the best care and expertise." Back to Top The Naturale Facelift Procedure Near Oklahoma City, OK The Naturale deep extended facelift procedure takes approximately three hours to complete. This time will increase if additional procedures, such as blepharoplasty or a brow lift, are being performed at the same time. Dr. Panchal will place one facelift incision in the cartilage of your ear, following the natural shadow line. The remaining incision will be placed behind your ear so that it is barely visible. Once the incisions have been made, Dr. Panchal will lift underlying skin and fat before tightening fascia in a vertical direction (Deep extended lift) to correct your jowls and lift your cheeks. This allows the Deep facelift to last much longer than a typical S Lift or a Lifestyle Lift. If a neck lift is being performed in addition, a small incision will be placed in an area underneath your chin, enabling a youthful contour of the neck through a unique technique called corset plastysmoplasty. This technique allows plication (gathering) of the sling of muscles of the neck so that any vertical bands you have will disappear. Dr. Panchal also performs liposuction of the neck to remove all the excess fat and correct your double chin. The near vertical direction of the pull, or correction, results in a very natural appearing face following the surgery, replacing soft tissues to their correct location before they sagged down. Jowls and marionette line will disappear and the cheeks will be lifted up. The excess loose skin is then trimmed and removed. All the sutures are placed under the skin and will not need to be removed.

Eyelid surgery, also known as blepharoplasty, is where fat and skin are removed from the upper and lower eyelids. This surgery can correct: Drooping upper lids Puffy bags below eyes Dark circles below the eyes As we age, the skin over our upper eyelids tends to droop. If uncorrected, it can even obstruct your vision. With aging, your midface (cheek) tends to droop and the septum that holds the fat around the lower eyelids tends to bulge. All of this adds to aged, tired-looking eyes. Blepharoplasty is ideally suited to address issues with the eyelids and the skin just below the eyes, but it cannot address crow’s feet. For some patients, it makes sense to combine eyelid surgery with an additional procedure, such as a chemical peel or laser skin resurfacing. Additional surgical procedures including facelift and brow lift can also prove complementary to blepharoplasty. During your initial consultation, Dr. Panchal can discuss all of your options to help make sure you are provided information on the procedures that will best help you reach your goals. To set up a consultation at Genesis Plastic Surgery & Medical Spa, please call 405-340-9949 today. We maintain offices in Edmond and Norman to better serve people in and around OKC. The Best Candidates for Eyelid Surgery Planning for Your Surgery Blepharoplasty Procedure After Your Surgery Blepharoplasty Recovery The Best Candidates for Eyelid Surgery The best candidates for eyelid surgery are over the age of 35 and have excess skin over their upper and lower eyelids. If you notice that your cheek fat pads have slid down on your face, resulting in nasolabial lines (smile lines running from your nose to your lips on the sides), they can all be corrected at the time of the lower eyelid surgery. If you have problems with your vision or excessive dry eyes, you will need to get this checked by your ophthalmologist prior to blepharoplasty. In addition, patients with bulging eyes may have thyroid issues. This may need to checked by your doctor or an endocrinologist. To be a good candidate for blepharoplasty, you will need to be: A nonsmoker In generally good health Able to take time off to recover Willing to follow all pre and postoperative instructions There will be care instructions both before and after eyelid surgery to reduce risks and speed healing. Failure to follow these can result in unpleasant results, including infection, which may harm vision. Good candidates for eyelid surgery are willing to take all precautions before and after surgery to mitigate these risks. During your initial consultation, Dr. Panchal can discuss this in more detail. Planning for Your Surgery During your initial consultation, we will review your complete medical history. Be sure to check your own records beforehand, so you are ready to provide us with information. Let Dr. Panchal know if you have any allergies, if you are taking vitamins or medications, and if you smoke. Discuss your goals with Dr. Panchal. He will explain how his technique differs from others and decide whether you need upper, lower, or both to be corrected. He will also tell you the type of anesthesia and where the surgery will be performed. A detailed quote about the estimated costs will be given to you. This will include surgeons fees anesthesia fees and facility fees. Blepharoplasty Procedure When performed by Dr. Panchal, eyelid surgery is completed under local anesthesia at either one of our three Oklahoma City area offices or in an accredited outpatient facility. If you are having both upper and lower eyelid surgery, Dr. Panchal may recommend general anesthesia. This will be covered during your initial consultation. Upper eyelid surgery requires a small incision in the upper fold of the eyelid. This incision allows for optimal removal of excess skin and fat. Dr. Panchal places the incision close to the upper eyelid margin to produce a more youthful look. He will take out a small amount of fat from the inner aspect of the upper eyelids but leave some at other places so that your eyes appear youthful and not hollow. The lower eyelid incision is made just at the level of the eyelash margin. During this part of the procedure, only a small amount of fat is removed from the lower eyelids. This dramatically reduces your risk of having lower eyelid droop. Lower eyelid surgery allows Dr. Panchal to also elevate the outer aspect of the lower eyelids so as to give you a more youthful look. He will re-drape the fat so that you do not have hollow, sad eyes after your procedure. After Your Surgery After your surgery, your eyes may be swollen and bruised. Application of ice and sleeping upright will help to keep the swelling down. You may benefit from having some artificial tears to keep your eyes from drying out as well.

Reshaping the nose through rhinoplasty is a more common procedure than you might think. Both men and women are unhappy about particular aspects of their nose and request some changes to be made to them. The team at Genesis Plastic Surgery & Medical Spa is experienced and ready to make your rhinoplasty procedure a success. Call 405-340-9949 today to arrange your initial consultation with Dr. Panchal. We have offices in Edmond and Norman, Oklahoma. finger on nose tip Good Rhinoplasty Candidates Nonsurgical Nose Reshaping Surgical Procedure Planning for Rhinoplasty Rhinoplasty Risks and Recovery Financing Your Rhinoplasty Procedure Why Choose Genesis Plastic Surgery? Contact Us for a Consultation Back to Top Am I a Good Candidate for Rhinoplasty? You may be a good candidate for nose surgery if you have very specific aspects of your nose that you would like changed. Rhinoplasty can address several imperfections including: A hump or bump on the bridge of the nose Over-projection Wide nostrils A broad and wide tip If you are unhappy with the appearance of your nose, the best way to determine if you are a good candidate is through a one-on-one consultation with Dr. Panchal. During this meeting, Dr. Panchal can assess your problem areas, listen to your concerns and help you determine if the procedure is right for you. Back to Top Nonsurgical Reshaping of Your Nose Many of us have a minor hump over the nose, feel that the nose is too short, or that it projects too little or too much. In the past, these minor corrections have required surgery. You can now have these corrected by having a filler along the nasal bridge, on the tip, or in the area where the nose starts between the eyebrows. Dr. Panchal will first evaluate you and see whether or not your complaint can be addressed in a nonsurgical manner. If you have a minor hump, it can be made smooth by injecting a facial dermal filler. Similarly, if your nose is too short or projects too much, Dr. Panchal can inject some filler to just the origin of the nose, between the eyebrows to correct projection. There are two types of fillers that can be used: Juvederm, an FDA-approved filler that lasts for one year to a year and a half Bellafill, an FDA-approved filler that lasts between 5-10 years This technique requires little to no downtime, no anesthesia, and no hospitalization. While some swelling may occur, this nonsurgical approach to nose reshaping will not produce bleeding or come with risks of infection. Back to Top Rhinoplasty Surgery OKC Nose Job The most common approach to surgical nose reshaping is to make a small incision on your columella and then continue with this incision inside your nostrils. This incision allows Dr. Panchal to examine the tip and the bridge of your nose. He often exposes the septum in order to take some cartilage grafts and then smooth out your nasal bridge. In some cases, all this is combined with work on the nasal bones to realign them, and finally, work on your nasal tip to further refine it. Most commonly, the tip cartilage needs to be reshaped and then the tip can be made longer or shorter based on your nasal and facial profile. Some African-American noses, for example, need to have their nostrils narrowed to reduce their flare. The procedure commonly takes two-and-a-half to three hours to perform depending on the complexity of work to be done during the surgery. After the surgery, a splint is placed over the nose to hold the nasal bones in proper alignment. Dr. Panchal does not pack the nose, as it is very uncomfortable for the patient to breathe through it. The splint stays on for seven to ten days. All of Dr. Panchal’s rhinoplasty surgeries are performed under general anesthesia at an outpatient surgery center in Oklahoma City or Edmond. During your initial consultation and the time leading up to your surgery, we can answer any questions you may have about planning and recovery from rhinoplasty. Plan for Your Rhinoplasty Surgery During your initial consultation, Dr. Panchal will ask you specifically what you dislike about your nose and if you have any difficulty in breathing or a previous injury. He will also take note of your ethnic origin, and determine what aspects of your nose could benefit from correction. Genesis Plastic Surgery has added special software that allows us to take your photograph and digitally simulate changes to various aspects of your nose. As Dr. Panchal makes the corrections on the computer monitor, you will have an idea of how each aspect of the procedure will change the final appearance of your nose. You will then be able to compare your current shape of the nose with the new nose and that will help both you and Dr. Panchal set realistic expectations. Planning is extremely important for this surgery. This is where artistry and precision combined with experience count a lot. So choose your surgeon wisely.