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Cosmetic Procedures

Click on one of the procedures below to learn more.

    1. Tummy Tuck Services in Cape Cod, MA

      • Abdominoplasty (also known as a tummy tuck) is a surgical procedure designed to remove excess skin and fatty tissue from the middle and lower abdomen, and to tighten muscles of the abdominal wall. Cape Cod Plastic Surgery can advise clients in Massachusetts who may be in need of this service. This is not an operation for individuals who are markedly overweight. Obese individuals who intend to lose weight should postpone all forms of body contouring surgery until they have been able to maintain their weight loss. The operation involves a long lower abdominal incision through which the rectus muscles are tightened. The redundant skin is then removed leaving a flat, more esthetic contour to the abdomen. Occasionally, this procedure is combined with liposuction to enhance the sculptured appearance of the abdomen. The surgery is usually performed in a hospital operating room, under general anesthesia with an overnight stay. Recovery time is two to four weeks
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    1. Belt Lipectomy (Lower Body Lift)

      • Panniculectomy is a type of cosmetic surgery that focuses on the loose or hangning skin that results from massive weight loss. when the amount of loose skin is very large, especially where the excess is circumferential “circular” in nature, involving the belly, hips, back, buttocks, and outer thighs, more extensive plastic surgery is needed to remove this circumferential truncal excess. the procedure chosen by plastic surgeons for this condition is belt lipectomy, also referred to as torso-plasty, body lift, central body lift, lower body lift.
      • A cut is made form the lower sternum to the pubic bone, followed by a horizontal incision across the pubic area. The extra fat & skin will be gently removed from the second incision point, and the remaining skin will be gathered & closed. Surgery may last for several hours, during which time the patient is under general anesthesia and unconscious. you will be required to stay at the hospital anywhere from 1 day to a full week depending on the amount of skin removed and your body’s ability to recover from the operation.
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    2. Blepharoplasty

      • Blepharoplasty is a surgical procedure to remove excess skin and fat from both the upper and lower eyelids. Blepharoplasty can improve drooping skin and bagginess around the eyes. It can sometimes help those whose vision has been impaired by redundant skin or fat. Blepharoplasty will not remove crow’s feet or other wrinkles, eliminate dark circles under the eyes or lift drooping eyelids. The blepharoplasty operation is customized for every patient, depending on his or her particular needs. It can be performed along involving upper, lower of both eyelid regions or in conjunction with other surgical procedures of the eye, face, brow, or nose. This surgery is usually performed in our office operating suite under local anesthesia with sedation. Most patients can return to work in five to seven days.
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    3. Body Contouring

      There are several types of body contouring procedures that may be recommended by your physician.

          • Lower Body Lift: to correct sagging of the abdomen, buttocks, groin and outer thighs
          • Breast Lift: to correct sagging, flattened breasts
          • Arm Lift: to correct sagging of the upper arms
          • Thigh Lift: to correct sagging of the inner, outer and mid thigh

      All body contouring procedures require incisions to remove excess skin. Advanced techniques usually allow incisions to be placed in strategic locations where they can be hidden by most types of clothing. Body Contouring is often performed in stages. Your particular condition and goals, as well as your plastic surgeon’s best judgment, will all influence how your doctor defines a surgical plan.

      “Exilis ™Laser Treatment”- Exilis is an FDA approved device that offers a non-surgical solution using radio frequency (RF) energy for fat reduction and tissue tightening anywhere on the body. The procedure uses safe radio waves to heat your skin and targeted fat cells. This thermal energy speeds up your metabolic activity of the fat cells causing them to shrink. At the same time it stimulates and strengthens the collagen network which improves skin laxity and texture.

      Exilis is one of the first systems that promises actual circumferential reduction. By combining RF energy with cooling, we can treat all areas of the body where stubborn fatty deposits persist or tighter, firmer skin is desired. While the RF energy is heating the dermis, patients remain relaxed and comfortable as the system’s digital thermometer provides real-time monitoring and constant feedback as the skin’s temperature, thus ensuring a comfortable and safe treatment.

      The most frequent areas treated with Exilis Therapy in men are the “love handles”, breasts, abdomen, face, jowels and neckline. In women they include face, jowels, neck, décolletage, arms, “bra fat”, thighs, hips, breast, buttock, stomach, and knees.

    4. Brachioplasty (Arm Lift)

      • Blepharoplasty is a surgical procedure to remove excess skin and fat from both the upper and lower eyelids. Blepharoplasty can improve drooping skin and bagginess around the eyes. It can sometimes help those whose vision has been impaired by redundant skin or fat. Blepharoplasty will not remove crow’s feet or other wrinkles, eliminate dark circles under the eyes or lift drooping eyelids. The blepharoplasty operation is customized for every patient, depending on his or her particular needs. It can be performed along involving upper, lower of both eyelid regions or in conjunction with other surgical procedures of the eye, face, brow, or nose. This surgery is usually performed in our office operating suite under local anesthesia with sedation. Most patients can return to work in five to seven days.
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    5. Boost Your Confidence With Breast Implants In Cape Cod, MA

      • Breast Augmentation

        In today’s culture, a positive body image can do wonders for your self-esteem. At Cape Cod Plastic Surgery in Hyannis, MA, you can benefit from our professional experience in achieving the body you’ve always wanted. Come to us when you need breast implants. Cape Cod, MA residents and visitors can trust our experienced and well-educated staff to deliver desirable results in a comfortable and welcoming atmosphere.

        Learn About the Procedure

        Breast augmentation allows you to increase your breasts’ size. During the procedure, our experts will take the following steps:

            • We’ll make an inconspicuous incision under the breast, around the nipple, or in the armpit.
            • We’ll create a pocket beneath the breast tissue and either above or below the pectoralis muscle.
            • We’ll then insert a saline-filled or silicone gel filled implant into the pocket.

        This implant will increase your breasts’ size and projection. And if your breasts don’t have the same size or shape, we can also use this procedure to make them more symmetrical.

        We perform most breast augmentation procedures in our fully equipped, private, accredited operating suite, and we administer local anesthesia with sedation for your comfort. Procedures can be performed at Cape Cod Hospital. Our procedures have a quick recovery time as well. Most patients can go back to work in 4–5 days and can return to active hobbies in just a few weeks.

        Contact Us

        Don’t hesitate to contact us if you have questions about breast implants. Cape Cod and Hyannis, MA patients can trust us to perform safe, attractive cosmetic surgeries. To learn more or request an appointment, give Cape Cod Plastic Surgery a call at508-771-0290.

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    6. Breast Lift (Mastopexy)

      • Mastopexy is an operation designed to raise and reshape sagging breast. Factors such as pregnancy, nursing, aging and weight change produce changes in the appearance of a woman’s breasts. As the skin loses its elasticity the breasts will often lose their shape and begin to droop. Breast lift or mastopexy is surgery performed to raise and reshape the breasts. The operation can also reduce the size of the areola (darker skin around the nipple). If the breasts have lost volume or are small then a breast implant can be inserted in conjunction with the mastopexy to increase both size and firmness. Mastopexy can leave permanent and noticeable scars on the breasts. This surgery can be performed in our office operating suite and most patients can return to work in 5 to 7 days.

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    7. Breast Reconstruction (after Mastectomy)

      • Breast reconstruction is for mastectomy patients, who may choose to undergo breast reconstruction surgery immediately or at a later time. Because a number of choices are involved, some patients prefer to delay the decision while others prefer to complete all their surgeries at once. Regardless of when it is completed, many women experience a sense of restored wholeness as a result of this procedure.


        There are three techniques used for breast reconstruction:

        Tissue Expansion.

        This technique is similar to that used for breast implants. The surgeon inserts a silicone “balloon” into the breast beneath the chest muscle. Either during the surgery or later, the balloon is filled with a saline solution. Over a period of weeks or months, more saline solution is added while the surrounding skin and muscle is given time to stretch and accommodate the implant. When the desired size is reached, an outpatient surgery
        replaces the temporary implant with a more permanent one.

        Breast Implant.

        For women with smaller breasts, a permanent implant can be inserted immediately into the breast without tissue expansion. Again, a silicone outer shell is filled with saline solution until the desired size is reached.

        Flap Reconstruction.

        Flap procedures use the patient’s own tissue to rebuild the breast. The surgery is more extensive and takes longer to recover from than the other procedures, but there is no foreign body implanted and no potential for an allergic reaction. Three flap procedures are most commonly used:

        1. Latissimus Flap. The latissimus dorsi muscle runs across the back from the spinal column and upper hip to the arm just below the shoulder. The muscle is large in size and obtains its blood supply from the arm, making it a convenient choice for breast reconstruction surgery. Essentially, the surgeon tunnels through to the front of the chest and pulls the needed skin and fat to the front.
        2. TRAM Flap. TRAM stands for transverse rectus abdominis mycutaneous, the flat muscle group that runs from the rib cage to the pubic bone in the front of the body. Again, this muscle group’s close proximity to the breasts and plentiful blood supply make it a good choice for this surgery. The surgeon cuts the muscle above the pubic bone and tunnels the needed skin, fat and tissue to the chest wall.
        3. Free Flap. In some cases, a surgeon may opt to use skin and fat that is supplied by a single artery and vein from a remote area, such as the buttocks or lateral thigh. In these cases, the tissue is completely removed from the body and reattached to the chest. At times, this technique is applied to a TRAM flap.


        Breast reconstruction surgery is major surgery and requires inpatient hospitalization for 2 to 5 days. Drains are usually inserted to help remove excess fluid over the first 2 to 3 days. Stitches are removed in 7 to 10 days. While patients are encouraged to get up and move in the first 24 to 48 hours, recovery from breast reconstruction surgery can be slow. Patients are back to normal activity in 3 to 4 weeks, but overhead lifting and strenuous activities are limited for up to 6 weeks. Scars from incisions are permanent, but are generally located where they can be concealed. They do fade over time. Breast reconstruction cannot restore normal nipple or breast sensation, but some feeling may return in time.

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    8. Breast Reduction

      • Large breasts may be cosmetically desirable for some women, but they often result in unwanted side effects, such as chronic neck, back and shoulder pain, poor posture, or a skin rash below and between the breasts. Many large-breasted women develop deep grooves on their shoulders from bra straps. Physical activities may be restricted, and fitting and wearing comfortable clothes may be difficult. For women dissatisfied with these side effects, breast reduction can be the answer.

        Breast reduction surgery can be conducted on an inpatient or outpatient basis. General anesthesia is most commonly used. The surgeon makes an anchor-shaped incision around the areola, vertically from the areola to the natural crease below the breast, and horizontally across the crease below the breast. Excess skin, fat and breast tissue is removed to reach the desired size. Sutures are used to close the incision. If the reduction is dramatic, the areola may need to be removed and repositioned on the breast. The surgery generally lasts about 3 hours.

        Drainage tubes may be inserted in the breasts to help remove excess liquid the first day or two after the surgery. A dressing will also cover the area. Swelling, bruising and sensitivity are normal the first few weeks and will dissipate over time. Generally, sutures are removed in 7 to 10 days and patients return to work within 2 to 3 weeks. However, no heavy lifting or strenuous activity is permitted for 4 to 6 weeks.

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    9. Brow Lift

      • A brow lift or forehead lift is an operation that corrects drooping or laxity of the eyebrows and forehead tissue. It can also minimize some of the most visible signs of aging such as hooding over the eyes, deep forehead lines and furrows between the eyebrows. In brow lift surgery, the muscles and skin that cause the problems are removed or altered to smooth the appearance of the forehead and elevate the eyebrows. This surgery may be done endoscopically or through an open, coronal (scalp) incision. Frequently, this surgery is combined with blepharoplasty or face lift surgery. Recovery time is about 5 – 7 days and the operation is done in a office operating suite under local anesthesia with sedation.

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    10. Cellulaze

      Cellulaze reduces the appearance of cellulite in just one treatment

      Dr. Fater is the only Board Certified Plastic Surgeon on Cape Cod using Cellulaze

      Cellulite isn’t a far problem; it’s a structural problem below the skin, and that’s not your fault. So why do so many cellulite treatments focus on treating fat from above the skin? Only Cellulaze attacks the brittle structural bonds beneath the skin that are the real cause of cellulite’s dimpled appearance. And Cellulaze increases your skin’s natural depth for a smoother, healthier look that lasts. All from just one simple treatment.

      Cellulaze Your Cellulite. Because you can’t look new in the same old skin.

      You’ve tried diet and exercise.

      No matter how many pounds you lose or how often you frequent the gym, cellulite may still be a problem. It’s not your fault  since diet and exercise can’t address the fibrous bands that pull down on the skin and cause that dimpled appearance of cellulite.

      You’ve tried creams and massage.

      No matter how many lotions or creams you try, you can’t seem to get rid of it. That’s because creams only work superficially, on the surface of the skin. To make matters worse, you have to apply them constantly or your cellulite returns.

      You’ve tried hiding it.

      Covering up has been the only way to conquer cellulite. Until now: Cellulaze™ can treat what was once considered untreatable.

      Ready to get results that last*?

      Cellulaze is a unique treatment that uses laser energy to:

      • Disrupt trapped pockets of far
      • Release fibrous bands that pull down on skin
      • Stimulate collagen growth, for thicker, more elastic and healthier looking skin

      How Does Cellulaze™ work?

      A very small cannula (or tube about the size of the tip of a pen) is inserted under the skin. Cynosure’s unique SideLight laser fiber inside the tube delivers energy directly under the skin. This increases the depth and quality of your skin, while simultaneously releasing the fibrous bands that pull it down – minimizing the orange peel look associated with cellulite. Finally, the laser is used to diminish the lumpy pockets of fat that protrude through the fibrous bands under your skin.

      How do I know if Cellulaze is right for me?

      Cellulaze delivers the best results for women who are not significantly overweight but have mild to moderate cellulite on their thighs. Talk to your Cellulaze physician to discuss your needs.

      What does the procedure feel like?

      Because the area is numbed with local anesthesia  there is minimal discomfort during the procedure. You may feel a light pressure. Following a Cellulaze treatment, you may experience some soreness, but you will be able to return to your normal activities in a day or two.

      I’ve tried everything to get rid of cellulite. How do I know Cellulaze really works?

      Cellulaze is backed by two years of clinical research. Studies have shown that it increases the thickness of your skin by 25% and the elasticity of your skin by 29% – significant claims that haven’t been made by any other treatments.* Thicker and more elastic skin can help flatten and smooth the skin’s surface to improve the appearance of cellulite.

      How long do the results last?

      You’ll see some improvement right away with optimal results  apparent between 3-6 months. Since new collagen is formed in the areas treated with Cellulaze and the structures under the skin are altered… results are lasting. Clinical studies have shown results can last for one year or more. However, it is important to maintain a health diet and exercise regimen to continue to enjoy the excellent results.

      • Only treatment that attacks the very structure of cellulite
      • One simple treatment
      • Proven to reduce the appearance of cellulite
      • Treatment that lasts*
      • Produces healthier looking skin
      • Lose the cover-ups for good
      • 93% patient satisfaction*

      *DiBernardo, BE “Treatment of Cellulite with One Year Follow-up using a 1440nm pulse laser” Aesthetic Surgery Journal, March 2011

    11. Chemical Skin-Peeling

      Chemical skin-peeling and other skin treatments have been performed for many years to treat a variety of skin disorders. Conditions such as sun damage, wrinkling and uneven pigmentation may be treated with these non-invasive techniques. There are different chemical peels and skin treatment medications. In some situations, chemical peels may be performed at the time of other surgical procedures. In chemical peels, an acid solution is topically applied to certain areas of the face. A superficial, controlled “burn” occurs with this acid application producing an improvement in the skin appearance and texture. There are light and deep peels available depending upon the severity of the skin problem. Most light or superficial peels require 2 or 3 treatments about 6 weeks apart for optimal results. Patients look presentable 5 or 6 days while deeper peels may require 10 – 14 days for early healing. Chemical peels can be done without sedation or anesthesia.

    12. Chin Surgery

      • Some people are dissatisfied with the appearance of their chin because it is not prominent enough and appears “weak,” is too prominent, or is simply disproportionate to the rest of the face. Chin surgery offers an alternative for reshaping and balancing the chin. It is often coupled with nose surgery, face lifts, or other facial plastic surgeries in order to optimize the balance of facial features.

        There are two primary types of chin surgery: 1) chin augmentation, which builds up and expands the chin, and 2) chin reduction, which reduces the size of the chin’s projection. In chin augmentation, a surgeon makes a small incision in the natural crease under the chin. Tissue is gently stretched and a synthetic implant is inserted. In chin reduction, a small incision is made under the chin or in the mouth. The surgeon reshapes the chin by either sculpting or repositioning the bone and soft tissue. If required, liposuction may be used to remove excess fat. In both cases, fine sutures are used to close the incision. Chin surgery generally takes between 1 and 3 hours.

        The surgeon applies a dressing on the area, which is left in place for one or two days. Eating and chewing is restricted for the first few days following surgery, requiring soft food or a liquid diet. Patients may experience some swelling and bruising after the surgery as well as mild tenderness. These symptoms generally subside over the course of 2 to 6 weeks. Most patients are able to return to normal activity within 10 days to 2 weeks. However, there may be some limits to physical activity for 4 to 6 weeks following the surgery.

        There is the possibility of infection following any surgery. Your surgeon will likely prescribe antibiotics to avoid infection in addition to any pain medication. Bruising and swelling is common for the first few days following surgery. In rare cases, an implant may shift or become unaligned, requiring a second, corrective surgery.

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    13. Ear Surgery

      Ear surgery is a long-used technique designed to correct protruding ears or ear deformities in children and adults. Most ear protrusions occur because of abnormalities in the development of the cartilage. In some cases, there is an imbalance in the shape and size of one person’s ears or peculiar shaping of the ear. Because ears are fully formed by about the age of four, this procedure is safe for children.

      Ear surgery is usually performed on an outpatient basis using a local anesthetic and sedation and takes between 2 and 3 hours to complete. A small incision is made in the back of the ear where the ear meets the head. The surgeon then removes excess skin and cartilage and may further sculpt the cartilage to reshape the ear. The cartilage is secured to the head with permanent sutures to keep the ear pinned back. In some cases, the surgeon uses temporary sutures to hold the ear in place while it heals. The incision is closed with sutures.

      Following the surgery, the patient’s head may be wrapped in heavy dressing to aid in healing. After a few days, this will be replaced with a lighter dressing or headband, which may be required for up to 2 weeks following the surgery. Stitches are removed or will dissolve in about one week. Most patients are back to normal activity within one week, although care must be taken to avoid any activity that might bend the ear for an additional few weeks. A small scar will remain behind the ear, but is usually not visible.


    14. Eyelid Surgery

      • Skin around the eyes is very sensitive to touch. As time progresses, age takes its toll on most people’s eyelids, causing sagging, drooping, fat deposits around the eyes, bags, bulges, dark circles, fine lines and wrinkles, some of which can impede vision. Occasionally, some of these conditions may be caused by medical conditions, such as thyroid disease. Eyelid surgery, alone or in conjunction with a forehead/brow lift or face lift, can restore a more youthful appearance.

        Eyelid surgery is conducted on an outpatient basis, usually with a combination of local anesthesia and sedation. Both the upper and lower lids are treated in the surgery. The surgeon marks the natural lines and creases on each eyelid to make use of these folds to hide any scars. For lower lids, an incision is often made along the lash line to conceal the scar. After making an incision, excess fat, muscle and skin is trimmed and the incision is closed with fine sutures. The surgery generally lasts between 1 and 3 hours.

        The doctor may or may not apply a dressing to the eyes after surgery. An ointment is often used to prevent eye dryness, which may cause some blurriness of vision. Expect some swelling and bruising on and around the eyes. Cold compresses can help reduce the swelling in addition to any pain medication your doctor may prescribe. It is important to keep your head elevated when lying down during recovery. Your doctor will likely instruct you to cleanse your eyes daily with eye drops.

        Immediately after the surgery, light sensitivity, excessive tearing and double vision may occur. These symptoms will pass in a matter of days. Puffy eyelids and numbness are more likely to last a few weeks longer. Permanent stitches are removed in 3 to 5 days. Generally, patients return to most normal activity within a week, although heavy lifting, bending at the waist, swimming, extreme neck movements and strenuous activity may be restricted for some additional weeks.

    15. Facelift Services in Cape Cod, MA

      • Regain Your Youthful Appearance with a Facelift on Cape Cod, MA

        Even if you age gracefully, you may still feel dissatisfied when you look in the mirror. You see similarities to the face you had in your youth, and you know you still have the same gorgeous bone structure. However, your skin doesn’t seem willing to cooperate anymore, and you’d like a change.

        Consider getting a facelift from a Cape Cod, MA plastic surgeon. With a facelift, you can uncover the beauty that age has obscured. At Cape Cod Plastic Surgery, you’ll receive this procedure from an experienced and well-educated professional who genuinely cares about your well-being. We offer a number of plastic surgery options, so you can count on us to transform you into your ideal self.

        Learn More About Facelifts

        While facelifts can’t stop the aging process, they can send it backward a few steps. This plastic surgery option corrects age deformities around the neck, cheeks, and surrounding structures. During a facelift, deeper structures in this region are tightened and the skin redraped.  Fat may be removed or added in different areas.  This operation in our onsite accredited operating suite using local anesthesia & sedation.

        After the operation, you should take two or three weeks off work. You’ll need to rest so you can heal and get your desired results.

        Decide If You Need a Facelift

        To get a facelift from our Cape Cod, MA surgeons you must meet a few criteria:

        • You need to have good skin elasticity.
        • You need to have well-defined bone structure.
        • You need to be in good health.

        If all of the above apply to you, you have a better chance at achieving ideal results. Your surgeon will tell you if you meet these criteria during the initial consultation.

        Contact Us

        You don’t have to settle for less than your ideal self. Request an appointment by calling us at 508-771-0290.

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    16. Fat Injections

      • Autologous fat injections are useful for the reconstruction of hypoplastic areas, wrinkles or skin depressions such as the nasolabial folds or the marionette lines around the mouth. This procedure is done by removing fat from the abdomen, separating it into its various components and then re-injecting the purified fat into desired sites of the face. Although the surgical procedure is tedious, minimal sedation is needed and many patients can return to work in several days.

    17. Laser Hair Removal

      • Excess hair on the body – in small areas or large – can now be permanently eliminated with laser hair removal. Originally, ruby lasers were used for everyone, but they did not work well on people with dark skin. Today, ruby, alexandrite or diode lasers are used for light-skinned people, and neodymium:yttrium-aluminum-garnet (Nd:YAG) lasers are used for dark-skinned people. 

        Laser hair removal is an office procedure that does not require any anesthetic. The physician uses a hand-held laser to activate an intense, pulsating beam of light for a fraction of a second to the area where the hair is being treated. The light reaches the hair follicle and creates enough heat to destroy the follicle and the bulb. The old hair falls out and no new hairs grow. Patients wear goggles during the procedure to protect their eyes from the light. A cooling device is incorporated into the tip of the laser to help prevent skin damage. The procedure can be completed in minutes for small areas, like an upper lip, and hours for large areas, like the back. 

        Some patients experience a mild discomfort during the procedure. Afterwards, it is not uncommon to have temporary redness and swelling, which abate in a matter of days. While one treatment can permanently stop thousands of hairs from growing, multiple treatments are required because hair grows in staggered cycles. Generally, 60% to 95% of hair exposed to this laser hair removal procedure is permanently eliminated after six months.

    18. Lip Augmentation

      • Lip augmentation procedures create plumper, fuller lips. They also reduce fine wrinkles around the mouth.


        Three primary techniques are used to add volume to and reduce wrinkles surrounding lips: injections, implants and local flap grafts.

        Injections are generally office-based procedures where a natural or synthetic substance is injected into the lips. Some of the substances only add volume to the lips while others stimulate natural collagen growth. A wide variety of alternatives are used, each with its advantages and disadvantages. For more information about specific products, see Injections in the Skin Rejuvenation section of this Web site.

        Artecoll®. The first filler used for skin rejuvenation, Artecoll is made up of tiny synthetic beads floating in collagen. Once it is injected, the collagen is absorbed and the synthetic beads stimulate the body to produce more of its own collagen. This makes Artecoll® one of the relatively longer lasting injectables. However, because it is synthetic, it may cause the body to reject it through an allergic reaction.  This is a procedure that is available, but not at the Cape Cod Plastic Surgery facility.

        Autologen. This is collagen extracted from elsewhere on the patient’s body and injected into the lips. Because it is from the body, there is no chance of causing an allergic reaction. At the same time, however, Autologen tends to be absorbed by the body over time, making it a more temporary solution.

        Bovine Collagen. This collagen injectable derives from cows and has a lower likelihood of rejection. It generally lasts between 1 and 3 months and is considered a good temporary technique to use to determine if the patient desires a more permanent solution.

        Fat. Another common technique for creating fuller lips is to insert the patient’s own fat from other parts of the body (most commonly, the abdomen or buttocks) into the lips. There is the risk that the fat may settle unevenly.

        Hyaluronic Acid. A number of products create an injectable substance made from hyaluronic acid, a naturally occurring chemical in the body. These products are not rejected by the body. They vary in longevity and generally last between 3 and 6 months.

        Injections are non-surgical. They are done in a physician’s office using only a topical anesthetic. A single injection can be completed in minutes. Patients can return immediately to normal activity with some short-term after effects, such as slight swelling.

        Implants insert more solid material into the lips, either synthetic or derived from human tissue. This is a surgical procedure in which incisions are made either in the mouth or on the outer borders of the lips. A common risk of using implants is that they may harden, which then requires removal and/or replacement. Commonly used implant materials include:

        Human Tissue Matrix products use pieces of human tissue with collagen taken from deceased humans for insertion into each lip. Although longer lasting than most injectables, the results are temporary because the collagen is absorbed into the body over time.

        Fascia is made up of white connective tissue, often taken from the human scalp of patients or deceased humans. It can be inserted either through injections or as an implant and lasts about 1 year.

        Synthetic materials are generally constructed in single sheets that are inserted into each lip. As with other synthetic products, there is the possibility of the body rejecting the implant. However, newer synthetic materials are proving to achieve high acceptance rates from patients. Synthetic implants are relatively permanent and are capable of creating good volume and a soft look. Nevertheless, there is the risk that the implant may move, requiring follow-up surgery.

        This surgical procedure is generally conducted on an outpatient basis in a physician’s office. A light local anesthetic is used. The procedure takes about 1 hour. Patients may experience some swelling and bruising, which will dissipate in a few weeks. Patients generally return to work in a matter of days with a full recovery in about 1 to 2 weeks.

        Dermal Fat Grafting is a surgical procedure in which skin and tissue is moved from the patient’s mouth into the lips. It is a more invasive procedure than injections or implants, but also a more permanent solution. Dermal fat grafting is generally conducted on an outpatient basis using a local anesthetic with sedation. The procedure takes between 1 and 2 hours. Swelling and bruising are normal after the surgery and will dissipate in a few weeks. Patients return to normal activity in about 2 weeks.

    19. Liposuction Surgery in Hyannis, MA

      • Liposuction

        As you enjoy the miles of coastline along Cape Cod, you want to look your best. But sometimes, even hours at the gym won’t eliminate unsightly fat deposits. If you want to lose the flab but keep the muscle, consider a proven procedure such as traditional liposuction or smart liposuction with proven skin tightening. Cape Cod Plastic Surgery in Hyannis, MA is here to help you look and feel your best with this effective procedure and others.

        Remove Fat Effectively

        Liposuction is a surgical method used for removing fat below the skin. Almost everyone notices bodily areas where fat cells tend to accumulate. These areas may be at your waist, on your thighs, along your upper arms, or other places.

        Wherever they are, fat cells will persist, even if you watch what you eat and exercise regularly. As you gain weight, these fat cells will grow, and as you lose weight, they will shrink. Liposuction removes these fat cells to reveal your fit body. Every patient and body is different, but the before and after photos below show the dramatic changes possible with this procedure. Following each procedure, you’ll see immediate enhancement and full improvement in 3-6 months. Patients can go home the same day. Recovery time lasts between five and seven days, after which patients can return to work and other typical activities.

        Although it targets fat cells, liposuction is not a weight-loss treatment. Liposuction patients see the best results if they are already at a healthy weight. Additionally, cellulite and excess skin are not eliminated during liposuction. Cape Cod Plastic Surgery also offers Smart Lipo & Cellulaze, which can address these issues, and some patients undergo these additional procedures to augment results.

        Experience Treatment in a Comfortable Setting

        Liposuction performed at Cape Cod Plastic Surgery takes place in our office’s accredited surgical suite. Patients enjoy private, safe, and comfortable care from board-certified surgeon, Dr. Marc Fater, and other experienced medical professionals. Read more about our accredited facility and our office hours here.

        To determine if you are a good candidate for liposuction, Cape Cod Plastic Surgery recommends visiting our office to meet with our team. Schedule your visit today via our appointment request form or call our office at 508-771-0290 with your questions.

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    20. Male Breast Surgery

      • Research indicates that as many as 40% to 60% of men have a condition that creates excess fat deposits in the chest area. This occurs frequently among teen males because of hormones, but naturally resolves itself over time in most cases. For some men the condition is hereditary; for others medical conditions such as cancer and impaired liver function contribute to the problem. Today, men with fatty deposits that create raised breast areas can take advantage of a surgical technique to remove the fatty deposits and excess tissue.

        Male breast surgery is generally performed on an outpatient basis using either a light general anesthetic or local anesthesia. A small incision is made at the bottom of the areola (the brown area encircling the nipple) or under the arm. The surgeon removes any excessive glandular tissue and skin. If fat removal is needed, liposuction may be conducted using the existing incision. Small sutures are used to close the incision. The surgery generally takes about 2 hours.

        Sometimes drainage tubes are used for the first two days to help remove excess fluid. The skin will likely be wrapped to help reduce swelling. Some swelling, bruising and numbness are normal and will subside over time. Stitches are removed in 1 to 2 weeks after the surgery. Most patients return to work within 1 to 3 days. An elastic pressure garment is worn for 3 to 6 weeks, and sports and strenuous activity are limited for 3 to 4 weeks after the surgery. Patients should avoid sun exposure for 6 months.

    21. Neck Lift

      • Age and weight loss are the primary culprits when it comes to saggy, fleshy neck skin and muscles. Tightening the skin and muscles in the neck can help people look younger.

        Neck lifts are conducted on an outpatient basis using either general anesthesia or a combination of local anesthesia with sedation. Incisions are made under the chin and behind the ears. The surgeon stretches the skin over the area to identify and remove excess skin. Liposuction may be used to remove excess fat. The neck muscles and surrounding tissue are tightened and the incision is closed. A newer endoscopic procedure offers the same results with a smaller incision and less scarring. Neck lift surgery lasts between 2 and 3 hours. If only liposuction is needed, the incision is made below the chin and the surgery lasts about one hour.

        Compression bandages will be applied to the neck immediately following the surgery and remain for one week. This helps reduce swelling and discomfort. Swelling and bruising are normal and will subside over a few weeks. Numbness, pulling and/or a burning sensation are also common during the first few weeks. Most patients return to normal activity within 10-14 days, but may have to restrict strenuous activities for about 3 to 4 weeks.

    22. Nose Surgery (Rhinoplasty)

      • If the shape or size of your nose is not proportionate to the rest of your face or consistent with your sense of beauty, nose surgery can help. This procedure is used to straighten out a crooked bridge, repair deformities, reduce oversized tips of the nose, widen or flatten nostrils, change the angle between the nose and upper lip and eliminate undesirable projections: noses that stick out too far or not far enough.

        Nose surgery is conducted on an outpatient basis using local anesthesia coupled with sedation. The surgeon makes a small incision inside the nose. The skin is gently separated from the bone and soft tissue. The surgeon then sculpts or manipulates the bone and cartilage to create the desired shape. In some cases, the surgeon cuts the septum (an area of skin between the two nostrils). Nose surgery takes between 1-1/2 and 3 hours.

        There is the possibility of infection following any surgery. Your surgeon will likely prescribe antibiotics to avoid infection in addition to any pain medication. Bruising and swelling around the eyes are common following surgery. Patients can apply cold compresses to reduce the swelling. There may also be some light bleeding, but this will dissipate after 2 or 3 days. The surgeon may pack the nose with dressing to help keep the bone and tissue in place. If so, the packing is generally removed in about one week. Most patients return to normal activity in about 1 week, although strenuous activity is restricted for up to a month.

      • Before
      • After
      • More Before & After Photos

    23. Otoplasty

      • Otoplasty surgery is an operation to reshape the ear. A variety of different techniques and approaches may be used to reshape protruding ears. This type of surgery is customized to each patient’s particular need. It involves the placement of permanent sutures into the ear cartilage to maintain its desired shape. On occasion, small portions of cartilage are incised or removed to achieve improvement. The incisions and sutures are placed from behind the ear in order that no scars will be visible from the frontal or side views. Otoplasty is usually done in an office operating suite under local anesthesia with sedation. Early healing time is 4 – 5 days when most patients can return to work or light activity.

      • Before
      • After
      • More Before & After Photos

    24. Reduction Mammoplasty

      • This operation is designed to reduce and reshape very large breasts. The most common complaints of women with very large breasts are back, neck and shoulder pains. This surgery is performed in the hospital under general anesthesia and most patients go home the next day. Many patients can return to work within 7 to 10 days and full activities within three weeks. Usually this operation is covered by most insurance policies.

    25. Silicone Facial Implants

      • Silicone implants are useful for the reconstruction of hypoplastic (under-developed) areas such as the chin or cheekbones. The result can be a more alert, more animated and youthful appearance. An implant, which is made of a solid silicone polymer, is placed in the under-developed area giving more projection or fullness in appearance. Most of the time, external skin incisions can be avoided by placing the implant through an intraoral (inside the mouth) incision. This surgery can be done in an office operating suite with local anesthesia and intravenous sedation. Healing time after surgery is about 7 – 10 days.

    26. Smartlipo TriPlex

      • Now offered by Dr. Fater, a Board Certified Plastic Surgeon on Cape Cod

        Smartlipo LaserBodySculpting is a minimally invasive, laser-assisted lipolysis procedure that targets trouble spots like the abdomen, thighs and neck, and permanently eliminates fat.

        Do you have love handles, bat wings, muffin tops, saddlebags or jowls that don’t respond to exercise and diet? They all improve dramatically using Smartlipo TriPlex, with minimal downtime and less pain than traditional liposuction alone. because Smartlipo actually tightens tissue, you don’t have to worry about dimpling and sagging afterward. 

        Smartlipo TriPlex permanently melts away fat in just one treatment. 

        • Tighten tissue
        • Permanently destroy fat cells
        • Improve your overall body shape
        • Return to work in a couple of days
        • Find out your skinny jeans are too big
        • Listen to endless compliments from friends and family
    27. Thigh Lift

      • When thighs are disproportionate to the rest of the leg and/or the buttocks, one solution is to remove excess skin and fat with a thigh lift. Some surgeons report that thigh lifts tend to be more effective on the front and outer sides of the thigh than on the back and inside of the thigh.

        Thigh lifts are conducted on an outpatient basis using general anesthesia. An incision is made in the crease where the upper thigh meets the buttocks or in the groin area near the hip. The skin is carefully separated from the underlying muscle and tissue. Excess skin is removed. If needed, liposuction may be used to remove excess fat. The remaining skin is stretched and tightened over the area and sutured closed. The surgery takes between 2 and 3 hours.

        Drainage tubes may be inserted to help remove excess fluid for the first two days. A dressing and light compression garment will also be applied following the surgery and must be worn for a few days. Swelling and bruising are common and subside over a few weeks. Stitches are removed after 7 to 10 days. Most patients are back to work in about 1 week and resume most normal activity within 3 weeks.

      • Before
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      • More Before & After Photos

    28. Vein Surgery

      • Spider and varicose veins can affect the appearance of legs for both men and women. Spider veins look like fine webs or starbursts of veins that appear in small areas close to the surface of the skin. Spider veins can appear on the face in addition to the legs. Varicose veins are swollen, purple or blue and raised from the surface of the leg. In some cases, they look like bulging cords.

        No one knows the actual cause of varicose or spider veins, but contributing factors include family history of vein problems and hormones. Natural changes in hormones from puberty, pregnancy and menopause increase the likelihood of varicose and spider veins for women. Obesity and long periods of standing can also contribute to their appearance. Medically, neither varicose nor spider veins are generally harmful, but they can be unsightly.

        A variety of procedures are available to treat spider and varicose veins. Consult with your surgeon to make the best choice for you. In all cases, once the damaged vein is deadened, healthy veins take over blood flow to the leg.

        Sclerotherapy is the most widely used technique and is highly effective for treating spider veins. The procedure is performed in a doctor’s office and requires no anesthesia. Tiny needles are inserted into the damaged veins and a solution is injected. The solution causes the veins to swell and shut, which stops the blood flow. Eventually, the veins turn to scar tissue and fade. In some cases, particularly for varicose veins, more than one injection treatment may be required for complete closure of the vein. Some short term side effects of the procedure include stinging, cramping, red patches, skin discoloration and bruising. Patients may take aspirin and apply heat to alleviate any discomfort. Risks from the procedure include an allergic reaction to the solution or blood clots.

        Electrodessication, similar to sclerotherapy, uses an electric current instead of a solution to seal off the damaged vein. This procedure offers an alternative to those individuals who are allergic to the injected solution used in sclerotherapy, but it may leave scars.

        Laser Surgery has traditionally been used to treat spider veins of the face. New technologies have made this a viable alternative for varicose veins as well. A laser light is directed in short bursts at the damaged vein, which makes it fade and disappear over time. There may be some redness or swelling immediately after the treatment, but these side effects subside. Any discoloration fades in 1 to 2 weeks. Generally it takes about 15 to 20 minutes per treatment and requires 2 to 5 treatments per leg.

        Closure Technique. This is a relatively newer, office-based and non-invasive technique for treating varicose veins. A tiny catheter tube is placed in the vein. Radiofrequency energy is sent through the catheter into the vein, which causes the vein to shrink. Some slight bruising is a common side effect of this procedure.

        Surgical Ligation or Stripping. For larger or more extensive problems, this technique is used to literally remove the veins from the leg. The procedure can be performed on an inpatient or outpatient basis using general or local anesthesia. A small incision is made in as inconspicuous an area as possible. The vein is tied shut and removed or stripped from the leg. The most common side effects from this surgery are inflammation, infection and tiredness. Many patients experience some nerve damage around the scar, which can lead to some numbness, burning or a change in sensation. Blood clotting is also a concern, although medication can be prescribed to help prevent any clotting.

        Ambulatory Phlebectomy is similar to surgical ligation or stripping. The outpatient procedure can be performed using a local or general anesthetic. Again, small incisions are made in the leg. In this case, surgical hooks are used to grab and remove the veins. Scars from ambulatory phlebectomy tend to be smaller than those resulting from surgical ligation and stripping.

        No vein treatment is 100 percent. New veins can grow where old veins were eliminated and, particularly in cases of family heredity, they may also become varicose or spider veins. However, vein treatments are generally quite successful.