Revision Rhinoplasty – CAQ
What are some of the common problems that can occur after rhinoplasty? I had a bad ‘botched’ nose job and may need more surgery to correct my nose. Complications in rhinoplasty may be categorized as functional (related to breathing) or aesthetic (related to appearance); often, there are elements of both. Problems after rhinoplasty commonly are due to under resection (not enough taken off), over-resection (too much taken off), scarring, deviations, bumps, curvatures, collapse and asymmetry. Also, sometimes abnormal scarring is a problem after rhinoplasty or even revision... Read More
Eyelid Surgery (Blepharoplasty) – CAQ
How will this procedure help me? Upper and Lower eyelid surgery can correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and tightening muscle. How long will this take? 1 to 2 hours. What type of anesthesia do you use? Upper eyelid surgery alone is done with local anesthesia and oral sedation. Upper and lower eyelid surgery requires general anesthesia. Is this an inpatient or outpatient procedure? Outpatient at Primera Surgery Center. Effects: Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes.... Read More
Facelift/Minilift – CAQ
How will a Minilift or Facelift help me? This procedure will improve sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, and redraping facial and neck skin. We mostly perform this procedure on men and women 40 and above. How long will a Minilift take? Dr. Gross generallycompletes the procedure in approximately 31/2 hours, although this varies depending on individual anatomy and complexity. What type of anesthesia is needed for a Minilift or Facelift? We require general anesthesia for this procedure. Do you tighten the facial muscles in a... Read More
Liposuction Neck and Face – CAQ
What is included with the procedure? Improve shape by removing fat deposits with a tube and vacuum device. Common locations for liposuction include the chin, jawline, and neck. How long will this take? 1 hour. What type of anesthesia do you use? Oral Sedation or General. Is this an inpatient or outpatient procedure? This is an outpatient procedure at Primera Surgery Center. What are the common side effects? Temporary bruising, swelling, numbness, soreness, burning sensation. What are my risks? Asymmetry. dimpling of skin. Pigmentation changes. Skin injury. Fluid retention. Infection. How long... Read More
Endoscopic Forehead Lift – CAQ
What are the benefits of Endoscopic Forehead Lift or Transbleph Browlift Surgery? There are smaller incisions, Minimal Scarring, Less bleeding, Less hair loss, and Quicker recovery. What does the procedure do? This out patient procedure minimizes forehead creases, lifts drooping eyebrows, removes hooding over eyes, and tightens and lifts the forehead skin. How long will this take? Approximately 1 hour in our AAAASF surgery center at Primera. What type of anesthesia do you use? We require general anesthesia for this procedure; however, the recovery is quick. Is this an outpatient... Read More
Brow Lift – CAQ
What are the benefits of Browlift Surgery? This procedure, done via incisions hidden above the eyebrows, can elevate more of the lateral brow than the Endoscopic method. Dr. Gross uses this method for patients with heavy brows and for mostly in men. What does the procedure do? This out patient procedure lifts drooping eyebrows, removes hooding over eyes, and tightens and lifts the sagging eyebrows. It opens the upper eyelid area for better vision as well. How long will this take? Approximately 1.5 hour in our Approved surgery center at Primera, located in Lake Mary (Orlando). What... Read More
Chin & Cheek Implant – CAQ
How long does this procedure take? About 1 hour. What type of anesthesia do you use? We use light general anesthesia for this type of surgery. Is this an outpatient or inpatient procedure? This is an outpatient procedure at Primera Surgery Center. What are the side effects and risks? The side effects are mild discomfort, temporary numbness of the skin, minor bruising and swelling and the risk of infection (rare). How long is the recovery time? 5-7 days, avoid heavy lifting for 2 weeks and contact sports to minimize swelling or potential for displacement. Where is the incision placed? Chin-... Read More
Facial Scarring – CAQ
Will I have scarring, and what will it look like? Usually, facial injuries and lacerations can be improved with laser therapy and time. Certainly, there will be some signs of the injury, but these lessen as time goes by. In children, these typically show up as a bright pink line for several months following the surgical repair. This tends to fade in a 6 to 12-month period, and it is important to keep sun block on and to avoid direct sun exposure. What can be done to improve residual scarring? Dr. Gross frequently uses Pulse Dye Laser to improve scars. Other techniques include Dermabrasion,... Read More
Ear Pinning (Otoplasty) CAQ
How long does Ear surgery take, and what type of anesthesia is used? Otoplasty takes ~ 1 hour per ear, depending on the complexity of the ear abnormality. Most patients have general anesthesia and bilateral Otoplasty is performed as an outpatient surgery at Primera Surgery Center. Is there a lot of pain afterwards and how long will it last? Otoplasty performed by Dr. Gross typically is not painful and is associated with mild discomfort. Dr. Gross uses a long-acting anesthetic to relieve pain following the surgery which wears off 8-12 hours later. There is some discomfort the first... Read More
Surgery for Men – CAQ
Is plastic surgery common with men? Yes, more than most people think. With society’s growing emphasis on health and keeping fit, it is only natural for men to want their facial appearance to reflect their physical vitality, energy and well-being. Facial plastic surgery for men has become much more commonplace in today’s world and men are choosing to have cosmetic surgery in increasing numbers. Often, men are looking for a career advantage as a side benefit to facial cosmetic enhancements. This decade finds men staying longer in the workforce, while every year a new group of... Read More
Computer Imaging – CAQ
What is computer imaging? Computer imaging is the highly technical digital process which allows Dr. Gross to make changes to your face, nose, eyes, neck, chin, ears, or skin to improve your appearance. This is done on a large screen TV monitor which shows the profile and allows Dr. Gross to change or erase problem areas. A side by side before and after image analysis can them be done with comprehensive and detailed measurements, performed by Dr. Gross. He will morph your before and after images to see what you would look like after treatment. He then uses these Images as a template... Read More
Visia® Complexion Analysis – CAQ
What does the Visia® Complexion Analysis look for? We will be able to clearly see areas of UV spots that indicate sun damage, redness, wrinkles, texture, pores, bacterial content, and skin tone variations. Deeper levels of the skin are also examined which cannot be seen by the naked eye. How does the Visia® Complexion Analysis help rejuvenate my skin? The Visia® Complexion Analysis provides the information necessary to accurately individualize facial rejuvenation and skin care regimens to match a unique complexion profile. As the skin restoration process unfolds, exact response of the... Read More
CO2 Laser – CAQ
How long does the CO2 Laser process take? 1 hour What type of anesthesia do you use? Oral sedation with local anesthesia for small areas of the face (mouth) , or general anesthesia–preferred. What are the risks and side effects? Infection, prolonged redness, lightening of skin tone, pigmentation changes (somtimes permanent) and scarring (rare), Facial swelling, weeping of the skin, redness, drainage, and an expected ”ugly phase” for 7 to 10 days. How long is the recovery time? 1~ 2 weeks; however this is variable. Back to work usually in 2 weeks. Keep in mind, this is one... Read More
DOT CO2 Laser – CAQ
How long does the DOT CO2 Laser process take? ~ 1/2 hour in our Primera office. What type of anesthesia do you use? We recommend an oral sedative combined with topical anesthesia cream 1 hour prior to therapy. IV sedation or general naesthesia is not required. (If sedation is given however, an adult driver is needed) What are the risks and side effects? Side effects are lower with this laser. Rare -Infection, lightening of skin tone, pigmentation changes (somtimes permanent) and scarring (rare), Facial swelling, pinkness, and an expected “ugly phase” for 2-3 days. Not as... Read More
YAG Laser Treatment – CAQ
Can this laser remove my unwanted tattoo? For those who may have changed their minds about the symbolism or content of a tattoo, the YAG Laser is the gold standard of tattoo removal without scarring. The light energy emitted from this laser passes into the skin and is absorbed by the ink of the tattoo, causing the tattoo ink to break into tiny particles which are removed by the body’s natural filtering system. There are various types of tattoos including professional, amateur, and surgical tattoos. In addition, a great variety of inks may be used in a range of colors. All ink colors can... Read More
Pulse Dye Laser – CAQ
What are the common applications? Scars and Stretch Marks, Freckles, Sun and Age Spots, Rosacea, Port Wine Stains, Hemangiomas, Cherry Angiomas, Skin Rejuvenation, Cheek and Nose Redness, Facial Veins and broken blood vessels, Wrinkles, Warts, Acne, Poikiloderma (neck redness from chronic sun exposure). What is Pulsed Dye Laser used for? The following are best treated with the PDL: spider veins on the face (single or multiple), changes of rosacea, port wine stains and some other birthmarks, small cherry angiomas on the body, scars, and stretch marks. At Primera Plastic Surgery in Orlando, we... Read More
Fraxel® Laser – CAQ
What does Fraxel Laser treat? Regardless of the level of sun damage you have, or if you just want prevention and maintenance, there’s a Fraxel® treatment for you. The Fraxel family of treatments has multiple FDA clearances. These include: re:store ® Sun Damage and Collagen Stimulation Fine lines around the eyes Pigmented areas (age spots, sun spots, and freckles) Discoloration and uneven pigmentation Melasma (mask of pregnancy) Acne scars Surgical scars In short, Fraxel treatment creates smoother, fresher, healthier and younger-looking skin…improved tone, texture and pore... Read More
Botox – CAQ
What does Botox treat? Frown lines between the eyebrows, Horizontal lines on the forehead, Crow’s Feet at the corner of the eyes, Lip lines, Horizontal lines on the neck Do Botox injections hurt? There is little or no discomfort from Botox injections. The sensation has been described as similar to a bug bite. You can resume normal activities immediately. After your treatment you will be instructed to use an ice compress for 5 minutes and refrain from manipulating the treated area for four hours after the procedure. Do I need a follow up visit? It is important to note that the results of... Read More
Dysport – CAQ
What’s the difference between Botox and Dysport? Exactly how the two wrinkle-relaxers differ is not fully understood. Initial reports suggest that Dysport may act quicker. Botox takes three to five days to work, while Dysport seems to work within one to two days. In some cases, wrinkles begin to fade as soon as 24 hours after receiving Dysport treatment. This rapid response could be the deciding factor for a woman or man looking to improve their appearance before a big social event or meeting. What’s more, the Botox alternative may last longer than its predecessor. Some studies... Read More
Radiesse – CAQ
How long do the effects of Radiesse® last? Another unique feature of Radiesse is the length of time the effects of the injections remain. In most cases, the youthful look of facial restoration from this treatment last 1-2 years. Although some individuals prefer a less permanent correction of facial imperfections, others find this quality to be highly desirable. Is there any anesthesia needed? Topical numbing cream (BLT) may be used to maximize your comfort during the procedure. However, most patients do not require this as Dr. Gross mixes the Radiesse with lidocaine, a local anesthetic.... Read More
Restalyne® – CAQ
What is the difference between Restylane® and Botox®? The two products have completely different actions. Botox® relaxes tiny facial muscles, causing lines in certain areas to diminish or disappear. Restylane® actually fills lines, restoring the natural contour of the face. It is not unusual for individuals to utilize both treatments to restore a youthful look to the face in a rather dramatic way. Can I have an allergic reaction to Restylane®? Restylane® is non animal based and therefore requires no skin testing. This eliminates any possibility of allergic reaction. What are the side... Read More
JUVÉDERM®
What does JUVÉDERM® Injectable Gel do? JUVÉDERM® temporarily adds volume to moderate and severe facial wrinkles giving you a smoother more youthful appearance. Helpful for lip lines, parentheses, and forehead creases. What is JUVÉDERM® indicated for? JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus injectable gels are indicated for injection into the mid to deep dermis (below the outer layer of skin) in order to correct moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth, aka smiles... Read More
Sculptra® – CAQ
What are possible effects of Sculptra®? The main side effect of Sculptra is the development of small bumps in the skin. These bumps are generally not visible but can be felt as small pea sized bumps when the skin is pressed. Much less frequent is the development of visual bumps at injection sites. Other side effects related to injections such as swelling, infection and tenderness can occur. How is Sculptra® different from other products I have heard of? Traditional injectable fillers typically contain hyaluronic acid or collagen. They fill in lines and fill spaces. Sculptra® actually... Read More
Latisse® – CAQ
What is LATISSE® (bimatoprost ophthalmic solution) 0.03%? LATISSE® solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker. How does LATISSE® work? LATISSE® is believed to affect the growth (anagen) phase of the eyelash hair cycle in two ways: first, it increases the length of this phase; and second, it increases the number of hairs in this growth phase. The exact way it works is unknown. How soon will I see results? LATISSE® users may see results starting at 8 weeks with full results at 12 to 16 weeks. The growth is gradual... Read More
