What should I expect the day of my breast augmentation surgery?
What is the secret to a great breast surgery outcome?
Breast surgery is the most common operation performed in America. More people have breast surgery than any other type of surgery. At our practice, we do tons of breast surgery related to breast implants, to breast implant with lifts, and lifts alone. We cover the full gamut. We also have a very large population of patients who have had surgery elsewhere that we’re reoperating on to achieve a more aesthetic, balanced result.
The key to achieving good outcomes with breast surgery is, number one, understanding what it is the patient wants. They want to restore their body to a previously lost form from childbirth or weight loss, so we try and enhance an already natural result. Our goal is to make sure the patient understands what they have, and where they want to go. With those criteria, we then select the appropriate operation with the appropriate implant.
What is a mommy makeover? What should I expect from this surgery?
Could you show me a good example of a mommy makeover?
and her body had gotten larger than she wanted to be. Through lifestyle changes, including activity and choosing her food a little more selectively, she lost a significant amount of weight, nearly 70 pounds. And she came to us to clean up the mess, if you will, by taking the skin away, tightening the muscles and liposuctioning her hips. She can see we’ve created a body she could never have gotten with all the exercise and dieting in the world. So it’s kind of like the carrot and the stick. She changes her lifestyle, she exercises, chooses her food more carefully, she loses the weight, and then the carrot is us sculpting the body that creates a contour she can be proud of.
How do I choose the best plastic surgeon ?
When it comes to choosing a plastic surgeon, a lot of things come into play, because really, anybody with a license to practice medicine can do plastic surgery. But first and foremost, you want to find out if they’re board-certified. I am personally board-certified in plastic surgery, head and neck surgery with three fellowship trainings in various subspecialties, so that’s actually five different degrees.
That’s all well and good, but what really separates us and our practice from the other plastic surgical practices is the quality that we provide for our clients. I’m fortunate to have been named the top plastic surgeon in Louisville for the last 17 years in a row. I am honored to be invited around the world to speak about plastic surgery and to teach my plastic surgical colleagues things I’ve learned over the last 30 years doing plastic surgery.
How do you combine artistry and science in plastic surgery ?
I’m very fortunate to be an artist, as well as a plastic surgeon. I was born to be an artist, and I found my calling in life when I found plastic surgery. Albert Einstein said the greatest scientists are artists as well. Plastic surgery is 95% art, 5% science. When we’re looking at people’s faces, we’re looking at pictures of them in their youth, and we’re trying to create a shape and a form that recaptures their younger selves, and that’s how we are able to arrive at these artistic expressions.
What is a real board certified plastic surgeon ?
What is the Dr. O'Daniel difference ? What makes your practice unique ?
Somebody recently asked me, “What is the Dr. O’Daniel difference, because your outcomes seem to be different?” I would say there are three things. Number one’s sheer numbers. We’re doing a tremendous number of these operations and have been for a long time. Thirty years of experience, and we’re doing 140 of these a year, where the average plastic surgeon, according to our national society statistics, a doctor does 10 a year. So that’s one every six weeks, and we’ll do as many as six in some weeks.
The second difference is, we have an artistic approach. I have a lifetime of art and art training and an artistic eye that we’re applying to the outcomes. The third reason that really is pushing us to a level of mastery is the fact I’m teaching these procedures now. I travel the world giving lectures in different countries, which I am absolutely loving at this point in my career. But that requires a different level of expertise. It requires me to deconstruct what I do every day, and then teach to the average plastic surgeon, so they understand and can try to mimic what we’re creating on a daily basis.
Why do patients choose Dr. O'Daniel for revisional plastic surgery ?
Having been in practice now for nearly 25 years, we have patients coming from all over the country seeking our services. Of these patients that come to our practice, one in three are seeking revisions. These patients have less than optimal outcomes, and they’re seeking help. These are particularly challenging cases, and sometimes, there aren’t things that we can do for them. But most often, we can find a solution and a plan.
In particular, we’re seeing facial patients who have the stigmata of previous facelifts, and in addition, I see a significant number of breast deformities. They’ve had previous breast implants and/or breast lifts that we’re correcting. This takes a particularly high level of expertise, planning, and really a unique approach that’s required to give them a more normal appearance with their next surgical procedure.
I’m fortunate to have been in practice for a long time, for the last 25 years. And I have a lot of patients coming from around the country seeking care. Of all of my practice, at least one in three people are seeking revisions. It’s unfortunate that some people have less than optimal outcomes, but when they do run into problems, we’ve reached the point in our career where we’re providing quality care and the expertise that we’re able to correct these deformities.
It’s unfortunate that these events occur, but we’re fortunate to have the skill and the expertise to correct them.
I dont want to look Weird! How do I get a good, natural result ?
Why is Dr. O'Daniel so well known for modern facelift surgery ?
I will do anywhere from 120 to 140 face and neck lifts per year, while the average plastic surgeon in America is doing about one every six weeks for a total of 10 to 12 per year. This gives me the ability to get a person into and out of the surgical procedure quickly and make the recovery as quick and painless as possible.
We tell people for the first 48 hours to be really quiet with your wraps and have someone with you. We use little drains that come out in 48 hours. Your sutures are typically out at six to seven days and we will return people back to social life, if you will, at around 10 days. I’ve had people return to their work as soon as early as six days, which is a little on the quick side and taking up to 14 days on the long side. I will let them go back to full physical activity at around four weeks of after surgery. This includes doing your yoga positions with your head down.
Could you show me a good example of a older adult rhinoplasty ?
This is a great example of a lady who is 66 years of age and she had a rhinoplasty to remove her nasal dorsal bone. She says, “I realize there’s a lot of things that I can do to change my face, but my nose” has always bothered her, and you see her in the after pictures. She’s very happy with this outcome even though it took her 66 years to get it.
Could you show me a good example of a rhinoplasty to balance the nose and face ?
Our goals when we’re talking about rhinoplasty is to evaluate the entire face and then create a nose that fits that face. In other words, we want to take the distraction away. We want to bring the attention back to the eyes, the lips, the cheek, the rest of the face without attention to the nose.
What in Dr. O'Daniel's training makes him so well qualified for face, neck and nose surgery ?
Could you show me a good example of a young person's rhinoplasty case?
Today, with the social media being so prevalent, Snapchat and Instagram and so many photographs being taken, people are becoming very self-conscious and aware of parts of the face that they’re unhappy with. In particular, the nose can stand out, particularly when they’re smiling. There are certain elements of the nose and the lip that connects, such that when we talk and we’re smiling, the nasal tip moves, and this really is driving people crazy.
We have an operation where we can actually create a beautiful subtle soft nose that’s independent of the lip, and when we create this transition, as you can see in this patient, between the lip and the nose, you can really appreciate that not only does the nose become more beautiful, but the lip becomes more beautiful as well. See the difference when I lift their nose?
What is a revision rhinoplasty? Why do so many choose Dr. O'Daniel?
What is functional rhinoplasty and why does it matter?
How can a facelift help to reverse the aging process ?
As we can see from these pictures of Brigitte Bardot, the face changes shape, and as a sculptor we’re always looking at shape and balance. The upper part of her face was nice and wide in her youth and you can see the corners of the mouth are turned up in a very small and a very small and narrow chin, which is the most attractive features in a young face. As she ages, she loses her cheeks. The jowls become fuller, the corners of the mouth turn down, and she does and inverted triangle when you look at her, which gives her a bit of an upset or less than happy look.
As you can see in this example, we have sculpted her face such that we’ve reversed these triangles. We’ve added volume to her cheeks with fat injection, lifted the cheeks with a facelift, and made the lower third narrow with a facelift as well. As you see as I take the triangles away in the next photograph, you can appreciate that that look becomes less of a tired look, more youthful, and it’s certainly a much more pleasant, approachable face.
How do I prepare for my facelift ?
Now, when we’re preparing somebody in the fourth phase once they’ve made a decision to embark on that procedure, we’re going to be sending things in the mail that give you lots of information. This information are very critical that you go over, which will include medications we want you to take and medications we absolutely want you to stay away from.
There are going to be instructions about how to manage your hair, and you’ll also get your post-op instruction so that you can review those before you come to us for your pre-op visit, so we can make sure everything is understood from beginning, during, and through the very end of the procedure and the recovery.
How does the female face age? What can be done to help?
Let’s look at this case. Let me tell you a story about this person. This person has been an fanatic about the outdoors. She loves the beach; she loves the swimming pool; and it’s had an impact on her skin. The environment has impacted her skin by giving her wrinkles and darker spots and more of a bit of a leathery appearance. Her concerns when I start talking to her about shaping her face and repairing her skin is that, “My face was fat when I was young, and I don’t want a fat face. I much prefer a more sculpted face.” When we look at these photographs, we’re using general guidelines.
As you can see in this next slide, as we look at the center picture, there is going to be a more sculpted look that you see in the mid-20s, the mid-30s. Certainly today when we’re shaping a face, non-surgically or surgical, we’re looking at a more stylized look, the look of somebody in their 20s to mid-30s when we have the ideal shape and volume, not that round face of youth that everybody’s afraid. Because most people weren’t happy with their round faces when they’re children.
How do you decide if someone needs a necklift, facelift or both procedures ?
The decision whether we’re going to do a facelift or a neck lift really depends on the state of the tissue between the face and the jaw. If I’m doing just an isolated neck lift, that means I can contour a beautiful neck and do it through very limited incisions, one in the chin which is very small, and the other incisions are hidden behind the ear, in the crease of the ear.
If we’re starting to see the face descending into the neck, under those circumstances, we would potentially recommend a facial rejuvenation procedure, such as a facelift, at which point the incisions are going to go from behind the ear and continue hidden within the front of the ear such that they’re not visible. They hide inside the ear into the hairline, and one can pull their hair back. They can lose their hair, or even someone who wears a very close cropped or even a shaved head can have these incisions hidden.
What should I expect the day of my facial surgery ?
The surgeries are all performed at the local surgery center. A center we started approximately 14 years ago. We’re doing about 14,000 cases a year there, and we have a team that is second to none. You’ll get there about an hour before your surgery, and our team will meet you. We’re going to get all your premedical questionnaires done, we’re going to start an IV, we’re going to get a blanket on you so that we have you warm before surgery happens.
I’ll then come and meet you before surgery, and with your photographs from your youth and what our goals are, I will then mark you before surgery and make sure we’re on the same page for the very last time before we go down the road of surgery. After surgery, you’re going to wake up in the recovery room. Now understand, we don’t use a general anesthetic for our facial procedures. We give you medicine that makes you sleepy. This is a procedure that we have written about and we have essentially popularized around the country for use of IV sedation. As you wake up, it’s a nice, slow, easy recovery without nausea and vomiting, meaning getting sick to your stomach from the anesthesia. Without pain and discomfort, because we put numbing medicine on your face.
After you’re in the recovery room and our post recovery area for about two hours, we’ll then let you go home. We’re going to review the instructions with your caregiver again, and then we’re going to have your phone number, and as always you’ll have my cell phone number. We’ll be talking to you throughout the process for the next 48 hours until you come to the office to get your drain removed.
Why do patients choose Dr. O'Daniel for revisional plastic surgery?
Having been in practice now for nearly 25 years, we have patients coming from all over the country seeking our services. Of these patients that come to our practice, one in three is seeking a revision. These patients have less-than-optimal outcomes, and they’re seeking help. These are particularly challenging cases, and sometimes, there aren’t things we can do for them. But most often, we can find a solution and a plan.
In particular, we’re seeing facial patients who have the stigma of previous facelifts, and in addition, I see a significant number of breast deformities. They’ve had previous breast implants and/or breast lifts that we’re correcting. This takes a particularly high level of expertise, planning and really a unique approach that’s required to give them a more normal appearance with their next surgical procedure.
It’s unfortunate that some people have less-than-optimal outcomes, but when they do run into problems, we’ve reached the point in our career where we’re providing quality care and the expertise that we’re able to correct these deformities.
What is the cost for a facial procedure?
How do we decide what facial treatments are right for me ?
So in your initial consultation for face, we’ll have you come to our office and have pictures taken in all the different views at rest as well as with movement. We’ll have you bring in pictures from your youth, which we’ll scan and we’ll put those side by side. Then we’ll start with a simple question, what do you see in the mirror that bothers you? We then work to the photographs to determine what it is that your major concerns are, and then we’ll decide what tools do we have that will best take care of the job that you want done.
After we have the photographs, we are looking at them, we are determining which treatment is best for you, we will describe to you how these treatments are done, we’ll tell you what to expect during the treatment, and we’ll also give you great detail related to the recovery.
How do you create a long and elegant actress style neck ?
How do you evaluate a patient for a necklift ? What are the steps ?
What are the advanced techniques you've pioneered to improve the appearance of the neck ?
How do you deal with a genetic double chin or droopy neck ?
There’s absolutely no question that neck surgery is where we gained our international reputation. There are things that we’re doing today that are cutting-edge, and we’re really at the very forefront of creating circumstances where neck surgery on all ages of people. Youngest neck lift I’ve done is 19; the oldest I’ve done is 80. The key is the neck has a profound impact on the way we perceive the rest of the body. For instance, you can see in this young lady, she’s 37 years of age, when you look at her you get this sense that she’s overweight, she’s out of shape, but the reality is she was born with a full neck. When you see her before versus the after, it has a profound impact on her entire face. There’s been no other change except her neck.
How does the male face age ? What can be done to help ?
As we can see from these pictures, this gentleman, his 20s, his 30s, and 40s, and comparing it to his 65-year pictures. This gentleman is very attractive in his 20s. You can see that look in his eyes, that youthful look. By the time he’s in his 30s, you can see the enthusiasm as he’s embarking on his career. Then you see him in his 40s. He’s finally made his way into the C Suite. He’s having to seize the ambition and realizing his ambition.
Now at 65, you can see in the bottom picture, he’s now matured. He’s retired, but when he looks in the mirror, he doesn’t look like he has the energy to reap the rewards of all of his hard labors.
He looks at me and asks me, “What can you do to restore the feeling of youth, the look of vitality?” What we’d recommend is we’re going to restore the volume to your face. We’re going to make your neck a little tighter. We’re going to make your eyes a little more awake. But you’re still going to look 66 years of age.
As you can see in this first slide, he’s 20 years of age. He’s 65, and he’s 66. We can see that we’ve not made him look 20, by any stretch of the imagination. But you can definitely tell it’s the same person, the same viable person at a later date.
When we compare him to this picture when he’s in his 30s, you can see the face is a little more angular, a little more sharp, and it’s in the jaw line. I think he looks the same person. I would suggest that he’s even more handsome as he’s aging. This is one of those things that you’re getting better with time.
Now you can see, when we compare him to his pictures from his 40s, this is the point you can see that he certainly doesn’t even look 40. It’s only 25 years difference, but he doesn’t look 40. But he looks more rested. He looks more viable.
When you compare his pictures before and after, he can go back to his corporate retreats with his peers, and they’re going to look at him and tell him, “Wow, retirement has really done well for you.” They’re not going to say, “Wow, what did you do to yourself?”
The goal with all of this is to use these photographs as a guideline to make sure that you don’t look different.
What are my options for improving the appearance of my chin and neck ?
What are the benefits of a male facelift ? How is it different from a woman's facelift ?
The best part of my job is, I get to participate in people’s lives. They bring me these photographs from their youth and we put them on the computer, we compare to where they are today, and they tell me stories about where they came from.
This gentleman was a wrestler before he became a physician. He said it’s his motivation for coming to see me is, he feels like people are treating him different as he’s aging. All day long as a physician, he gets respect and asked questions and is an integral part of the community. At night when he goes to dinner, he feels like people are treating him different. Less respect, he almost feels like he’s embarrassed by the way they treat him.
To help him feel better about what he sees in the mirror, and to give people a different impression of who he really is on the inside, he’s undergone a facelift with fat injection. You can see, this is three years later. We’ve used Scupltra and fillers and Botox to maintain that look, so that he can enjoy every day, showing the person on the outside that he feels like he is on the inside.
What is the secret to a truly great result without looking overdone?
The goals of our treatment, whether it be surgical or nonsurgical, is to create a look that is natural. We hear that all the time. It’s almost a cliché, “I have natural results.” The point I’m trying to make is that when people see the before-and-after pictures of cases we’ve done, they go, “Oh, my goodness. Everybody will notice if I look that much better.”
The reality is we recognize each other based on what we remember of you from the day before. As long as we don’t lose that intrinsic you, that little piece of you that is characteristic, they’ll look at you and say, “Wow, great haircut! You’ve lost weight. What kind of makeup are you using?” They’re not going to say, “Wow, you look great! Who did your facelift?” because that would be the biggest insult that could possibly happen. What we want to hear is, “Wow, you look great!” and your answer is very simple, “Thank you.”
Can getting facial fillers and injections actually make me feel better?
Does it hurt? What can be done to stop pain and bruising?
How do I choose the right doctor for fillers and BOTOX?
Over the last 10 years, we have seen an explosion of non-surgical options for our patients. We, as plastic surgeons, are the best situated to provide these non-surgical products because we understand the anatomy of the face, including the muscles, and the arteries and where we should be putting these as sculptors. The difficulty is, for the consumers, they’re going, “What’s the difference between all of these?”
We have Botox, which is a neuromodulator and has become a household name, like Kleenex. That paralyzes muscles, doesn’t take up space. We then have fillers. And when it comes to the fillers, we have 11 different fillers. Now, my goodness, how do we choose which one of these fillers do we use? And then, we’re gonna complicate things with bio-stimulators, meaning we inject the substance and your body makes its own collagen. The critical thing to understand between these different products is they all have a job that they do, and we need to decide what job you need to have done. And that’s where our expertise comes in.
For instance, fillers, they take up a space. They can fill a wrinkle or a dent in the face. We will choose the appropriate filler for the appropriate wrinkle. I may use one filler for a wrinkle that’s fine. And I’ll go to a larger wrinkle and use a totally different filler. The complexity of the choices becomes the entry level that we need to have as practitioners to give you the optimal result.
How do you choose the right fillers for me?
How do you control pain and bruising?
How do you keep a natural look with lip fillers?
How do you maintain or improve a facelift with fillers?
So when people come to me in consultation, we look at the pictures of where they are. And we’re talking about static time, because remember, life is like a river. When you step in the river and you step out, you don’t step back in the same space, because that water has moved on. And our face is the same way. If we do something to the face today, whether it’s surgical or non-surgical, the aging process, if we’re lucky, will continue to move on.
So there are things that we can do surgically to restore a face, and then we need to think about … how do we maintain what we’ve done? Maintaining our investment, if we will. In those circumstances, we can use non-surgical means such as Sculptra. We can use fillers. We can use Botox, skin care or laser as part of our maintenance program, and vice versa. If someone’s not quite ready for a facelift … they can’t fit it into their schedule. They can’t afford it. It’s too scary. There are small things we can do in preparation for the facelift. In the same vein, we can use neuro-modulators, Botox, fillers, Sculptra, lasers as part of the maintenance program prior to having a facelift.
So the idea is, none of these treatments last forever. There’s nothing that is permanent in life, so we’re trying to treat you at a point in time to make you better today, such that 10 years from now, you’ll still be better than you would’ve been had you done nothing.
How is Dr. O'Daniel pioneering new uses for injectables and fillers?
There are so many options for fillers, how do I choose the best solution?
What is Sculptra, and what can it do?
What special training does Dr. O'Daniel have?
Why are some people afraid to get fillers?
The second fear is fear of pain and discomfort. Pain and discomfort can be overcome with using topical agents. We use vibratory sensors, and we use dental blocks for those who have a real aversion to needles and pain and discomfort. Interestingly, the third pain point that prevents people from having treatment is price, and that is a very low percentage of people who avoid treatment as compared to fear of looking different and fear of pain.
Real Patients, Real Results
” Who doesn’t want to look their best? Our bodies are a representation of who we are, what we do, and how we live our lives. Life’s demands can, over time, leave our bodies needing a ‘pick-me-up’ of sorts. When that time comes, my years of experience can help realign inner desires with an outer appearance that instills confidence and pride.”