Frequently Asked Questions
You really need to meet Dr. Perkins and his staff to learn more about what is really the right step(s) and/or procedure(s) for you. Scheduling a consultation with Dr. Perkins is the most important step to determine this. Ask questions and tell him what your goals and desires are. He utilizes computerized imaging so that you can see your potential result before you schedule your surgery. Ask him what outcomes he expects from your procedure and what the recovery time will be. “You owe it to yourself” to meet him and his staff and compare. Prices vary, but so do experience level, ability, results and the experience and care provided by the office staff.
Ask your surgeon what board certifications they hold. If you are having a facial plastic surgery procedure, you should choose a surgeon who is board certified by the American Board of Facial Plastic and Reconstructive Surgery. Ask how frequently the surgeon performs the particular procedure you plan to have and if he/she employs state-of-the-art surgery techniques. Ask the surgeon what outcomes he/she expects from your surgery. Inquire about any specific risk factors with your particular situation. Choose a surgeon who performs your procedure regularly and with natural-looking outcomes. Ask to see several sets of before and after photographs of the particular type of surgery you are considering. Dr. Perkins performs each of the main facial plastic cosmetic procedures, such as rhinoplasty, blepharoplasty, facelift, forehead lift and resurfacing on a daily/weekly basis in his practice.
Board certification is important because it ensures that a surgeon has completed special training in his/her areas of expertise, met the rigorous standards required by their respective boards, as well as completed special examinations. If you are having facial plastic surgery, your surgeon should be board certified by the American Board of Facial Plastic and Reconstructive Surgery.
Accredited facilities, such as the Meridian Plastic Surgery Center, must abide by certain rules and regulations to ensure patient safety. The Accreditation Association for Ambulatory Health Care sets standards for, measures performance of, and accredits more than 1800 ambulatory care facilities across the country. Accreditation from this organization has become a symbol that a facility is committed to providing the highest level of quality health care possible. Be sure the surgery center meets all the safety and quality standards of a hospital and is licensed by the State Board of Health. Medicare and Medicaid certifications are also required if the facility is going to accept those types of insurance to pay for procedures. The Meridian Plastic Surgery Center is State Board licensed and Medicare certified.
Cosmetic surgery reshapes normal structures of the body in order to improve your appearance. Reconstructive surgery is performed on structures of the body that are abnormal, caused by congenital defects, developmental abnormalities, trauma, infection, tumors or disease. It is generally performed to improve function, but may also be done to approximate a normal appearance.
There are a variety of non-surgical options that that Dr. Perkins offers at his practice that may provide some temporary benefit, prolonging the time until the actual surgical repositioning and tightening will be required. Results are extremely variable and are not dramatic. Our laser provides the capability to produce dramatic results and quick healing for patients who want to improve wrinkles, acne scars and skin texture. We offer Ultherapy and Exilis – which effectively tighten skin with no down time. We also have a wide range of injectible treatments.
There is a great difference in skill level and knowledge about how to perform an excellent and predictable primary rhinoplasty, and there is an even more profound difference in skill level among rhinoplasty surgeons and how they manage and are able to correct poor outcomes from previous surgeries. Flatly, many surgeons do not have the necessary expertise, as Dr. Perkins does, in rhinoplasty and revision rhinoplasty.
A failed rhinoplasty can be fixed by a skilled surgeon who has had special training in this field. Even with the best surgeons, three to ten percent of rhinoplasties need minor revisions one year or later. It’s just the nature of the variability of each individual’s healing. It may be necessary, however, to have “major” revision rhinoplasty because the first surgeon “over did” the initial rhinoplasty or failed to correct the initial deformity. Revisions, known as “secondary” rhinoplasty, are very challenging and more difficult than the first, so you need to choose someone who performs rhinoplasty on a regular basis with good outcomes and is current in their techniques. The original rhinoplasty surgeon may or may not be experienced enough to perform the required revision.
The reason, at any age, for cosmetic changes, depends somewhat on growth or maturity: age 15-16 for girls and 16-17 for boys. In terms of rhinoplasty, functional reasons or trauma is a first reason at any age. If your child or teen has a nasal injury or trauma, breathing difficulties or a badly misshapen or disproportionate nose, rhinoplasty may be the appropriate solution. I also often have teenagers who come to see me because they are bothered by their nose. This can be due to the actual shape or size, the presence of a bump or the lack of harmony with the rest of their face. Rhinoplasty can fix all of these issues. The consultation is a perfect time to discuss the goals and desires that the teenager is looking for with rhinoplasty. I use computerized imaging that will show you what the surgical result will be – even before the surgery is scheduled. It’s important for the parents and kids to have open dialogue about their concerns of having surgery.
Despite what you may have heard, there are facelift/neck lift procedures you can have as early as your 30s and 40s that will address signs of aging. You can enjoy a fresher neck and jawline now by having smaller procedures – rather than waiting for a specific age to have a more extensive procedure. There is “no magic age”. Each person is different as is their heredity and skin elasticity – which all play a factor in the aging process.
This is a common fear of many patients – and is why it’s very important that you choose a facial plastic surgeon who uses today’s techniques, has a high level of skill and expertise and performs many of these surgeries each year. Your surgical outcome should be very natural-looking – no matter what procedure you have done. You should never look “done” or like you just had surgery. Remember: facial plastic surgery is not the place to price shop. Often times, less experienced surgeons will run “specials”, which can turn into surgical disasters for patients, and even cause them to need a second surgery to correct mistakes.
If you choose a skilled facial plastic surgeon who performs the surgery you want to have on a regular basis with natural-looking outcomes, you should simply look refreshed and energetic. People should notice that something about you looks great – rested and bright. They should never be able to tell that you’ve had plastic surgery. Not all surgeons use and understand the techniques that achieve these results, so be cautious when choosing a doctor in order to achieve the long-lasting outcome you desire.
Dr. Perkins’s incisions are well-hidden so that hairstyles don’t matter. He is not moving the hairline at all. Patients no longer have scars on the front of their ears. Rather, they are placed inside the ears – providing camouflage – which is great for people with short hair.
Having a “facelift” does not always mean a major overhaul. Facelift can be broken down into Liposuction, Cheek-Jowl Lift and Neck Lift. Some patients need all three of these while others do not. The type of surgery I perform will depend upon the signs of aging and degree of the elasticity or lack thereof in each patient, the amount of excess fatty tissue and the degree of neck muscle sagging and banding. For example, a neck lift can sometimes be performed in conjunction with liposuction to eliminate floppy neck skin. This is less invasive than a standard facelift.
In children, the ear is 90% of its normal size by age five or size. It is therefore recommended that the surgery be completed before or near the time a child enters school to avoid teasing and ridicule by classmates. Because of the obvious visual and psychological improvement following Otoplasty, this procedure provides a very rewarding experience for the patient. It’s not just for kids, however. Otoplasty can be completed at any age. Many satisfied patients are those who have endured protruding ears for most of their life and finally correct the problem after years of “hiding them.”