Frequently Asked Questions (FAQ's)

Frequently asked questions about surgical and non-surgical procedures performed by Dr. Guarda.

Table of Contents

CoolSculpting FAQ

CoolSculpting is FDA-approved to treat visible fat bulges in various areas, including the abdomen, flanks (love handles), thighs, upper arms, bra fat, back fat, underneath the buttocks (banana roll), and underneath the chin (submental fat).

CoolSculpting is not a weight loss procedure but rather a body contouring treatment. It targets and reduces localized fat pockets that are resistant to diet and exercise. It is best for individuals at or near their ideal body weight who want to sculpt specific areas
Yes, CoolSculpting is considered safe when performed by a qualified provider. It is FDA-cleared and has been extensively studied. Common side effects are mild and temporary, such as numbness, swelling, and bruising.
A typical CoolSculpting session lasts about 35-60 minutes per treatment area. Multiple areas can often be treated during one appointment.

Results from CoolSculpting become noticeable within weeks to months as the body naturally eliminates the treated fat cells. Optimal results are usually seen after about 2-3 months.

The number of treatments needed varies depending on individual goals and the areas being treated. Many people achieve their desired results with one session per area, while others may benefit from multiple sessions.
During the procedure, you may feel a cold sensation initially, followed by numbness as the area becomes numb due to the cooling effect. Some people experience mild discomfort or pulling sensations, which typically subside as the area numbs.
Common side effects include temporary numbness, tingling, bruising, swelling, and mild discomfort. Rare side effects may include paradoxical adipose hyperplasia (PAH), where fat cells in the treated area expand instead of shrinking.

CoolSculpting is best for individuals who are close to their ideal weight but have stubborn areas of fat that do not respond to diet and exercise. It is not a treatment for obesity or a substitute for healthy lifestyle habits.

Once fat cells are eliminated through CoolSculpting, they do not regenerate. However, maintaining a healthy lifestyle with regular exercise and a balanced diet is crucial to prevent remaining fat cells from expanding.

Breast Reduction FAQ

Breast reduction surgery, or reduction mammaplasty, is a procedure that removes excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with the body and to alleviate discomfort associated with overly large breasts.

Good candidates include individuals experiencing physical discomfort such as back, neck, or shoulder pain, skin irritation, or restricted physical activity due to large breasts. Candidates should be in good health, non-smokers, and have realistic expectations about the outcome.

Many insurance companies cover breast reduction surgery if it is deemed medically necessary. We can assist with the insurance process.

The surgery typically involves making incisions on the breasts, removing excess tissue and skin, and repositioning the nipple and areola. The specific technique used may vary depending on the patient’s anatomy and desired outcome.

Recovery involves rest and limited physical activity for a few weeks. Patients may experience swelling, bruising, and discomfort, which can be managed with prescribed medications. Most people can return to work and normal activities within 2-4 weeks, but full recovery may take several months.

As with any surgery, there are risks such as infection, bleeding, scarring, and adverse reactions to anesthesia. Specific to breast reduction, risks include changes in nipple or breast sensation, asymmetry, and potential difficulties with breastfeeding.

Scarring is inevitable but can be minimized with proper care and modern surgical techniques. Scars usually fade over time and can be concealed under clothing. The extent and visibility of scars depend on the surgical technique used and individual healing.

Breastfeeding after reduction surgery can be challenging, depending on how much tissue is removed and the surgical technique used. Some women may experience difficulties, while others may still be able to breastfeed successfully.

Preparation involves consultations with the surgeon, discussing medical history, and undergoing a physical exam. Patients may need to stop smoking, avoid certain medications, and arrange for post-surgery care and transportation.

The results are generally long-lasting, but factors such as aging, weight fluctuations, and hormonal changes can affect breast size and shape over time. Maintaining a stable weight and a healthy lifestyle can help preserve the results.

Juvederm FAQ

Yes, Juvéderm® is FDA-approved and has been widely used by professionals worldwide. However, it is important to consult with a qualified practitioner to ensure it is suitable for you.

Most Juvéderm® treatments take between 15 to 60 minutes, depending on the areas being treated.

Results are visible immediately after the treatment, with optimal results appearing once any swelling or bruising subsides.

The duration of Juvéderm® results varies depending on the specific product and treatment area but generally lasts from 6 months to 2 years.

Yes, Juvéderm® can be combined with other cosmetic treatments, such as Botox, for comprehensive facial rejuvenation. Consult with your practitioner for a personalized treatment plan.

Thigh Lift Surgery FAQ

Thigh lift surgery, also known as thighplasty, is a cosmetic procedure designed to remove excess skin and fat from the thighs, resulting in smoother skin and better-proportioned contours of the thighs and lower body.

Ideal candidates are individuals with significant sagging of the thigh skin, those who have lost a substantial amount of weight, and individuals who are in good overall health and have realistic expectations about the surgery outcomes.

There are several types of thigh lift procedures, including inner (medial) thigh lift, outer (lateral) thigh lift, and vertical thigh lift. The choice depends on the area of the thigh that needs correction and the extent of the correction required.

The surgery involves making incisions in the targeted areas, removing excess skin and fat, and tightening the remaining skin. The specific technique and incision pattern depend on the type of thigh lift and the patient’s anatomy.

Recovery typically takes several weeks. Most patients can return to light activities within 1-2 weeks, but strenuous activities should be avoided for at least 4-6 weeks. Full recovery can take several months.

Risks include infection, bleeding, scarring, asymmetry, changes in skin sensation, and complications related to anesthesia. It’s important to discuss these risks with the surgeon before the procedure.

Yes, there will be scars, but their visibility depends on the type of thigh lift and the patient’s healing process. Surgeons typically place incisions in less conspicuous areas to minimize visible scarring.

The results are generally long-lasting, especially if the patient maintains a stable weight and follows a healthy lifestyle. However, natural aging and significant weight fluctuations can affect the longevity of the results.

The cost varies depending on factors such as the surgeon’s experience, geographic location, type of thigh lift, and the extent of the surgery. It’s important to discuss all costs, including any potential additional expenses, during the consultation.

During the consultation, the surgeon will evaluate your medical history, discuss your goals and expectations, examine your thighs, and explain the different options available. The surgeon will also provide information on preparation, the procedure itself, recovery, and potential risks.

Liposuction FAQ

Will Lipo Get Rid of Cellulite?

Liposuction, commonly referred to as "lipo," is a surgical procedure designed to remove fat deposits from specific areas of the body. However, it is not specifically targeted at reducing cellulite. While lipo can contour the body and reduce fat, it may not significantly impact the appearance of cellulite. Cellulite is caused by the fibrous connective tissue pulling down on the skin, creating a dimpled appearance, which lipo does not address directly.

What is Liposuction?

Liposuction is a cosmetic surgical procedure designed to remove excess fat deposits from specific areas of the body, such as the abdomen, thighs, buttocks, arms, and neck. The goal is to improve body contour and proportion.

Can Liposuction Get Rid of Cellulite?

Liposuction can improve body contours by removing excess fat, but it cannot completely get rid of cellulite. Cellulite is a complex condition influenced by factors such as genetics, skin thickness, and the structure of connective tissues. Since liposuction primarily targets fat removal and not the underlying causes of cellulite, it is not considered an effective treatment for cellulite. Patients seeking to reduce the appearance of cellulite should explore other specialized treatments that target the skin and connective tissue.

How Does Liposuction Work?

During liposuction, a plastic surgeon uses a suction technique to remove fat from targeted areas of the body. The procedure typically involves small incisions through which a thin tube, called a cannula, is inserted. The cannula is used to loosen fat cells, which are then suctioned out.

What Are the Risks and Complications Associated with Liposuction?

Like any surgical procedure, liposuction carries risks and potential complications. These can include infection, bleeding, uneven contours, changes in skin sensation, and scarring. It’s important to discuss these risks with a qualified plastic surgeon and ensure that the procedure is performed in a certified medical facility. Choosing an experienced surgeon can help minimize these risks.

Who is a Good Candidate for Liposuction?

Good candidates for liposuction are individuals who are within 30% of their ideal weight, have firm, elastic skin, and good muscle tone. They should also be in good overall health, without medical conditions that could impair healing. It’s important for candidates to have realistic expectations and understand that liposuction is not a weight-loss procedure.

What is the Recovery Process Like After Liposuction?

Recovery from liposuction varies depending on the extent of the procedure and the areas treated. Patients can typically expect some swelling, bruising, and discomfort for a few days to weeks. Compression garments are often recommended to help reduce swelling and support the treated areas as they heal. Most people can return to work and normal activities within a few days, but strenuous activities should be avoided for several weeks.

Does Liposuction Get Rid of Cellulite?

Liposuction does not effectively get rid of cellulite. Although it removes fat from beneath the skin, cellulite is related to the structure of connective tissue and the way fat is distributed. While some patients may see a slight improvement in the appearance of cellulite after liposuction, it is not a reliable method for cellulite reduction. Other treatments, such as laser therapy, radiofrequency, and certain topical treatments, are often more effective for addressing cellulite.

What Areas of the Body Can Be Treated with Liposuction?

Liposuction can be performed on various areas of the body, including the abdomen, thighs, hips, buttocks, arms, back, chest, cheeks, chin, and neck. It is often used to treat areas where fat deposits are resistant to diet and exercise.

Are the Results of Liposuction Permanent?

The results of liposuction can be long-lasting if the patient maintains a stable weight and healthy lifestyle. While liposuction permanently removes fat cells from the treated areas, it does not prevent new fat cells from developing if significant weight is gained after the procedure.