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Awake Plastic Surgery

Awake Plastic Surgery

Dr. Millicent Geers

Awake Plastic Surgery, also known as Awake Cosmetic Surgery, is cosmetic surgery done while you are awake! You may or may not have some sedating medication to go along with the local anesthesia (numbing medication) during your procedure. The numbing medication makes you comfortable during surgery. The oral sedation is used to add an element of relaxation. Awake Plastic Surgery avoids the risks of general anesthesia. 

Not all Plastic Surgeons have been trained to perform Awake Plastic Surgery and therefore they will not offer this alternative.

Some Plastic Surgeons will criticize or disparage awake surgery techniques because they cannot perform them or are they are inexperienced with these techniques. Dr. Millicent Geers was trained in Awake Surgery. She has safely and successfully performed thousands of cosmetic procedures using the Awake Surgery technique. Some of the procedures Dr. Geers performs with the awake technique include Awake Liposuction, Awake Breast Augmentation, Awake Tummy Tuck, Awake Brazilian Butt Lift, Awake Back Lift, Awake Hand Lift, Awake Facial Rejuvenation, Awake Arm Lift, and Awake Labiaplasty. Dr. Geers offers Awake Plastic Surgery to ensure that you have options when it comes to the type of anesthesia you want with your body contouring procedure. The “awake technique” allows you to avoid the risks of general anesthesia. 

For some people, Awake Plastic Surgery may not be the route.

There are some patients who do not want to be aware of any aspect of their procedure or who have difficulties getting numb with local anesthesia. For these patients, general anesthesia is the better alternative. As Dr. Geers has been trained to perform surgery with either local anesthesia and/or general anesthesia, she can offer you the anesthesia plan that is best for you. Dr. Geers will help you determine which type of anesthesia is best for you. Call 719-633-5255 to schedule your consultation with Dr. Geers.

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Awake Breast Augmentation

Awake Breast Augmentation

Dr. Millicent Geers

Awake Breast Augmentation is cosmetic breast enhancement performed while under local anesthesia. It is sometimes also referred to as Awake Natural Breast Augmentation or Awake Fat Transfer Breast Augmentation. Because the anesthesia is local, rather than general, you will be awake throughout the procedure. Sometimes Plastic Surgeons combine the local anesthesia with a mild sedative to put their patients at ease.

This local anesthesia is also known as Tumescent Anesthesia. It is the same numbing medication used for liposuction. This type of anesthesia provides pain relief without requiring you to fully succumb to an unconscious state.

If you are a candidate for a Fat Transfer Breast Augmentation, you will also benefit from liposuction.

Talk about a dream come true – “Take my fat from here and add it there.” With Awake Breast Augmentation, your fat is removed via liposuction, rinsed, and then gently injected into your breasts. If you are a Fat Transfer Breast Augmentation Candidate, you can increase your breasts up to one cup size and sometimes up to two cup sizes. How much increase you will get depends on a few factors, including the volume of fat you possess to contribute and the amount of space your breasts have to accept the fat. Since your body will reabsorb some of the added fat, it may be necessary to undergo an additional procedure to achieve your desired appearance.

After breast augmentation with local anesthesia, most patients can walk out of the operating room of their own accord! 

Additionally, with Awake Breast Augmentation, without the general anesthesia drugs in your system, you will recover from Awake Augmentation more quickly and easily. This approach avoids the nausea and disorientation associated with general anesthesia. Awake Anesthesia allows a patient to walk, eat and perform other essential tasks more quickly after surgery. The local anesthetic injected into the breasts serves as a pain reliever once the surgery is completed. You also decrease your risk of having deadly blood clots with local anesthesia versus general anesthesia.

If you are interested in enhancing your bustline without using breast implants, call Flying Horse Medical Center at 719-633-5255 to schedule your consultation with Board Certified Plastic Surgeon, Dr. Millicent Geers. 

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The Risks of Traveling for Plastic Surgery

Flying Horse Medical Center | Colorado Springs & Monument | Concierge Medicine, Plastic Surgery, Aesthetics

The Risks of Traveling for Plastic Surgery

Flying Horse Medical Center | Colorado Springs & Monument | Concierge Medicine, Plastic Surgery, Aesthetics

Dr. Millicent Geers

Many people travel for plastic surgery to get a better deal. This is known as plastic surgery tourism or cosmetic surgery tourism. The sad irony is that these people often end up paying more than if they had just gone to a local Plastic Surgeon. If everything goes smoothly, then you came out ahead. But why gamble with your body? When something goes wrong and your Plastic Surgeon is in a different state or country, what are you going to do? Where are you going to go? This is when plastic surgery tourism becomes problematic. If your Plastic Surgeon is local, you can simply call his/her office to make an appointment. Small issues can be stopped from becoming bigger issues when you have timely, easy access to your Plastic Surgeon. If you’ve travelled for your original surgery and are then counting on a local Plastic Surgeon to take care of you without having made prior arrangements, you need to know that many Plastic Surgeons are loathe to take on complications for a patient for whom they did not perform the original operation. And if they do decide to take you on as a patient, know that you are going to pay a pretty penny for the new Plastic Surgeon to provide his/her expertise and care. The thousands you thought you “saved” from flying to Miami or Mexico or the Dominican Republic will end up being paid to your new Plastic Surgeon. You may end up spending even more than what you thought you would have saved! Unfortunately, this is how some people discover the real cost of plastic surgery tourism.

Just last week a Primary Care colleague told me about a patient who’d had a tummy tuck in Miami three weeks prior. The tummy tuck incision had dead tissue and was now breaking down, draining, infected, and in need of immediate care. The patient (who lives in Colorado Springs where there are numerous, competent Plastic Surgeons who can perform a beautiful abdominoplasty) had to be referred to the Emergency Room. From there, she was referred to a wound clinic. She will now have to have intensive wound care and possibly additional surgery to cut out the dead tissue. And this additional care won’t be for free! Most major medical insurance policies have excluded payment for complications if they are the result of an elective cosmetic procedure, even if medically necessary. The wound care center where she was referred to commented, “Oh, the out-of-town abdominoplasty. We get about one of these a month.”

Let me be clear. I am not saying that complications and wound care won’t occur if your Plastic Surgeon is local. What I am saying is that when you have timely, easy access to your Plastic Surgeon, little problems can be kept from becoming bigger problems. And when it comes to saving money, the fees for your postoperative appointments are already included with your original surgery. Now that’s a deal!

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Can I use another person’s fat for my Brazilian Butt Lift?

Fat Transfer to the Butt (Brazilian Butt Lift)- Plastic Surgery Flying Horse Medical Center

Can I use another person’s fat for my Brazilian Butt Lift?

Fat Transfer to the Butt (Brazilian Butt Lift)- Plastic Surgery Flying Horse Medical Center

Dr. Millicent Geers

So you want a bigger butt, but you don’t have enough fat. You wonder, “Should I gain weight?” You could, but then you’d also be bigger in all the places you probably don’t want to be bigger. And yes, liposuction can be used to treat some of those now fattier areas, but not all of them. Also, weight gain can tax your body and leave you unhealthy.

Okay, on to plan B

“I know,” you think. “I’ll use a fat donor. People donate organs all the time, why not fat?” Not so fast. Your fat — just like your liver, heart, lungs, or kidneys – has special genetic markers that identify the fat as yours. For organ donation, a “match” is made when two people have compatible genetic markers. If these markers are not compatible, the person receiving the organ (or in this case fat) will reject the donated organ (fat) and become very sick and/or die. Sometimes, even when markers match, a recipient rejects the donated organ. To reduce this risk of rejection, organ recipients are prescribed medications to reduce the risk of rejecting the donated organ for as long as they have the organ. This could be for the rest of the recipient’s life. And these medications are not like taking a multivitamin. They can wreak havoc on the body — hair loss, weight gain, infection, enlarged gums, acne, mood swings, puffy face, weakened bones, and skin cancer are just some of the side effects of these medications. For a completely elective, cosmetic procedure – where the decision to have or not have the procedure is not a choice between life and death — the potential negatives are not worth transferring fat from one person to another for a BBL surgery.

In summary, you cannot use another person’s fat for your BBL surgery…

unless, that person is your identical twin! But don’t be discouraged if you’re on the smaller side and want more ample buttocks. You may be surprised at how much can be done using the fat you have. After all, a Brazilian Butt Lift is not only about what fat is added but also about what fat is strategically removed from other areas of your body. Board Certified Plastic Surgeon Dr. Millicent Geers is highly experienced in creating beautiful buttock contours for women of all shapes and sizes.

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Eliminate under eye bags

Blepharoplasty Upper-Plastic Surgery Flying Horse Medical Center

Eliminate under eye bags

Blepharoplasty Upper-Plastic Surgery Flying Horse Medical Center

Millicent Odunze Geers, MD, MPH

“You look tired.”
“Did you get enough sleep?”
“Did you stay up late?”

Have you heard these comments or questions even when you’ve had consistent sound sleep? There’s a solution to this issue. Keep reading!

Bags under your eyes are common with aging.

As you age, the tissues around your eyes, including some of the muscles supporting your lower eyelids, weaken. With the weakening of this muscle support, the normal fat that helps support the eyeball moves outward into the lower eyelids, causing the lower eyelids to appear puffy. This is called fat herniation. Some of you in your 20s and 30s may have bulging fat of the lower eyes due to genetics.Cool compresses, reducing salt intake, hemorrhoid creams, caffeine, and allergy medication will not get rid of lower eyelid bags caused by bulging fat. These treatments can temporarily shrink lower lids that are swollen from fluid pooled in the under eye area, but they will not treat lower eyelid bulging caused by fat herniation. Weight loss will not resolve this issue either.

So what’s the solution to bulging eyelid fat?

Removal of this fat with a procedure called a Lower Blepharoplasty (pronounced BLEFF-uh-row-PLAS-tee), also known as a Lower Eyelid Lift. To access the fat of the lower eyelid, an incision is made either directly under the lower eyelashes or on the inside of the eyelid. The procedure can be done with you awake and comfortable under local anesthesia. Expect some bruising and swelling that can be tempered with consistent use of cool compresses.

In most cases, a lower eyelid lift gets rid of under-eye bags for life. It’s rare to need additional touch-ups. Lower Blepharoplasty can be performed safely and comfortably with only local anesthesia in our Flying Horse Medical Center office! There’s no need for general anesthesia.

Call today to schedule your consultation with Monument Board Certified Plastic Surgeon, Dr. Millicent Geers.