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How much time off from work or school should I take after surgery?
Depending upon the procedure performed, you will need at least 4-7 days off from work or school. Trying to return to all normal activities quickly can result in more swelling, delay of healing, and can slow down the entire healing process.
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When can I return to exercise?
Typically 2-3 weeks later after the incisions have healed well enough.
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Do I see the doctor again before surgery after my initial consultation? Is there a charge for this visit?
The pre-surgical “Discussion Appointment” is a routine pre-op visit for all patients who are scheduled for surgery. There is no additional fee for this visit. Patients, however, who have not scheduled surgery and wish to be seen additional times may be charged for these visits.
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Will plastic surgery leave a scar?
All types of surgeries that require an incision will leave a scar. Plastic surgeons use certain techniques that make scars look less noticeable. Scars are also hidden in places that are less noticed.
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Is there a charge for my office visits after surgery?
3 months of post-operative visits are included in the cost of your surgery.
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Am I required to purchase certain types of surgical garments or dressings for use after my surgery?
Any post surgical garments (bras and girdles) and dressings that are required during the first three weeks after surgery are available through our office. A number of garments and dressings are included in the cost of your surgery.
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When can I drive after surgery?
You may drive a car with an automatic transmission in approximately one (1) week, as long as you have discontinued taking any narcotic medication (pain medicine).
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How can I pay for my surgery? Does your office have financing options?
1) Our office accepts Visa, Mastercard and American Express. You may also pay by Cash or Bank Check. Personal Checks will only be accepted 3 weeks prior to the scheduled surgical date.
2) As a service to our patients, our office is pleased to offer the CareCredit Card, the nation's leading patient payment program. CareCredit offers a range of financing options to meet our patients' needs. The programs supported by our office include no upfront costs, no annual fees, and no pre-payment penalties.
For patients interested in non-surgical procedures such as Botox and/or Cosmetic Fillers, CareCredit offers a Three Month No Interest Payment Plan. For surgical procedures ranging from $2,000 to $25,000, CareCredit offers an Extended Payment Plan up to 48 months with low monthly payments.
It's easy to apply either online at www.carecredit.com, by telephone at (800) 365-8295, or while in our office. Online applications receive a credit decision within seconds
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Approximately how long is the wait to actually have (schedule) surgery once I am seen in consultation?
Surgery can usually be performed within a 4 week period of time, however, dependent upon the number of procedures you are interested in the wait may be slightly longer.
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Where does Dr. Spiro perform his surgery?
Dr. Spiro operates in two different facilities to accommodate his patients:
St. Barnabas Medical Center – Livingston, NJ
Ambulatory Care Center – Livingston, NJ
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What days of the week does Dr. Spiro perform surgery?
Monday, Wednesday and Thursday.
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What happens if I need to cancel or reschedule my surgery?
If surgery is cancelled or rescheduled within 3 weeks of the scheduled date a 15% penalty may be assessed. Exceptions may be made for unforeseen medical conditions with documentation from a physician indicating it would be inadvisable for the patient to undergo surgery at that time.
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When do I have to pay for my surgery?
All fees are payable in advance. The full surgical fee is due 3 weeks prior to surgery unless other arrangements with our office have been made.
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Do you require a deposit to hold a date for surgery?
Our office does require a 30% deposit of the surgeon's fee to secure a surgical date.
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Does Dr. Spiro's surgical fee include anesthesia and facility costs?
Anesthesia and facility fees are not included in Dr. Spiro's surgical fee. Our office will estimate the cost for both anesthesia and facility once you are seen in consultation and Dr. Spiro has determined the amount of time required to perform your surgery?
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Do you charge a fee for consultations? What is the fee?
There is a charge for all consultations. The pre-determined amount depends on the extent of the evaluation.
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Do you participate with insurance?
We are Non-Participating Providers, however, we will submit a claim on your behalf through your out of network benefits. I suggest you call your insurance company to verify your out of network policy.
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Am I charged for the visits following my surgery if it was covered by insurance?
Three months of routine follow-up visits are included in the surgical fee.
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How long does it take for a claim to be paid?
After a claim is received by your insurance company, it takes them approximately 4-6 weeks to process it.
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Are breast reductions covered by insurance?
Breast reductions may be covered by your medical insurance, however, certain criteria must first be met.
Reduction Mammoplasty is considered to be medically necessary for treatment of macomastia (large breasts) in patients at least 18 years of age when the following criteria are met.
Macromastia is causing at least one of the following conditions/symptoms with documented failure of at least one continuous 3 month trial of appropriate medical management.
****Shoulder, upper back/neck pain, and or ulnar nerve palsy for which no etiology has been found on appropriate evaluation.
****Intertrigo, dermatitis eczema, or hidradenitis at the inframammary fold.
****If other co-morbidities are present, breast size has been documented as exacerbating the underlying condition.
****Pre-operative photos confirm the presence of significant grooving from bra straps and intertrigo present.
All insurance companies should have a written policy for Reduction Mammoplasty. I suggest contacting your insurance company find out specifically what their policy is. Call our office for additional details.
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Are Tummy Tucks (Abdominoplasty) covered by insurance after gastric bypass surgery?
This procedure is usually not a covered procedure and is considered cosmetic. However, if the excess skin (pannus) is causing painful and irritating rashes, or if the excess skin is interfering with your walking, your insurance company may consider coverage.
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Is my skin too sensitive for a Facial, Peel or Microdermabrasion?
Anyone can have a Peel or Microdermabrasion. The correct protocol will be customized to your skin type and condition. Proper prepping of your skin with the right skin care products will not only help desensitize your skin, but also help you acheive a better, longer lasting outcome.
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What is the difference between a Peel and Microdermabrasion?
Both are very similar. They both remove dead skin cells to reveal healthier younger skin, while stimulating new skin cells. A Peel is a chemical means of exfoliation and Microdermabrasion is a mechanical means of exfoliation.
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Am I going to be really red after my Peel or Microdermabrasion?
Some pinkness can be expected. Those who have had microdermabrasion treatments with me know that I take extra steps to ensure that you feel cool, smooth, and refreshed after your treatment is finished.
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What should I expect after my Peel or Microdermabrasion?
A little dryness or flaking can occur but is unlikely. When you remove the outer protective layer, your skin's natural moisture content evaporates a little faster than normal. When your new skin cells replace the old dull ones that were removed, your skin will be hydrated, smooth, and healthier. Applying extra moisturizer for 2 days after your treatment will help with any dryness.
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Am I going to "break out" after my Peel, Microdermabrasion Treatment or Facial?
Not usually. If there is an existing problem under the skin that cannot be extracted, of course it will eventually surface. Otherwise, your skin will clear up nicely and feel great. Microdermabrasion, Peels and Facials are wonderfully effective for any type of acneic skin.
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How long am I going to "peel" after I have a Peel or Microdermabrasion?
There are many types of Peels and intensity levels of Microdermabrasion. These remove only the superficial layers of skin to reveal fresher, younger, smoother skin. Therefore, no peeling shuld be expected. TCA peels such as the Obagi Blue Peel is a deeper peel that will cause some actual peeling for 3-7 days.
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Can I have Microdermabrasion or a Peel on other parts of my body?
Yes. Peels and Microdermabrasion are very diverse and can be performed for any skin type and condition, and can be performed on any body part. They are especially beneficial for the chest, hands and back.
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How long do I have to stay on my skin care products?
Your skin is the largest organ and should be cared for every morning and every evening to keep it clean and healthy. Basic skin care should be a part of everyone's daily regime. If you are using prescription products, a maintenance program will be designed for you.
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Should I switch my products if I feel that my skin is getting "too used" to my current one's?
Your skin does like consistency contrary to popular belief. Using a facial scrub two times per week will keep your current skin care program working at its full potential. Having a peel or microdermabrasion will also help your current skin care products penetrate more effectively. The only time you should change your program is if your skin changes. Environmental changes, hormonal fluctuations, medications and surgery can influence the way your skin feels and acts.
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Am I allergic to Retin-A?
A true allergic reaction can occur but is very unlikely. Dryness, redness, and flaking are all temporary symptoms that you acquire during the first couple of weeks of using Retin-A. The right dosage will be prescribed to fit your skin type and condition, which is why even the most sensitive skin types can use it.
Consistency and diligence is key and you should use a small amount every night until your symptoms subside. If you keep skipping nights, you will never leave the "symptomatic" period.
Retin-A is a great exfoliant and new cell stimulant. It is the only topical cream that has been proven to repair damaged DNA cells. Everyone should be using it. It is the best wrinkle cream and it is great for acne. It is also a compatible vehicle for hydroquinones (skin lighteners).
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I have Rosacea, so can I use Retin-A or have Peels and Microdermabrasion?
Those who have Rosacea can certainly use Retin-A, have Facials, Peels, and Microdermabrasion. The lowest percentage of Retin-A must be used for 4-6 weeks before a treatment. This will help strengthen blood vessel walls and desensitize the skin before a treatment. Of course, a more gentle protocol will be used when you come in for your first Facial, Peel or Microdermabrasion treatment. Rosacea is a condition where the blood vessel walls become inflamed which can cause acne and broken blood vessels. Microdermabrasion, Peels and Facials can be customized to suit all skin types with rosacea.
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Will Microdermabrasion cause more broken blood vessels?
If Microdermabrasion is performed on skin that is too thin, a striped bruising and sometimes broken blood vessels can be formed. This is why it is very important for the aesthetician to be well educated and experienced. Proper skin analysis before any treatment is a must! If your skin is too thin for Microdermabrasion, the Biomedic Micropeel is a great alternative.
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Can I have a Peel, Microdermabrasion or a Facial on the same day I have Botox or Fillers (Restylane, Perlane, Juvaderm)?
Yes, as long as you have your skin care treatment first.
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How do I know what skin care regime is right for me?
Finding an experienced, well educated aesthetician is key to starting a new skin care program. Your skin should be properly analyzed and then a customized skin care program should be recommended for you.
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