Men’s Procedures

“Having this surgery has boosted my confidence tremendously. I feel so much better when working out at the gym or when sitting with friends on the beach. It’s made a true difference in my life.”*

– Jeff W., Chesapeake, VA

Surgery to correct gynecomastia can be performed on men of any age who are healthy, emotionally stable and who have firm elastic skin that will reshape to the body’s new contours. For men who feel self conscious about their appearance, breast reduction surgery can help.

HOW IT WORKS

Most gynecomastia is performed as an outpatient procedure under local anesthesia with sedation, and usually takes about an hour and a half. The type of procedure used will depend on the degree of breast enlargement.

Options include removal of the tissue under the breast, or liposuction of the chest wall. In both instances, a small elliptical incision is made on the lower half of the nipple area (areola).

For those men with tissue that is more glandular in nature, all breast tissue directly under the nipple is removed. If the tissue is more fatty in nature, liposuction can provide excellent results. In some people, Vaser® ultrasonic assisted liposuction is an excellent approach.

AFTER TREATMENT

You’ll be instructed to wear an elastic pressure garment for a week or two after surgery in order to help reduce swelling. Any discomfort can be alleviated with pain medication. Final results are achieved in about three months.

IS GYNECOMASTIA SURGERY RIGHT FOR YOU?

Obese or overweight men who have not first attempted to correct the problem with diet and exercise are discouraged from this procedure. In addition, heavy users of alcohol, marijuana or anabolic steroids, which may cause gynecomastia are not good candidates.

Learn More About Gynecomastia

If you’d like to learn more about gynecomastia, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about gynecomastia from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about gynecomastia. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about gynecomastia, please request a consultation or contact us with your question.

“The decision to have liposuction was made so much easier by Dr. Carney and his staff. The procedure resulted in a brand new me – from how I look in my clothes to a whole new attitude on life. Big difference!”*

– Lisa W., Virginia Beach, VA

Liposuction, also known as suction-assisted lipectomy, fat suction, or lipoplasty, is a body contouring technique which removes localized fat deposits and reshapes specific areas of the body. Liposuction can be performed on the face, neck, breast, abdomen, buttocks, hips, thighs, knees, legs and ankles.

HOW IT WORKS

The Carney Center uses the “tumescent” liposuction technique, which requires minimal incisions and results in less bruising and a quicker recovery time. The incisions are very small, inconspicuous and closed with one stitch. Other procedures may be combined with liposuction, such as lower tummy tuck or medial thigh tuck, in order to eliminate unwanted excess skin.

Liposuction may be done under local anesthesia, IV sedation or a light general anesthesia. Most patients prefer general anesthesia.

AFTER TREATMENT

Most patients are alert and comfortable enough to go home after liposuction surgery. You will need to wear a snug garment to support the surgical area. Plan to return to The Carney Center between two and four days after surgery for a brief check and suture removal.

Most patients are up and moving around the following day. Some patients return to work within two to three days. You may resume near normal activity levels in about a week, however, the extent of your surgery and personal considerations will factor into how quickly you recover. Exercise or strenuous activities may be delayed from two to four weeks following the procedure.

IS LIPOSUCTION RIGHT FOR YOU?

The best candidates for liposuction are healthy non-smokers within 30% of their ideal weight, but with pockets of excess fat that appear disproportionately large. It’s important to be physically and psychologically healthy and have firm and elastic skin,. Hanging skin that won’t reshape to your body’s new contours may require an additional procedure to remove the excess skin.

Learn More About Liposuction

If you’d like to learn more about liposuction, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about liposuction from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about liposuction. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about liposuction, please request a consultation or contact us with your question.

Abdominoplasty, sometimes called the “tummy tuck” is a procedure that can dramatically reduce the appearance of a protruding abdomen.

The procedure firms and smooths the abdomen by tightening the abdominal muscles and removing the extra fatty tissue and skin of the lower abdomen.

The best candidates for abdominoplasty are reasonably close to their normal weight, but with loose, sagging, excess abdominal skin, abdominal muscles weakened by aging or pregnancy or an abdomen that is out of proportion to the rest of the body. Abdominoplasty improves women and men of all sizes and shapes. Occasionally, Dr. Carney will recommend that a patient lose weight prior to surgery.

In most cases, the results of abdominoplasty are long lasting, if you follow a balanced diet and exercise regularly.

HOW IT WORKS

Incisions are made just above the pubic area and to free the navel from surrounding tissue. Muscles are tightened by stitching them close together, creating a firmer abdominal wall and narrower waistline. The skin is then stretched down and the extra skin removed. Your navel will be stitched into a new position appropriate to its new surroundings.

Abdominoplasty is a major procedure that usually takes two to three hours. In partial abdominoplasty, skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed and stitched back into place. A partial abdominoplasty can take less than two hours.

AFTER TREATMENT

Depending on the extent of the surgery, patients can be expected to be released within a few hours of surgery or may stay for extended recovery at The Carney Center. Any discomfort can be controlled by medication.

You should start walking as soon as possible. Special instructions will be given for showering. In about a week the surface stitches will be removed and deeper sutures will come out in less than two weeks.

IS ABDOMINOPLASTY FOR YOU?

This procedure works best for an individual in good shape but who has loose abdominal skin that doesn’t respond to diet or exercise. If your expectations are realistic and you are prepared for the recovery time, abdominoplasty may be the answer.

Keep in mind the possibility of partial or “mini” abdominoplasty, which removes excess skin below the navel and requires only a small incision. Liposuction or LipoSelection are also good options.

Learn More About Abdominoplasty

If you’d like to learn more about abdominoplasty, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about abdominoplasty from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about abdominoplasty. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about abdominoplasty, please request a consultation or contact us with your question.

“I didn’t look the same anymore… but the idea of a facelift was daunting. Dr. Carney set me at ease with his confidence and comforting explanations of everything. This was absolutely the right thing to do!”*

– Ann C., Virginia Beach, VA

Some of the most visible signs of aging appear in the face. There may come a day when you look in the mirror and what you see on the outside doesn’t reflect how you feel on the inside.

A facelift, or rhytidectomy, can reduce the most visible signs of aging by tightening underlying structures, smoothing loose skin, and removing excess fat. The results-facial features are redefined, leaving the face looking smoother and firmer.

HOW IT WORKS

Facelifts are commonly done in conjunction with other procedures such as a forehead lift, or eyelid surgery. The forehead lift provides better positioning and shape for the brows. This procedure can also be combined with laser or chemical resurfacing.

There is no hair loss and minimal scars. Eyelid surgery corrects the excess skin and puffiness of the upper and lower lids. These procedures can be combined with laser skin resurfacing to improve the texture of the skin and restore a more youthful appearance.

AFTER TREATMENT

Following surgery, you will be wrapped in a comfortable dressing with cool compresses placed over your eyes for comfort and to minimize swelling. Discomfort should be minimal, although there will be numbness in the facial area that will diminish over a period of a few weeks.

During the first weeks after surgery you may begin to use make-up. This may usually be done anytime after your first post-operative visit. As the incisions heal most scars will become inconspicuous. It takes many months for the final surgical changes to soften to their normal state.

IS A FACELIFT FOR YOU?

Facelifts can correct deep lines, the loss of a well-defined jawline, wrinkles in the cheeks and loose skin, wrinkles and excess fat in the neck.

The best candidates are people with good skin and a well defined bone structure. Though most people opt for this procedure in their 40’s, it can be done on patients of any age and produce good results for people in their 60s, 70s and 80s.

Learn More About Facelifts

If you’d like to learn more about facelifts, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about facelifts from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about facelifts. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about facelift surgery, please request a consultation or contact us with your question.

Frown lines, a furrowed brow or drooping forehead can often make you look sad, tired or angry. A forehead or brow lift, may be the answer. Brow lifts can also be performed in conjunction with a facelift or eyelid surgery, depending on what your goals are for your appearance.

HOW IT WORKS

Forehead procedures are performed under local anesthesia with intravenous sedation. You will sleep through the entire process and have no recollection of the procedure.

Dr. Carney uses an endoscopic forehead technique, which limits incisions and results in less bruising and swelling, no hair loss and a quicker recovery than traditional methods. Upper facial rejuvenation usually takes between one and two hours depending upon the extent of the surgery

AFTER TREATMENT

After surgery, you will remain at home for two to three days with your head elevated and cool compresses on your eyes. It’s advisable to limit reading and television viewing to prevent significant eyestrain. Otherwise, you can resume most normal activities and shower on the day following surgery (it’s fine if the sutures get wet). Your activity level can increase on a daily basis, though you shouldn’t resume strenuous exercise for two to four weeks.

IS FOREHEAD SURGERY RIGHT FOR YOU?

Although there is no age limit to the procedure, men and women who are 40-60 years old are the most common candidates for a forehead lift. Consider this procedure if you have sagging or low eyebrows, deep horizontal forehead creases or furrows between your eyebrows or across your nose.

Learn More About Brow Lift

If you’d like to learn more about brow lift surgery, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about brow lift surgery from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about brow lift surgery. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about brow lift surgery, please request a consultation or contact us with your question.

“I looked tired, makeup looked awful…people would ask me if something was wrong. Having an eyelift changed everything! People actually look me straight in the eyes and ask me what my secret is because they can’t figure it out!”*

– Mary J., Norfolk, VA

Eyelid surgery or blepharoplasty is an option for addressing eyes that make you look older, sadder or more fatigued than you really are. Eyelid surgery may be done in combination with forehead surgery and/or laser skin resurfacing which can enhance the benefits of surgery by improving skin texture.

HOW IT WORKS

Eyelid surgery is generally performed under local anesthesia with intravenous sedation. Surgery is usually performed at The Carney Center.

Dr. Carney uses an endoscopic forehead technique, which limits incisions and results in less bruising, swelling, and a quicker recovery than traditional methods. The procedure takes between one and two hours depending upon the extent of the surgery. If all four eyelids are done in combination with the forehead lift, the procedure will be approximately two hours.

AFTER TREATMENT

At the conclusion of surgery, cool compresses are placed over the eyes as well as a headband or dressing around your forehead and scalp to minimize swelling. You will be able to go home, where you should rest with your head elevated.

Three days after your surgery your sutures will be removed during your first follow-up visit to the office. A light amount of make-up can adequately cover any bruising. Within the first week, you could experience mildly blurred vision, excess tearing or dryness, light sensitivity or itching. These conditions may be controlled with medication.

IS EYELID SURGERY RIGHT FOR YOU?

Eyelid surgery is chosen by men and women of all ages who want to enhance their self esteem or minimize the effects of aging. Candidates may have excess skin or loose skin on the upper lids or excess puffiness, dark circles or bags beneath the eyes.

Learn More About Eyelid Surgery

If you’d like to learn more about eyelid surgery, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about eyelid surgery from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about eyelid surgery. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about eyelid surgery, please request a consultation or contact us with your question.

Facial implants can enhance your appearance and boost self confidence. Whether you are looking to reshape your nose, raise your cheekbones, or reshape your jawline, implants may be just what you need – and they can be used in combination with other procedures and skin rejuvenation techniques to help restore a more youthful look. If you are seeking to enhance your current features and have realistic expectations, contact The Carney Center for a consultation.

CHIN SURGERY

Chin implants may take approximately 30 minutes to an hour. During the procedure, Dr. Carney selects the proper size and shape implant to enhance your appearance and inserts it through a small incision over the front of the jawbone. The chin will be taped after surgery to help reduce swelling. Sutures used inside the mouth will dissolve on their own.

RECOVERING FROM CHIN SURGERY

You may experience some discomfort, swelling, and bruising in the affected area for a few days.

CHEEK SURGERY

Cheek implants may take approximately about 30 to 45 minutes. When cheek implants are done in combination with another procedure such as a facelift, forehead lift, or eyelid surgery, the implants may be placed through the incisions made for those procedures. Otherwise, an incision is made either inside the upper lip or where the implant is inserted. After surgery, a dressing is applied to minimize discomfort and swelling. Healing time will vary, depending on whether other procedures were performed simultaneously. The surgery generally takes less than an hour.

RECOVERING FROM CHEEK SURGERY

Dr. Carney will provide you with post-operative instructions. Sutures inside your mouth will dissolve within approximately 7-10 days.

LOWER-JAW SURGERY

Jaw implants take approximately one to two hours. Internal incisions are made on either side of the lower lip, and a pocket is created for the implant. Dissolving sutures disappear within 7-10 days.

RECOVERING FROM JAW SURGERY

You can expect swelling immediately following surgery, with it subsiding over a period of several days. During the healing phase, there will be some restrictions to certain activities and diet. Dr. Carney will instruct you about dental/oral hygiene during recovery.

Learn More About Facial Implants

If you’d like to learn more about facial implants, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about facial implants from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about facial implants. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about facial implants, please request a consultation or contact us with your question.

Rhinoplasty is a procedure to correct structural concerns or to enhance the appearance of your nose, making it more in proportion to your face.

Most rhinoplasty procedures are for cosmetic purposes. However, the procedure can also be valuable in the wake of an injury resulting in a change in shape or damage to internal structures which may affect breathing. Reconstructive procedures to correct such problems are usually done in a hospital setting and may be covered by insurance carriers. Other procedures can be done at the same time, for your chin and cheekbones, to optimize facial proportions and harmony.

HOW IT WORKS

Usually, rhinoplasty procedures are done under local anesthesia with intravenous sedation. Some patients with more extensive airway problems may require general anesthesia. Rhinoplasty surgery takes approximately 90 minutes. More complicated reconstructive procedures may take longer.

AFTER TREATMENT

After the surgery, you will have an external nasal splint and cool compresses over your eyes. You will be able to go home shortly after the procedure.

The first day after surgery, any discomfort may be controlled with pain medication. Five to seven days later your splint will be removed and you will have an idea of your final result. Many patients return to work as early as three to four days. You should be able to resume full exercise routines within four to six weeks.

IS RHINOPLASTY RIGHT FOR YOU?

Patients with realistic expectations and looking for an overall improvement, not perfection, will generally be most pleased with surgical results.

There are age considerations with rhinoplasty surgery. Usually surgery will not be done until age 15 for girls and 16 for boys, when facial bones have completed growth. It’s important to remember that the nose continues to grow and change in shape as we age. There is no upper age limit for rhinoplasty.

Learn More About Rhinoplasty

If you’d like to learn more about rhinoplasty, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about rhinoplasty from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about rhinoplasty. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about rhinoplasty, please request a consultation or contact us with your question.

Otoplasty, or ear surgery, can be used to correct a variety of conditions and create more natural looking ears.

Ear surgery can help conditions including protruding ears, “lop ear,” where the tip seems to fold down and forward, “cupped ear,” which is usually a very small ear; and “shell ear,” when the curve in the outer rim, as well as the natural folds and creases, are missing. Surgery can also improve large or stretched earlobes, or lobes with large creases and wrinkles.

HOW IT WORKS

Ear surgery is performed at The Carney Center as an outpatient procedure. It usually takes about two to three hours. Ear surgery is performed under general anesthesia.

With one of the more common techniques, a small incision is made in the back of the ear to expose the ear cartilage. This cartilage may be sculpted and bent back toward the head. Sometimes, a piece of the cartilage will be removed to provide a more pleasing shape. Non-removable stitches may be used to help maintain the new shape and a more natural looking fold.

AFTER TREATMENT

Most patients, adults and children, are usually up and around within a few hours of surgery. A patient’s head will be wrapped in a bandage immediately following surgery to promote the best molding of the ear and assist with healing. Within two days bulky bandages will be replaced by a lighter headband dressing. Stitches are usually removed, or will dissolve, in about a week. Any activity in which the ear might be bent should be avoided for a month or so.

IS OTOPLASTY FOR YOU?

For the most part, otoplasty is performed on teens, adults and sometimes children. It can be performed at any age after the ears have reached full size, usually around five to six years of age. Conventional wisdom says the earlier the better.

Learn More About Otoplasty

If you’d like to learn more about otoplasty, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about otoplasty from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about otoplasty. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about otoplasty, please request a consultation or contact us with your question.

“The age I looked on the outside didn’t reflect how I felt inside. I heard about injectables therapy at The Carney Center and thought this was a great option since I didn’t need surgery just yet. Best decision – love it!”*

– Denise R., Virginia Beach, VA

DERMAL FILLERS

As many of us can attest, time, sunlight and other factors cause our skin to lose volume, eventually causing lines and wrinkles to appear. At the Carney Center, we offer a comprehensive array of injectable fillers to help smooth lines, enhance facial features and allow for a more youthful appearance. Contact us for an appointment to discuss which one is right for you – and ask about manufacturer rewards programs, too.

RADIESSE

Want young looking, wrinkle-free skin? Try Radiesse, a safe injectable treatment which helps reduce the appearance of well-defined wrinkles and creases. Comprised of calcium hydroxylapatite, this filler lasts approximately one to two years, provides immediate results.

RESTYLANE, PERLANE, JUVÉDERM

These are all safe injectable treatments that add volume lost during the aging process by temporarily smoothing out facial lines and wrinkles. Each treatment uses a non-animal clear gel, containing a purified form of hyaluronic acid, a natural sugar found in all living cells. It is injected just under the skin’s surface and lasts six to twelve months depending on the area treated.

ARTEFILL

The first and only FDA-approved non-resorbable wrinkle filler for the correction of smile lines. Immediate, visible results with no downtime; a simple in office procedure; excellent safety profile; results improve over the course of several months and stand the test of time; usually requires only one or two treatments. Skin testing is required 30 days before treatment.

BOTOX COSMETIC

Botox is a prescription drug made from a toxin and was initially used clinically for the treatment of neurological disorders such as migraines and muscle spasms. The Food and Drug Administration has now approved its use for cosmetic purposes.

Available by prescription only, this popular drug offers a safe and effective way to reduce and smooth facial lines by paralyzing or weakening the muscles that cause frowning.

Studies revealed that the severity of the frown lines in patients injected with Botox was reduced for up to 120 days. The FDA recommends that Botox only be injected once every three months, using the lowest effective dosage.

When making the decision to have Botox treatments, experience is the key word to remember. Patients at The Carney Center can rest assured that Dr. Carney is not only highly qualified to perform the procedure but has the experience of many years with this drug to ensure safe and successful results.

Learn More About Injectables

If you’d like to learn more about injectables, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about injectables from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about injectables. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about injectables, please request a consultation or contact us with your question.

“This procedure changed the world for me. I’m literally a whole new person and have never been happier!”*

– Jean F., Williamsburg, VA

For men and women who have lost a significant amount of weight, excess skin can often obscure the dramatic results of such weight loss. For those who wish to improve the result of a bariatric procedure like a gastric bypass or sleeve, a body lift may be indicated. The body lift (belt lipectomy) is designed to resculpt the abdomen, hips, thighs and buttocks.

The best candidates for this procedure are those who have had a stable weight for approximately six months to a year and are observing a healthy diet and exercise program. If you’ve had a gastric bypass, Lap-Band, or other gastric restrictive procedures, it is best to wait until at least one year after the surgery so that the common health issues related to obesity have improved.

ABOUT THE PROCEDURE

The steps of a body lift vary depending on each patient so it is best to contact us for a consultation where Dr. Carney can discuss your specific needs. Most often, surgery is performed on the stomach first, removing excess skin and fat from the belly button to the pubic area – this area is the one most often loosened by massive weight loss.

In treating the abdomen, a horizontal incision is made along the pubic area. Excess skin and fat is removed from this area to the belly button after all the tissues have been lifted from the underlying muscles, to the level of the rib cage. The abdominal wall muscles are then tightened. The remaining skin and fat is pulled down from above the belly button area, where it is sutured in position at the pubic area. The belly button is repositioned into a proper position. The procedure is repeated in the buttocks and thigh areas where incisions are often masked by bathing suits and scars fade in time. Liposuction may be used in combination with the body lift.

AFTER TREATMENT

A body lift is considered major surgery and will require a significant recovery time. Patients usually remain in the hospital for up to three nights. Any discomfort is managed with intravenous or intramuscular medications, and later with oral pain medication.

Drainage tubes are inserted and will require personal home care for up to two weeks. A compression garment must be worn at all times except while bathing and until Dr. Carney says it is no longer necessary. Dr. Carney will also discuss restrictions on certain activities including exercise and lifting. Walking is encouraged. You can expect a four to six week recovery period before returning to normal activities, and approximately six to eight weeks before exercising.

Learn More About Body Lift

If you’d like to learn more body lift surgery, please watch our educational video below. Just select the procedure from the dropdown video menu below. You can also learn more about body lift surgery from the American Society of Plastic Surgeons. The American Society of Aesthetic Plastic Surgery is also a good source of information about body lift surgery. Dr. Carney is a member of both medical societies.

If you feel that you would like to speak with Dr. Carney personally about body lift surgery, please request a consultation or contact us with your question.