Mole Removal
Who is a Candidate for Mole Removal: Many people are bothered by cosmetically unacceptable moles, these can easily be removed under local anesthetic. At your initial consult the physician will examine the mole to ensure there is no evidence of skin cancer.
Planned results: Complete resolution of the mole
Procedure description: The skin lesion will be marked out and the area will be injected with local anesthetic. The skin will be cleansed with skin sterilizer and the mole removed. The incison will be closed with small stitches All moles removed will be sent for pathology for confirmation of diagnosis.
Recuperation and Healing: You can expect minimal bruising or swelling and will be able to return to work and daily activities immediately. Avoid any activities that increase your blood pressure for 24 hours after the procedure.
Options and Considerations: Some moles can be removed by laser, this will be determined at your initial consult.
Skin Tag Removal
Who is a Candidate for Skin Tag Removal: many individuals experience annoying skin tags, particularly in under arm region, under the breasts and along the beltline. These small growths do not have any cancer concerns. They can be removed under local anesthetic with minimal discomfort.
Planned Results: Resolution of current skin tags. Skin tags may reoccur following removal.
Procedure Description: The area will be frozen and the skin sterilized. The skin tags will be removed, no sutures are necessary. You will experience minimal discomfort.
Recuperation and Healing: You will experience minimal swelling and bruising in the area. You will be required to use polysporin or fucidin cream on the area for 1 week following the treatment.
Upper Lid Blepharoplasty
Who is a Candidate for Upper Lid Blepharoplasty: As we age the upper eyelid skin can become loose and create folds or bags contributing to an aged and tired appearance of the eyes and fat pads that are normally present in the eyelid can bulge forward leading to a puffy and tired appearance. Individuals with no ongoing eye disease or untreated thyroid problems are candidates for upper lid blepharoplasty.
Planned Results: An upper lid blepharoplasty can remove the excess skin and fat to restore a more youthful and rested appearance.
Procedure Description: Pre-treatment photographs will be taken. The excess skin and fat will be marked out and the area to be removed will be frozen with local anesthetic. The skin will be sterilized. The excess skin and fat will be removed, and the incision closed with a suture. You will have steri-strips over the incisions at the end of the procedure.
Recuperation and Healing: You can expect to have bruising and swelling following the procedure for approximately 1 week. You should keep sitting or elevate the head of your bed for the first 48 hours to decrease the swelling. You can use icepacks to decrease the swelling. Some individuals suffer from dry eyes after the procedure and may need moisturizing drops.
Insurance: If the excess skin is interfering with your vision the procedure may be covered by OHIP. You will require evaluation by an optometrist and a computer generated visual fields test to apply to OHIP for consideration of coverage.
Microfat Grafting
Who is a Candidate for Microfat Grafting: Microfat grafting can be used to rejuvenate the face, the hands or fill volume loss in other areas of the body. Individuals who are looking for longer lasting results than can be offered by injectable fillers and are willing to accept the recovery time associated with the procedure are candidates for microfat grafting.
Planned Results: Elimination of deep wrinkles and improved volume of cheeks, fats and other body areas.
Procedure Description: Under local anesthetic, small amounts of fat can be harvested from your abdomen and purified. The purified fat can then be injected into facial wrinkles, cheeks, and lips in a similar fashion as Teosyal injectable filler. Using your own fat allows for permanent augmentation in these areas. Your purified fat can also be injected into your hands to rejuvenate their appearance, it can also be used to smooth out the contour of some depressed scars. Under general anesthetic, fat injections can be used for buttock augmentation or combined with facial rejuvenation procedures. Fat grafting has many possible uses.
Recuperation and Healing: Recuperation and healing times depend on the amount of fat injected and the region into which it is injected. This procedure has postoperative bruising and swelling associated with it to a greater extent than the temporary injectable fillers.
Options: Teosyal or Esthelis injectable filler can be used to temporarily augment areas.
Scar Revision
Who is a Candidate for Scar Revision: Many people are unhappy with the appearance of scars, either from surgery or accidents. There are many different options to improve the appearance of your scars, including surgical scar revision
Planned Results: Improved scar appearance but scar will not be eliminated.
Procedure Description: The scar to be surgically revised will be marked out and frozen with local anesthetic. The skin will be sterilized and the old scar tissue excised. Several different surgical techniques can be used to improve the scar. A light dressing will be placed over the scar.
Recuperation and Healing: You should only require acetaminophen or ibuprofen for pain control after the surgery. You may have slight bruising. Any specific restrictions on your activity will be discussed. Sun protection is extremely important to prevent the scar from being permanently discoloured.
Options: Fat grafting, steroid injections, Pixel laser resurfacing, Harmony AFT
Earlobe Repair
Who is a Candidate for Earlobe Repair:
With a minor accident or sometimes with years of wear, earrings can pull through the earlobe making it impossible to wear pierced earrings. It is possible to repair your earlobes under local anesthetic.
Planned results: Once the earlobe has been repaired you will be able to re-pierce your ears in 3 months.
Procedure Description: Local freezing will be placed into your earlobes and your skin sterilized. The earlobes will be repaired with dissolving sutures and small steristrip dressings will be placed.
Recuperation and Healing: You will be able to return to your daily activities immediately. Avoid any activity that could increase your blood pressure for 24 hours. Any minor discomfort can be treated with acetaminophen or ibuprofen.
Otoplasty (Prominent Ears)
Who is a Candidate for Otoplasty: Are you bothered by the appearance of your ears? Prominent ears are a very common complaint that can lead to social embarrassment. In many cases a minor surgical procedure under local anesthetic can drastically improve your ear appearance.
Planned Results: Improved appearance of ears
Procedure Description: Several measurements of your ears will be taken and special markings will be placed on your ears. Local freezing will then be placed and the skin sterilized. Incisions will be made on the back of your ears. Permanent sutures will be used to reshape your ears and the incision closed with dissolving sutures. A dressing will be applied.
Recuperation and Healing: You will have minor swelling, bruising and discomfort which may be treated with acetaminophen or ibuprofen. You may return to your usual daily activities immediately but avoid any activities that increase your blood pressure for 24-48 hours. Leave the dressing in place until you are seen in follow up. You will need to sleep with a special headband and avoid contact sports for 4 weeks after the procedure.
Insurance: Otoplasty is covered by OHIP for children under 18 years of age, OHIP covered procedures and consults will be completed at Dr. Meathrel’s Hotel Dieu Hospital office and require a referral from your family physician.
Cheiloplasty (Surgical Lip Augmentation)
Who is a Candidate for Cheiloplasty: If you are looking to permanently increase the width of your lips without using injectable fillers – cheiloplasty may be for you.
Planned Results: To increase the width of the red area of your lip without changing the projection of your lips.
Procedure Description: Markings will be placed on your lip and then frozen with local anesthetic. The red part of your lip will be surgically moved in order to increase the amount of red lip showing. Very small stitches will be placed.
Recuperation and Healing: You can expect minor swelling, bruising and discomfort. These may be treated with acetaminophen or ibuprofen. You may use ice to decrease the swelling. Avoid any hot liquids (soup, coffee, tea etc) while your lips are frozen. The stitches will be removed in 3-4 days.
Options: Temporary lip augmentation with Teosyal or Esthelis, microfat grafting
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