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7634 W. Central Avenue
Toledo, OH 43617
Tel: 567.408.7356




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    DIEP Flap Breast Reconstruction

    DIEP Flap Breast Reconstruction

    Natural Breast Reconstruction

    DIEP flap is one of the autologous breast reconstruction techniques to restore a natural looking breast appearance using the patient’s own excess skin tissue from a donor site. Unlike an implant reconstruction, a DIEP flap breast reconstruction does not involve the placement of implants or another foreign substance in the patient’s body.

    Board certified plastic surgeon Dr. Peter Koltz provides DIEP flap breast reconstruction surgery to patients in Toledo, Maumee, Northwest Ohio, Southeastern Michigan, and surrounding locations.

    How does DIEP Flap Technique Work?

    DIEP or Deep Inferior Epigastric Perforation is description of the tissue that is used from the donor site to create a new breast mound. It is major blood vessel present below the rectus abdominus, which is popularly known as the “six pack” muscles in the abdominal area.

    Your surgeon will remove excess skin tissue and fat from the abdomen, and transfer it to the chest area to reconstruct the breast mound. DIEP breast reconstruction plastic surgery is quite similar to another technique called TRAM flap. However, the difference is that no muscle transfer from the abdomen is involved in a DIEP reconstruction procedure.

    During the procedure, your breast surgeon will remove the surplus skin and fat from the abdomen and attach it carefully to the breast area. They will then connect the donor tissue blood vessels to the existing blood vessels in the recipient site to enable natural blood flow. As a second step, the surgeon will tighten the abdominal skin and close the incisions with sutures. Temporary drain tubes will be placed beneath the skin in the newly created breast to collect excess fluid.

    Advantages of DIEP Flap Breast Reconstruction

    • More natural looking breast appearance than implants
    • Breast tissue feels soft and more natural to touch
    • Abdominal integrity is maintained because no muscles are removed
    • Less discomfort and safer recovery compared to TRAM flap
    • Minimal risk of complications such as abdominal hernia
    • Longer lasting results because no implant replacements needed
    • Flatter and firmer abdominal contour
    • Less risk, less pain, and less recovery time

    The general benefits with any type of breast reconstruction are also available with DIEP flap reconstruction. Your feminine curvaceous figure will be restored. The breasts will appear more symmetrical and attractive. You will feel more confident to wear tight clothes or swimwear.

    Recovery and Results

    Post-operative recovery will have both physical and emotional aspects following a DIEP flap breast reconstruction surgery. Compared to an implant procedure, the flap techniques usually take longer time for tissue healing because two body areas are involved (breast and abdomen). If you choose to have nipple reconstruction as well, the recovery may take additional time.

    In general, patients are able to return to their normal activities in about 10 to 14 days after the cosmetic surgery. However, you should continue to avoid strenuous activities at home and workplace for about two months. The results are more natural looking and ideally suited for women who have naturally smaller breasts, or require the reconstruction only in one breast.

    Cosmetic surgeon Dr. Peter Koltz receives patients from Toledo, Maumee, Northwest Ohio, Southeastern Michigan, and nearby areas for DIEP flap breast reconstruction surgery.

    Contact Board Certified Plastic Surgeon, Dr. Peter Koltz in Toledo, Ohio.

    To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, Dr. Peter Koltz please click here to contact us.

    Premiere Plastic Surgeon in Toledo, Maumee, Northwest Ohio and Detroit, Southeastern Michigan and surrounding areas.

    Questions To Ask Your Plastic Surgeon About Rhinoplasty

    Rhinoplasty Nose Job Surgery

    An attractive and well-balanced facial appearance depends to a significant extent on the shape and size of the nose. A nose that is out of proportion to the rest of the facial features can be corrected with the help of a rhinoplasty procedure. This can help you attain the look you desire. Pre-operative consultation with a cosmetic surgeon is the right time for asking questions and finding out if a procedure is right for you.

    Most experienced plastic surgeons welcome patients to voice their concerns and ask questions. They encourage open discussions and help patients make informed decisions by providing relevant information. Board certified plastic surgeon Dr. Peter Koltz provides rhinoplasty to patients in Toledo, Maumee, Northwest Ohio; Southeastern Michigan, and surrounding communities.

    Type of Questions to Ask

    You would need to get information from the cosmetic surgeon about the different aspects of a rhinoplasty procedure. These are a few relevant questions to ask:

    • Are you board certified in plastic surgery?
    • Do you think my aesthetic goals can be achieved through noninvasive cosmetic procedures?
    • Are you specialized in nose surgery?
    • Do you have any prior experience in performing nose surgery?
    • What is your success rate for rhinoplasty?
    • Where will you perform the cosmetic surgery? Do you have any staff privileges at a local hospital or surgical center? Do you have a private surgical suite?
    • Is your support team adequately trained, skilled, and qualified for helping you during the procedure? Do you protocol in place for dealing with medical emergencies during the procedure?
    • Do you think I am a suitable candidate for rhinoplasty? Do you recommend any particular technique for me?
    • What kind of results should I expect from the nose reshaping cosmetic surgery?
    • Can you show me a few before and after images of previous rhinoplasty performed by you?
    • Can I take a quick tour of your office and speak with your support staff?
    • Will all my follow-up appointments be with you?
    • Do I need any diagnostic testing before the nose job surgery?
    • Will you use general or local anesthesia for performing the rhinoplasty procedure?
    • How long do you thing will the procedure take in the operating room?
    • What are the possible risks or complications during or after the rhinoplasty?
    • What should I expect during post-operative recovery?

    You should look at before and after images carefully and ask the level of exact change delivered by the surgery. This will help you set realistic expectations. Review the website before you decide on a particular surgeon for performing the procedure. You should also look at online reviews.

    Ask the surgeon for past patient testimonials if possible. This will give you a good idea about the surgeon experience. You can use the information for making the final surgeon choice.

    Comprehensive and Successful Consultation

    It is important to have a good rapport with the cosmetic surgeon. You should be able to speak freely and ask questions with an open mind. Choose a surgeon that makes you feel confident and comfortable. Cosmetic surgeon Dr. Peter Koltz receives patients from Toledo, Maumee, Northwest Ohio; Southeastern Michigan, and nearby areas for nose job.

    Contact Board Certified Plastic Surgeon, Dr. Peter Koltz in Toledo, Ohio.

    To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, Dr. Peter Koltz please click here to contact us.

    Premiere Plastic Surgeon in Toledo, Maumee, Northwest Ohio and Detroit, Southeastern Michigan and surrounding areas.

    Autumn Skincare

    by Lindsay Cole, Medical Aesthetician

    Autumn is officially here in the Midwest and November brings us some of the most beautiful Fall colors, along with invigorating crisp fresh air! I think there is a consensus amongst most Midwesterners that we are blessed to experience all four seasons in all their glory, however, the continual shift in seasons can affect nearly every aspect of our lives, including our skin. Sometimes those effects are good and sometimes not so good, so how do we make the not-so-great side effects, better and while we’re at it, help reverse premature signs of aging? This is a question I often pose to our patients when coming to us with skin concerns and I love to see the look on their faces when I do, because clearly, we aren’t here to discuss the weather, however, if you stop and look around, you will always find amazing correlations in nature to our skin. It’s important to understand that our environment & its seasonal changes do impact our skin health. At pēkomd, we like to help our patients look outside of the box and consider these factors.

    Our skin is our body’s largest living organ. It is constantly fluctuating, as well as ebbing and flowing to the environmental shifts and changes in temperature and humidity; whether traveling on vacation from one climate to another, or acclimating from one season to another, we are continually transitioning with our surroundings, so it’s naïve to think that we should always be using the same products or doing the same thing with our skin all year round. It is beneficial to mix things up! Let me elucidate…

    When I began working in skin health a decade ago, I used to think that keeping the skin balanced was unachievable and unrealistic, but thankfully that turned out to be simply untrue. Once I began to understand and embrace the world more around me and its environment, I started to anticipate the skin adapting to these inevitable Midwestern fluctuations and how to maintain the health of skin better and more proactively. Living in a climate that is ever-shifting and evolving, I always encourage others to literally step outside, stop, look up, down, and all around! Right now, we see the trees becoming dull and dry, their leaves turning from their beautiful, lush colors to their eventual browns as they wither and fall to the ground. Even bark on trees resembles skin cells underneath a microscope. Nature goes through a cycle of renewal, growth, and shedding so it can make way for the “new” during its incredible rejuvenation process. Nature always inevitably sheds the old, inactivated, and lifeless; our skin does the same thing! Our skin is literally begging us to shed the dead skin cells instead of always caking on inactive cremes or moisturizers that put our skin to sleep, thus inhibiting the natural cellular rejuvenation process that it WANTS and NEEDS to do to stay healthy and be able to grow, flourish and thrive!

    Picture the birch tree … it’s bark sheds constantly and reveals its beautiful, smooth, soft, healthy trunk of the tree! When the bark sheds, we know the tree can continually grow, thrive, and flourish. We would never take sap or molasses and cake it onto the trunk of the tree! What would happen if we did that? We would inhibit the growth of the tree … it would begin to wither, and millions of yucky microorganisms would fester underneath all the old bark. The tree would become dull, stunted, lifeless, and asphyxiated. The birch tree is my favorite metaphor for skin because its old bark resembles our dead skin cells! So, when you feel as though your skin is becoming “dryer”, just remember that approximately 7-10% of our GLOBAL population has clinically dry skin! Perhaps you need to shed the dead more effectively … so before you run to that O.T.C. moisturizer that is filled with inactive ingredients that put your skin to sleep and prematurely age it, try a medical-grade exfoliator first! We have so many options to choose from at pēkomd that are safe and won’t microscopically puncture, abrade, lacerate, or inflame your skin. When you exfoliate the old, you are contributing to the amazing cellular renewal process that your skin WANTS and NEEDS to be at its healthiest, while aging gracefully with better cellular functioning.

    So, during the Fall and Winter, don’t be afraid to exfoliate! This often leads to a beautiful and harmonious balance in the skin. If you still feel like you need a little hydration, try a more hydrating cleanser or a gentle enzymatic leave-on exfoliator, and never forget to tone as this step immediately brings your skins’ pH back to its neutral state after cleansing and exfoliating. Toning can often take away from the dry, tight, itchy sensation our skin often feels after we cleanse or get out of the shower, particularly this time of year! If you do that and feel like your skin still needs a little more hydration, then give it something to drink with a nutrient-rich medical-grade antioxidant. Feed your skin cells with peptides, amino acids, growth factors, and vitamins, but remember if you feel dry, especially this time of year, EXFOLIATE! Don’t do things that will put your skin to sleep or slow down its natural cell turnover process, which often leads to premature aging and decease processes in the skin.

    This November, be sure to talk to your pēkomd Provider about what in-office treatment specials we have that will help give your skin a healthy boost, and what would be ideally suited for you in order to keep your skin cells revitalized and balanced! The last thing we want is for your skin to fall into a “hibernation state”. If you feel like your skin is becoming “dryer”, thirstier or more sensitive, then it may be time to let us help you tweak your regimen to ensure you’re maintaining the overall quality and integrity of your skin cells, and to keep it looking truly beautiful!

    Never underestimate how essential it is to make necessary tweaks with your skin throughout the ever-changing seasons in order to keep it functioning at its most optimal!

    What Should You Expect During Your Consultation For Rhinoplasty?

    Rhinoplasty (Nose Surgery) Consultation

    Nose surgery is a fairly customizable plastic surgery procedure. However, your surgeon will evaluate your candidacy after discussing your goals and needs in a comprehensive consultation. You should ask questions and communicate openly to make the most of this initial consultation. This will help you understand the various aspects of the rhinoplasty procedure.

    Board certified plastic surgeon Dr. Peter Koltz provides rhinoplasty to patients in Toledo, Maumee, Northwest Ohio; Southeastern Michigan, and surrounding locations.

    Provide Inputs

    The cosmetic surgeon you consult with will first try to understand the particular features in your nose that bother you. They will ask you about choosing a nose job procedure. You should share all your inputs in an open manner for allowing the doctor to create a nose reshaping cosmetic surgery plan that best meets your specific cosmetic goals.

    Providing Medical Records

    Plastic surgeons need to know the current overall state of health before performing a surgery. They will collect information about your past medical history. It is recommended that you arrange to have your medical records sent to the surgeon’s office from the physician’s office or hospital. This should be done before the first consultation.

    You should also reveal preexisting medical conditions, such as autoimmune disorders, allergies, heart diseases, and neurological conditions. This information will allow the surgeon to make important decisions regarding your candidacy for the procedure and to help you plan for a smooth procedure.

    Disclosing Medications

    You should tell your surgeon about all the drugs and medications that you take, such as prescription drugs, over-the-counter drugs, herbal supplements, and vitamins. You should provide complete information about alcohol consumption and smoking since this can be important to the surgical plan.

    Pictures and Testimonials

    You should ask to look at before and after images for nose job when you visit the surgeon for an initial consultation. This will help you clearly understand the results you should expect. It will also help you develop realistic expectations from the procedure. Ask the surgeon for past patient testimonials and before and after images. This will help you in understanding the procedure better.

    Discussing Treatment Plan

    Your surgeon will be able to create a treatment plan based on the information you provide. The treatment plan will be customized for meeting your specific requirements. The following aspects are usually covered in a treatment plan:

    • Type of procedure used for the nose surgery
    • Anesthesia options and surgery location
    • Cost of surgery
    • Insurance and financing options
    • Post-operative recovery schedule
    • Procedure results
    • Potential complications and risks that may arise during the procedure

    The initial consultation is a great opportunity for patients to communicate their concerns and ask questions about the procedure. This also allows the cosmetic surgeon to learn more about the aesthetic goals of the patient. It’s critical to have an honest and open conversation with the plastic surgeon.

    This will help create a relationship of mutual trust and understanding. Cosmetic surgeon Dr. Peter Koltz receives patients from Toledo, Maumee, Northwest Ohio; Southeastern Michigan, and nearby areas for nose job.

    Contact Board Certified Plastic Surgeon, Dr. Peter Koltz in Toledo, Ohio.

    To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, Dr. Peter Koltz please click here to contact us.

    Premiere Plastic Surgeon in Toledo, Maumee, Northwest Ohio and Detroit, Southeastern Michigan and surrounding areas.

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