Frequently Asked Questions
Q & A with Jonathan Hoenig, MD
What is the
difference between cosmetic and reconstructive surgery?
Cosmetic surgery enhances specific features to improve
one's appearance or to boost self-esteem. Reconstructive surgery
improves function and restores appearance to abnormal features affected
by birth defects, tumors, trauma, infection, disease or developmental
What is Dr.
Dr. Hoenig specializes in cosmetic and reconstructive
surgery of the face, including eyelid
surgery (blepharoplasty), facelifts
(cervicoplasty or platysmaplasty), browlifts,
and midface lifts.
What is a Cosmetic
A physician who is a diplomat of the American Board
of Cosmetic Surgery must:
- be board-certified in an original surgical specialty recognized
by the American Board of Medical Specialties,
- have completed a fellowship approved by the American Board
of Cosmetic Surgery,
- have been in the practice of cosmetic surgery for the past
- have performed no fewer than 1,000 cosmetic surgical procedures,
- be currently performing a minimum of 200 documented cosmetic
procedures per year,
- pass a stringent two-day oral and written examination, and
- be of good moral character.
Who is a good
candidate for cosmetic surgery?
A good candidate for cosmetic surgery seeks to improve
a particular aspect of his or her appearance, has realistic expectations
about what the surgery can and cannot accomplish, is in good physical
condition, and is willing to follow the surgeon's recommendations
regarding pre- and post-operative care.
What is endoscopic
Endoscopic surgery uses a tiny camera inserted through
very small incisions to visualize the surgical site, resulting in
much smaller scars, less chance of nerve damage and loss of sensation,
little or no hair loss (browlift surgery), less bleeding, bruising
and swelling, and a quicker recovery. Endoscopic surgery can be
used for browlifts, midface
lifts, orbital surgery,
and tear duct repair surgery.
What kind of
anesthesia is used?
Dr. Hoenig performs the majority of his surgeries
with oral sedating medications (like Valium), pain medication (like
Demerol), and local and/or tumescent anesthesia. Tumescent anesthesia
is a technique whereby a solution of Lidocaine, Epinephrine, and
saline (salt water) is injected into the surgical area to numb the
site, control bleeding, and minimize bruising. In some cases, intravenous
(IV) sedation is used. Dr. Hoenig prefers not to use general anesthesia
for cosmetic surgery because it can cause a "hangover effect"
producing nausea, stupor, and a longer recovery period.
Are there any
Cosmetic surgery is real surgery and therefore, it
involves some degree of risk. Fortunately, complications are seldom
and are usually correctable. You can minimize your risks and potential
complications by strictly adhering to your doctor's instructions
for preparing for surgery and for caring for yourself post-operatively.
How long before
I can go back to work?
Although recovery time varies widely depending on
the surgery and your own body's ability to heal, most cosmetic surgery
patients can return to light activity within three to ten days.
What can I do
to prepare for surgery?
If you smoke or use any form of nicotine, stop now.
Eat well-balanced meals and drink at least 32 ounces of water a
day. Get plenty of sleep and exercise, and consider taking a multi-vitamin
supplement. Three weeks before surgery, stop all vitamin E, aspirin,
ibuprofen, and other over-the-counter blood thinners. You may continue
taking Tylenol. (If you are taking Coumadin or other prescription
medications, do not stop your medication without consulting with
your physician). Many herbal supplements such as Gingko, Ginseng,
and Garlic also promote bleeding and may interfere with anesthesia.
Please inquire for more detailed information.
How much does
Dr. Hoenig is innovative and analytical in his approach
to cosmetic and reconstructive surgery and assesses each patient's
surgical needs individually. We are therefore unable to give an
estimate of fees before your consultation with the doctor. Please
contact us to setup
We have partnered with Cosmetic Fee Plan, Enhance
Patient Finance, and Cosmetic Fee Plan (Capital One Healthcare Finance)
to offer you
payment options. We also accept Visa, Mastercard, Discover,
and American Express.
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