Author: Maureen Brouse


Recovering From Plastic Surgery

Dr. Stratis checking on patient in recovery.

Recovery after any plastic surgery procedure depends on what the procedure was, what you are recovering to do and what your plastic surgeon wants you to do. Generally speaking most physical activities will depend on the discomfort level of the patient. Most, if not all of us, will not do things that cause us pain. It is a very common and understandable mechanism to keep us safe. As our discomfort level decreases our activity will increase. There are some circumstances where patients will be encouraged to do certain activities after surgery that causes them pain but are overall beneficial to recovery. Getting out of bed the day of a hip replacement is one such activity. It hurts but is very beneficial to a fast recovery.

There are some specific activities that we ask patients to avoid with certain procedures. Most facial procedures require that the patient keeps their heads elevated and not bend with the head down. Breast lift patients should not engage in activities that stretch the arms outward and upward for three weeks. Tummy tuck patients for three to six weeks should not engage in activities that would require a sudden contraction of the muscles as might happen with a jerking lift of moderate to heavy weights. Each procedure will have these types of restrictions.

I have my patients do what they feel comfortable doing. They can drive when they feel in control of the car and are not taking narcotic pain medications when driving. They can also return to work based on their judgement. Patients know how they feel and they also know what it takes to do their particular job. When the two match they can return to work. I always monitor the level of recovery to make certain that the patient is within the norm of where they should be during their recovery.

Also every plastic surgeon will have their own protocols for activity after surgery based on their own experience.

How Do You Get Rid Of Excess Fat?

When there is fat under the skin, there are four general ways to reduce it.

1. Diet and Exercise. These are two things that we can all do on our own, and is the least expensive way to reduce fat. It’s simple, but not easy. Many of us require professional help with diet and exercise; even then we sometimes thwart our own efforts.

2. Noninvasive. There are also noninvasive techniques for fat reduction; CoolSculpting and SculpSure. Both are FDA-approved for fat reduction, but CoolSculpting freezes the fat cells while SculpSure heats them up with laser energy. Both are permanent in the reduction (although you still can accumulate more if you consume more than you expend), and both can reduce up to 25% of the fat that is treated. While CoolSculpting treatments take 60 minutes per treated area, SculpSure treatment time is substantially less at 25 minutes per treatment. There is no anesthesia, no downtime, and no incisions for either procedure. Some patients may have some discomfort during or after the procedure, and on rare occasion CoolSculpting can result in more fat accumulation. If this is the case, the company will pay for liposuction of the area if that happens. This does not happen with SculpSure. Both of these techniques vary by individual and do not remove as much fat at one time as liposuction can.

3. Liposuction. This is a minimally invasive procedure that can remove fat from under the skin. It does require some type of anesthesia and very small incisions. There will be some discomfort after the procedure, as well as some temporary bruising and swelling. There is no medical downtime, and you are allowed to do whatever you feel comfortable doing after the procedure. Very often this procedure is performed in the office under local anesthesia.

4. Tummy Tuck. The final way of removing the fat is to surgically remove the fat and the skin together with a tummy tuck procedure. This does require general anesthesia and is performed on an outpatient basis. There is more scarring, discomfort, and recovery protocol, but very often will give the best results of the four mentioned options, simply because it takes care of the excess fat, skin, and repairs the muscle layer (if necessary).

The choice depends on a number of factors and will be discussed specifically during your consultation.

What Is A Facial Plastic Surgeon?

Facial plastic surgeons begin their post-medical school training in the highly competitive specialty of Otolaryngology and Head and Neck Surgery, more commonly known as an Ear, Nose and Throat (ENT) physician.  A field with diverse opportunity, it attracts the best and brightest the medical field has to offer.  Their residency consists of a year of general surgery and an additional 4 years of head and neck surgery.  When most of us think of an ENT, we picture them inserting toddler’s tubes or removing tonsils, but this specialty is so much more.  One day they are doing microvascular surgery on various areas of the head and neck, another they may be an endoscopic surgeon working on the sinuses and throat.

A facial plastic surgeon continues their education with an additional year of Fellowship focused on Facial Plastic and Reconstructive Surgery.  This highly specialized focus was initially developed during World War I and II to try to correct the wounds of war casualities.  There are only some 40 Fellowships offered in the whole country. That’s right, Dr. Gayner was one of 40 surgeons in the country to be chosen for this very selective Fellowship. Today it has evolved into a field treating patients ranging from reconstructive surgery to purely cosmetic Facial Plastic Surgery.

Here at Stratis Gayner Plastic Surgery we choose to focus on the cosmetic concerns of our patients.  Whether your nose has a bump or you’re fretting about the signs of aging, there is nothing more important to Dr. Gayner than providing someone that sense of confidence they are seeking.

Dr. Gayner in consultation.

Cosmetic plastic surgery is one of the most dynamic fields in medicine today. The innovation of new procedures and products are announced virtually every week. The inception of Stratis Gayner Plastic Surgery in 2007 brought a unique practice to Central Pennsylvania with Dr. Gayner, a board-certified facial plastic surgeon partnering with Dr. John Stratis, a board certified plastic surgeon.  One to focus on the face and one to focus on the body.  With each physician dedicated to their specific area of expertise they can stay current on the latest developments and provide unparalleled expertise to their patients.

We look forward to seeing what we can do for you!


Contact our office for more information.
(717) 728-1700

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Meet the Surgeons Dr. John Stratis and Dr. Scott Gayner.