Daniel A. Medalie, M.D.- Cleveland Plastic Surgery

Products And Services

• Face

  Facial cosmetic surgery is a great way to not only change your appearance, but also boost your self-confidence and help you look as young as you feel. Whether you want to sculpt a facial feature, smooth wrinkles and tighten loose skin or correct a problem, a wide array of procedures exist that can help you achieve the appearance you desire. For more information on the Face procedures that Dr. Medalie offers, click on the links below: Facelift Brow Lift Blepharoplasty Laser Resurfacing Otoplasty

  Link: Face

• Breast

  Women may decide to undergo plastic surgery to enlarge or reduce their breasts, to achieve a balance in size or shape for their breasts, or to reconstruct one or both breasts after mastectomy. Men may also seek to reduce breast size. Whatever the motivation, breast surgery is safer and easier now than ever before. For more information on the Breast procedures that Dr. Medalie offers, click on the links below: Breast Augmentation Breast Lift in Cleveland, Ohio Breast Reduction Breast Reconstruction Gynecomastia Transgender

  Link: Breast

• Body Procedures

  A patient may decide to undergo plastic surgery to reshape or reduce the size of their midsection. Whether you are looking to achieve a slimmer look or have lost weight and are looking to tighten up your tummy, a wide array of procedures exist that can help you achieve the appearance you desire. For more information on the Body procedures that Dr. Medalie offers, click on the links below: Abdominoplasty Liposuction in Cleveland, Ohio Post Bariatric Surgery Brachioplasty Labiaplasty and Vaginoplasty Mommy Makeover

  Link: Body Procedures

• Non-Invasive

  As time passes, our skin shows the natural, inevitable signs of aging — wrinkles, sagging, and sun damage. But you can counteract those effects with several non-invasive cosmetic procedures. For more information on the Non-Invasive procedures that Dr. Medalie offers, click on the links below: BOTOX® Cosmetic JUVÉDERM® Injectable Gel Fat Injections

  Link: Non-Invasive

• Transgender

  Welcome! You have made the right choice in choosing Dr. Medalie for your Gender Confirming Surgery. If you would like to schedule an evaluation of your chest to determine what type of operation may be necessary, please e-mail front and side photos to Valerie at Valerie@ClevelandPlasticSurgery.com. Before you contact her please download the history form, and send it along with the photos. She can also answer most of your logistical questions. Typical fees for “top surgery” are $8000-9000 (this includes anesthesia and facility fees and all post operative care). All correspondence, forms and pictures should be scanned and e-mailed to Valerie at Female to Male Surgery (FtM top surgery) Top Surgery The procedure is based on the following: Size and shape of breast Elasticity of skin Patient’s needs and preferences PERI: In general, patients who have smaller breasts can have the entire surgery performed by having a small incision at the outer edge of the areola from 12:00 to 6:00 o’clock. A lighted retractor and surgical scissors are used to perform a complete sub-cutaneous mastectomy. Liposuction of the chest is also performed as needed.This provides the most optimal results and can be almost invisible after it heals. If the skin appears a little looser at the start of the case then a complete peri-areolar incision is made. A small amount of skin is removed (in a doughnut pattern , also known as-“peri-areolar or “purse-string” mastopexy”). A subcutaneous mastectomy is performed and then the outer edge of the skin is closed with a purse-string to the newly down-sized areola. By necessity, the edges of the incision around the nipple will be “scalloped” or bunched up initially. This settles down to a great degree over time. If the patient understands that scar revision may be necessary, this is a very reasonable approach. The nipple may experience compromise of its blood supply and also have sensation or erectile capacity changes. Double Incision: In those patients with a large amount of breast tissue with excessive skin of poor quality and droop, it is usually recommend to remove the excess skin and breast tissue in the crease of the pectoralis muscles (elliptical or double incision mastectomy) and put the nipples and areolae back on as grafts. This surgery has the advantage of immediate and predictable results. I can contour the skin flaps and place the nipples where I want to. It has the disadvantage of permanently altering the sensation and erectile capacity of the nipples (and sometimes the pigmentation), and it leaves larger scars on the chest. Over time they fade and flatten out. At each end of the scar, “dog-ears” may form. These are small bunches of tissue created by the closing of the ellipse as a straight line. They tend to settle down over time, but may need to be revised. I always try and address the dog ears at the time of surgery but this may extend the length of the scar. Dog ears are more likely in patients who are heavier and have more tissue to start with. I always perform liposuction of the central and lateral chest (to flatten the dog ears) as well as the area in front of the armpit. I have been asked why a scar may meet in the center of the chest on some top surgery results but not on others. This is dependent on pre-existing anatomy. If the tissue meets in the middle (such as in the example right below) then the scar by necessity will meet in the middle (this can’t be seen in the example because of the patient’s chest hair.) Male to Female Surgery Chest Surgery For trans patients who desire more visible breasts, the first treatment that can be of benefit is the female hormone, estrogen. The results are extremely variable, but almost all patients have some growth of breast tissues. The more definitive and predictable way to achieve female breasts is through breast augmentation surgery with implants. This surgery is no different for cis or trans patients and is well tolerated. I encourage readers to see my breast augmentation section as well as examine the information at the American Society of Plastic Surgery at www.plasticsurgery.org. *Plastic surgery results can vary from patient to patient and are not guaranteed.

  Link: Transgender