22-year-old male with left arm congenital pigmented nevus (CPN) that was to undergo serial excisions. Patient had the 1st stage serial excision (about 70% removal) and then was lost to follow up as he moved back to his home country. This took 15 minutes in the office under local anesthesia and the 2nd procedure would have removed the rest of the CPN. The patient would've been left with a scar the length of his birthmark but obviously a lot skinnier. The other option is to get an outpatient surgery with a tissue expander, expansion over the course of a few months, and then a 2nd outpatient surgical procedure to remove the birthmark all in one surgery. The second option obviously is more costly as it requires 2 outpatient surgical procedures vs 2 simpler procedures done in the office to yield the same result. There's also a cosmetic deformity or embarrassment as the tissue expander is expanded and this is often difficult for patients to hide under their shirts or explain.
"After three kids, my veins were so noticeable. I never wore skirts or shorts! After a few sessions, I am now able to enjoy baring my legs again."
- S.T., Schaumburg, IL
"I hated having those ugly spider veins around my calves and ankles...now my legs are vein-free!"
- A.P., Chicago, IL
"I love being able to walk around in skirts again!"
- R.P., Park Ridge, IL
"I am so happy that this laser treatment is available nowadays! I did not want my legs to look like my mom's did!"
- E.C. Oak Park, IL
When I first published The 7 Critical Questions to Ask Before Letting Any Surgeon Touch You, I had no idea that it would be so popularly received. Since its publication, this brief guide has helped thousands like you to more safely navigate the world of cosmetic surgery. The 7 Questions have been updated and a bonus section, Applying the 7 Questions, has just been added. Be my guest to read, learn and share.