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Cosmetic Enhancement - General

Plastic Surgery - Abdominoplasty

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Plastic Surgery - General

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Plastic Surgery - Rhytidectomy

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Cosmetic Enhancement - General back to top 
Plastic Surgery - Abdominoplasty back to top 
Plastic Surgery - Breast Augmentation back to top 
Plastic Surgery - General back to top 
Plastic Surgery - Hair Transplant back to top 
Plastic Surgery - Maxillofacial Surgery back to top 
Plastic Surgery - Otoplasty back to top 
Plastic Surgery - Rhytidectomy back to top 

Cosmetic Enhancement - General back to top 

How often should I exfoliate?
How often you should exfoliate depends on your skin sensitivity as well as the method of exfoliation used. For instance, a granule exfoliant can be used once a week. AHA’s may also be used for at home exfoliation on a nightly basis if recommended by a skin care professional. For a deeper exfoliation, specific peels may be recommended and performed monthly by a skin care professional.

Should I wear my sun block over my moisturizer or underneath it?
Neither. For a sun block to be most effective, it needs to be applied directly onto clean skin. For skin that needs extra hydration, it is recommended to use a moisturizing sun block or a hydrating serum first, rather than using a separate moisturizer.

What skin care products should be used on a daily basis?
A basic skin care regime should consist of a cleanser, toner, daily sun block and nightly moisturizer. However, everyone has different skin and not the same types of products would be recommended for every skin type. It is highly recommended that you meet with your dermatologist for a professional skin assessment before deciding which type of product would work best for you.

What type of sun block should I be using?
An actual sun block must contain a proper barrier, such as one or more of the following; Zinc Oxide, Titanium Dioxide and, or Parsol in order to provide a broad-spectrum UVA and UVB skin protection.

Plastic Surgery - Abdominoplasty back to top 

Is this typically called a tummy tuck?
Yes.

Plastic Surgery - Breast Augmentation back to top 

What is a good size for me?
Usually the doctor can determine a size for your body frame, other alternatives are the rice or water bag test, bringing photos or seeing the actual sizes in our office.

What type of breast implants are available?
We have saline (salt water solution) and silicone gel. They come in all sizes with a High Profile option

Plastic Surgery - General back to top 

Can I look younger without have a complete face lift?
Yes. Many lesser procedures can yield youthful results. It really is up to you and your surgeon to determine what is right for you.

Do I have to be hospitalized?
No. Many of the cosmetic procedures are performed as an outpatient. For those procedures that require an overnight stay we have private rooms at 199 with a Registered Nurse present throughout the night.

Do you need a doctors referral?
No, a doctor's referral is not required to make an appointment.

How long is the general recovery period?
For most procedures it is a 2 week period of bruising and swelling.

If I have cosmetic surgery now will I need to have it again?
No you don’t have to have additional surgery. Many do, but often the procedures are done years later to smooth some of the new wrinkles.

Is cosmetic surgery necessary?
No, it’s a personal decision. But for some it is one step in helping them look and feel younger.

Is it applied to procedure costs?
No, our consultations are very comprehensive and thorough.

Is it vain to have cosmetic surgery?
We don’t think so. Most patients seem to have a healthy attitude about cosmetic surgery and are able to manage their expectations to match their external appearance with their inner youth.

Is there a consultation fee?
Yes. However, it varies from surgeon to surgeon. It is one of the questions you should ask your surgeon.

What is your payment procedure?
We require a deposit to book and the balance is due 1 month before surgery date. We accept most major credit cards.

Where is the surgery done?
At 199 Avenue Rd, which is an accredited hospital with 4 operating rooms.

Plastic Surgery - Hair Transplant back to top 

Are hair transplants appropriate for women?
Women also suffer from androgenetic alopecia (female pattern hair loss). In my experience, drawn from one of the largest groups of female patients having had hair restoration in the world, properly selected female candidates make excellent patients and have excellent results.

Do you use a consultant?
Some physicians use consultants and other's don't. I'm one who is strongly opposed to the use of non-medical consultants being used before or after the patient sees the physician. I spend anywhere from 45 minutes to an hour with each patient in consultation. I also urge patients to return as often as they like with friends and family members. I also encourage patients to see the results of my work.

How are you different from other hair transplanting offices?
I have limited my practice solely to hair transplantation since 1986. I lecture internationally on the topic of hair transplantation and I'm one of approximately 100 physicians who is certified by the American board of Hair Restoration Surgery. My office, located at 199 Avenue Rd, in Toronto is a state-of-the-art, fully accredited surgical facility, that consists of 3 surgical operatories, a step down unit and 2 overnight suites.

How much will it cost?
As each patient is different in terms of the amount of thinning, the amount of hair available, the amount of scalp to be treated in each session, and the type of graft to be used; it is impossible to give an exact amount per session without seeing the patient first in consultation. Alternatively, some physicians charge per graft. The patient is charged for each graft whether it is a 1 hair graft, 2 hair graft, or 20 hair graft. I charge per area for each session. A full session to the front half of the scalp will cost approximately $5,000 to $7,000 plus taxes. This equates to between 3000 to 4000 plus hairs in varying sizes of grafts. If the crown (back half of the balding area) is transplanted in addition to the front which equates to 7,000 plus hairs in varying sizes of grafts, I charge $7,500 to $9,000 plus taxes. All costs are in Canadian dollars.

What are follicular units?
Hair grows from the scalp in naturally occurring bundles of 1, 2, or 3 hairs that are clumped together in single follicular units of 1-3 hairs and multiple follicular units of 3-6 hairs for added fullness. One haired follicular units amassed exclusively at the front hair line zone yield the most natural result. Most patients can obtain excellent and natural looking results with better density by using a combination of grafts such as 1 to 3 hair follicular units for the hairline zone and a follicular unit family occurring bundles.

What is dense packing?
Dense packing is where large numbers of grafts are placed closer together in a single session than has generally been done in the past. The objective is to produce a dense result with only one session. The problem with dense packing is that the blood supply can be impaired and occasionally very little hair grows.

What is follicular unit extraction (FUE)?
It is a procedure where individual 1-3 haired follicular units are removed, 1 at a time, from the donor area using a very small 1 millimeter round circular punch. The benefit of this technique is to leave as small a scar as possible such that the patient may be able to have the option in the future of having a hair style where he or she can shave the hair off, right down to the scalp leaving as small a scar as possible, one that may even be undetectable. Dr. Cotterill offers this technique but only in small procedures, such as to thicken eyebrows, where little hair is needed or to cover donor scars at the back of the scalp in patients that may have very little hair to donate.

Plastic Surgery - Maxillofacial Surgery back to top 

What is Maxillofacial Surgery?
It is a surgical repositioning of the upper and/or lower jaws and chin to help you obtain a proper anatomic and functional relationship of the facial structures in order to achieve a more harmonious, esthetic facial balance and a better occlusion (bite).

Plastic Surgery - Otoplasty back to top 

Is it possible to make my ears less prominent?
Yes. We can sculpt your ears to reduce the size or prominence of your ears in relationship to the size of your face.

Plastic Surgery - Rhytidectomy back to top 

Can I do a Facelift with other procedures?
If there are other facial procedures such as eyes and or Browlift, it is not uncommon to do them altogether.

Can I go home alone?
No, you need to arrange for some one to escort you home and be with you the first 24 to 48 hrs.

Can I travel right after surgery?
No, under normal circumstances we do not recommend that you make any extended travel plans.

Do I go home with bandages?
All dressings and drain are removed before you go home.

How long is surgery and do I stay overnight?
Surgery for a Facelift is about 3 to 4 hours with one night recovery recommended. There are overnight facilities at 199 where a Registered Nurse is present throughout the night.

How long will I be out of commission physically?
4 to 6 weeks.

How long will recovery be?
The bruising and swelling will last about 2 weeks, but for public appearances we suggest a 4 to 6 week period.

Is a facelift done under a general anesthetic?
Under normal circumstances it is done under a local anesthetic (twilight sleep).

Is my hair shaved?
No.

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