Los Angeles Cosmetic Surgery

Frequently Asked Questions

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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 abnormalities.


What is Dr. Hoenig's specialty?

Dr. Hoenig specializes in cosmetic and reconstructive surgery of the face, including eyelid surgery (blepharoplasty), facelifts (rhytidectomy), necklifts (cervicoplasty or platysmaplasty), browlifts, and midface lifts.


What is a Cosmetic Surgeon?

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 five years,

    • 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 surgery?

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 risks?

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 it cost?

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 a consultation.


Is financing available?

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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