FAQ

• What are the differences in Liposuction Techniques?
  • There is a significant difference between the two currently practiced liposuction techniques. One uses general anesthesia, 10 to 15 mm length incisions, large bore cannulas, and a single arm to-and-fro movement for fat removal.The water-jet assisted liposuction technique uses local or intravenous sedation, 1 to 2 mm holes which do not require suture closure, small and medium bore cannulas, and a two hand method that lifts the skin away from the underlying muscle to insure a smooth outcome.

    There is less discomfort and less bruising with a faster recovery, since the muscles are not disturbed and smaller cannulas are used.

    The same quantity of fat can be removed by each method, with the water-jet assisted liposuction technique being significantly safer with not one reported death using this method in the world’s medical literature.

• What is the difference between a Chemical Peel performed by Dr.Troell and one in a salon?
  • A Chemical peel done in a salon is performed by an aesthetician that is only qualified and certified to remove part of the outer layer of skin called the epidermis or most superficial part of the dermis (papillary dermis).These superficial peels most commonly use ascorbic acid (vitamin C) and glycolic acid.

    A board certified facial plastic surgeon suggests a method of facial resurfacing that will best benefit the individual patient with regard to the depth of wrinkles and the patient’s Fitzpatrick classification skin type.

    Mild facial wrinkles, unrelated to muscle contraction, is best treated by a 35% trichloroacetic acid (TCA) peel.

    If there is a concern for pigmentation changes post-treatment, a test patch of the chemical peel of the posterior neck area may be of benefit.

    More significant wrinkles are best treated with a 50% TCA peel. By achieving the depth of penetration, the collagen layer of the skin will be favorably affected: new collagen will be stimulated and provide a tightening effect that contributes to the overall rejuvenation.

• Who is a good candidate for a Chemical Peel?
  • Men and woman who suffer from fine wrinkles to deep furrows often request treatment. The fine to medium wrinkles caused by sun damage, acne, smoking and aging can be effectively treatment with this technique. Wrinkles caused by muscular contraction, such as “crows feet” and vertical wrinkles between the eyes, “glabellar wrinkles”, are better treated with botulinum toxin (Botox).Chemical peels induce new smoother, youthful skin growth through the use of an acid solution, usually trichloroacetic acid of 35-50%, which peels the top layers of skin.

    Topical anesthesia and facial nerve blocks make the procedure comfortable with mild discomfort.

    Deep wrinkles and furrows, rhinophyma or deep acne scarring are too significant for chemical peels, however, dermabrasion or laser resurfacing are better options.

    All of these techniques have a risk of creating either bleaching the skin color (hypopigmentation) or causing darker areas of skin (hyperpigmentation).

• How many people undergo cosmetic surgery a year?
  • According to the American Academy of Cosmetic Surgery statistics, nearly 870,000 cosmetic surgeries were performed in 2003, a 6.7% increase from 2002.
• At what age do most people have Cosmetic Surgery?
  • The average age of patients receiving cosmetic surgery is 40 or greater.Treatments such as breast augmentation, liposuction, rhinoplasty and dermabrasion are common among the less than 40 years old age group, while procedures including blepharoplasty, breast lift, facelift and Botox are more commonly sought after by the greater than 40 year old.
• The Most Common Plastic Surgeries For Men
  • In descending order:
    - Chemical Peels
    - Nose Beautification (Rhinoplasty)
    - Filler Injections
    - Cosmetic Eye Surgery (Blepharoplasty)
    - Body Liposuction
• The Most Common Plastic Surgeries For Women
  • In descending order:
    - Chemical Peels
    - Filler Injections
    - Cosmetic Eye Surgery ( Blepharoplasty)
    - Nose Beautification (Rhinoplasty)
    - Facelift Surgery
• Why Choose Dr. Troell?
  • Dr. Troell believes that the quality of your entire surgical experience will be unsurpassed.The initial consultation is absolutely free of charge.

    The comprehensive aesthetic analysis, review of the many advanced surgical options with their benefits and limitations as well as the optimal surgical choices for the individual patient’s anatomy and goals will be reviewed to your liking.

    The key to achieving the optimal aesthetic result is for the surgeon to intently listen to the patient’s wishes, review patients realistic expectations, perform the right surgical procedure for the anatomical abnormality present as well as the surgeon’s physical ability to achieve this outcome. Dr.Troell is confident that the quality of surgical service he can provide you will be to the best of his ability. You can speak with recent or past patients who underwent the procedure you are contemplating to alleviate any concerns.

Please feel free to call Newport Beach (949) 706-1115 or Las Vegas (702) 242-6488
click here for your free private consultation or appointment.