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Ong Institute for Plastic Surgery & Health
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Ong Institute for Plastic Surgery & Health

Cosmetic Surgery Scottsdale
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Address
9377 E Bell Rd #363 Map
Place
Route Scottsdale, AZ   85260  
Address
9377 E Bell Rd #363, Scottsdale, AZ 85260
Landline
(480) 771-7771
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E-Mail
info@ongplasticsurgery.com
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Description

Ong Institute for Plastic Surgery & Health was created to assist all of our clients in developing solution-based results. The underlying purpose and foundation of our practice is rooted in 3 core tenants: Be Healthier, Feel Better, and Look Better.

Ong Institute for Plastic Surgery & Health can be found at 9377 E Bell Rd #363 . The following is offered: Cosmetic Surgery . In Scottsdale there are 81 other Cosmetic Surgery. An overview can be found here.

Keywords Aesthetic Breast Surgery, Body Rejuvenation, Breast Reconstruction, Female Rejuvenation, Functional Medicine & Cellular Health, Hair Rejuvenation, Skin Health & Rejuvenation.

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Opening hours

Starting Thursday, March 1st, every other Thursday our office will be open late. 10:00 am - 7:00 pm

Bios

  • Dr. Cheri Ong

    Board-certified by the American Board of Plastic Surgery and the American Board of Surgery, Dr. Ong is a vibrant surgeon and a Thermi expert! Dr. Ong’s extensive training and years of experience have helped influence current treatment protocols for ThermiRF, the predecessor technology to ThermiVa™ that utilizes temperature-controlled radiofrequency for skin tightening. It is this experience that enables her to give you safe, effective and personalized results. Dr. Ong understands the emotional impact that these profound changes can have, and she makes it her priority to take the time to understand your lifestyle and your outcome goals to determine what procedures are right for you.

  • Alexis

    Client Relations

    Alexis is a native to Phoenix, Arizona and has worked in the medical field for about seven years as a Front Office Manager. She pursued a Bachelors Degree in Business Administration with a concentration on Healthcare Management and graduated in 2016. At ONG INSTITUTE for Plastic Surgery & Health, Alexis is our Front Desk/Client Relations specialist. Delivering concierge level service through greeting, checking in patients, answering calls and assisting in making each patient’s experience a great one. While Alexis is not hard at work, she spends most her time with her family and being a mom to her sweet baby girl. She loves being outdoors, going to the lake, hiking, and camping with friends and family.

    Link: Alexis

  • Beau

    Director of Operations

    Originally from Maryland, Beau moved to Arizona in 2009 to pursue his passion for sports and coaching. Since that time, he has had the privilege to learn from and collaborate with top business minds, resulting in over ten years of business operations experience within both services and retail industries. At Ong Institute for Plastic Surgery & Health, Beau oversees and executes the day-to-day business functions, as well as strategic partnerships. In addition, he works with patients regarding their insurance needs, making sure they are well informed, so they can select an option that best fits their desires. In his spare time, he enjoys the outdoors, coaching high school lacrosse, and watching movies. Beau is also a member of Executive Council 70, a group of local business professionals raising money for various charities throughout the valley.

    Link: Beau

  • Jennifer

    Scheduling Coordinator

    Jennifer brings 20+ years of medical knowledge to Ong Institute for Plastic Surgery & Health, and has been in the Plastic’s industry since moving from Denver, Colorado in 1999. As a patient scheduling coordinator, she will meet with patients to discuss the surgery and scheduling process; ensuring patients are well educated, and answer any questions they may have regarding their procedure. When Jennifer is not hard at work she enjoys spending time with family and friends, as well as the outdoors when walking her two dogs.

  • Lauren

    Client Relations

    Originally from the suburbs of Chicago, Lauren moved to the Phoenix area in 2008 to escape the cold weather and to further pursue her passion for skincare as an aesthetician. Since then, and for the last nine years, she has worked in a leadership role in the Spa and Hospitality industry most recently with Hilton Hotels. As a breast cancer survivor, she is thrilled to be able to now work in a supportive role for women going through their own journey. With her extensive customer service experience, she really enjoys the one-on-one care that is given to each patient at Ong Insitute for Plastic Surgery & Health. In her personal time, she volunteers for the Tammy Dykstra Foundation, a non-profit organization dedicated to providing services to women with breast cancer in the Valley. She loves to read, enjoys snowboarding, and is an avid Chicago Bulls fan.

    Link: Lauren

Products And Services

  • Breast Augmentation

    Augmentation mammoplasty is performed to increase breast size and/or fix breast asymmetry. Candidates include women who want larger breasts, and those who want to restore the breast volume often lost as a result of pregnancy or significant weight loss. Breasts is typically enlarged with implants. Augmentation mammaplasty is not a substitute for mastopexy, which is a procedure to “lift” breasts that sag significantly. BREAST AUGMENTATION WITH IMPLANTS Silicone and saline are the two implant types most commonly used in augmentation mammaplasty. Silicone implants feel more like natural breasts than saline ones. They include the shaped “gummy bear”, or round implants. Implants are placed behind each breast, underneath either breast tissue or the chest-wall muscle. The procedure lasts 1 to 2 hours, and is typically performed with general anesthesia. Incisions are made in inconspicuous places to minimize scar visibility. The breast is then lifted, creating a pocket into which the implant is inserted. Advantages of implant placement behind the chest-wall muscle include a possible reduced risk of capsular contracture (hardening of scar tissue around implant), and less interference during mammograms. Disadvantages include a longer recovery period. Advantages of implant placement beneath breast tissue include that the breasts move more naturally as the patient uses her chest muscles, and that slight breast sagging is corrected.

    Link: Breast Augmentation

  • Breast Lift

    Mastopexy is a surgical procedure for lifting and reshaping sagging breasts. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. By trimming excess skin and tightening supporting tissue, breasts can be made to sit higher on the chest and be firmer to the touch. In addition, the nipple and areola can be repositioned or resized to further enhance breast appearance. Because mastopexy does not change breast size, it is often combined with breast augmentation or reduction. CANDIDATES FOR MASTOPEXY An eligible mastopexy candidate is in good overall health, maintains a stable weight, and has realistic expectations about what mastopexy can do. A woman who chooses to undergo mastopexy has one or more of the following: Sagging breasts Breasts that have lost shape or volume Breasts that are flat or elongated Nipples or areolas pointing downward One breast lower than the other A woman planning to have (more) children should not undergo mastopexy because pregnancy and nursing can counteract its benefits. THE MASTOPEXY PROCEDURE Mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 to 3 hours. Depending on the size and shape of the breasts, as well as the degree of sagging and amount of excess skin, one of the following types of incisions is often used: Two rings, one larger than the other, around the areola A keyhole shape, around the areola and down to the breast crease An anchor shape, beginning in the breast crease, and extending up to and around the areola The first type of incision (above) is used for small breasts and leaves the least amount of scarring; the third type is used for breasts with significant sagging. After the incisions are made, breast tissue is removed and reshaped to achieve the desired breast contour. The nipple and areola are usually moved higher on the breast or resized. Excess skin is trimmed to create a tighter, more defined appearance.

    Link: Breast Lift

  • Breast Lift with Augmentation

    Mastopexy with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended. During mastopexy alone, excess skin is trimmed away, supporting tissue is tightened, the breasts are “lifted” to sit higher on the chest, and the nipple and areola are repositioned or resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer. CANDIDATES FOR AUGMENTATION MASTOPEXY Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. A woman who chooses to undergo augmentation mastopexy is unhappy with her breast size, and has one or more of the following: Sagging breasts Breasts that have lost shape or volume Breasts that are flat or elongated Nipples or areolas pointing downward One breast lower than the other A woman planning to have (more) children should not undergo augmentation mastopexy because pregnancy and nursing can counteract its benefits. THE AUGMENTATION MASTOPEXY PROCEDURE Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 to 3 hours. Depending on the degree of sagging, the amount of excess skin, and the size and type of the implants, one of the following types of incisions is often used: Two rings, one larger than the other, around the areola A keyhole shape, around the areola and down to the breast crease An anchor shape, beginning in the breast crease, and extending up to and around the areola After the incisions are made, excess skin is trimmed to create a tighter, more defined appearance. The nipple and areola are usually moved higher on the breast or resized. Implants made of either saline solution or silicone gel are inserted into the breast beneath the pectoral muscle or mammary gland. Incisions are then closed with stitches; the incisions used for augmentation mastopexy are larger than those for augmentation alone.

    Link: Breast Lift with Augmentation

  • Breast Reduction

    Women who are unhappy about having large breasts and/or want to treat symptoms such as back pain, breathing problems and poor posture, may benefit from reduction mammaplasty, during which fat, glandular tissue and skin are removed from the breasts. The resultant smaller breasts increase patient comfort, and look more in proportion to the rest of the body. Ideal candidates for reduction mammaplasty are women with oversized breasts that are causing medical problems, low self-esteem, and/or physical or social discomfort. Women who are pregnant or breastfeeding cannot undergo reduction mammaplasty. THE REDUCTION MAMMAPLASTY PROCEDURE Reduction mammaplasty is performed under general anesthesia. Depending on the technique used and the individual case, it takes from 2 to 5 hours to perform. One of the following incisions is often used: Two rings, one larger than the other, around the areola A keyhole shape, around the areola and down to the breast crease An anchor shape, beginning in the breast crease, and extending up to and around the areola Many times, additional liposuction or excision of the skin and fat can be performed on the sides of the chest wall to improve the breast shape.

    Link: Breast Reduction

  • Male Breast Reduction

    Gynecomastia (overdevelopment of male breasts) is a common condition characterized by an excess of localized fat and/or glandular tissue in the breast. It is sometimes caused by disease, hormonal changes, heredity or certain medications, although, in most cases, its cause is unknown. It can occur in one or both breasts, and can affect babies, preteens, teenagers and grown men. Symptoms of gynecomastia include enlarged breasts, breasts that feel rubbery or firm and, in young boys, nickel- or quarter-sized breast “buds.” Breast buds are common in adolescents, and tend to go away on their own. TREATMENT OF GYNECOMASTIA As long as breast development is complete, plastic surgery can be used to treat gynecomastia that is not caused by disease or medication. Treatment choices include liposuction or surgery, or a combination of the two; which technique is chosen depends on the amount and type of tissue in the breasts. If the breasts consist mostly of fatty tissue, liposuction can be used to suction out fat through incisions made in the nipples or underarm areas. For breasts with an excessive amount of glandular tissue, excision surgery, which requires cutting away excess fat, skin and tissue, can be performed. This requires a larger incision than is used with liposuction.

    Link: Male Breast Reduction

  • Arm Lift

    Brachioplasty is a surgical procedure performed to remove the loose, hanging skin that often develops on the underside of the upper arm as a result of aging, weight loss or weight gain. Brachioplasty is ideal for patients who have an excessive amount of hanging skin and/or fat that does not respond to diet and exercise; maintain a stable weight; and have realistic expectations for surgery. Patients must also be healthy overall, with no major medical conditions that can be affected by surgery. THE BRACHIOPLASTY PROCEDURE Dr. Ong performs the liposuction-assisted brachioplasty procedure with the scar hidden in the back of the arm. Excess fat is removed, and the arm is sculpted by liposuction. The excess skin is removed , and internal sutures are placed. No drains are needed, and a compression garment is placed. Brachioplasty is typically performed under general anesthesia. Patients are able to return home the same day as surgery.

    Link: Arm Lift

  • Liposuction

    Liposuction is a minimally invasive cosmetic procedure that uses a thin, hollow tube called a cannula to remove localized areas of body fat. The cannula is inserted through extremely small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. Treated areas look slimmer and more contoured, and in better overall proportion to the rest of the body. However, liposuction is not a method for losing weight, and is not effective in eliminating cellulite, or tightening loose and sagging skin. The ideal candidate for liposuction is in good overall health, but has one or more areas of fat that do not respond to diet or exercise. Areas that are often treated with liposuction include the thighs, abdomen, arms, back, hips, buttocks, chest, face, calves and ankles. Liposuction can be performed alone, or in conjunction with other cosmetic procedures, such as thighplasty and abdominoplasty. THE LIPOSUCTION PROCEDURE One of the most common liposuction techniques is tumescent liposuction, which may get an assist from ultrasound or laser. It is performed on an outpatient basis. During tumescent liposuction, a solution comprising saline solution, lidocaine (an anesthetic) and epinephrine (a blood-vessel contractor) is injected into the area being treated. The solution causes the targeted tissue swell and become firm, which makes it easier to remove via the cannula. The advantages to this technique are that the anesthetic is built in, so there is no need for general or IV sedation, and blood loss is minimized because the epinephrine constricts blood vessels.

    Link: Liposuction

  • Radiofrequency Skin Tightening

    One of the short comings of a liposuction procedure is the occurrence of loose skin or the inability to address the concerns of localized skin laxity and cellulite. Dr. Ong utilizes radiofrequency technology to help address these concerns. Laser liposuction technology such as Smart lipo™ was designed to address this concern by combining a skin tightening treatment with liposuction. The benefits of combining Thermi Tight™ with liposuction is that the surgeon is able to individualize the treatment to different anatomical areas of the body and different depths to create the result that they want. One can contour, tighten or smooth out areas of cellulite or irregularities independently. An example of the use of the Thermi™liposuction procedure is in buttock reshaping to avoid the appearance of saggy buttock after a traditional liposuction. This combined treatment allows for the shaping and lifting of the buttock and selective reduction of “fullness” in the appropriate areas.

    Link: Radiofrequency Skin Tightening

  • Tummy Tuck

    Abdominoplasty helps flatten the abdomen by removing excess fat and skin, and tightening muscles. The best candidates for abdominoplasty are in good physical condition, with pockets of fat or loose skin that have not responded well to diet and exercise. Abdominoplasty can also be appropriate for slightly obese people whose skin has lost some of its elasticity, and for women with skin and muscles stretched from pregnancy. Anyone planning on losing a significant amount of weight, and women planning on having (more) children, should wait before undergoing abdominoplasty. THE ABDOMINOPLASTY PROCEDURE Abdominoplasty takes approximately 2 to 5 hours to perform; the patient is placed under general anesthesia. Two incisions are made: one from hipbone to hipbone close to the pubic area, and another around the navel. Skin is separated from the abdominal muscles, which are then pulled together and stitched into place for a firmer abdomen and narrower waist. The skin flap is then stretched down over the newly tightened muscles, excess skin is removed, and the navel is reattached where it looks natural. The incisions are then closed, and sterile surgical dressings are applied over the sutured areas.

    Link: Tummy Tuck

  • Mommy Makeover

    The Mommy Makeover has traditionally been described as procedures performed to help correct some of the changes to a woman’s body after having children. Most often, a tummy tuck (abdominoplasty) is performed along with breast surgery to lift, or reshape the breasts. There are many other changes to a woman’s body including weight gain in certain areas, urinary incontinence, vaginal laxity and enlarged labias. As such, it is now common for women to include liposuction, labial surgery or other non-surgical female rejuvenation procedures to help them look and feel better.

    Link: Mommy Makeover

  • Breast Reconstruction

    Our breast reconstruction program focuses on the a return back to wellness through an integrative approach via plastic surgical procedures for reconstruction as well as functional medicine fundamentals. At Ong Institute for Plastic Surgery & Health, our goal is to listen, understand where you are and to suggest options and educate you on the various procedures, recovery and provide you a stable process to begin again. Our program is divided into three fundamental steps: Reconstruct: As an expert in breast cancer reconstructive surgery, Dr. Ong works closely with your other treatment specialists. This yields a collaborative treatment protocol to obtain the best aesthetic outcome without compromising any cancer treatments. Rejuvenate: Part of a woman’s journey through breast cancer goes beyond the “reconstruct” phase. It includes the focus on optimizing health, bringing back feminity, and the feeling of being “whole” again. This may include rejuvenation of the physical and mental aspect of one’s self. Regenerate: We encourage the use of our bodies own natural healing potential. The use of Platelet-Rich Plasma in tissue regeneration, food as medicine, science based supplements, and stress reduction strategies are some examples of tools we use to guide you back to health. All aspects are intertwined and work together to fulfill the goal of creating a person who is in a better state of health than she was when she first started the breast cancer journey.

    Link: Breast Reconstruction

  • Breast Reconstruction FAQs

    DO I NEED RECONSTRUCTION AFTER MASTECTOMY OR LUMPECTOMY? Reconstruction after a mastectomy is a choice that women have. Some women choose to have reconstruction, some do not. It is important to understand what a reconstruction entails so you can make the best decision for yourself. It is best that you seek a consultation with an experienced board-certified plastic surgery surgeon regarding your reconstructive options before you make that final decision. Many women nowadays choose to have reconstruction after mastectomy to replace the shape and form of their chest area, to bring back self -confidence, a sense of being “whole” again and feminity. The Women’s Health and Cancer Rights Act, or WHCRA, is a federal law that was passed in 1998 in order to provide certain protections and coverage to patients who choose to have breast reconstruction surgery following a mastectomy. There are reasons to consult with a plastic surgeon: They can help plan your mastectomy and reconstruction. Planning the surgery with your breast surgeon is helpful to allow for superior aesthetic outcomes. Procedures than can be planned include the designing of incisions and skin reduction patterns if necessary to optimally shape the breast and improve the final outcomes of the reconstruction. If a partial mastectomy or lumpectomy is planned, a plastic surgeon can also help “lift” or reduce the breast with tissue rearrangement to help shape the breast prior to radiation therapy. HOW MANY SURGERIES DO I NEED FOR RECONSTRUCTION? Anywhere from one to three typically. Breast reconstruction is considered a process of rebuilding the missing pieces and each stage is a continuum of the previous. Typically: A tissue expander is placed at the time of the mastectomy. Implant placement and any adjunct treatments such as fat grafting and tweaks are done at a second surgery. Nipple reconstructive surgery is done at a third surgery. However sometimes there are fewer surgeries that need to be done based on the needs of the patient. For e.g. if an implant is placed instead of a tissue expander at the first surgery or the nipple is saved as a nipple-sparing mastectomy. On average, two surgeries are required. The most common reasons for revision are the patient’s desire for improvement in aesthetic outcomes, a size change or additional adjunctive treatment such as fat grafting to improve the thickness of the mastectomy flaps after reconstruction to improve the contour of the skin. Today the bar has been set to a very high standard in terms of outcomes for breast reconstruction after mastectomy. Patients have high expectations for the outcomes of this surgery. Fortunately many can be met with the improved technologies and surgical techniques we have today. Breast reconstruction has come a long way since the 1970s and the results today are proof of that. WHAT IS THE HEALING TIME FOR BREAST RECONSTRUCTIVE SURGERY? The short answer is 4-6 weeks depending on the type of reconstruction that is performed. Patients heal differently but typically the recovery for the first stage of reconstruction is about 4-6 weeks. There will be a period of reduced activity. There are certain things that can be used to reduce postoperative discomfort including: The use of neurotoxins e.g. Botox® to “weaken” the chest muscles for reducing pain and allowing for less painful postoperative tissue expansion. The use of long-acting local anesthetics at the time of surgery to reducing the need for postoperative pain medications (Exparel®). Use of a multi-modality postoperative pain regimen. Typically patients stay overnight in the hospital for mastectomy and reconstruction and are discharged home the next day. The expansion process takes several weeks. Typically, expansion is perform as a quick office visit depending on the patient’s desire for the final volume and the anatomical factors that affect the size of the final implant. This process can take anywhere from 4 to 12 weeks. The purpose of expansion is to create a footprint and shape for the final implant. A postoperative plan as to the various restrictions are given to each patient prior to surgery.

    Link: Breast Reconstruction FAQs

  • Breast Reconstruction FAQs

    HOW DOES RADIATION AND CHEMOTHERAPY AFFECT MY RECONSTRUCTION? Chemotherapy is a systemic treatment where drugs are administered into your body to reduce the spread of disease. The purpose is to “kill”any cancer cells that may have escaped out of the breast or lymph nodes. Chemotherapy drugs affects cell replication which directly translates to poor wound healing in terms of healing from surgery. Some of the effects of breast cancer chemotherapy include diarrhea and hair loss. This is due to the effects of the normal cells unable to regenerate or replicate. Any surgery around the time of chemotherapy is subject to issues for wound healing. Due to this , it is best that surgery is performed about 4-6 weeks after the completion of chemotherapy. If chemotherapy is given after surgery, sufficient time is given for the incisions to heal properly before chemotherapy is started. Radiation is given as a form of direct or local control meaning preventing the cancer from recurring (coming back) at the site. Radiation is given directly to the breast area or the lymph node area and it affects breast reconstruction because it causes a medical condition called fibrosis. What that means is scar formation and destruction of blood vessels in the area. It is sometimes difficult to reconstruct a radiated area since the pliability of the tissues are reduced, and the reduction in blood vessels in the area result in a higher risk of infection and wound healing problems. Besides radiating the entire chest area (whole breast radiation), some patients who undergo partial mastectomy/lumpectomy are candidates for partial breast radiation where only a portion of the chest area is radiated. The treatment is usually shorter and the radiation effects on the reconstruction are reduced. In my practice, I prefer to complete the reconstruction prior to the radiation treatment being given, if possible. This is done by closely communicating with your breast surgeon, medical oncologist and radiation oncologist to ensure that breast cancer care is not compromised. Once the reconstruction is completed, the patient goes on to radiation therapy. After radiation treatment, adjunct procedures can be performed to improve the condition of the skin such as fat grafting or platelet-rich plasma treatment. The radiated side may appear stiffer, and the medical condition called capsular contracture may occur. Scar forms around implant, which can cause hardening of the implant or pain. However, not all patients have the full spectrum of the radiation effects and many patients have good outcomes. Sometimes, autologous or tissue-based reconstruction using muscle or fat and skin from another area of the body is required in order to complete the reconstruction. Examples of these are the latissimus flap, DIEP or TRAM flap. WHAT TYPE OF RECONSTRUCTION WILL I HAVE? The most common type of reconstruction done today the United States is implant-based reconstruction i.e using a breast implant to shape your breasts. The safety and performance of breast implants have improved over the last several years. They have superior ability to create a great breast shape- the new cohesive gel implants that are anatomically shaped provide the footprint to create the optimal breast shape for patients. The risks of implant wrinkling and rippling has also been reduced with these new cohesive implants and the risk of rupture is very low. Other options for breast reconstruction include autologous reconstruction in which tissue from another part of the person’s body part is used to create a breast. Examples include the abdominal (DIEP, SIEP, TRAM), buttock (SGAP, IGAP) flaps. There are upsides and downsides for each type of reconstruction. It is best to discuss the expectations of each with a surgeon experienced in breast reconstruction.

    Link: Breast Reconstruction FAQs

  • Breast Reconstruction FAQs

    WILL I HAVE A TISSUE EXPANDER OR IMPLANT? The decision to place a tissue expander or an implant at the time of mastectomy depends on many factors. The ultimate goal is to produce a good breast shape and to have the surgery performed in the safest manner for you. Many times we need to place a tissue expander in order to help shape the breast and create a footprint so that your final reconstruction will achieve the highest aesthetic goals that most patients have. Sometimes we can place an implant at the time of the mastectomy. This is called immediate reconstruction with direct implant placement. There are certain criteria that we look at in order to allow us to safely perform the procedure. Firstly, you have to be healthy and have good blood supply to the skin. During a mastectomy, the blood vessels to the skin are removed as part of the breast tissue removal. Due to this, we have to ensure there is enough blood supply to the skin to allow for healing if we were to place an implant. Other things to consider are the degree of ptosis (droopiness) of your breast and your overall health. If a nipple or areolar sparing mastectomy is performed, often we can place an implant at the time of the mastectomy and have a good cosmetic outcome. There are benefits of performing an implant directly: It allows one to proceed with the treatment plan of chemotherapy or radiation quickly. There is less discomfort as we can avoid the tissue expanding process which at times can be quite uncomfortable and time-consuming for the patient. However, sometimes a tissue expander reconstruction can give better aesthetic outcomes as we are able to shape the breast the way we want using the expander as a tool. I always tell my patients that even though we were to proceed with direct implant-based reconstruction at the time of the mastectomy, many times they will be adjunctive treatments performed during the second surgery in order to help improve the aesthetic outcomes. Commonly fat grafting is used. However, while there are benefits to direct implant reconstruction, there will also be risks. The largest risks are related to perfusion or blood supply to the skin . This can result in skin loss which can be a larger problem to deal with. The options are there. It relies on your aesthetic goals, and your medical condition. Ultimately it should be the option that the surgeon performing the procedure determines what is the safest for you. BREAST RECONSTRUCTION: WHAT CAN I DO TO HEAL WELL? Optimal wound healing after a mastectomy and reconstruction depend on adequate blood supply as well as optimizing the factors for wound healing. Having adequate nutrition in terms of protein, minerals and vitamins necessary for the wound healing process is crucial. At Ong Institute for Plastic Surgery and Health, we implement a few things to help our patients heal better: All patients are encouraged to optimize their current state of nutrition, and to quit smoking. Preoperative education, nutrient testing and nutrient support in the form of intravenous and oral supplementation to help with surgical healing are offered. The use of intra-operative imaging techniques to assess blood supply is performed at the time of surgery performed to determine if is adequate blood flow to the area for reconstruction and healing. Adjunctive treatments such as platelet-rich plasma to enhance wound healing. Use of a negative pressure wound management systems (Prevena®) postoperatively if necessary. A negative pressure dressing reduces swelling, enhances healing and keeps the area protected for up to a week.

  • Breast Reduction FAQs

    WHAT IS THE “LATEST” IN BREAST RECONSTRUCTION? Breast reconstruction has come a long way since the first reconstruction was performed in the 1970’s. Implants and tissue expanders are better engineered to create better shape. We now have improved tools such as imaging technology that allow us to evaluate the blood supply of the skin during surgery to reduce wound healing complications. Improved pain control with the advent of long acting numbing medications allow for improved pain control postoperatively. Also, microsurgical techniques have allowed us to reconstruct the breast without sacrificing a functioning muscle as in the case of perforator flaps. Perforator flaps are reconstructive surgery performed using skin and fat without the need of a muscle. This reduces the morbidity of the donor site. Common examples for breast reconstruction include the DIEP or SIEP flap. The use of fat grafting as autologous stem cells, and human acellular dermal matrix have also allowed us to “engineer” the breasts using human allografts for regeneration. The use of platelet-rich plasma and other human allografts is also showing great promise. One of the newer techniques of reconstruction is the “pre-pectoral” breast reconstruction. This is reconstruction performed where the implant is placed above the chest muscle instead of under the muscle. I have performed this procedure on appropriate candidates. The main benefit of this technique, is the minimal amount of postoperative pain experienced by the patient. Most do not need more than a day of oral pain medication. The muscle “animation-deformity” is eliminated. The major disadvantage of the procedure is the lack of tissue “coverage”. Since there is no muscle coverage in front of the implant, there is more visible implant wrinkling. Other advancing technologies in the horizon include the CO2 expanders such as the AeroForm® expander where the patient controls the expansion process through the use of the wireless dose controller at home. DOES DR. ONG TAKE MY INSURANCE PLAN? Insurance plans can be very complex, confusing and stressful. We try to make the financial aspects of breast reconstruction as simple and straight-forward as possible for you. Our focus is on our patients and their outcomes. Therefore, we are not contracted with a majority of insurance carriers. Through our concierge medical billing program, we do not balance bill you for your “out-of-network” benefits. A predetermined cost expectation is presented prior to surgery. This is often times less costly than a contracted provider. We want to make this process as stress-free as possible for you. Details of the program can be made available to you during the consultation visit.

    Link: Breast Reduction FAQs

  • Non-Surgical Female Rejuvenation

    Non-surgical options for female rejuvenation include: Hormone replacement therapy. Non-surgical options for rejuvenation such as radio frequency and laser-based systems. Platelet -rich plasma (O-shot™) and other innovations in regenerative medicine (e.g. Human-derived growth factors and Amniotic allografts). Hormone replacement therapy can help with vaginal dryness (atrophic vaginitis) . This is either given as systemic therapy – (e.g. pellets and oral) or local (e.g. vaginal estrogen creams). There is also an increasing number of laser based options for rejuvenation in the market today. ThermiVA™ O-shot™ Vaginal Rejuvenation System™

    Link: Non-Surgical Female Rejuvenation

  • Non-Surgical Female Rejuvenation: THERMIVA™

    ThermiVA™ is a revolutionary non-surgical procedure that uses controlled radio frequency energy. The energy in the form of heat is transferred directly to the areas being treated to: Improve laxity of labia and vagina. Improve sexual pleasure. Improve vaginal dryness. Improve mild-to moderate urinary incontinence and urgency. Radiofrequency energy has been used in the medical field for a long time. Aesthetic indications of the technology such as in skin tightening have blossomed over the last few years. ThermiVa™ is radio frequency energy device used to treat the labia and vaginal wall. It has made a significant difference in the lives of many women and couples. ThermiVA™ is safe and there has not been any reported complication associated with the procedure. The machine is engineered to allow the user to control the temperature of the treatment so that it is comfortable and safe. An experienced provider can and can also recommend other adjunctive treatments that might be beneficial for your problems. Dr. Ong is very experienced and has performed hundreds of ThermiVA™ procedures. She is able to preferentially treat anatomical areas to best address your concerns. Sometimes, there may be other options that may be a better alternative for concern such as platelet-rich plasma, or a surgical intervention. An experienced doctor like Dr. Ong who teaches other providers the procedure will be able to guide you through this decision making process.

    Link: Non-Surgical Female Rejuvenation: THERMIVA™

  • Non-Surgical Female Rejuvenation: THERMIVA™ FAQs

    IS THERE DOWNTIME AFTER THE TREATMENT? ThermiVA™ uses radio frequency energy, which penetrates the skin or lining of the vaginal wall and causes changes without creating any microscopic “wounds”like laser treatments. Because of this reason, there is no downtime after the treatment. Women are free to do anything they want after the treatment including exercising and sexual activities. WHAT IS THE DIFFERENCE BETWEEN THERMIVA™ AND THE MONA LISA TOUCH™? The non-surgical energy-based systems that are currently being used include the CO2 lasers (e.g. Monalisa Touch™ and Femilift™), erbium (e.g. Diva™) and radio frequency (e.g. ThermiVA™). The purpose of these machines are to “rejuvenate” the area using various different energy systems to increase blood flow, stimulate collagen production and hence improving the problems of vaginal dryness, incontinence, and help tighten the vagina. Lasers such as the Monalisa Touch™ are fractionated laser devices, which create small “holes” in the vaginal lining. These small wounds stimulate the wound healing mechanism. This would in turn create more blood flow to the area and create more collagen and layers of cells including secretory cells which would improve the problems of vaginal dryness and enhance tightening. The radio frequency devices such as ThermiVA™ uses radio frequency energy to penetrate the lining without causing any wounds, but allows for regeneration. Histologic studies in which biopsies of the vaginal lining performed from ThermiVA™ and laser patients showed changes within the lining of the vaginal wall with increased collagen, and an increase in cell layer all indicating improved blood flow and regeneration of the lining. The differences are the size of the treating device (ThermiVa™ is a smaller, slimmer device), ability to treat the external labia (ThermiVA™), time needed for treatment (Monalisa Touch™ is faster), and healing time after the treatment (2-3 days for Monalisa Touch™ vs. none for ThermiVA™). The recent introduction of two other radiofrequency devices into the market may suggest the possibility that radiofrequency technology is better suited for female rejuvenation purposes. WILL I SEE RESULTS AFTER ONE TREATMENT? WHY ARE PEOPLE RECOMMENDING THREE TREATMENTS? Everyone is different, and the severity or extent of your condition can vary. The condition being treated i.e. improving vaginal laxity versus treating stress urinary incontinence is very different. Because of this variability between women, it is difficult to say exactly how many treatments you may need. Women with mild urinary incontinence may need just one treatment. However, someone with vaginal dryness for several years may need several treatments in order to get the tissues to heal to where they may be satisfied with the outcome. It takes time for the changes to occur in a cellular level after the treatment. New blood flow, collagen growth takes weeks to months to regenerate. Thus, a series of treatments can augment the results. The reason why many doctors are recommending 3 treatments is because the pilot ThermiVa™ study performed by Dr Alinsod was created with a protocol of 3 treatments. Based on this study, a significant improvement in sexual satisfaction and vaginal looseness was seen in women after three treatments. Dr. Ong’s personal opinion on this is that physicians should treat the symptom or condition rather than be “sold” on the number of treatments. Some women may need less and some more. Some women may need adjunctive treatments such as the Apex™ device or the O-shot™. Once the results are achieved, many women will need an additional treatment between 9-15 months since the environment being treated is constantly changing with time. The “cause” of the condition i.e. lack of estrogen or aging is a constant on-going factor. DOES THE TREATMENT HURT? Radiofrequency waves are delivered to the area using a small device and are regulated with a set maximum temperature, which allows for safe treatment and is well tolerated by women with no pain. Most patients agree that the treatment is well tolerated with minimal discomfort. Patients can feel a gentle warm heat in the external area being treated, but the internal treatments are virtually painless. Warm ultrasound gel is used during the treatment. Many women do fall asleep during the treatment which is an indicator of the level of discomfort they are experiencing. The diameter of the single-used “wand” is narrow and mimics the natural curvature of the vaginal for ease of treatment. Laser devices have much larger vaginal “probes” which can cause some discomfort in women with severe vaginal dryness.

    Link: Non-Surgical Female Rejuvenation: THERMIVA™ FAQs

  • Non-Surgical Female Rejuvenation: O-SHOT™

    O-SHOT™ The use of platelet-rich plasma (PRP) has grown tremendously in sexual medicine due to its proven regenerative potential. The O-shot™ was originally described as placement of PRP into certain areas in the female genital area to enhance sensation and the female orgasm system. The male counterpart to the O-shot™ is the Priapus Shot™. In female rejuvenation, Dr. Ong uses the regenerative capabilities of PRP selectively to help the treatment of urinary incontinence, vaginal dryness (atrophic vaginitis) and certain gynecologic disorders such as lichen sclerosis. This is a common problem with a reported 58% of postmenopausal women experiencing vaginal dryness. Sexual dysfunction and urinary incontinence affect more than 60% of women. Many post-menopausal women or breast cancer patients with severe vaginal dryness are unable to have sexual intercourse due to the lack of lubrication or secondary to pain at the entrance of their vagina (introitus). These women are able to benefit from the healing capabilities of PRP and are able to engage in non-painful sexual relations again. Dr. Ong is a certified trainer of the O-shot™ procedure . She frequently utilizes and combines other treatment modalities for better results and outcomes when treating a particular concern. The results of combining ThermiVa ™ and the O-shot ™ particularly for the treatment of incontinence and to enhance sensation has shown to be greater than either treatment alone.

    Link: Non-Surgical Female Rejuvenation: O-SHOT™

  • Non-Surgical Female Rejuvenation: VAGINAL REJUVENATION SYSTEM™

    Human-derived growth factors such as the Vaginal Rejuvenation System™, which utilizes the AQ Growth Factor technology is a helpful adjunct in the treatment of vaginal dryness. The patented technology allows for non-hormonal topical application of growth factors into the vaginal wall. Dr. Ong uses this in conjunction with radiofrequency and platelet-rich plasma based treatments to further enhance results and prolong the duration between treatments.

    Link: Non-Surgical Female Rejuvenation: VAGINAL REJUVENATION SYSTEM™

  • Female Rejuvenation Surgical Procedures

    To achieve highest standards in surgical female rejuvenation, Dr. Ong trained with Dr. Red Alinsod, a world-renowned urogynecologist at the Alinsod Institute for Aesthetic Vulvovaginal Surgery, His advanced surgical techniques in aesthetic labial procedures, utilizing radiosurgery, have taken more than 25 years to refine. Dr. Ong combines the artistry and her plastic surgical experience to enhance her results in aesthetic labiaplasty. Most procedures are performed in the office under local anesthesia and mild sedation. She uses the Ellman Surgitron™ radiofrequency device, which allows for precise surgery and “resurfacing” capabilities. She also uses the regenerative capabilities of platelet-rich plasma (PRP) as a surgical tool and may sometimes combine non-surgical treatments to address specific concerns. Surgical options can enhance the aesthetics of the area and can also help treat the common functional problems affecting women resulting from large and floppy labias. They include: Labial reduction-inner lips (Labia minoraplasty) Labial reduction-outer lips (Labia majoraplasty) Excess or loose skin around clitoris (Clitoral hood reduction) Excess of loose skin between vagina and rectum (Perineoplasty) Hymen reconstruction (Hymenoplasty)

    Link: Female Rejuvenation Surgical Procedures

  • Female Rejuvenation Surgical Procedure: LABIA MINORAPLASTY

    This surgery is performed to remove excess, floppy, or uneven labia minora (smaller interior vaginal lips) that often cause chronic irritation, rubbing, or discomfort during physical activities or intercourse. Many women also request this surgery to improve self-confidence and to eliminate the appearance of a bulge with certain clothing such as tights. The term “Labiaplasty” can also relate to the cosmetic surgery of the labia majora (larger outer lips) to make it less prominent and saggy. Labias can grow large with estrogen stimulation at puberty and pregnancy and with the effects of gravity with aging. Labiaplasty is done in the operating room or in the office under local anesthesia.

    Link: Female Rejuvenation Surgical Procedure: LABIA MINORAPLASTY

  • Female Rejuvenation Surgical Procedure: LABIA MAJORAPLASTY

    Socially described as “camel toes”, the broader outer lips of the vulva can be enlarged with excess or loose skin, and tissue. This enlargement can cause an embarrassing bulge in clothing (camel toes). The labia majora may be enlarged from birth, secondary to childbirth, or due to aging. Many women also experience large and droopy labia majora after major weight loss. Dr. Ong performs the medial curvilinear labia majoraplasty technique to safely reduce the size of the labia majora by excising a crescent shaped portion of the inner portion of the labia majora. The scar is hidden in the crease between the inner and outer labia.

    Link: Female Rejuvenation Surgical Procedure: LABIA MAJORAPLASTY

  • Female Rejuvenation Surgical Procedure: CLITORAL HOOD REDUCTION

    Excess skin on the sides of the clitoris often causes the clitoris to look enlarged or uneven. Genetics, estrogen, and testosterone exposure can make significant changes in the way the clitoral area appears. A labiaplasty itself may result in the appearance of a relatively larger clitoral area since the excess labia have been removed drawing the eyes to the clitoral region i.e. “top-heavy look”. Dr. Ong offers a precise surgery for women seeking to improve the aesthetic appearance of their genital area by excising the extra folds of skin to the side of the clitoris. The clitoris itself and its nerves are never touched. This is NOT clitoral mutilation or clitoral un-hooding. Clitoral Hood Reduction is done in the office under local anesthesia and is commonly done in conjunction with a labiaplasty.

    Link: Female Rejuvenation Surgical Procedure: CLITORAL HOOD REDUCTION

  • Female Rejuvenation Surgical Procedures: PERINEOPLASTY

    The visible area between the vagina and the rectum is called the perineum. This is the region where episiotomies are cut and where tears during childbirth are most common. Perineoplasty (or Perineorrhaphy) aims to make this region appear normal by excising excess skin, loose skin tags, and suturing the underlying muscles or the perineal body closer together to give a more snug feeling in the introitus or vaginal opening. This procedure is done commonly with a labiaplasty to produce a “cleaner” look.

    Link: Female Rejuvenation Surgical Procedures: PERINEOPLASTY

  • Female Rejuvenation Surgical Procedures: HYMENOPLASTY

    This surgery is the reconstruction of the hymen. Cultural, religious, or social reasons predominate when this surgery is contemplated. Hymenoplasty is performed to make the patient appear virginal. It works for women who have not had vaginal deliveries, and preferably, in those who have never been pregnant. Precise incisions are made into the vagina and remnants of the hymeneal ring to bring them into close approximation to allow delicate sutures to hold the tissues in place. Once healed, the act of sexual intercourse can result in bleeding when the hymen is torn or stretched. Hymenoplasty is done in the office under local anesthesia.

    Link: Female Rejuvenation Surgical Procedures: HYMENOPLASTY

  • Female Rejuvenation Surgical Procedures: RF “LASER” RESURFACING

    The majority of aesthetic gynecology procedures at Ong Institute for Plastic Surgery & Health are done using the Ellman Surgitron™ RF device. This allows for precise surgery, and less tissue thermal damage with the presence of a cooling tip. It also has resurfacing capabilities that allows Dr. Ong to contour and shrink the tissues for improved “fine-tuning”. It is a great tool for a surgeon to sculpt and achieve the aesthetic look that they want to create.

    Link: Female Rejuvenation Surgical Procedures: RF “LASER” RESURFACING

  • 3 MOST IMPORTANT QUESTIONS TO ASK A LABIAPLASTY SURGEON

    There are a few techniques developed for labiaplasty, and they are also doctors of different specialties performing labiaplasties. A labiaplasty procedure done well, can be a truly artistic procedure that can women obtain a petite, “clean” look. Many women choose to have the procedures for many reasons. The three most important questions to ask in my opinion are: The type of labiaplasty the surgeon would recommend. An experienced surgeon can discuss the different types of labiaplasty techniques, the anatomical area being treated and the ability to differentiate between the different parts i.e. Labia minoraplasty, majoraplasty, hood reduction etc. Able to show you pictures of the results. Be available and help guide you through the process of healing. This can be a time when your labia looks the worst and having a surgeon that is attentive to your needs and to be able to reassure and guide you through ht process is crucial. I have seen many women post pictures of their postoperative outcomes online asking for help, you should be comfortable enough with your surgeon to trust them through this period. Dr. Ong is a plastic surgeon with additional specialized training in aesthetic gynecology. Although there are exceptions to this rule, many plastic surgeons may lack the training for aesthetic labiaplasty since this is not a large core component in many plastic surgical residency programs. On the other hand, many gynecologists may lack the artistic touch of a plastic surgeon. You will be best served with a surgeon, either plastic or gynecology specifically trained in aesthetic vulvovaginal surgery. Dr. Ong trained at the Alinsod Institute for Aesthetic Vulvovaginal Surgery and worked closely with Dr. Alinsod learning best surgical practices to enhance and deliver the best results.

    Link: 3 MOST IMPORTANT QUESTIONS TO ASK A LABIAPLASTY SURGEON

  • Female Rejuvenation Surgical Procedures: LABIAPLASTY RECOVERY FAQs

    Full labiaplasty recovery is six weeks, which translates to no sex, and nothing in the vagina e.g. tampons etc. We will set you up well with everything you might need for the postoperative period. This includes topical anesthetic, estrogen cream, and other products that will help you through your healing stage. Everything is explained in detail at the time of your pre-operative appointment. Here is the typical healing process for a labiaplasty. First week: Expect discomfort and pain from recent surgery. Labia is bruised and swollen. Take pain meds and apply topical anesthetic for comfort. Ice is your ally during this time. Ice frequently to help with swelling and pain. Prescriptions medications given for this time period include an antibiotic, pain medications and stool softeners. Wear loose clothing. If you have your period, use a pad rather than a tampon. Second week: Expect itching, as things start to heal. The estrogen cream will help your tissues heal. Continue to use it daily. OTC products that will help ease some of the itching and irritation will be provided to you. You can also use Benadryl cream to help. Most patient go back to work during this time period. All sutures placed will eventually dissolve so as things start healing, they will fall out. Third week: Expect continued improvement in swelling and bruising. Your labia will not look “normal” for 6-8 weeks. WILL I LOOSE SENSATION OR FUNCTION AFTER LABIAPLASTY? The nerves supplying the clitoris come from deep within the pelvis. In addition, there are multiple branches supplying the area. Thus, the risk of loss of sensation after a labiaplasty is low. Even with a clitoral hood reduction where the loose skin around the clitoral body is removed, it is far superficial compared to where the origin of the nerves are located. Loss of sensation usually results from pelvic or vaginal surgery. In summary, most of the surgery performed in a labiaplasty done in the right hands, has an overall low risk for loss of sensation or function. In contrast, for women who desire an increase in sensation or sexual pleasure, the regenerative potential of the platelet-rich plasma placed in certain areas can help. The growth factors in PRP can help regenerate nerves in the area of the “G-spot” allowing for improved sensation. Some patients also choose to have the non-surgical radio frequency procedure ThermiVA™ after their labiaplasty to enhance sexual wellness. HOW IS THE PROCEDURE DONE? Labiaplasty is performed to achieve your functional and artistic goals. Dr. Ong takes pride in discussing your goals and making sure we can achieve them. Depending on what was discussed in the consultation, the procedure is doneeither in the operating room under anesthesia or under oral sedation and local anesthetic. 90 percent of the labiaplasties that Dr. Ong performs is done using the latter, in the office. It is a very safe and effective method of surgery and the technique that she uses can accomplish the goals of the surgery, with minimal local anesthetic, and easy recovery. Patients are able to walk out of the procedure room without any anesthetic side effects. The procedure may take a few hours since the procedure is done precisely and artistically. This is not the “simple” labiaplasty that is done to remove excess labial tissue. There are a few things that Dr. Ong does differently that help with the final outcome. Use of minimal amounts of local anesthetic to minimize swelling and distortion of tissues. Use of the Ellman Surgitron™ RF machine to perform the procedure. This is a device, which has a pinpoint tip for precise surgery, and attachments to allow for “laser sculpting “of the tissue to help improve artistic outcomes without the heat associated with electrocautery. The use of less tissue trauma causes less swelling and improved outcomes. Use of platelet-rich plasma to help with surgical healing. The growth factors in platelets, which are the first cells to an injured area, can help the wound heal better and faster. The PRP we use has optimal platelet concentrations and growth factors, which can also be used for regeneration of areas in the vaginal area to help with incontinence, and improved sexual pleasure. Scars that are designed within the normal creases of the labia, which result in them being “hidden”. The use of fine suturing techniques.

    Link: Female Rejuvenation Surgical Procedures: LABIAPLASTY RECOVERY FAQs

  • Nutrient Testing

    Food is medicine. Our health is highly dependent on our nutrition. As the saying goes: – “You are what you eat”. Nutritional deficiencies can lead to potential for chronic disease and illness. Here at Ong Institute for Plastic Surgery & Health, we are committed to your health and offer comprehensive nutrient analysis measuring functional nutrient deficiencies at the cellular level, as well as comprehensive food allergy testing. Evidence has shown that micronutrient deficiencies as well as “inflammation “caused by food allergies and sensitivities affect the way we feel and ultimately our health. Nutrient lab testing gives us the ability to test how our body utilizes the 31 vitamins, minerals, amino/fatty acids, antioxidants and metabolites. They include: Vitamins: A, B1, B2, B3, B6, B12, C, D, K, Biotin, Folate, Pantothenate Minerals: Calcium, Magnesium, Zinc, Copper, Manganese Amino acids: Asparagine, Glutamine, Serine Antioxidants: Alpha Lipoic Acid, Coenzyme Q10, Cysteine, Glutathione, Selenium, Vitamin E Carbohydrate metabolism: Chromium, Fructose sensitivity, Glucose-Insulin Interaction Fatty acids: Oleic Acid Metabolites: Choline, Inositol, Carnitine Immune Response Score and Total Antioxidant function The information obtained from this elaborate testing can be the first step in helping one figure out their nutrient deficiencies. It is an objective guide to know exactly what is going on in your cells and what types of food and supplements you should be taking. It takes the guess work out of the amount and type of supplements you need to be taking. This is also very helpful during your surgery planning stage, as this information can help you recover and heal better after a surgical procedure.

    Link: Nutrient Testing

  • Nutritional IV's

    Nutrient deficiencies may be caused by a lack of intake or inadequate absorption. Less than 20% of oral supplements are absorbed when taken by mouth. Intravenous supplementation is the most efficient way for getting nutrients into the body as it is 100% absorbed. Ong Institute for Plastic Surgery & Health offers supplementation of nutrients through an IV drip as well as a personalized oral supplement and food suggestion plan based on your nutritional deficiencies. Supplements are given based on your individual needs and are guided by your concern (e.g. hair loss, immune support etc.) and your specialized lab test results. We also offer a nutrient-dense vitamin IV shot that contains a proprietary blend of vitamins, minerals, nutrients and amino acids that can help with athletic performance and health issues. This IV “push” which is given in less than a minute results in 100% delivery and absorption of each nutrient. This is in contrast to: IV drips that contain a large amount of water and dilution of nutrients, and take between 30-60 min to administer. Oral nutrients which are absorbed about 15% through the stomach. This is a great and efficient way to obtain the necessary nutrients into our bodies if we are constantly on the go or may not have the ability to prepare and eat healthy foods for a variety of reasons.

    Link: Nutritional IV's

  • Hair Rejuvenation

    The concern of hair loss can be devastating in both men and women causing loss of self esteem and self confidence. Hair loss can be localized or generalized, be a result of a medical condition, a side-effect of medications, the result of a dermatological condition, or is genetically pre-determined. Hair loss can also be multifactorial. As such, treatment requires a multi-modality approach and should be tailored to each individual based on history, examination and appropriate tests. It is a concern that requires a systematic, long term approach for best outcomes. There are several treatments that have become common solutions for hair loss: Minoxidil (Rogaine™) – Topical treatment. Finasteride (Propecia™) – Oral treatment. Works by inhibiting the the formation of dihydrotestosterone (DHT), the specific hormone responsible for male and female pattern baldness. Minoxidil and Finasteride were important steps forward as they were the first hair-loss treatments with proven efficacy for androgenic alopecia and female pattern hair loss. Newer treatment options for hair loss include: Light-based devices – With the now proven role of inflammation in hair loss in both genders, low level light therapy (LLLT) devices, with their known anti-inflammatory effect, are gaining increasing acceptance as a treatment for hair growth. Regenerative therapy – Platelet-rich plasma (PRP) and human-derived growth factors from neonatal cells grown under stimulated conditions. Synergistic effects are likely when two or more treatments are used together as combination modalities are based on different mechanisms of action. Ong Institute for Plastic Surgery and Health provides options for hair regeneration in collaboration with National Hair Loss to provide a comprehensive program for men and women facing hair loss. Our program focuses on awareness, education, a multi-modality treatment program and a long-term follow-up protocol. Our exclusive treatment program with National Hair Loss may include: Identifying medical causes of hair loss Laboratory testing including micronutrient testing and customized nutrient supplement program Hair care products specific for hair loss Low-Level Light therapy (Laser) Micro-needling Platelet-Rich Plasma (PRP) therapy Human-derived growth factor therapy Amniotic-derived allografts (Regenerative tissue) Hair restoration

    Link: Hair Rejuvenation

  • Hair Rejuvenation

    The concern of hair loss can be devastating in both men and women causing loss of self esteem and self confidence. Hair loss can be localized or generalized, be a result of a medical condition, a side-effect of medications, the result of a dermatological condition, or is genetically pre-determined. Hair loss can also be multifactorial. As such, treatment requires a multi-modality approach and should be tailored to each individual based on history, examination and appropriate tests. It is a concern that requires a systematic, long term approach for best outcomes. There are several treatments that have become common solutions for hair loss: Minoxidil (Rogaine™) – Topical treatment. Finasteride (Propecia™) – Oral treatment. Works by inhibiting the the formation of dihydrotestosterone (DHT), the specific hormone responsible for male and female pattern baldness. Minoxidil and Finasteride were important steps forward as they were the first hair-loss treatments with proven efficacy for androgenic alopecia and female pattern hair loss. Newer treatment options for hair loss include: Light-based devices – With the now proven role of inflammation in hair loss in both genders, low level light therapy (LLLT) devices, with their known anti-inflammatory effect, are gaining increasing acceptance as a treatment for hair growth. Regenerative therapy – Platelet-rich plasma (PRP) and human-derived growth factors from neonatal cells grown under stimulated conditions. Synergistic effects are likely when two or more treatments are used together as combination modalities are based on different mechanisms of action. Ong Institute for Plastic Surgery and Health provides options for hair regeneration in collaboration with National Hair Loss to provide a comprehensive program for men and women facing hair loss. Our program focuses on awareness, education, a multi-modality treatment program and a long-term follow-up protocol. Our exclusive treatment program with National Hair Loss may include: Identifying medical causes of hair loss Laboratory testing including micronutrient testing and customized nutrient supplement program Hair care products specific for hair loss Low-Level Light therapy (Laser) Micro-needling Platelet-Rich Plasma (PRP) therapy Human-derived growth factor therapy Amniotic-derived allografts (Regenerative tissue) Hair restoration

    Link: Hair Rejuvenation

  • Hair Rejuvenation FAQs

    WILL I NEED PRP? Hair loss is a chronic progressive problem that is multifactorial. Genetics, illness, medications, etc. all affect hair loss. That is why it is important to understand that the treatment is long term and involves multiple modalities for optimal outcomes. Platelet-rich plasma (PRP) is one of the tools that is being used for hair regeneration. It works by utilizing the growth factors present within the platelets (one of the components of blood). There are many other important components of the treatment plan that also deserve to be mentioned as they all work together to keep your hair at its best genetic potential. Looking for medical causes of hair loss, avoiding activities that can accelerate hair loss, the use of low light therapy, and adequate nutrition, are all very important factors to consider when it comes to treating this problem. PRP can help with angiogenesis (creating new blood vessels), activate stem cells and stimulate hair growth through various cellular mechanisms. The growth factors and proteins within the platelets are released around the hair follicle to help with the regeneration process. It also works by reducing the inflammation around the hair follicle caused by various factors such as hormones, autoimmune disease etc. In simple terms, it stimulates new hair follicles to grow but “waking-up” the stem cells and creating new blood vessels. It is the “on-switch” that would allow hair follicles to grow. Other modalities, such as low-level light therapy, topical minoxidil and oral Finasteride, can stop further hair loss and create the necessary optimal environment for hair growth. Sometimes, human-derived growth factors or amniotic-derived allografts are used in conjunction with PRP or as an alternative to PRP in hair growth. These are used when the platelets being used are not optimal for regeneration such as medical illness, age, steroid use, or in a person who is actively smoking. For patients that need a hair transplant e.g. Follicular unit extraction (FUE), PRP can be used to improve the donor hair follicles, and the condition of the scalp to be receiving the transplant. It is also important to know that the same factors that affect hair loss, can also affect the newly transplanted hairs. This is why long term follow-up and treatment plans are important. HOW MANY TREATMENTS DO I NEED? The goal is to set one up for success! First it is always important to remember that genetic hair loss is a long term problem. So the treatment is going to be long term. Sometimes, hair loss is due to other factors, such as thyroid disorders or nutritional problems. Sometimes, it is superimposed on a person that is genetically predetermined for hair loss, and an event such as chemotherapy or cancer treatment turns on the genetic coding for their hair loss and this manifests itself after the treatment. Typically, most patients will need one PRP, sometimes two treatments. It all depends on the severity of the condition and how much improvement is considered “adequate” for a given person. Those that need more may be candidates for growth factor, amniotic-derived allografts or may be a hair restoration candidate. The reasons why we can achieve success with our treatment program in conjunction with National Hair Loss is that we set you up for success with: Professional low-level light (laser) therapy treatments, which is such a crucial player in hair regeneration. The use of LLT Increase cell metabolism and the health of blood vessels in the scalp for thicker, supple and more durable hair shafts. It can also: Stimulate the sebaceous glands for silkier-looking hair. Increase melanin production in the hair follicles, darkening gray hairs. High quality PRP processing system to obtain optimal platelet concentrations and combination of cells for regeneration. This will stimulate new blood vessel growth and attract the activation of stem cells. Identify and rule out other cases of hair loss through medical history and blood work if necessary. Identify and assist with supplements / nutrition for hair growth. Use of vitamins, growth factors and amniotic-derived allografts if necessary to help as second line therapy or combination therapy if the growth factors from your own platelets are inadequate due to medications, smoking, age etc. Long term plan for hair maintenance with hair care and other products.

    Link: Hair Rejuvenation FAQs

  • Hair Rejuvenation FAQs

    HOW IS THE TREATMENT PERFORMED? The treatment is done in the office with topical and local anesthetic. Pre-procedural instructions will be given to ensure that you are optimally prepared for the procedure. Topical anesthetic is applied, followed by injection of local anesthetic in certain areas of your forehead and scalp. Blood is obtained for processing to “create” the PRP. Micro-needling and injection of the PRP to the area is performed with or without additional use of growth factors. Patients do well with our protocol of PRP administration. Mild discomfort is experienced that will subside over the next hour or so. We understand that the injecting your scalp with a needle multiple times is not something that is considered “pleasant”, thus we do our very best to minimize discomfort in several ways. The primary one being the use of high quality PRP to reduce the need for multiple treatments of PRP injections. For patients that undergo growth factor treatment: A micro-needling session every week for 5 consecutive weeks is scheduled Home protocols for growth factor therapy is given. Patients are then instructed to continue low-light (LASER) therapy and follow-up is scheduled accordingly. WHAT IS THE RECOVERY LIKE? The procedure is done with some local anesthetic in the office. There is mild discomfort with the tiny needles used. Recovery is minimal. No hair washing till the next day, and back to normal activities. Pre-procedural instructions are given prior, and if followed there will be minimal swelling, pain or bruising afterward.

    Link: Hair Rejuvenation FAQs

  • Skin Health & Regeneration

    At Ong Institute, skin health and regeneration is one of our core specialties focusing on healthy skin. We focus on optimizing skin health with functional medicine and regenerative solutions, backed by science. The treatment of skin problems and concerns, such as loose skin, wrinkles, sun spots, jowls, and dark circles demand a multi-modality approach. What that means, is that any device or surgical technique individually may not be capable of providing the complete solution to a particular skin problem. For best results, a comprehensive approach combining several modalities is important.

    Link: Skin Health & Regeneration

  • SKIN LAXITY

    For the treatment of laxity (loose skin), radio frequency devices are currently leading the way, in terms of innovation and best outcomes. Dr. Ong utilizes ThermiTight™ technology for treatment of laxity concerns, sometimes in combination with liposuction for sculpting and shaping. This combined treatment allows for more precise treatment and temperature-controlled tightening of the area for best results. The addition of non-invasive treatments, such as SkinTyte™, and ThermiSmooth™, can also help enhance and maintain results. Skin firmness and collagen content is highly dependent on estrogen and hormonal balance – a common reason why women experience the appearance of jowls, and wrinkles around the menopausal period. Hormone replacement therapy, nutrient replacement, skin treatments that stimulate collagen formation such as laser treatments or micro-needling, coupled with a long-term preventative plan can be very effective in maintaining good skin health.

    Link: SKIN LAXITY

  • SKIN TREATMENTS

    Concerns such as, skin discoloration, sun spots, wrinkles, and scars, are best treated with lasers or light devices. There are many good quality devices on the market today, and most have the ability to treat these conditions. The quality and type of treatment is highly dependent on the laser education, experience and knowledge of the practitioner. Here at Ong Institute, we use the Sciton™ system, a well-engineered machine that can address these concerns. Laser and light based treatments, such as micro laser peels (MLP™), Profractional™ laser, full laser resurfacing (TRL™), Broad-band light treatment (BBL™), and SkinTyte™ treatments using infrared light technology are some of the treatments offered. Sometimes, micro-needling, chemical peels, or a combined treatment approach may be offered for best outcomes. Dr. Ong and her team can help provide guidance and knowledge on best treatment options. Equally important is the use of skin care products to maintain results. Quality skin care products backed by science will allow you to maintain the results obtained from these non-surgical treatments.

    Link: SKIN TREATMENTS

  • FILLERS AND BOTOX®

    Combining laser treatments, Botox, fillers, a good skin care regimen, as well as replacing the body’s deficient nutrients will allow even better results and success. Dr. Ong’s approach to fillers and Botox treatment is to treat the entire face creating overall balance. This advanced injection technique uses minimal products in specific places to create change and improvement. She frequently uses platelet-rich plasma (PRP), in conjunction with fillers to help shape the face, and to stimulate natural collagen for longer lasting results.

    Link: FILLERS AND BOTOX®

  • SKIN REGENERATION: VAMPIRE SERIES (VAMPIRE FACIAL™, VAMPIRE FACELIFT™ VAMPIRE BREAST LIFT™)

    The use of PRP in the Vampire Facial™ and Vampire Facelift™ techniques allows Dr. Ong to combine the science of regenerative medicine to improve skin health. In line with our focus on regenerative medicine, human-derived growth factors are also used for skin regeneration.

    Link: SKIN REGENERATION: VAMPIRE SERIES (VAMPIRE FACIAL™, VAMPIRE FACELIFT™ VAMPIRE BREAST LIFT™)

  • FOOD AS MEDICINE FOR THE SKIN

    Good skin comes from good nutrition. Approaching food differently creates our “food as medicine” strategy. We focus on food as a pathway to better skin health. Skin health improves when one’s overall health and nutrition are optimized. Further skin wellness can be achieved with micro-nutrient testing as well as personalized nutrient support through IV and oral supplements such as glutathione and other vitamins.

    Link: FOOD AS MEDICINE FOR THE SKIN

  • SKIN CARE

    From the study of epigenetics, we understand that gene expression can be turned on or off based on exposures to certain triggers. Many of these are present in skin care products, make-up and normal self care products such as shampoos, body lotions etc. We offer knowledge and product options to our patients regarding these added chemicals. We strive to help our patients lead healthier lives in avoiding some of the potential triggers of poor health and cancer gene expression.

    Link: SKIN CARE

Images

Images Ong Institute for Plastic Surgery & Health
Images Ong Institute for Plastic Surgery & Health
Images Ong Institute for Plastic Surgery & Health
Images Ong Institute for Plastic Surgery & Health
Images Ong Institute for Plastic Surgery & Health
Images Ong Institute for Plastic Surgery & Health
Images Ong Institute for Plastic Surgery & Health

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8575 E Princess Dr #223 85255 Scottsdale
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Guerra Plastic Surgery Center

8765 East Bell Road, Suite 104 85260 Scottsdale
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9377 E. Bell Rd 85260 Scottsdale
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9377 E Bell Rd Suite 155 85260 Scottsdale

Categories

Cosmetic Surgery
(480)771-7771 (480)-771-7771 +14807717771