Plastic Surgery FAQs

The FDA recommends routine implant monitoring via an MRI or ultrasound starting five to six years after surgery (and every two to three years after) to check for leaking and other issues, even if no symptoms are present.

Most women can breastfeed after breast augmentation. The ability to nurse depends on factors like incision placement and whether the milk ducts and nerves were affected during surgery. Dr. Vitenas uses techniques designed to preserve breastfeeding function, but it’s worth discussing your future plans during your consultation so he can tailor his approach accordingly.

Choosing the right implants involves more than picking a cup size. Dr. Vitenas considers your body frame, chest width, existing breast tissue and aesthetic goals to recommend the best size, profile and type for you. With over 250 implant options available and 3D imaging technology, you’ll have a clear picture of your potential results before making any decisions.

Liposuction removes stubborn fat but doesn’t address loose skin or separated abdominal muscles. A tummy tuck removes excess skin, tightens the underlying muscles and creates a flatter, more contoured midsection. Many patients benefit from combining both procedures, and Dr. Vitenas can help determine which approach will give you the results you’re looking for.

Yes, you can safely become pregnant after a tummy tuck. However, pregnancy will stretch the abdominal skin and muscles that were tightened during surgery, which may affect your results. For this reason, Dr. Vitenas typically recommends waiting until you’re finished having children before scheduling a tummy tuck or a mommy makeover.

A mini facelift targets early signs of aging in the lower face and jawline using smaller incisions and a shorter recovery time. A full facelift addresses more advanced concerns across the midface, jowls and neck. During your consultation, Dr. Vitenas will evaluate your anatomy and goals to recommend the approach that makes the most sense for you.

There’s no magic number. The right time for a facelift depends on your individual concerns rather than your age. Some patients notice significant changes in their 40s, while others maintain firmness well into their 50s or 60s. If you’re bothered by sagging skin, deep creases or loss of definition along the jawline, a consultation can help you explore your options.

Yes. Rhinoplasty can address both cosmetic concerns and functional issues like a deviated septum that restricts airflow. Dr. Vitenas evaluates the internal and external structure of your nose to determine if surgical correction can improve your breathing alongside any aesthetic changes you’re hoping to achieve.

No. Dr. Vitenas tailors every procedure to your unique needs and goals. If that includes maintaining a masculine appearance, your results will be tailored to do just that. Depending on the procedure, techniques for men differ from those used for women, whether it’s maintaining a stronger brow during a facelift or creating a more angular jawline with chin augmentation.

Absolutely! Botox and dermal fillers are popular among men who want to soften forehead lines, crow’s feet or other signs of aging without surgery. Treatments take under 30 minutes with no downtime, making them easy to fit into a busy schedule. Dr. Vitenas adjusts injection techniques and placement for men to maintain a natural, masculine appearance.

Initial swelling peaks within the first few days and gradually subsides over the following weeks. Most patients see significant improvement within two to four weeks, though subtle swelling can persist for several months, depending on the procedure. Facial procedures like rhinoplasty may take up to a year for all swelling to fully resolve. Following your post-op instructions, including wearing compression garments and avoiding strenuous activity, helps minimize swelling.

Some discomfort is normal, but most patients describe it as manageable. Dr. Vitenas uses long-acting local anesthesia injections during surgery to reduce immediate post-operative pain, and you’ll receive prescription pain medication to use as needed during the first several days. Many patients transition to over-the-counter pain relievers within a week.

Yes, for most surgical procedures. Compression garments support your healing tissues, reduce swelling and help your body conform to its new contours. Depending on your procedure, you may need to wear them for several weeks. Dr. Vitenas includes compression garments in your surgical fee, and his team will show you how to wear them properly before you leave the office.

There’s no single “best” neurotoxin. Botox, Dysport and Xeomin all contain botulinum toxin type A and work similarly. Some patients find one brand lasts longer or kicks in faster for them, but results are generally comparable. Dr. Vitenas offers Xeomin at $14 per unit, with Botox priced slightly higher. Our team can help you decide which option makes the most sense based on your goals and budget.

Lip filler adds volume using injectable hyaluronic acid, with results lasting 12 to 36 months. A surgical lip lift permanently shortens the space between your nose and upper lip (the philtrum), creating more visible pink lip tissue and a subtle upturn. Filler is ideal if you want temporary enhancement or aren’t ready for surgery. A lip lift is better suited for patients seeking permanent improvement, particularly if the upper lip has lengthened with age.

Yes. A nonsurgical rhinoplasty uses hyaluronic acid fillers to smooth bumps, improve symmetry or refine the nasal tip without surgery. The procedure takes under 30 minutes with no downtime, and results last a year or longer. It’s a good option if you’re looking for subtle changes or want to “test drive” a new look before committing to surgery. Fillers can’t reduce the size of your nose, so surgical rhinoplasty remains the better choice for more significant changes.

AAAASF stands for the American Association for Accreditation of Ambulatory Surgery Facilities. It’s one of the most respected accrediting bodies for outpatient surgical centers. Facilities with this accreditation have passed detailed inspections, demonstrated low complication rates (below 0.5%), and met strict standards for equipment, staffing and emergency preparedness. Dr. Vitenas’ Houston Surgery Center holds AAAASF accreditation.

You can verify board certification through the American Board of Plastic Surgery website at abplasticsurgery.org. Simply enter the surgeon’s name to confirm their certification status. You can also check the American Society of Plastic Surgeons (ASPS) directory, which only lists ABPS-certified surgeons. Dr. Vitenas is double board-certified, by the American Board of Plastic Surgery and the American Board of Surgery, and is also a Fellow of the American College of Surgeons (FACS).

Plastic surgeon is a protected title requiring board certification from the American Board of Plastic Surgery, which mandates specific training in reconstructive and cosmetic procedures. “Cosmetic surgeon” is not a regulated term, and physicians from various specialties (dermatology, general surgery, even emergency medicine) can legally use it. Always verify your surgeon’s credentials and training background before scheduling a procedure.

Ask about your surgeon’s experience with your specific procedure, including how many they’ve performed and their complication rate. Ask to see before-and-after photos of patients with similar anatomy to yours. Clarify what’s included in pricing, what the recovery timeline looks like and what results you can realistically expect. Don’t hesitate to ask anything that’s on your mind. A good surgeon welcomes questions.

Yes. Photos help Dr. Vitenas understand your aesthetic goals. Bring images of results you find appealing, as well as any you want to avoid. For procedures like rhinoplasty or breast augmentation, visual references make it easier to communicate the look you’re hoping to achieve. Just keep in mind that your results will be tailored to your unique anatomy, so outcomes won’t be identical to someone else’s.

Yes. Dr. Vitenas performs a physical evaluation during your consultation to assess your anatomy, skin quality and overall health. This exam helps him determine which procedures or techniques will best address your concerns. The exam is private and professional, and you’re welcome to bring a friend or family member for support.

Vitenas Cosmetic Surgery offers financing through CareCredit, ALPHAEON Credit and Cherry. These programs offer flexible payment plans and promotional 0% APR periods. Applications can be completed online in minutes, and our staff can help you determine the right financing amount after your consultation. We also accept cash, and all major credit cards..

Yes. A deposit is required to secure your surgery date. For out-of-town patients, the deposit is typically 20% of the total cost. The remaining balance is due three weeks before your procedure. Your patient coordinator will walk you through the payment timeline and answer any questions during the scheduling process.

Returning patients receive a 10% discount on surgeon’s fees. Active duty military, National Guard and U.S. Army Reserve members qualify for a military discount through the Vitenas Patriot Program. Occasionally, promotional pricing may be available for specific procedures. Ask your patient coordinator about current offers during your consultation.