Single incision minimally invasive neck lift

Dr. Ng also specializes in the “single incision minimally invasive neck lift”. This procedure carries minimal downtime. This procedure is perfect for patients who have some excess skin or fat of the neck, or who wish for reduction in the “double chin” or “turkey neck”, and for patients who are not ready for a facelift nor a full necklift.

A small incision is made in a crease at the front of the neck, hidden under the chin. Liposuction is performed to remove excess fat, and the neck muscles are tightened for more definition, while the skin is re-draped in a more pleasing contour. Patients go home the same day, and a small drain is removed in clinic the next day. Social downtime is approximately 1 day.

Is a necklift right for you?

For your personalized necklift consultation, call Dr. Ng’s office for an appointment at 714-988-6330.

Basal joint hand arthritis

CMCJ arthritis, also known as carpometacarpal joint arthritis or basal joint hand arthritis, is the most common presenting location of osteoarthritis in the hand. Over time with use of our hands, cartilage at joints may wear down, leading to bone rubbing on bone. This can be painful, and is known as osteoarthritis. Sometimes this can appear on hand x rays as osteophytes, or bony protrusions in the joint, or as joint space narrowing or subluxation.

With osteoarthritis, hand pain can be aggravated by daily activities.

There are different treatments for this type of hand arthritis. Often, an early treatment includes ice, rest, splinting, elevation, or hand therapy to strengthen surrounding muscles and to help you find other ways to use your hand in order to minimize pain while maximizing function. Next, another treatment is a steroid injection. This is an in-office clinic procedure wherein Dr. Ng places a mixture of local anesthetic (lidocaine) and triamcinolone (steroid, to decrease inflammation) into the joint.

However, sometimes conservative measures do not help enough. If this is the case, Dr. Ng will talk to you about surgical options, which can include joint arthroplasty, or removal/replacement/resuspension of the joint. A consultation with a board certified hand surgeon such as Dr. Ng can be the first step to improvement in your symptoms of CMCJ arthritis.

What are tissue expanders?

Tissue expanders are temporary plastic balloons that are surgically placed under the skin, in order to stretch the skin slowly over time for more soft tissue coverage.

In Dr. Wendy Ng’s practice, tissue expanders are most commonly used in breast reconstruction after mastectomy, which is the removal of breast tissue for cancer. At the time that the oncologic surgeon removes the breast tissue, Dr. Ng places a carefully measured partially filled or deflated expander to take its place where breast tissue once was. The benefits of a tissue expander include that it allows the remaining mastectomy skin to relax, so that it is not stressed under the pressure of an implant. It also allows for a planned, second stage reconstructive surgical procedure at a later date, when the remaining skin and tissue is optimized, for placement of a permanent breast implant for breast reconstruction. It is not uncommon for this to be combined or staged with other surgeries, such fat grafting (taking fat from another part of the body and transplanting it to the breast), or adjustments in implant location for the best aesthetic results possible.

How do I choose a plastic surgeon?

When it comes to choosing a plastic surgeon, it is most important to choose a surgeon you are comfortable with. This may include looking at factors such as the accessibility of your surgeon– for example, are there midlevel practitioners who will be doing your consultation and follow up, or will you be able to meet with the surgeon herself? How difficult will it be for you to contact your surgeon if you need to?

Other factors to look at include the credentials of your surgeon. In North America, board certified plastic surgeons undergo rigorous years of residency training that include dedicated plastic and reconstructive surgery rotations. This ensures that your surgeon is well rounded, experienced and skilled to deal with any issues that may arise during your surgery or healing process. While some doctors may claim that they are “cosmetic surgeons”, keep in mind that there is an accredited “cosmetic surgery” residency in existence, so this may not mean much from a practical point of view. Board certification in plastic surgery includes passing a written and oral exam in front of your peers– other board certified plastic surgeons who have undergone rigorous training at a high standard.

Regardless, we cannot emphasize enough how important it is to choose a surgeon you trust. This may mean getting an opinion from more than one plastic surgeon in order to get the care you are most comfortable with and confident in– but that’s what we want for you. The best possible outcome in the most caring and skilled hands, no matter which surgeon you choose.

Breast reduction

Breast reduction is one of our favorite procedures for our patients! If you are symptomatic from heavy breasts, including irritation of the skin under your breasts (also known as intertrigo), bra strap grooving from the weight of your breasts on your shoulders, neck and back pain, breast reduction can be the right surgery for you. This is often covered by insurance based on particular characteristics of your weight and height, which Dr. Ng will ask you about at the time of your consultation. It is best to be at your ideal weight before surgery on your breasts. Because your breasts are your own natural tissue, weight changes both before and after breast reduction can affect the appearance of your breasts. Of course, Dr. Ng understands that sometimes, with very large breasts, it can even be hard to exercise!

A breast reduction is generally performed as an outpatient procedure at a hospital or surgery center. Inherently, it includes a breast lift, which is a bonus! The nipple-areolar complex is lifted, and the breast tissue is brought together to enhance the shape and projection of the breasts, while reducing breast size to improve symptoms. Dr. Ng is very experienced in breast reduction, and her patients are uniformly pleased with the dramatic improvement in symptoms of back pain and neck pain, as well as the improved appearance of their breasts!

A breast reduction can help you on your journey towards optimal health. Call 714-988-6330 to book your consultation with Dr. Ng.

The importance of hand therapy

What is hand therapy? Hand therapy is physical/occupational therapy… for your hands. A hand therapist is an occupational therapist or physical therapist who, through advanced study and experience, specializes in treating patients with conditions affecting the hand and upper extremity. Seeing a hand therapist can be the difference between success or failure in rehabilitation relating to recovery after a hand injury or hand surgery.

Many patients may mistakenly believe that surgery is the complete “cure” to their hand conditions. This is not true– hand therapists provide preventative care, post-operational rehabilitation, and non-operative therapy, all with the goal of optimizing hand function and improving symptoms.

For almost all patients who present with hand conditions, I talk to them about treatment options that include hand therapy. Whenever possible, I refer patients to hand therapists who I am familiar with, who provide compassionate care and skill to patients in need. As a surgeon, I maintain close communication with hand therapists to ensure coordinated care for our shared patients. Be assured that hand therapists are an integral part of your health care team.

Oncoplastic breast surgery

What is oncoplastic breast surgery, or oncoplastic breast reduction or oncoplastic breast lift? When a patient is diagnosed with early stage breast cancer, the area of affected breast is typically removed via a lumpectomy (this word literally means “excision of lump”). A lumpectomy is generally performed by a surgical oncologist (a surgeon who specializes in cancer surgery). With traditional lumpectomy surgery, patients can be left with a notable breast deformity, such as a divet or depression, or abnormal positioning of the nipple-areolar complex after removal of the lump of breast tissue.

However, with oncoplastic breast reduction, Dr. Ng works closely with your cancer surgeon to design incisions that are identical to (or that mimic) those same incisions that are used in aesthetic breast lift or breast reduction surgeries. In this way, patients are left with an aesthetically pleasing breast shape after surgery with no tell-tale cancer surgery scars, also while having their cancer surgically dealt with. Another bonus? Patients generally end up with perkier breasts!

Sometimes, there still is a silver lining to being handed a breast cancer diagnosis.

To book your consultation, call is at 714-988-6330.

What is top surgery or FTM top surgery?

Top surgery is reduction and masculinization of the breasts and chest for patients who wish for a more masculine chest, generally for patients undergoing a next step in the process of gender reassignment. Breast tissue is removed and the nipple position is often made appropriately smaller and placed in a more masculine anatomic position. Top surgery allows for a more comfortable chest with improved psychosocial benefits, including better clothing fit and feeling more comfortable with physical activity in social situations.

 

The chest can also be made more masculine with fat grafting to provide a more muscular and sculpted appearance. We follow WPATH guidelines for patients with gender concerns in Orange County. Our office is friendly and welcoming, and we are proud to support our patients in their surgical goals. We have just updated the reconstructive section of our web site to reflect the fact that we are experienced and pleased to offer this surgery for excellent candidates. This procedure can be covered by your insurance. We also offer safe, private consultations, either in person or by televideomedicine!

The CO2 laser…

We have access to a brand new CO2 laser at Rejuvenate Surgery Center, and we spent this morning testing its parameters, treating test patients, and ensuring that all safety and cleaning protocols are in place. 👩‍⚕️
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What can the CO2 laser can be used for?
🌸 Skin resurfacing, improving skin quality and texture
🌸 Evening out pigmentation and reducing sunspots
🌸 Smoothing out lines, including around the mouth and eyes
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How does this laser work?
💮 Fractionated CO2 laser works by focusing tiny beams of light in a grid pattern
💮 Fractionated CO2 targets water, vaporizing tissue where it is focused, which can remove brown/dark spots/age spots/sun damage
💮 The tiny wounds caused by the laser set off a wound healing process that results in collagen synthesis, smoothing and tightening the skin
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Careful patient selection is key; lasers are not for everyone! 👩‍⚕️ We are excited to be able to provide our patients with many options, and a customized treatment plan alongside aesthetic surgical procedures. 👍
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Also, how cool are these pink gloves?! 💕
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Sebaceous cysts

Sebaceous cysts are very common. They are benign, meaning non-cancerous, and they often occur on the head and neck area. They can be caused by trauma, or from irritation of a blocked gland, usually around the base of a hair follicle. When surgical removal is requested, it is very important that the entire sac of the cyst should be removed, to minimize risk of recurrence. Oftentimes, other than the cosmetic appearance of a cyst or a bump under the skin, these cysts are generally not symptomatic and not painful.

In this video, we demonstrate removal of a sebaceous cyst in its entirety from a patient’s neck; the fluid-like yellowish oily material inside the cyst can also be seen when the cyst is ruptured!

For more educational YouTube videos, please be sure to subscribe to Dr. Ng’s YouTube channel!

https://www.youtube.com/channel/UC_FVyjrRT9c2mW6ixG9Wzkg

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