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Author: Burt Faibisoff, M.D., FRCS (C)

Though cosmetic surgery affects the body’s appearance, it’s often done for self-confidence and psychological reasons. As the saying goes, when you look great, you feel great. Here at Four Peaks Plastic Surgery, I help patients prepare for cosmetic surgery in both the physical and emotional sense. As you consider and prepare for plastic surgery, use these guidelines to take care of your inner self.

Step One: Prepare Yourself Physically

In order to prepare for plastic surgery, you need to (1) quit smoking, (2) be within your desired weight range, and (3) have no life-threatening disease or condition that may interfere with the recovery process. Go ahead and address these physical issues first, and you will be free to focus on the necessary emotional preparations for cosmetic surgery.

Step Two: Evaluate Your Goals

Why do you want to have the operation? What are your goals? How realistic are they? I recommend patients take some time to themselves and write down these goals and expectations. Talk with a close friend or spouse about why you want to have the operation.

Step Three: Ask Your Surgeon for Advice

Nobody has dealt with patient’s anxieties and concerns more than your surgeon. Take advantage of his/her experience. You should feel free to ask for resources that can help you navigate the emotions that are involved as you prepare for cosmetic surgery.

Step Four: Make Arrangements for Immediate Post-Op Care

The 2-4 days following a major operation are tough. You can make it a lot easier for yourself by preparing meals in advance and/or coordinating a meal schedule via your friends and family. Go ahead and stock up on books, TV shows, medications, and other supplies you might need during this time.

You may want to keep the journal you used to outline your goals and expectations of plastic surgery. Reviewing these items can help you keep your eyes on the end-goal instead of on the immediate, short-term discomfort.

For more information about the patient experience at Four Peaks Plastic Surgery, schedule a free consultation. If you prefer to schedule your consultation over the phone, please call 480-257-2670.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Burt Faibisoff, M.D., FRCS (C)

Botox: The “wonderdrug.” The “fountain of youth.” Unfortunately, Botox has been marketed – and, even worse – administered under the sway of these false notions. Sure, Botox is a powerful protein that has helped many men and women appear to be younger and feel better about themselves. However, Botox may not be right for everyone. Before you convince yourself, “Botox is right for me,” consider a few of these questions.

#1 Are you up for a four to six month experience?

The effects of a series of Botox injections typically last four to six months. When injections achieve the exact look you were dreaming of, four to six months isn’t nearly long enough! If you’re dissatisfied with your post-Botox appearance, then half a year can seem like a long time to wait for things to return to normal. While we do our best to deliver the results you want, it’s important to be prepared for any outcome. If you have reservations about going “all in,” you may be able to receive fewer injections with less long-term risk.

#2 Do you understand the office’s Botox pricing structure?

There are two ways an office may charge for Botox injections. One way is charging by the area of the face or head. Do not consult with medical practices who claim to charge this way, as this approach to treatment is virtually never in the patient’s favor. Most all reputable providers charge by the unit. Multiple units are injected into an area of the face in a treatment session. Standard pricing can vary, usually ranging about $10 to $15 per unit, depending on where you live. Learn more.

#3 Have you been made aware of the side effects?

Relatively few patients experience side effects from Botox. However, for the few who do have side effects, they can be quite unpleasant. You and your provider should have an honest conversation about the potential side effects. This kind of conversation is a part of the standard responsible medical practices that we are committed to here at Four Peaks Plastic Surgery.

Schedule an Appointment or Learn More

For more Botox tips and information about the procedures available at Four Peaks Plastic Surgery in Mesa, AZ, view this page. To schedule an appointment, call 480-257-2670.

BOTOX Special: $7/unit, July 7 – August 31

Call 480-257-2670 today!

Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

*Results may vary.

Author: Burt Faibisoff, M.D., FRCS (C)

With summer in full swing, many people are thinking about what they can do to look their best. For those who want to look younger and feel better about their appearance, Botox is a natural go-to. However, adequate preparation and physician selection is paramount in order to achieve the great results you want for yourself. Below are three of my favorite tips on preparing for Botox. If you have additional questions, feel free to call Four Peaks Plastic Surgery at 480-257-2670 for more information.

3 Botox Tips

#1 Choose the right physician. Technique is everything in Botox injections. Choose a physician who is board-certified in plastic surgery. In order for the injection administrator to have good technique, it’s a pre-requisite that he or she have an in-depth knowledge of facial anatomy. This helps ensure that the right muscles are injected with the right amount of Botox in order to achieve the desired effect.

#2 Stay away from “professionals” who pressure. It is sad, but true, that some medical professionals may try to pressure you into having more Botox than you want for yourself. Only work with a physician who is willing to listen to your desires and create an injection treatment plan that meets those goals.

#3 Talk to your physician about precautions. At Four Peaks Plastic Surgery, we go above and beyond to adequately prepare our patients for Botox. But we know not all offices operate the same way. Here are a few ground rules for discussion with your injection administrator: (1) Let them know if you have had Botox injections in the past four months. (2) If you take blood-thinners, ask if you should (and can safely) stop taking them in the days leading up to your procedure. (3) If you take allergy medications, sleeping aids, or muscle-relaxers, let the medical professional know.

Botox Procedures at Four Peaks Plastic Surgery

We offer the following Botox procedures in Mesa, AZ.

  • Crow’s feet
  • Forehead worry lines
  • Migraine
  • Drooping eyelids
  • Frown lines
  • Puckered chin
  • Neck bands
  • 11′s between eyebrows

To learn more about these procedures, view our Botox page. Ready to have an in-office procedure? Schedule your appointment by calling 480-257-2670.

Contact Us

Call 480-257-2670 today!

Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Burt Faibisoff, M.D., FRCS (C)

For many women, breast lift surgery is something you don’t want do more than once. That being the case, you want to make sure your breast lift results last. While the results don’t have a determined lifespan, there are a few things you can do to make sure your breast lift results last as long as possible.

#1 Take care of your skin.

Your skin’s elasticity is partially due to genetics. However, you do have some control. Avoid prolonged sun exposure. Ask your physician about taking natural supplements to improve elasticity. Vitamin C, for example, is essential in forming collagen and cartilage. Also, some research indicates that Vitamin E may help improve elasticity.

#2 Always wear a bra.

Going bra-less (or wearing a bra that doesn’t fit well) will allow the breasts to sag again over time. It’s especially important to wear a bra while exercising or jogging if you want to maximize your breast lift results.

#3 Ask your surgeon about technique.

There are multiple ways to go about breast lift surgery. If your surgeon only moves the skin, then the risk of future sagging is greater. However, if your surgeon performs the breast lift surgery by reconstructing some tissue as well, then it’s more likely your breast lift results will last longer.

#4 Avoid pregnancy and weight fluctuations.

Pregnancy and other weight changes negatively affect breast lift results. Avoid having this procedure until your weight has stabilized.

So, is there an answer?

I’ve known patients who have been very satisfied with their breast lift results for many, many years. Other patients may need revision breast lift surgery several years later. This largely has to do with:

  1. Quality of surgery / surgical technique.
  2. Patient goals and expectations.
  3. Diet and exercise habits.
  4. Genetic predisposition.

No matter who you see for breast lift surgery, be sure to ask the surgeon what he or she has observed with regards to the procedure’s “lifespan.” Good results with past patients does not guarantee your success. At the same time, there is no reason why you cannot achieve better results than your surgeon’s past patients (if you follow the tips above).

Have more questions about breast lift surgery? Schedule a free consultation, or call Four Peaks Plastic Surgery at 480-257-2670.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Burt Faibisoff, M.D., FRCS (C)

If you’ve experienced weight loss through bariatric surgery, then you may have turned your attention to body contouring surgery (also referred to as a body lift). Preparing for body contouring can be challenging. Having guided many patients through this process, here’s what I’ve seen the most successful patients do to prepare.

#1 Stabilize your weight. Most likely, you already know that you have to drop down into your ideal weight range before you have body contouring surgery. But there’s more to the weight issue. Once you have the procedure done, you should not continue to lose significant weight, as this will only result in more sagging.

#2 Keep all your physicians in communication. It’s very important to me that I know your bariatric surgeon (if you’re pursuing body contouring after weight loss surgery). The most successful patients have received approval from their bariatric surgeon before seeking out a body contouring surgeon.

#3 Stay healthy. The recovery process after body contouring surgery is challenging. Successful patients develop good diet and lifestyle habits in advance. In addition to diet and exercise changes, smokers should quit smoking as soon as possible.

#4 Prepare for body contouring when stress levels are low. This is not the kind of surgery you want to go into when you’re under physical or emotional stress. Your body will need its energy and strength during the recovery process. If you have recently experienced significant life changes, you may wish to wait until things have returned to normal.

#5 Ask questions from past patients! The internet is full of forums and blogs where body contouring patients discuss their experiences. Take advantage of these resources. Successful patients have usually done a lot of personal research on body contouring after weight loss.

#6 Build a support network. Recovery (from any major surgery) is always easier for patients who have friends and family to love and care for them. Getting emotional support is just as important as having someone to warm your meals and take out the trash in the first few days at home.

#7 Focus on end results. Lastly, great patients (and their supporters) have a positive outlook, even when the going gets tough. Remember why you chose to have this procedure in the first place – not for the immediate discomfort, but for the long-term benefit of looking and feeling great!

Have additional questions about how to prepare for body contouring? Schedule a free consultation, or call Four Peaks Plastic Surgery at 480-257-2670.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Burt Faibisoff, M.D., FRCS (C)

When is the best time to get a tummy tuck? Is abdominoplasty safe while you’re still growing your family? Should you wait until your childbearing years are over? When it comes to tummy tucks and other cosmetic procedures, the answer is different for everyone. However, there are a few questions you may want to consider before deciding to get a tummy tuck.

Are you finished having children?

Many women want to know if they can still get pregnant after having a tummy tuck. Generally, I recommend that women wait to get a tummy tuck until after they are finished having children. It goes without saying, pregnancy stretches the muscles and skin of the abdominal wall. In some cases, this stretching could reverse some of the work done in the abdominoplasty.

If you do get pregnant after you have a tummy tuck, there’s no need to worry. Having children after an abdominoplasty is still safe. You may find that you carry the baby a little higher in the abdomen (though some women experience little to no difference between pre- and post-abdominoplasty pregnancies).

What are your expectations and goals?

Secondly, what do you want to get out of your tummy tuck? Renewed confidence? A better self-image? Your reasons should be your reasons, not someone else’s. If you aren’t entirely sure what your goals are, it might be wise to wait to get your tummy tuck. (Tip: try writing down your thoughts about getting a tummy tuck. Go back and review them several weeks or months later, and see if anything has changed.)

Are you close to the weight you want to be?

Abdominoplasty is a safe way to get rid of excess pounds that diet and exercise won’t help you with. The best abdominoplasty candidate is already near his or her desired weight. The best time to get a tummy tuck is when you have already achieved most of your weight loss goal.

Do you smoke?

Smokers will need to quit the habit for at least 6-8 weeks prior to getting a tummy tuck. Chemicals in cigarettes severely inhibit healthy blood flow, which as a result can slow the healing process.

Have more questions about abdominoplasty? Would you like to talk to a surgeon to see if a tummy tuck is right for you? Schedule a free consultation, or call Four Peaks Plastic Surgery at 480-257-2670.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Burt Faibisoff, M.D., FRCS (C)

In 2014, Americans had 15.6 million cosmetic surgical procedures. Blepharoplasty (eyelid surgery) was one of the most popular procedures; an estimated 206,000 were completed. As more people become aware of this procedure, I receive an increasing number of questions about eyelid surgery. Here are a few of the top eyelid surgery FAQs I hear.

What is blepharoplasty?

Blepharoplasty, or “eyelid surgery,” improves the appearance of the eyes – typically by removing puffiness, tightening skin, and smoothing wrinkles.

Is eyelid surgery a cosmetic procedure or medically necessary?

It can be both. Many patients are interested in eyelid surgery because it makes them look and feel younger. Some patients, whose eyelids impair vision, may find eyelid surgery to directly improve their health and quality of life. Both needs are valid reasons to research and ask questions about eyelid surgery!

What’s the difference between upper and lower blepharoplasty?

As you might expect, upper blepharoplasty refers to the upper eyelids. This surgery removes baggy, loose skin that drapes over the upper lid. Lower blepharoplasty refers to the lower lid, which can become puffy and swollen. This surgery removes excess fat and a small margin of skin so that skin appearance is young, smooth, and healthy.

Where are the incisions made for eyelid surgery?

Understandably, many people are concerned about having incisions made near the eye. However, under the hand of a skilled surgeon, blepharoplasty is a very safe procedure. The incisions for upper blepharoplasty are typically made in the crease of the upper eyelid. The incisions for lower blepharoplasty are typically made either inside the eye or under the eyelashes, neither of which is visible.

Is the actual eyelid surgery procedure painful?

No. Most patients report a slight burning sensation for about an hour following surgery and then no pain.

How long does it take to recover from blepharoplasty?

Sutures are removed about five days after blepharoplasty (removal is painless). Bruising quickly diminishes once the sutures are removed, and the majority of the swelling subsides in the following two weeks. There may be slight swelling for the next two months, though it is hardly noticeable.

Have more questions about eyelid surgery? For more information about Four Peaks Plastic Surgery, or to schedule a free consultation, please call 480-257-2670.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Burt Faibisoff, M.D., FRCS (C)

If you’ve done your research on breast augmentation surgery, then you know one of, if not the, biggest debates is silicone v. saline. Which looks better? Which lasts longer? Which is the safest?

Both silicone and saline breast implants have pros and cons. Patients should take advantage of physician input to decide which is best for them. Here are a few facts to consider in the silicone v. saline debate.

Silicone Implants

Silicone implants are made of a special gel, which closely resembles human fat in appearance. Most women tend to think that silicone implants have a close resemblance to natural breasts.


  • Natural shape and feel
  • Tend to last longer than saline implants
  • Less rippling (compared to saline implants)


  • Unavailable to women under age 22
  • Risk of leaking
  • Patient may have to undergo routine screening MRIs to look for leakage

Saline Implants

Saline implants are empty shells. They are filled with sterile saline to create a fuller bust.


  • Can be cheaper than silicone implants
  • Regular MRI breast examinations not necessary
  • Smaller surgical incision (compared to silicone implants)


  • Risk of leaking
  • Must be placed under the muscles

What About “Gummy Bear” Implants?

In addition to saline and silicone implants, you may have heard about “Gummy Bear” implants. This term refers to a type of silicone gel that is more cohesive than the gel in traditional silicone implants. The implants get their colloquial name from gummy bear candies, which feel as if they are filled with liquid even though they are not.

Because of their unique makeup, “Gummy Bear” implants are believed to not leak when ruptured (as is common with regular silicone implants). For now, most women seeking breast augmentation surgery will not have the option of considering this type of implant, as most “Gummy Bear” implants do not have FDA approval. However, it’s possible that Gummy Bear implants could become available in the next few years.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Is Liposuction Right for Me?

Author: Burt Faibisoff, M.D., FRCS (C)

Liposuction (or lipoplasty) is the surgical removal of excess fat from the body. However, liposuction is not an “easy” way to lose weight. A necessary requirement for lipoplasty is that the fat in the area requiring treatment does not respond to diet or exercise.

Wondering if liposuction is right for you? Typically, patients must meet the following four requirements in order to be considered candidates for liposuction. Please keep in mind that the following text is not a substitute for a professional medical evaluation. Instead, treat this post as a good starting point for your journey.

Is Lipoplasty Right for You? 4 Requirements

#1 You are within 30% of your ideal weight. One purpose of lipoplasty is to help you get rid of the extra weight that diet and exercise can’t help with. Liposuction is not a weight loss treatment. That being the case, candidates must at least be within 30% of their ideal weight. For example, a 165 pound woman whose ideal weight is 130 could be considered eligible. Patients must also have firm skin and muscle tone.

#2 You do not have a life-threatening illness or medical condition. Certain chronic health conditions such as heart disease or diabetes may preclude you from being a lipoplasty candidate. Patients with compromised immune systems may also be advised not to undergo liposuction.

#3 You have a positive outlook and healthy expectations. Any kind of plastic surgery – whether cosmetic or reconstructive – may create psychological and emotional problems in unstable patients. Your physician may wish to discuss your goals and expectations of liposuction with you.

#4 You are a non-smoker. Lastly, ideal candidates are non-smokers. Smoking can inhibit proper blood flow as well as increase the chances of infection. Most surgeons will require you to quit tobacco usage at least 6-8 weeks prior to lipoplasty.

Want to learn more about whether or not liposuction is right for you? Schedule a free consultation online, or call 480-257-2670.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

6 Carpal Tunnel Myths

Author: Burt Faibisoff, M.D., FRCS (C)

Struggling with wrist pain? Your first instinct might be that it’s carpal tunnel. But be warned – carpal tunnel myths abound. Before talking to your physician about carpal tunnel release surgery, take a moment to read up on six of the most common carpal tunnel myths. You might be surprised!

#1 Carpal tunnel syndrome is the result of computer usage.

Not necessarily true. Dr. Barry Simmons writes, “Probably 90 percent of carpal tunnel syndrome is idiopathic – nobody knows why it occurs.” While it’s possible to develop carpal tunnel syndrome from heavy computer usage, many light computer users also develop this condition.

#2 Carpal tunnel and arthritis are unrelated.

Again, false. While arthritis has not been proven to cause CTS, carpal tunnel pain can be worsened by osteoarthritis and rheumatoid arthritis.

#3 Being physically active will prevent CTS.

Regular exercise will help improve virtually every health condition. However, be careful considering what types of physical activity you’ll participate in. Sports that place pressure directly on the wrist (e.g. cycling and gymnastics) can actually increase your risk for developing carpal tunnel syndrome.

#4 “I’ll know if I have CTS, because I’ll feel it in my wrist.”

This is one of the biggest carpal tunnel myths. CTS affects the median nerve, which runs from the hand all the way up to the shoulder. Some people may experience the worst CTS pain in their neck or shoulder – not the wrist.

#5 Carpal tunnel only flares up while using the wrist.

False. Many people with CTS first notice symptoms at night while the hands are at rest.

#6 “Once I get carpal tunnel syndrome, my wrist will never be the same.”

Fortunately, this is another carpal tunnel myth. If diagnosed and treated early enough, your wrist can be normal again through carpal tunnel release surgery. If you’re concerned you may have CTS, call Four Peaks Plastic Surgery today at 480-257-2670.

Want to separate some more carpal tunnel myths from facts? Schedule a free consultation with Four Peaks Plastic Surgery.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.



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