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Aspirus Plastic Surgery is premier provider of cosmetic and reconstructive surgery in Wausau and Central Wisconsin. We offer a wide range of services to help you look your best, including cosmetic surgical procedures such as breast enhancement, tummy tucks, liposuction, facial and neck rejuvenation, arm and leg sculpting, eyelid surgery, facelifts, and ear surgery. Laser skin resurfacing and Botox injections are also available. Some procedures are performed at Aspirus Wausau Hospital.
Our doctors and staff are dedicated to providing the best in personalized care. At Aspirus Plastic Surgery, our focus is always on you, and we will provide you with a comfortable, informative environment from your first consultation to your last follow up visit.
Stephen P. Fox, MD, FACS, is a board certified plastic and
reconstructive surgeon who has been practicing in Wausau for over 20
years. The Wisconsin native is a Fellow of the American College of
Surgeons and his interests include reconstructive surgery, facial
rejuvenation, breast surgery and body contouring.
James H. Kong, MD, joined Aspirus in 2016 and specializes in reconstructive procedures
to help individuals improve quality of life following cancer, injury or
Anna Wicklund, RN, MSN, APNP, joined Aspirus Plastic Surgery in 2018. She has special interests in Plastic Surgery, Aesthetics, Health & Wellness, and Patient Education.
Click on the names below for a detailed profile.
Click below for more information on each procedure. When you make an appointment, you can also ask to see before and after photos of some procedures you are considering. Aspirus Plastic Surgery providers perform some procedures at Aspirus Wausau Hospital.
Breast Augmentation uses an implant to give the breast added volume and improved shape. Whether the reason is to regain your previous fullness or to just enhance your existing breast volume, breast augmentation can be tailored to meet your desired outcome.
Reasons to Consider Breast Augmentation
Breast Augmentation FAQ
Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other disease. Reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance, and size following masectomy. It can begin at the same time as masectomy or may be delayed until a patient has healed from masectomy and recovered from any additional cancer treatments that might be necessary. It is important that a woman feels ready for the emotional adjustment involved; like losing a breast, it takes some time for a woman to accept the results of breast reconstruction.
Breast reconstruction is considered a highly individualized procedure. Techniques offer varying advantages and choosing the appropriate course of treatment requires careful consideration of patient anatomy, patient and surgeon preference, and desired realistic outcomes.
Breast reconstruction is achieved through several reconstructive plastic surgery techniques that attempt to restore a breast to near normal shape, appearance, and size following masectomy and may include:
Flap techniques may result in a more natural feeling breast and are necessary when little tissue or muscle remains following mastectomy. Incision lines appear at both the donor and reconstruction sites and a lengthy recovery follows. There is also a remote chance of partial or full loss of the flap due to poor healing. Sometimes a masectomy initially leaves insufficient tissue on the chest wall to cover and support a breast implant. The use of a breast implant for reconstruction almost always requires either a flap technique or tissue expansion. Reconstruction with tissue expansion allows for an easier recovery flap procedure, but it is a more lengthy reconstruction process. Many office visits over 4-6 months after placement of the expander are necessary to slowly fill the device through an internal valve to expand the skin and create adequate healthy tissue.
Breast reconstruction is completed through techniques that reconstruct the nipple and areola (the darker skin surrounding the nipple). Breast reconstruction may be performed at one time or over an extended period, depending on the techniques used, your breast cancer treatment, and the pace at which you wish to achieve your results. Complete reconstruction generally occurs in multiple procedures occurring over several months time.
Reconstruction with Implants
Tissue expansion is a method of breast reconstruction that involves the use of a tissue expander and a breast implant. A tissue expander is a balloon-like device made from elastic silicone rubber. During a masectomy, the surgeon removes skin and breast tissue, leaving the chest tissues flat and tight. To create a breast-shaped space for the breast implant, a tissue expander is placed under the remaining chest tissues. The tissue expander is inserted unfilled, and over time sterile saline fluid is added by inserting a small needle through the skin and into the tissue expander's filling port. As the tissue expander filles, the tissues over the expander begin to stretch, similar to the gradual expansion of a woman's abdomen during pregnancy. The tissue expander creates a new breast-shaped pocket for a breast implant.
After the tissue expander is removed, the breast implant is placed in the pocket. In reconstruction following a masectomy, a breast implant is often placed sub-muscularly. The surgery to replace the tissue expander with a breast implant is usually done under general anesthesia in an operating room. It may require a brief hospital stay or be done on an outpatient basis.
A note about symmetry:
If only one breast is affected, it alone may be reconstructed. In addition, a breast lift or breast augmentation may be recommeneded for the opposite breast to improve symmetry of the size and position of both breasts.
Good candidates for breast reconstruction are women who are:
Information courtesy of PlasticSurgery.org.
Poor skin elasticity, gravity and other factors such as weight loss, pregnancy and breast feeding can lead to a loss of breast firmness and shape. A breast lift corrects these changes, giving the breast a more youthful appearance and texture. This procedure can be performed alone or in combination with an augmentation to improve shape and volume.
Reasons to Consider Mastopexy
Breast Reduction is designed to relieve the physical discomfort associated with large breasts while improving overall breast appearance. Elevating the breast and reducing nipple size is an integral portion of this procedure. This procedure is frequently covered by insurance if certain criteria are met.
Reasons to Consider Breast Reduction
Breast Reduction FAQ
Pregnancy, weight loss, and the effects of time can all lead to loss of skin elasticity and abdominal muscle weakness. This leaves the body with a lower abdominal bulge and sagging skin that no amount of exercise can correct. A tummy tuck addresses these issues by removing excess abdominal skin and fat as well as tightening the muscles. A tummy tuck is frequently combined with other procedures, such as liposuction or breast procedures.
Reasons to Consider Abdominoplasty
1. How will my surgeon evaluate me for abdominoplasty?
Your surgeon may examine your abdomen while you are standing as well as lying down. Your skin tone and the amount of loose skin in the abdominal region will be assessed. Your surgeon also will evaluate the amount of excess fat in your abdomen and the condition of your abdominal muscles.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, pregnancies, previous surgeries and medications that you currently take. It is important for you to provide complete information.
2. What will the day of surgery be like?
Medications are administered for your comfort during the surgical procedure. A general anesthetic is administered, so that you will be asleep throughout the procedure. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. In most instances, small drain tubes will have been placed within the abdominal tissues to help avoid accumulation of fluids. Gauze or other dressings may be applied to your abdomen and covered with tape or an elastic bandage.
You can expect to stay overnight and possibly up to two days in an overnight facility or in the hospital.
3. When can I resume my normal activities?
It is important to realize that the amount of time it takes for recovery varies greatly among individuals. Depending on the extent of your abdominoplasty and your general physical condition, you may be able to return to non-strenuous work anywhere from two to four weeks after surgery. In many instances, you can resume most of your normal activities, including some form of mild exercise, after a few weeks. You may continue to experience some mild, periodic discomfort and swelling during this time, but such feelings are normal. Severe pain should be reported to your doctor.
Any sexual activity should be avoided for a minimum of two to three weeks, and your plastic surgeon may advise you to wait longer.
4. How long will the results last?
Unless you gain or lose a significant amount of weight or become pregnant, your abdomen should remain firmer and flatter for many years. However, gravity and the effects of aging will eventually take their toll. If, after a period of years, you again become dissatisfied with the appearance of your abdomen, you may choose to undergo a second procedure to restore a more youthful body contour.
Liposuction removes deposits of excess fat, creating a more pleasing contour. It can be used to slim hips and thighs, flatten tummies, remove love handles and improve double chins, and can be used in many other areas. Liposuction can be performed under a local anesthetic with IV sedation or under a general anesthetic and is frequently combined with other procedures.
Reasons to Consider Liposuction:
1. What areas can be treated with Liposuction?
Common treatment areas include:
2. How will my surgeon evaluate me for liposuction?
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, such as diabetes, high blood pressure or heart disease. Your surgeon will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information.
How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for liposuction. Your surgeon may ask you about the effects of prior weight loss on the appearance of those areas which you have indicated for contouring. He will assess the elasticity of your skin and estimate the amount of fat to be removed for optimal results.
3. What will the day of surgery be like?
Medications are administered for your comfort during the surgical procedure. You and your surgeon will have decided in advance whether intravenous sedation or general anesthesia will be used. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication that you may continue taking at home. A compressive dressing such as an elasticized bandage, sponge or specially designed garment may have been placed over the areas that were suctioned. Your surgeon will tell you how long you should wear the garment and will instruct you on how to remove it so that you may shower or bathe.
You most likely will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.
4. When can I resume my normal activities?
You may be able to return to work in just a few days. In many instances, you can resume most of your normal activities within one or two weeks and begin some form of exercise soon after. The timing of your recovery depends largely on the extent of your surgery.
5. How long will the results last?
The results of liposuction will be permanent, as long as you maintain your post-operative weight. Even if you gain a few extra pounds, you may find that the weight is distributed more evenly instead of accumulating in the areas that were problematic for you in the past.
Occasionally, a touchup may be desired to further improve an area that has been suctioned. The additional treatment will require a return to the operating room.
A brachioplasty smoothes the arms by tightening the skin and removing excess tissue. Brachioplasty is sometimes performed in conjunction with liposuction; typically, liposuction will be performed first, with brachioplasty following after a sufficient healing period.
Reasons to Consider Brachioplasty
1. How will my surgeon evaluate me for brachioplasty?
You should come to your initial consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, such as diabetes, high blood pressure or heart disease. Your surgeon will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information.
How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for a thigh lift. Your surgeon may ask you about the effects of prior weight loss on the appearance of your arms. He will assess the elasticity of your skin and determine the amount of tissue to be removed.
2. What will the surgery be like?
Medications are administered for your comfort during the surgical procedure. You and your surgeon will have decided in advance whether intravenous sedation or general anesthesia will be used. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication that you may continue taking at home.
You most likely will be permitted to go home after a few hours, although some patients may stay overnight in the surgical facility.
Arm lifts are sometimes combined with other procedures, and this can affect the amount of time the surgery takes. The incision used during an arm lift will leave some visible scarring along the inner arm. Aspirus Plastic Surgery uses the most up-to-date techniques to ensure the absolute minimum amount of scarring.
3. When can I resume normal activities?
You should be able to return to work around two weeks after surgery, but it will likely be necessary to restrict the movement of your arms for a longer period. It is important to follow the instructions of your surgeon in order to ensure a quick recovery. A compression garment will generally be worn for up to six weeks after the procedure.
4. How long will the results last?
The results of an arm lift should be permanent, as long as you maintain your post-operative weight.
Thigh lift reduces sagging of the skin on the outer and inner thigh. Tightening the skin smoothes the contour of the upper leg. A thigh lift can be performed alone or in concert with other procedures, such as a tummy tuck.
Reasons to Consider a Thigh Lift
1. How will my surgeon evaluate me for a thigh lift?
You should come to your initial consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, such as diabetes, high blood pressure or heart disease. Your surgeon will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information.
How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for a thigh lift. Your surgeon may ask you about the effects of prior weight loss on the appearance of your thighs. He will assess the elasticity of your skin and determine the amount of tissue to be removed.
2. What will the day of surgery be like?
Medications are administered for your comfort during the surgical procedure. You and your surgeon will have decided in advance whether intravenous sedation or general anesthesia will be used. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
Thigh lifts are sometimes combined with other procedures, and this can affect the amount of time the surgery takes.
3. When can I resume my normal activities?
Recovery generally takes around two to three weeks, though you will likely have to refrain from strenuous activity for a longer period. It is important to follow the instructions of your surgeon in order to ensure a quick recovery.
4. How long will the results last?
The results of a thigh lift should be permanent, as long as you maintain your post-operative weight.
Lipotransfer is a procedure in which fat is harvested or removed from other areas on the body and then placed in areas of the body where an increase of volume or better shape is desired. With age, skin changes and becomes less elastic, collagen production slows down, and there is a reduction in natural fatty tissue that helps the body and face maintain a youthful appearance. Lipotransfer can be used to fill deep wrinkles around the nose, mouth and temple, fill out the buttocks, or to add volume to the breast.
1. How will my Plastic Surgery Group surgeon evaluate me for lipotransfer?
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, such as diabetes, high blood pressure or heart disease. Your surgeon will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information.
How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for lipotransfer. Your surgeon may ask you about the effects of prior weight loss on the appearance of those areas which you have indicated for contouring. He will assess the elasticity of your skin and estimate the amount of fat to be removed for optimal results.
2. What will the day of the procedure be like?
Medications are administered for your comfort during the procedure. There is no need for general anesthesia.
3. When can I resume my normal activities?
Recovery is based on multiple factors, including how much fat is removed and which parts of the body are treated. For most patients, recovery time in minimal. You may be able to return to work a few days after your procedure.
4. What kind of results can I expect?
Results can vary based on many factors, including the amount of fat available from donor sits and the amount of breast and buttocks volume you desire. You doctor will meet with you about your expectations before your procedure.
Lighten unwanted pigmentation, even out skin tone, lighten acne blemishes, smooth out rough skin and more.
The objective of external ear surgery is typically to set prominent or flared ears closer to the head or to reduce the size of overly large ears. Though this procedure is most commonly performed on children, many adults who desire more proportional ears choose to have the procedure as well. It is generally performed on an outpatient basis under local anesthesia, though for very young children, general anesthesia may be recommended.
Reasons to Consider Otoplasty
Otoplasty FAQ
1. How will my surgeon evaluate me or my child for external ear surgery?
You should be prepared to discuss your medical history or your child's medical history with the surgeon. It is important to provide complete information. The ears will be examined by the surgeon, and an open, honest discussion of your goals for yourself or your child will follow. It is important to have realistic expectations for what an otoplasty can achieve. If you are considering the procedure for your child, the child's opinions and feelings on the matter are as important as your own. If your child is uncomfortable with having the procedure, a satisfying emotional outcome is far less likely, regardless of the physical outcome.
2. What will the day of surgery be like?
With some exceptions for very young children, local anesthetic with intravenous sedation is used, and the patient will remain awake during the procedure. An otoplasty typically takes between one and two hours to complete. After a brief period of observation, you will be allowed to return home.
Bandages are usually worn on the head for one to two weeks after the surgery. It is very important to follow the instructions you receive from your surgeon in order to speed recovery. Recovery times will vary based on the individual. Smokers invariably encounter longer recovery times, and should consider stopping before surgery. Most patients will be instructed to avoid strenuous exercise for 6-8 weeks. This presents a unique problem when the patient is a child, as much childhood play requires physical exertion. If your child has a procedure, you must monitor your child's activities as much as possible to ensure that surgical results are not compromised.
3. What are the possible side effects or complications?
All surgery carries some risk of complication, though the risks are relatively low for ear surgery. Some post-operative bleeding or bruising is possible, and on rare occasions a set-back ear may protrude again, requiring a follow-up procedure. Visible scarring is generally negligible, as most of the incisions are made behind the ear. Most scarring that does occur will fade with time, especially in children, though healing times will vary greatly from person to person.
A facelift is performed to improve facial wrinkles, sagging of the facial skin and fullness of the neck. There are many techniques used to obtain these changes and no two facelifts are the same. Techniques like mini-facelifts, short scar facelifts and full face lifts, many times in conjunction with liposuction, can all be used to obtain an individual result for you. Results of a facelift can be dramatic or subtle depending on the patient and the desired goals of the procedure. This procedure can be combined with other facial procedures under a single anesthetic.
Reasons to Consider a Facelift
Your surgeon may discuss with you additional procedures that can be performed along with a facelift in order to address all the concerns you have identified. For example, a facelift is frequently combined with a forehead lift, eyelid surgery, nose reshaping or skin treatments such as a chemical peel, laser resurfacing or injectable fillers.
What will the day of surgery be like?
Medications are administered for your comfort during the procedure. You and your surgeon will have decided in advance whether intravenous sedation or general anesthesia will be used. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the level of oxygen in your blood.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. You may have a bandage around your face. Sometimes small tubes are inserted beneath the skin to drain away fluids that might otherwise accumulate, but you will not feel these at all. In fact, there is usually little discomfort from the surgery.
When can I resume my normal activities?
Straining, bending, and lifting should be avoided during the early post-operative period. In many instances, you will be able to resume most of your normal activities within two to four weeks and begin to exercise three to four weeks after surgery. You will be instructed to temporarily avoid exposure to direct sunlight and, for the long-term, to be conscientious about the use of a sunblock to protect your skin.
How long will my results last?
The results of your facelift may be dramatic or subtle, depending on how you look before surgery as well as the specific goals that you and your plastic surgeon have established. Since the healing process is gradual, you should expect to wait at least several weeks for an accurate picture of your new look. Additional minor changes, or settling, may occur over several months.
KYBELLA® may be right for you if:
How does KYBELLA® work?
The active ingredient in KYBELLA® is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, KYBELLA® destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.
How is KYBELLA® administered?
Treatment can only be administered by a KYBELLA®-trained healthcare specialist. At each treatment, you will receive multiple small injections under your chin, and the injection process takes about 15 to 20 minutes. The exact number of injections will depend on the amount of fat you have under your chin and your desired profile.
How many KYBELLA® treatment sessions will I need?
Since everyone's chin profile is different, the number of treatments varies from patient to patient. Your healthcare specialist will help determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals. Each KYBELLA® treatment session is given at least 1 month apart, and you should not receive more than 6 treatments. In clinical studies, 59% of patients received 6 treatments.
Will I need time to recover?
After KYBELLA® treatment, you will likely have some swelling, bruising, or numbness under your chin. Be sure to inform your healthcare professional if you develop an uneven smile, facial muscle weakness, or difficulty swallowing.
Information courtesy of mykybella.com
Some women may wish to add subtly volume to their lips; other may want to soften the appearance of the vertical lines above them. Lines such as these are often caused by factors such as sun exposure or repeated muscle movement.
Juvederm Volbella® XC may be right for you if:
There are a number of procedures available to enhance the appearance of the neck. They range from very minimal in-office treatments with no down time, to more invasive procedures requiring anesthesia and time off for recovery. Aging of the neck is usually a combination of loose skin and muscle and some excess fat. To decide what is best for you, start by consulting a board-certified plastic surgeon to address your concerns.
We've included basic information below on ways to address the most common concerns. These procedures can be performed alone or in combination to give you the best possible result. This general overview should not serve as a replacement for your doctor's advice, however. You also should write down your thoughts on what you'd like to correct, and have that with you at the time of your pre-operative consultation.
Treatment options
Information courtesy of ClevelandClinic.org.
This facial rejuvenation technique can help ease many signs of the passage of time. Selection of appropriate muscles and dosages to achieve optimal results requires thorough knowledge of facial anatomy and function. Botox can be used in many areas and usually requires little, if any, downtime. It is the only treatment of its type approved by the FDA.
Reasons to Consider Botox
Botox FAQ
1. How does Botox work?
Botox is a purified protein produced by the bacterium. It temporarily inhibits the movement of the muscles that cause frown lines and wrinkles to form over time. In 2005, nearly 3.3 million Botox cosmetic procedures were performed.
2. Where are Botox injections performed?
Generally, we administer Botox injections in our office. The procedure is quick and patients can typically return to normal activities almost immediately.
3. How long do the results last?
The improvement in facial wrinkles after Botox injections usually lasts for around four months. Re-treatments are needed to maintain long-term results.
Other Fillers
In addition to Botox, the Plastic Surgery Group offers a number of other facial fillers, including Juvederm XC™ and Juvederm Voluma XC™. Juvederm XC smooths lines and wrinkles around the nose and mouth. Juvcderm Voluma adds volume to the cheek area to correct age related volume loss and can last up to two years.
Depending on your specific needs, one of these fillers may be the most appropriate treatment for you. Because of the materials used in these treatments, the chances of adverse or allergic reactions are extremely low, and side effects are typically limited to small amounts of redness or swelling at the injection sites.
Instantly adds subtle volume to lift and contour your cheek area. Proven to last up to two years.
Laser Skin Resurfacing uses the energy of a laser to obtain an improvement in the contour of the skin. Many patients often see improvement in skin elasticity, resulting in tighter and more youthful skin.
Reasons to Consider Laser Skin Resurfacing
Laser Skin Resurfacing FAQ
1. How will my surgeon evaluate me for skin resurfacing?
Your surgeon will carefully examine your skin to determine which resurfacing technique, or combination of treatments, will provide you with the best results. Your skin type, the severity of any sun damage, the extent of uneven pigmentation and the depth of skin imperfections will be evaluated. Fine lines, coarse wrinkling or deep acne scarring each may require a different approach to treatment.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications that you currently take. Be sure to tell your surgeon if you have ever had x-ray treatments of your facial skin such as those used in the treatment of acne, or whether you have had a prior chemical peel. If you have recently used AccutaneT, Retin-AT or other topical skin preparations, you must tell your surgeon, as recent or current use of these items can result in heavy scarring. For your safety, it is important that you provide complete information.
2. How is laser skin resurfacing performed?
Laser skin resurfacing uses a carbon dioxide (CO 2) laser to soften lines, minimize scars and soften uneven pigmentation. The laser removes damaged or wrinkled skin layer by layer, using a precisely controlled level of penetration. Laser skin resurfacing procedures vary widely from patient to patient—it can be used to treat large areas or specific spots, and treatment can penetrate deeply or only superficially depending on the needs of the patient.
The procedure itself can take anywhere from thirty minutes to just over an hour depending on the treatment area, and may require more than one session to achieve the desired result. Unless combined with a procedure that requires hospitalization, laser skin resurfacing is an outpatient procedure performed under local anesthesia.
The effect of the procedure will gradually become apparent, as new skin grows and collagen production is stimulated. Your new skin will have a tighter, smoother, younger-looking appearance.
3. What will happen immediately before and after the treatment?
Medications will be administered for your comfort prior to the treatment. Frequently, local anesthesia and mild sedation is used for patients undergoing skin resurfacing procedures. General anesthesia is possible if desired.
When the treatment is completed, your resurfaced skin may be covered with petroleum jelly or a protective ointment. In some cases, dressings, tape or a bandage may be applied. Your skin will have some redness in the weeks following the procedure, and most patients must wait at least two weeks before applying makeup to conceal this temporary coloration. The more aggressive the treatment, the longer the recovery will take.
Most patients return to work in two weeks, but it is usually necessary to refrain from more strenuous activity for four to six weeks. Redness may take up to six months to fade completely. It is very important to protect the treated area from the sun until all pigmentation has returned. This can take as long as one year, and if you must be in direct sun during this period, strong sunblock with at least an SPF of 15 should be applied—shade and sun hats are also recommended. In the long term, using proper sunblock will ensure that your final result lasts longer.
4. How long will the results last?
The results of laser skin resurfacing are long-lasting, but the procedure does not stop the aging process. Over time, new wrinkles and fine lines will form in the skin.
Sun exposure, acne, or just getting older can leave our skin tone uneven, wrinkled, spotted, or scarred. If you want to look smoother and younger, consider a chemical peel, which uses a chemical solution to smooth the texture of your skin by removing outer layers.
A chemical peel, also called chemexfoliation or derma peeling, is one of the least invasive ways to improve the appearance of your skin. Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and hands.
You Can Improve:
Cosmetic eyelid surgery removes the excess fat and wrinkled, drooping skin of the upper eyelids that can result in a tired or sad-looking face. A lower lid blepharoplasty tightens the lower eyelid skin and can also eliminate bags under the eyes. Cosmetic eyelid surgery can correct problems resulting from aging, as well as inherited traits that can affect some patients as early as their 20s or 30s. This procedure can be performed under either local anesthetic or, for most patients, intravenous sedation.
Reasons to Consider Blepharoplasty
Blepharoplasty FAQ
1. How will my surgeon evaluate me for aesthetic eyelid surgery?
You should come to the consultation prepared to discuss your medical history including previous surgeries, past and present medical conditions and current medications. It is important for you to provide complete information. High blood pressure, thyroid problems and diabetes are among the medical conditions that may increase the risks associated with eyelid surgery.
Your surgeon will want to know if you have allergies, especially if they affect your eyes. He may ask whether you have ever tried and were unable to wear contact lenses, you should bring them with you in case your surgeon wants to test your vision.
We will need to know if you have ever been told by an ophthalmologist that you have a condition called "dry eye" or if you have any other problems with your eyes.
One of several surgical techniques may be suggested to improve the appearance of your eyelids. The particular technique that your surgeon recommends will depend on may factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of the muscles around your eyelids.
2. What will the day of surgery be like?
Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing eyelid surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your vision will be blurry as a result of ointment used to soothe and protect the eye during surgery as well as from the swelling that is a normal aftermath of eyelid procedures. There is surprisingly little discomfort, however, from the surgery.
You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.
3. How long will the results last?
The results of aesthetic eyelid surgery are long lasting, but they may be affected by your heredity and lifestyle factors.
Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may, at some point, return. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows that mimics a recurrence of drooping upper eyelids. If this happens, correction may require a forehead lift or a secondary eyelid procedure.
Even though the aging process continues, patients are happy with their appearance for many years following eyelid surgery. Some patients find that they want to make additional improvements at a later time.
See Breast Reconstruction under the "Breast Procedures" tab.
Hearing a diagnosis of "cancer" is very difficult to accept. Understanding that treating your skin cancer may result in scars or disfigurement can also be troubling. At Aspirus Plastic Surgery, we understand your concerns and will guide you through treatment and explain the resulting effect on your health and appearance.
The first step in treating skin cancer is a consultation with your plastic surgeon. The success and safety of your skin cancer surgery depends very much on your complete candidness during your consultation. You'll be asked a number of questions about your health, desires, and lifestyle.
Be prepared to discuss:
Your surgeon may also:
Prior to surgery, you may be asked to:
Special instructions you will receive cover:
What Happens During Skin Cancer Surgery?
Procedural Steps:
Quick Facts About Skin Cancer Treatment:
Enhancing Your Appearance with Scar Revision Surgery:
Scars are visible signs that remain after a wound has healed. They are unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly, or disfiguring. Even a wound that heals well can be raised or recessed, different in color or texture from surrounding healthy tissue or particularly noticeable due to its size, shape, or location.
Your treatment options may vary based on the type and degree of scarring and can include:
Scar revision surgery is meant to minimize the scar so that it is more consistent with your surrounding skin tone and texture.
Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.
Is It Right For Me?
Scar revision is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Scar revision can be performed on people of any age and is a good option if:
If your hand is impaired in any way, surgery can improve your condition. This type of very specialized surgery can treat diseases that cause pain and impair the strength, function, and flexibility of your wrist and fingers. Surgery seeks to restore to near normal the function of fingers and hands injured by trauma or to correct abnormalities that were present at birth.
Specifically, Hand Surgery Can Treat:
Is It Right for Me?
Hand surgery is a highly individualized procedure which can be performed on people of any age and is a good option for you if:
Carpal Tunnel Syndrome Repair
Carpal tunnel syndrome (CTS) is a common condition that affects the hand, wrist, and occasionally the entire upper extremity. The tunnel itself is a narrow canal at the base of the palm that is defined by the bones of the wrist and the overlying transverse carpal ligament. The nine flexor tendons to the fingers and thumb, and the median nerve pass through the tunnel. The median nerve provides sensation to the thumb, index, and long fingers, and to part of the ring finger. It also provides strength to the muscles at the base of the thumb. CTS is a constellation of symptoms resulting from compression or adherence of the median nerve at the base of the palm.
What are the symptoms of Carpal Tunnel Syndrome?
Characteristic early symptoms include numbness at night, tingling, or pain in the fingers (especially the thumb, index, and long fingers). The patient will often awaken with these symptoms and attempt to shake the hand or hold it in a dependent position to relieve symptoms. As the problem worsens, the symptoms become more prominent during the daytime, especially while driving, brushing hair and holding the phone or a book. The patient also may begin to experience weakness and may occasionally drop objects, often without realizing they are losing their grip until it is too late.
Surgery for Carpal Tunnel Syndrome
The goal of surgery is to decrease pressure on the nerve by enlarging the carpal canal. This is accomplished by dividing the ligament that covers the carpal tunnel at the base of the palm—the transverse carpal ligament—through an incision approximately one inch in length.
Surgery for CTS is an outpatient procedure that is usually performed under local anesthesia. Brief surgical discomfort lasts 24 to 72 hours; however, patients often experience complete resolution of their nighttime symptoms even the night after surgery. Sutures are removed 10 to 14 days after surgery, and hand and wrist use for everyday activities is gradually restored using progressive exercise.
Information courtesy of ClevelandClinic.org and PlasticSurgery.org.
Enhancing Your Appearance with Spider Vein Treatment
If you sometimes avoid showing your legs because you have spider veins — those small clusters of red, blue or purple veins that appear on the thighs, calves and ankles — you are not alone. It's estimated that at least half of all women are bothered by this common cosmetic problem.
If you would like to eliminate your spider veins and improve your appearance, your plastic surgeon can help. Today there are very effective, safe and relatively painless methods available for eradicating spider veins.
In some women, spider veins become noticeable in their early 20s. For others, the veins may not become obvious until they reach their 40s. Men get spider veins, too. However, usually they are concealed by hair growth on the leg.
A number of factors may contribute to the development of spider veins in the legs, including:
Is It Right For Me?
Spider vein treatment is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Spider vein treatment can be performed on people of any age and is a good option for you if:
Sclerotherapy requires no anesthesia and is usually performed in our office. Two or more sessions, each lasting less than 30 minutes are usually required to obtain optical results.
A common method of treating spider veins in the legs and ankles is with sclerotherapy. In this treatment, sclerosing solution is injected into each affected vein, causing the vein to collapse and fade from view. Although everyone is different, you can generally expect to receive one injection for every inch of spider vein that is treated. Bright light and magnification may be used to ensure maximum precision while the skin is held taut to inject sclerosing solution. A cotton ball and compression tape is often applied to each injection site as it is finished. Compression stocking are to be worn for a few days following, as well as a limitation of strenuous activities.
Veinwave™ is an electrical desktop device which uses a needle holder and a foot pedal. The practitioner identifies the area for treatment and inserts an ultra-fine insulated needle into the needle holder. This is minimally invasive, literally breaching only the top layers of skin, and should not pierce the vessel. The effect of the treatment is 'instant' - you see the veins disappearing immediately. Some patients leave the treatment without any real visible sign on the skin, other than the lack of veins, and some with more sensitive skin may suffer minor reddening which should disappear within a few days, if not hours.
Immediately after the treatment you can resume everyday activities. Avoid the sun for a couple of days or use sun block. After a few days very small micro-crusts, like the marks from a cat scratch, can appear where Veinwave™ has been applied. This is normal and no special care is needed. These will disappear on their own. It is best not to retreat an area for 6 weeks. At that time your practitioner is best able to see if any small veins remain. Once a thread vein has been successfully treated it cannot come back.
A hernia occurs when the inner lining of the abdomen pushes through the weakened inside layers of the abdominal wall, forming a bulge. This bulge often gets bigger over time. If you let it go, you may end up experiencing abdominal pain and discomfort with constipation, nausea and vomiting. It could also lead to other, more serious health problems.
With both types of hernia surgeries, open repair and laparoscopic, you can expect to recuperate within a few days — sometimes even quicker — and get back to normal activities within a few weeks.
Treatment Options:
Information courtesy of Cleveland Clinic, Society of American Gastrointestinal and Endoscopic Surgeons, and MedlinePlus.
Dramatically reduce signs of gaining in a single treatment, reducing excessive sagging skin in the neck, arms or abdominal area.
Rejuvenate and treat excessive stretching of the vaginal muscles or treat minor urinary incontinence.
Smooth and wrinkle reduction targeting around the yes, mouth, cheek and neck using gentle heat.
Please download and print all of the documents below. Filling these out prior to your first visit will minimize the time you spend in our reception area.
All aesthetic and cosmetic surgeries (those not submitted for insurance) will be paid in full one (1) week in advance of the surgery. We accept cash or check, Visa, Discover, or Mastercard. We also offer patient financing through CareCredit.
We accept most insurance plans. (Please note that insurance frequently does not cover purely cosmetic procedures. To determine whether your insurance may cover the procedure you are considering, consult your insurance carrier.)
"A big Thank You to Stephen Fox, MD for his excellent work. I am very satisfied with the results and already recommended you to my friends and colleagues
Thank you to your wonderful staff: Natalie, Lisa, Brenda and Terri!" N.P.
"My surgery has literally changed my life! I have no more back pain, no headaches, no neck pain and most of all, I have no numbness in my arms and hands. I never would have believed that a breast reduction would have relieved all of this, plus brought back my self- confidence. I smile more, I carry myself differently. I treat others better, all because I feel better!! Thank you Dr. Fox and your absolutely perfect staff for changing my life for the better!" K.K.
"Dr. Fox and his staff were respectful and helpful. They answered all of my questions and most of all made me feel very comfortable. I would highly recommend Dr. Fox and his staff!" J.D.
"From the initial consultation through the final follow up appointment, Dr. Fox and his entire staff were friendly and knowledgeable. Every single person we met went the extra mile to make sure my daughter felt safe and comfortable, before, during and after her procedures. I would highly recommend Dr. Fox and his staff." P.R.
"My 11 month old son was bitten in the face by our family dog. Dr. Fox met us at Aspirus Wausau Hospital Emergency room and repaired by infant son's face right away. My 11-month-old son has such a sweet face and I was so worried he'd be scarred for life. Obviously he will have a scar, but due to Dr. Fox's expert care, my sweet boy's face has minimal scarring. During our follow up, Dr. Fox was again wonderful to work with and provided me with plenty of information to care for my little man's face. Thank you! Dr. Fox and team!" J. H-M.
"First appointment made in a timely manner. Appointments for surgery and follow up extremely easy and efficient. All staff from receptionist through docutr were pleasant and efficient. Surgery personnel were pleasant and helpful – loved the warm blanket! I could not ask for a better experience with doctor, office and hospital!" M.H.
"I am very pleased with all of the staff. They were very helpful and always explained what was going to happen." S.M.
"Everyone in the office is wonderful. Kind, caring and helpful. Well worth the drive I make to get there!" P.N.
"Dr. Kong is a great doctor. He is extremely attentive and makes you feel like you're the only patient he has. He took a lot of time explaining the procedure, letting me know what my options are and respecting my opinion. I appreciate what he has done for me during a very difficult time for me." L.M.
"I have been in Law Enforcement for many years, since 1996, as a Patrol Deputy and Dare Officer. Wearing heavy gear including a thick bullet proof vest for 12 hour days was affecting my health and my back and neck for years. With large breasts, wearing the vest and gear was an obstruction while sitting in the squad car using the computer for long periods of time, which affected my neck and back. It also affected the way I held my duty weapon properly in front of my body with the hindrance of the protruding vest due to having larger breasts.
Dr. Cameron was very understanding to my situation and I think I was more of a rare case because the reason for my breast reduction was job related and due to the equipment I wear on a daily basis. Dr. Cameron did a great job of investigating the matter and documenting my problems. The fact was that there would be no change in my job duties or ways to fix this problem other than a breast reduction surgery.
After the reduction, I returned to work and my posture was better, my neck and back felt better, I was lighter on top and my duty gear including the bullet proof vest fit better and was not a hindrance to my performance of my duties.
Thank you Dr. Cameron and all of the staff for being so helpful, understanding and friendly." L.Z.
"Dr. Fox has helped me from the beginning to the end during my reconstruction process. I had stage 2A breast cancer. The surgery was difficult due to previous radiation. The recovery was also difficult due to the type of surgery I had to have. However, he was encouraging and supportive through the entire process. After 9 months, I am healed and feel like a new and whole person again! Thank you to everyone!" S.G.
"I am extremely happy with the panniculectomy that was done. I am definitely going to recommend Dr. Fox to others!" L.G.
"At the end of December 2016 we were on our way back from Wisconsin to the Twin Cities when our 3 year old son sustained a bad nasal laceration at a store. It was a traumatic and scary time. We went to Aspirus ER. The ER staff had Dr. Kong repair the laceration. He did a wonderful job explaining what he was doing, what to expect, complications, etc. Our son had minimal pain (although scared) and we left the ER hopeful that it would heal well. The laceration has healed extremely well and will not need further plastic surgery because of Dr. Kong's wonderful work. An outsider would not be able to tell that there was any laceration there in the first place. We are very grateful to Dr. Kong!" K.H.
"With our daughter being only 10 months old, we were less than thrilled finding out that she needed to have surgery on her face. From the moment we met Dr. Kong, we knew she was going to be in good hands. With such nice, friendly staff, we were reassured that we made the right choice throughout the entire process. Our daughter is still in the healing process, but you can hardly tell an incision was made at all! Would highly recommend to friends and family! Thanks To all!" S.B.
"I came to Dr. Fox after an accident which left me with a malformed leg and a large open wound. I had been going to a Wound Clinic for weeks and felt I needed a consult regarding the closure of this wound to expedite healing. Dr. Fox and his office staff were so welcoming and empathetic. They listened to my concerns (my care since the accident had been frustrating with setbacks).
My skin graft took place within the week of the consult. I received frequent post surgery calls checking on me. Within 3 weeks I had made excellent progress! Without this care, I think it would have taken months to heal my wound. My progress has been remarkable! I can't thank you enough for your skills, empathy and giving me confidence in your services on the first meeting!" C.R.
"From the first time I walked in the door until the last time I walked out the door it could not have been a better experience. ALL the people were so helpful, king and caring. A sincere THANK YOU to all!" G.P.
"The staff was professional and courteous. Dr. Fox did a wonderful job answering all of my questions and providing a thorough explanation of the procedure and what to expect following the procedure and in the future."
"Dr. Kong explained everything in detail taking the time to make sure I understood and was okay with everything. He consulted my family doctor and dermatologist to make sure he was doing the best he could for me."
"Thank you for everything. Your service and concern was noted and appreciated!" B.D.
"From the moment I received the call with my appointment time, it was a short time, surgery was the following week. The front office staff was friendly, helpful and courteous. The wait time in the waiting room was minimal. The MA was very friendly and nice, she told me what she was going to do before she did it. Both MA's, one for the initial visit and Post op. Dr. Kong was excellent, very informative, thorough, didn't rush me, very gentle. Everyone made me feel comfortable, even at the surgery center, even afterward when I called in with concerns, very helpful. The check-out receptionist at Plastics was friendly. I had an excellent experience. So thank you for a great experience, it was much appreciated. I would recommend." C.E.
"I received excellent care from Aspirus Plastic Surgery. Everyone in the office is friendly and caring during visits and surgery. Dr. Kong provided complete information on the various options for surgery and allowed me to make an informed choice without pressure. He always provided information and answered all my questions. I'm very pleased with the outcome of my reconstructive surgery and grateful for the care received during this difficult experience." J.H.
"Dr. Fox is a great doctor. He has always answered any questions and gone out of his way to help me!" J.V.
"Dr. Fox is a great doctor. He has always answered any questions and gone out of his way to help me!" J.V.
"Very friendly staff, always willing to assist with any questions and have a personalized care rather than just another number!" K.S.
"Very pleased with DR. Fox and his staff both in the office and surgical center. I feel very comfortable at both locations." D.W.
"My entire surgical experience has been nothing but gratifying. Dr. Kong took his time in his evaluation and explanations and I was always comfortable in knowing he was being straight forward with me.
The office staff is always cheerful and willing to help.
I would highly recommend this facility and Dr. Kong." N.F.
"At first I felt uncomfortable with the idea that I needed a plastic surgeon. I looked Plastic Surgery in Wausau up online and Dr. Fox came up #1. I made the appointment and am so pleased. From the first time I met Dr. Fox, I felt like I knew him my whole life. I felt very comfortable with him immediately and trusting. The entire office is friendly and professional. I will recommend Dr. Fox and staff to family, friends and co-workers. Thank you!" L.T.
"Dr. Fox and staff, I cannot thank you and your staff enough for being so kind and understanding. The compassion shown to patients is amazing. I am grateful to be under your care. I pray that God's blessings are upon you and your staff. Thank you for the great news." D.T.
"I had been having problems with a breast implant (that was put in by a doctor in Chicago). I was so uncomfortable that I decided to get a second opinion. I wanted it removed. I was so happy with my experience at the office, with Dr. Fox and with The Wausau Surgery Center. Thanks! M.S.
"Dr. Fox explained everything to me regarding my procedure. He made me feel very comfortable about what he had to do and ensured me he would do everything to make sure I would not have to return for the same procedure. H is compassionate to patient needs and I highly recommend him. Thank you, Dr. Fox, for the good results. You and your staff rock!" M.Z.
"I was very pleased with the results of my surgery. I had my eyelids revised and my vision was greatly improved. I would highly recommend Dr. Fox and the Clinic!" C. L.
"I am very happy with the results of my surgery. Everybody was very kind and helpful. Dr. Fox did an outstanding job making all of my girlfriends jealous, LOL! Thank you all so much for all your help and support during my surgery." D.C.
"I could not have gone to a better place. The staff is so friendly and helpful; answered every question and got right back to me with the answers. He was recommended to me, and I can see why. I have better than expected results!! Thank you Dr. Fox and all the staff!" J.F.
"I cannot thank Dr. Fox and his staff enough for the care I received during my surgery. Everyone went above and beyond, especially Dr. Fox. Thank you, thank you, thank you!!! I have so much confidence in Dr. Fox, If I ever need surgery or a procedure again, I will not hesitate to return. Thank you for all your knowledge and compassionate care."
"Very good experience with all in the office. The doctor was very kind and helpful with information. I am very happy with my surgery and the outcome. I am so pleased and will recommend to others! Thank you Dr. Fox!"
"At a time that was very stressful & confusing, it was great to have a Doctor & staff who explained and helped me through this process. The final result was better than I ever thought was possible."
"I received a diagnosis of malignant melanoma right after Christmas. I was terrified. I was even more frightened when they told me the piece of my leg they would need to remove would be so large the surgeon wanted me to see a Plastic surgeon. I could not have been in better hands. From the moment I met Dr. Fox I knew I was working with a truly remarkable Doctor. I was not just another "procedure" to Dr. Fox and his staff, rather my treatment took into account every aspect of my lifestyle, my abilities and my concerns. Thank you for the really amazing care I received."
"Everyone I worked with was wonderful! Terri helped answer all my billing and surgery questions. Dr. Fox was very helpful and detailed in explaining procedures. Dr. Fox is friendly and has exceptional bedside manner.
Everyone in the office was absolutely the best staff I have ever worked with. I never had to wait to be called into the exam room and never had to wait in the room for the doctor to come in. I felt extremely comfortable and at ease about visits with Dr. Fox. The professionalism in the office was exceptional. Thank you all for a great experience."
"Aspirus Plastic Surgery provides a wide range of services. For me this meant carpal tunnel surgery and right and left hand trigger finger surgery. I also had a suspicious mole removed. As you may have observed, I continue to seek out this talented group of surgeons from the consultation-Wausau Surgery Center- surgery and follow-up care, the experience was very positive."
"I had an abdominoplasty procedure done by the physicians at Aspirus Plastic Surgery several years ago. The procedure was done with the utmost care, beginning with the discussion of the surgery, expected results and possible complications. My questions were answered with great patience and in terms that I could understand. The follow through care was remarkable. The result is still exceptional. I have had minor procedures performed with Aspirus Plastic Surgery since then and this is truly an exceptional group of physicians."
"Over the years, the doctors at Aspirus Plastic surgery have used their expertise, skills, talents and God given abilities and compassion to bring me through some extremely tough circumstances in my life from cancer to major physical trauma. The results of their unparalleled surgical intervention and wisdom and caring completely restored my health and body. Even through the treatment during my recovery in these circumstances, they brought me comfort and confidence in their care. I will always be grateful and appreciated beyond what words can express! They are some of the finest surgeons and people I have ever met!"
"Dr. Fox did a great job of explaining the process and showed pictures of results obtained by other women. Dr. Fox was very personable and made me feel comfortable through a difficult surgery and reconstruction. I am very happy with the results."
"Great over-all experience. The staff was wonderful. The Wausau Surgery Center was warm and inviting. Dr. Fox was a professional and kind. He addressed my concerns and "so far" no problems noted."
"I was apprehensive about breast reduction surgery, even though I'd wanted to do it for years. Dr. Fox made me feel so at ease about the whole process and I love my results! I'm a new woman!"
"The whole staff seemed genuinely concerned about my comfort and helping to take care of me throughout the whole process. Thank you to Dr. Fox and all the people who work with him to make your place run so well. Because of my surgery, my life has vastly improved and I have personal confidence in myself again. Thanks again to all of you!"
"Everyone was very helpful, everyone listened to my needs. A very caring group of people from my 1st visit, surgery to my last appointment. Thank you for everything!"
"I recently had breast reduction surgery by Dr. Stephen Fox from Aspirus Plastic Surgery. My experience with him was nothing but complete satisfaction. It was a surgery I was embarrassed to ask about, but it was one I knew I needed because of chronic back and neck pain. The first appointment with Dr. Fox put me at total ease. He is a doctor by profession, but his understanding and compassion of my feeling about the surgery was comforting. The surgery went just as he described and it was a complete and total recovery with total satisfaction from me. I only wish I would have had this surgery years ago, as the results were more than I could have asked for. I would and do recommend Aspirus Plastic Surgery to anyone who may be thinking of some kind of plastic surgery. Dr. Fox and the staff there will make you feel comfortable and confident in their care. The results will prove it!"
"I was very scared to have surgery and nervous to have the breast augmentation and breast lift locally. However, Dr. Fox and the staff were wonderful at easing my fears. I am extremely happy that I didn't go anywhere else. I am also very pleased with the results!" S.D.
Aspirus Plastic Surgery now carries SkinCeuticals, a medical skincare line to address all your skincare needs. Please stop by the Aspirus Plastic Surgery office in Wausau, or contact us at 715-870-2162.
Is Breast Reduction Surgery Right for You?
James Kong, MD
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Programs we offer:
- Infants
- Toddlers
- Twos & Early Preschool
- Preschool
- Pre-K
- Before and After School
- Enrichment Programs
We are accredited by:
License # C09OR0153
Welcome to La Petite Academy in Orlando, FL!
We are located at the corner of Forest City Road and Pembrook Drive in Orlando, just before the State Road 414/Maitland Boulevard underpass. We proudly serve the families of the Orlando/Altamonte Springs/Maitland/Apopka areas and service Lake Sybelia and Riverside elementary schools.
Our center provides an enriched, stimulating environment in our Infant Care, Preschool and other early education programs. At La Petite Academy, we supply children with both the freedom and the instruction to thrive.
We are accredited by the National Early Childhood Program Accreditation and have a Gold Seal certification. Some teachers have been at our school for 10 to 15 years and combined, we have more than 100 years of experience! Many staff members hold a CDA or higher. All are first aid and CPR certified and several are bilingual.
We invite you to tour our La Petite Academy educational daycare in Orlando, FL today.
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subset: commoncrawl


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I've been very lucky with reviews on The Awakener.
Oh, there have been a couple of snotty ones, and one downright nasty one, but considering the book has received thirty-nine reviews that I know of, that's not a bad percentage.
Of the prepub trade mags, Publishers Weekly and Library Journal were respectful and kind.
My first snotty review was from Kirkus, who didn't want to hear about therapy sessions, astrology and what they referred to as "self-help gimmickry."
According to my publisher, City Lights, Kirkus was famous for snide reviews, especially where anything remotely New Agey was involved. I say "was" because shortly after they reviewed my book, they went out of business. Ha!
The downright nasty one is on Amazon, where I see to my delight that it has been moved to the bottom of the list. For a while it led the (two) negative reviews where, as my friend and fellow writer Tom Canfield put it, it resembled nothing so much as "a turd on top of a wedding cake."
Why am I focusing on the negative? That's easy: I'm a writer! And us writers have thin skins. If somebody loves our book but finds one thing they don't like, you can bet your bottom dollar we'll remember only the thing they didn't like.
So why not be grateful for all the smart people who read my book–and actually got it!
For example–and I'll never stop pinching myself over this one–Tara McKelvey at the New York Times Book Review, who, despite her all-too predictable distaste for astrology and "animal communication" (that had to go in quotation marks because, of course, there is no such thing), allowed as how my book "is a pleasure to read," and concluded: "Kerouac's soul lives on through many people — but few have been as adept as Weaver at capturing both him and the New York bohemia of the time. He was lucky to have met her."
That made my day. The poor old New York Times is struggling to stay afloat in today's economy when more and more people are getting their news from other sources. The Book Review keeps shrinking before our eyes. To have the Old Gray Lady throw me a bouquet of roses –even a small one– was a big event in this writer's life.
If you're like me, you enjoy reading reviews for their own sake, whether you intend to buy the book or not. So you might want to check out a few of the following:
Dylan Foley, Newark Star-Ledger
Dave Moore, Amazon
Daniel Barth, Dharma Beat
New York Times Book Review
Steve Silberman, San Francisco Chronicle
Book News
Marx Dorrity, Chronogram
Maureen Callahan, The New York Post
Rick Dale, The Daily Beat
John Aiello, Electric Review
Levi Asher, Literary Kicks
Andrea Barrist Stern, Woodstock
Library Journal
Publishers Weekly


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A Tribute To Donkey Kong Country is fully compatible with the Xbox 360 Controller!
And it can be played in 4K if your computer is powerful enough! But is this really important to anyone?
Get the game by clicking the link below!
Thanks to you, A Tribute To Donkey Kong Country has reached the IndieDB 2014 top 100 !


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Today, I started watching the 2013 Worldwide Leadership Training, Strengthening the Family and the Church though the Priesthood, that Elder Ballard talked about in his General Conference talk. There are some really powerful and inspiring videos, and I really recommend the content. I especially liked the First Presidency Message. President Eyring has previously given one of my favorite messages about family, so I was excited to hear his remarks.
President Eyring begins by talking about how the priesthood is a gift of authority from God given to us for the blessing of all of God's children. I love the idea that priesthood is not an exclusive thing only given for the benefit of some. Instead, it is given to worthy brethren in order to allow them to bless everyone.
President Eyring reminds us that the priesthood authority can and should become Priesthood power if we are righteous. Recently, I have been thinking a bit about this concept. In the temple, there is a portion where the women covenant to be obedient to their husbands 'as' they are obedient to the commands of God. I realized that as a new husband, I have a great responsibility to be a righteous example that my wife can follow. I can not lead based on authority, but must lead through kindness and long-suffering. That is the only way that I can truly be worthy of the amazing priesthood authority I have been given. If we fail to be righteous, our authority will be a twisted form of authority that can be used for unrighteous dominion. Satan has this twisted and distorted form of priesthood….He uses his 'authority' to destroy and to compel. That is not the way of a priesthood holder of God.
Elder Eyring emphasizes that God is infinitely wise, kind and patient. He knows the challenges we will face in his service and will help them face those challenges as he would. Jesus Christ set for us a perfect example of kindness and respect. Elder Eyring mentions in particular the way Jesus Christ treated his mother. His relationship to his family has always been an interesting one for me. Christ knew that he was about his fathers business and that his ministry came first. Still, he took the time to show acts of unparalleled kindness to those around him. Christ had an amazing sense of priorities. Elder Eyring mentioned that Christ called everyone to repent with absolute clarity, but at the same time left everyone with no doubt that with his help they could succeed. He inspired greatness and great confidence in the hearts of men. For me, he is a true example of a leader.
Elder Eyring also spoke of Joseph Smith's choice to provide an example and allow members to try and live in accord. He exercised his priesthood through meekness and love unfeigned. I love the Prophet for his example. The more I learn about him, the more I realize that he was truly called of God and inspired to build up this church and kingdom.
Elder Eyring's mention of the love of his parents was also tender. Truly, I am grateful beyond words for the righteous example of my parents. Even though they were/are not members of this church, I am so grateful to truly have been born of goodly parents that were always there for me. Sadly, there are far too many people that do not have that blessing.
President Eyring next spoke about the potential blessings of exaltation and eternal family that are available to us. Those gifts will be given to us if we qualify through faith and following the savior. It is truly amazing to me to have gotten even a tiny glimpse at all that God has in store for me. Heavenly Father sees that amazing potential in me and in all those around me. His matchless vision is what helps to build our confidence in him.
"God's priesthood has the power to change hearts and nit us in eternal families." I love this idea, and I truly believe that this is true even for those family member that do not yet believe in the savior. The power of the priesthood is working on the hearts of each of us to transform us. Each time we pray or serve in the church, there is a power that is touching those around us. Our faith helps us to see the good in others and to love them with a deeper love. That love transforms others even when we do not see the changes right away.
Elder Eyring emphasizes that in times of testing our faith truly grows, and God's power manifest in those times can help give us hope. Those trials bring out charity and help us access the atonement of Christ. His promises are real.
The priesthood gives families hope…hope that we can be together forever. Hope that we can overcome the adversary and be bound through sacred covenants. I have a true and abiding testimony that through Christ everything will work out for our good. His love and priesthood is like the thread that binds us together as a family
Elder Eyring explains that this isn't easy .Satan is real and trying to destroy us. However, the power of Christ and his priesthood is greater. What we need to do is align our hearts with him, and love will win out. Christ has prepared a place for us through his atonement. His love is manifest through the atonement and his priesthood.
I am so grateful for the blessings that God has given to me. I am grateful to be married to a wonderful daughter of God in his Holy Temple. I am excited to start a family together and to begin implementing those principles that God has taught through his Prophets and his Apostles


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Two downtown marches have been organized for Friday as a peaceful sign of support for the family of Trayvon Martin, the unarmed 17-year-old who was shot and killed last month in Florida.
Marchers are encouraged to wear their hoodies just like Martin wore when he was walking home from a convenience store and fatally shot on Feb. 26 by neighborhood watch captain George Zimmerman, who has not been charged. Both marches are intended to be calm, civil and peaceful, organizers said.


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The current magagement has the following members:
- Rob DrenthCEO, Vemedia
Rob Drenth has many years' experience in the field of consumer products as CEO, Vice President Sales and Marketing Director. He has worked as Vice President International Accounts for Sara Lee/Douwe Egberts. Prior to holding this position he was as CEO responsible for the Household and Bodycare activities of Sara Lee in the Benelux region. He joined Vemedia in 2007 as COO and was appointed CEO of the Vemedia group early 2014.
- Bart BormsChief Financial Officer
Bart Borms is responsible for finance, legal, IT and operational improvement. Bart joined Vemedia from IK Investment Partners. At IK, Bart was in the value creation team of investee companies. In the year prior to his appointment, Bart was a Supervisory Board Director of Vemedia and member of the audit committee. Before IK, Bart worked at Citigroup and Merrill Lynch. He wrote his thesis with Procter & Gamble. He trained as a management engineer at the University of Antwerp and completed his executive education at Harvard Business School.


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1789-1799 Declaration Rights of Man Tennis Court Oath Storming of the Bastille Women's March to Versailles Reign Of Terror Meeting of the Estates General Abolition of the Feudal System The Royal Family Flees France Declares war on Austria Creation of the Constitutional Monarchy The storming of the Bastille helped nationalism throughout France because it demonstrated the strength of the people and encouraged them to move forward to obtain the rights they were trying to achieve.
This event occurred July 14,1789 The Tennis Court Oath helped the nationalism throughout France because it united the people to achieve a equality for everyone and to attain a constitutional monarchy in France.
The Tennis Court Oath occurred on June 20,1789 The Declaration of the Rights of Man improved nationalism in France because they abolished the inequality between all men by introducing this document.
This event occurred August 26,1789 The creation of the constitutional monarchy in France helped french nationalism because it gave the people a feeling that they had a say in what occurred in their country meanwhile still keeping the king as the head of state and a figure head.
This document was established September 3,1791 The Royal Family's attempt at escaping the country hurt Frances nationalism because it gave a sense that the people were being abandoned and that if the royals were fleeing there was no hope.
This event occurred on June 20,1791
Important people in this event is King Louis XVI and Marie Antoinette and their children. The abolishment of the feudal system helped Frances nationalism because it gave the largest estate of people a sense of freedom and release because they could now be considered as equals to the people who were previously in the first and second estate and it also got rid of all special privalages in France.
This event occurred on August 4,1789 French Nationalism The reign of terror hurt the nationalism of france because everyone was living in fear of the national razor or the of guillotine because even if the government believed you were plotting against them or disagreed with their political decision for France you would be executed.
This event spanned from September 5,1793 to July 28,1794.
The most important person related to this event was Maximllian Rospierre who headed the operation of organizing all of the executions. The Women's March to Versailles helped french nationalism because women were not thought to be able to change anything but they did the opposite and showed everyone that they could change things in society, and later on obtained rights.
This event happened on October 5,1789 The Meeting of the Estates General helped Frances nationalism because it showed that France was seeking political change and trying to fix its issues.
This event happened on May 5,1789 France Declaring war on Austria helped Frances nationalism because people wanted to show a sense of patriotism.
This event occurred on April 20,1792 Brock Little Napoleonic Era Napoleon is Declared Emporor of France The event of Napoleon becoming the emperor of france helped frances nationalism because it gave France stability, let the citizens regain their rights, and he gave them a figure to idolize and follow.
This event happened on December 2,1804 Napoleons Expansion of France Napoleons Expansion of france helped the countries nationalism because it gave all the people in france something to feel proud about which inturn inspired patriotism.
This event occurred from 1804-1814 Battle of Waterloo The Battle of Waterloo hurt French nationalism because they lost the war but resulted in the Congress of Vienna and stabalized Europe by re-mapping the political boundaries.
This event occurred from March to June of 1815 Napoleon Is Exiled to Saint Helena When Napoleon is exiled for the last time to Saint Helena helped Frances nationalism because it helped stabalize the countrty and also keep it out of wars that were uneccessary.
This happened in December of 1815 The Death of Napoleon The death of napoleon would of helped frances nationalism because it helped the country move on and not as many soldiers and citizens will die because of war related issues.
Napoleon died In May of 1821
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French Nationalism
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Brock Littleon 24 September 2012
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text: Research writes the business case for wellness. With: The National Benchmarks Report 2017: Executive Summary Animated discussion heats up a conference room as the value of the wellness lifestyle program is questioned by residents, board members, and a weary chief financial officer who burnt the midnight oil to balance the community's budget for the next six months. In a different office, architects and builders balancing square footage with revenue debate the quantity of lifestyle programming and staff needed to attract residents to a new development (after all, there's already a clubhouse). Are staffed wellness programs with lots of variety worth the money? Three years of data from the ICAA/ProMatura Wellness Benchmarks answer that question with a simple--and loud--yes! This is a benefit of membership. If you are not an ICAA member you will need to purchase a membership for access. To learn more, please visit http://www.icaa.cc/membership/whyicaa.htm


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Locksmiths in West Richmond offer a highly demanded service, which generally relates to maintaining and installing the various types of lock systems, from the standard key locks to the complex electronic or biometric locks. The most common types of locksmith professions consist of the emergency, industrial, commercial, and residential, which each of the specific fields requiring different skills and abilities.
Residential work is likely to be the most common of the services provided by a residential locksmith. A domestic property owner looks at personal security and safety as a key reason when it comes to making sure a home is fully secured against a would-be intruder. A locksmith has gained the experience and knowledge to suggest the most effective locks for a properties doors and windows. Beyond the ability to install new locking systems, the locksmith is also able to repair or replace the locks on the older styled properties. Extra services offered by a local locksmiths offer security advice, a key cutting service, installing locks on a garage or similar outbuilding, and installing at-home safes or vaults.
How Do I Choose A Residential Locksmith in West Richmond ?
Nobody thinks that they will need the services of an emergency locksmith but regrettably things can occur that are just out of our control and you can find yourself unexpectedly needing the services of a 24 hour emergency locksmith to get you securely into your home, office, warehouse or even vehicle.
Locksmiths services may not just cover common lock picking and gaining entry into a buildings, services may also encompass other security associated services together with vehicle security, emergency boarding up, burglar alarm fitting and maintenance, CCTV fitting and maintenance and even more specialist services such as Door entry systems and building access control.
Vehicle Security and automotive locksmith services
Some locksmiths may also offer automotive locksmith services and may be able to gain access to your vehicle if you misplace your car keys or lock them in your vehicle. The objective of an automotive locksmith is to gain access to your vehicle without damaging the pricey locks which are more often than not more costly to replace than basic door and window locks.
An automotive locksmith may also offer key cutting and professional key coding allowing you to have spare electronic keys for your vehicle, these services typically cost much less than they would if you were to go straight to the vehicle manufacturer.
Emergency Boarding Up
Not all locksmiths offer emergency 24 hour boarding up services due to the fact that 99% of these jobs take do place at night or in the early hours of the morning, those that do may insist on a call out fee because of the anti-social hour on top of the boarding up fee which may depend on the dimensions of the window and the damage. It's very unusual to see a locksmith offering a fixed price boarding up service.
Boarding up is just a short-term measure to protect your home, office or business premises until the next day when your window or door can be appropriately replaced. When sourcing a locksmith or security company for boarding up services it is always best to source someone who is local and independent rather than using a nationwide call centre, this way you can be confident that you are speaking direct to the locksmith and get precise arrival times, after all you don't want to be waiting all night.
These are just some of the services that you can expect from a locksmith or security firm, 247 Excellent Locksmiths are a Emergency Locksmith Frankston based professional locksmith company who strive to deliver competitively priced locksmith and security services to both domestic and commercial clients throughout Frankston & the Mornington Peninsula.
The Services Provided by Mobile Locksmiths
Is your house as safe and protected from the intruders as it can be? With the amount of time we spent out of our homes and leave them unattended, as well as techniques thieves use these days, it's practically impossible to eliminate the risk of being burgled, no matter how expensive and advanced your home's security system is. But, additional measures and tricks that might sound too easy and naïve at the first sight are actually quite effective when it comes to strengthening your home's break-in resistance.
Look through these ways of improving home security to see what else can be done to keep the burglars away from your residence, as well as belongings and people in it and lower the risk of becoming one of their victims.
Easy tips to improve your home's security
- Don't neglect basic home security rules – doors and windows have to be shut before you leave the house, the mailbox should never be full, no spare keys under the doormat, no sticky notes letting the delivery man know when you'll be home to pick up the package, and definitely no signs similar to these: "Sorry, we're on vacation, will be home by Friday".
- Have modern security systems on your side. Security cameras and motion sensors aren't everything contemporary security technologies have to offer. Security installation specialists are able to equip client's homes with advanced smart gadgets that can be controlled by the person who's allowed to have access to the system literally from the other side of the world and observe the house 24/7 if needed.
- Already have a security system guarding your property? No one else needs to know about that. So, get that sign warning the burglars about which kind of security system they need to break down to get into your house off the front lawn and let the screaming alarms and immediate police notification be a nice surprise for the unexpected 'guests'.
- Put up exterior motion sensor lights at the most vulnerable spots: at the front and back door, close to the windows, etc. – the areas the burglars are most likely to get inside through. They'll light up the moment someone gets close enough to them, letting you know about the unwanted presence and scaring the criminal away.
- I'm always paranoid about leaving my door opened when I leave to work. Locking it turned into my second nature, thus the time I close it doesn't get imprinted in my memory. To make a long story short, I can't remember if I closed the door, even though I do that 99,9% of the time. If you're anything like me, a smart door lock that closes automatically as you leave your house and makes it possible to check if the door is closed remotely will save your nerves and block the easiest way of intrusion. Another awesome anti-robbery feature you might like is a security system, which connects that smart lock to the general smartphone controlled system and notifies you when the door gets opened. Thus, even if the thieves manage to get through the door, you'll know that right away.
- Are you just about the same when it comes to closing windows? Ask a window contractor to install window stops then. These little metal things won't make opening a window for more than 6 inches possible. That's just enough for ventilation, but surely not too much room even for a petite burglar to squeeze in.
- Create an illusion of presence. Program your house lights to be able to switch them on in a random order even when you're far away from home. If you know that you won't be in town for a few days, ask your neighbors to pick up the mail and 'take out the trash'. If you hire a pet sitter to look after your dog while you're away, pay him/her a little bit of extra money to stay in your house for an hour or so and make some noise.
- Have lost your keys? Call a locksmith right away and change the door locks as soon as possible. You never know who managed to pick those keys up or if you lost them at all. There's a high chance someone stole them off you.
- Can't help but post a picture from your wonderful vacation? Be patient and do that after you get home not to advertise your empty house and turn it into an easy, tempting target for burglars.
- Make your house number visible, especially during the night time. This way the police won't take ages to find your house after the alarm goes off and won't leave too much time for the intruders to take off and escape unnoticed.


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04 Aug 2011
I erred in saying the 12-year-old (whose audio tape of Jeffs raping her was heard in court today) was trafficked down to Texas from Bountiful by her parents.
But we do know that 2 girls (aged 12 & 13) were taken from Bountiful down to Jeffs for "celestial" marriage.
My sincere apologies for the error!
I heard about this tape months ago and my informant said you could hear every grunt and groan of Jeffs and screams from the girl. Like I said before, I wish they had the needle for culprits like Jeffs.
Nancy Mereska, President
Stop Polygamy in Canada
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text:
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text:
"Sun Up" Art Print by Harry Diaz
In addition to a number of awesome originals, My Addiction Gallery has a new art print from Harry Diaz up for sale. "Sun Up" is an 18″ x 24″ screenprint, has an edition of 50, and costs $35. Check out the whole show at their shop.


text:
CHICAGO — The Chicago Police Department on Wednesday warned New Year's revelers to avoid drinking and driving and to not fire gunshots to ring in the new year.
The department announced that it would set up extra patrols targeting drunken drivers. And partygoers are encouraged to use public transportation. The Chicago Transit Authority will offer penny fares from 8 p.m. Dec. 31 to 6 a.m. Jan 1.


text:
If you're into eco-chic and eye-catching décor, but your budget doesn't share your enthusiasm, say hello to your new best friend: plastic spoons! They're free, but they can be upcycled into truly sophisticated craft projects. Read on to find out how!
1. Artichoke Vase
These are super quick to make and can be used as vases, bookends, or just general ornaments.
You will need:
- Plastic spoons
- Jar, vase or can
- Glue gun
- Spray paint (optional)
1. Optional: spray paint the spoons and your vessel of choice; allow to dry.
2. Remove spoon handles
3. Use glue gun to attach spoons to the jar, starting at the top
4. Glue overlapping rows all the way to the bottom
And there you have it! This looks great in colour if you have the time and the spraypaint, but it's equally good au naturel.
2. Spoon Flower
This plastic spoon rose makes a totally unique pendant or brooch, great for a personalized and heartfelt gift! You just need to make sure that you make it in a well-ventilated area–preferably outside in open air–and wear a mask, because burning plastic fumes are NOT good for your health!
You will need
- 17 plastic spoons
- Candle
- Pliers
- Safety pin
- Pendant hook & chain (optional)
1. Cut your spoon handles to three different lengths (10, 5, and 2 of each size, as shown). These will form the three layers of petals in the rose.
2. Use the pliers to hold each piece over the burning candle, but keep it at a distance or it will start to turn black.
3. While the 'petals' are still hot, fuse them together using pliers and if necessary, the melted spoon handles
4. Flatten the back of the rose and use a piece of melted spoon handle to attach a safety pin
Et voila! You have yourself a unique new accessory.
1. Spoon Lamp
This lamp won FutureNow magazine's "Ecology and Design" award in 2010, and for a reason: it's awesome! (Plus it kind of looks like a dragon's egg from Game of Thrones…)
Here's what you need to make it:
- Plastic spoons
- Large plastic bottle
- Glue gun
- Knife
- Pliers
- Lamp with cable
1. Cut the bottom out of the plastic bottle to create the lampshade base
2. cut the handles off the plastic spoons and arrange them neatly in rows to get an idea of how they will fit together
3. glue the rows of spoon heads to the plastic bottle, beginning at the base
4. make a circle of spoon heads to cover the top of the lamp
5. assemble the light fitting through the bottle neck, and you're done!
High five yourself, because your lamp looks awesome!
Happy crafting, and don't forget to share with us if you make any of these!


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Will there be a Product(Red) color for this cuz it'll look great
It will look really good on the case
1 Answer from the Community
I have the Berry color Leather Folio and it is very Red. Looks awesome!
- Answered by Carol G from El Macero
- Flag as inappropriate Answer 1
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