Surgical Services - MediSpa Mont-Royal
 

Surgical Services

 

Surgical Expertise

Dr. Tassos Dionisopoulos, MD CM FACS, FRCS(C) is the Chief of Plastic Surgery at the Jewish General Hospital and is considered to be one of Montreal’s premier plastic surgeons. He earned his medical degree in 1985, completed a four- year residency in General Surgery and then trained in Plastic Surgery all at McGill University.

His subsequent Fellowship at Memorial Sloan Kettering in New York City focused on micro-surgical reconstruction following breast, head and neck cancer surgery. He has been in practice since 1992, is an Assistant Professor of Surgery at McGill University and a staff Plastic Surgeon at St. Mary’s Hospital.

Dr. Dionisopoulos is a member of the Canadian Society of Plastic Surgeons (CSPS), the Canadian Society for Aesthetic Plastic Surgery (CSAPS), the Royal College of Physicians and the American Society of Plastic Surgeons.

Dr. Dionisopoulos’s particular areas of surgical expertise include: 
• Axillary Breasts
• Breast Augmentation/Implants
• Breast Lifts
• Breast Asymmetry
• Inverted Nipples
• Gynecomastia ( Man Boobs)
• Abdominoplasty (Tummy Tucks)
• Brazilian Butt Lifts
• Liposuction
• Lipectomy
• Intimate Surgeries
• Ear Lobe Repair
• Eyelid and/or Brow lifts
• Face Lifts
• Neck Surgeries

Clients who have a referral and are looking to undergo a Medicare- paid procedure are asked to contact the Jewish General Hospital at 514-340-8222 ext. 23469.

Clients who interested in surgery not covered by MediCare are encouraged to book a consultation with Dr. Dionisopoulos at MediSpa Mont-Royal.

 

Mommy Makeover

A “Mommy Makeover” is a combination of plastic surgery procedures that address changes in a woman’s body after pregnancy. Mommy makeover can treat cosmetic concerns such as loose skin, stretch marks and excess fat of the abdomen and/or thighs, as well as improve the appearance of breasts.

There is no “one-size-fits-all” approach to a mommy makeover — it can be a combination of a number of different procedures such as liposuction, breast surgery and/or a tummy tuck depending on your desired outcome.

Daddy Do Over

A “Daddy Do Over” is a combination of plastic surgery procedures designed for men who are looking for a “feel good about myself” intervention. Daddy Do Over’s can treat cosmetic concerns such as loose skin, and excess fat of the abdomen and/or thighs, as well as address man boobs.

There is no “one-size-fits-all” approach to a daddy do over — it can be a combination of a number of different procedures such as liposuction, breast reduction surgery and/or a tummy tuck depending on your desired outcome.

 

Breast surgeries

Breast augmentation

Breast augmentation is an outpatient surgical procedure, which involves inserting silicone gel or saline filled implants in order to add volume, repair or reshape your breasts.

Together with Dr. Dionisopoulos your preferences and anatomy will determine the type of implant and surgical approach best suited for you.

What are the benefits of breast augmentation?

In addition to improving your self-confidence and body image, breast augmentation surgery can transform the size and shape of your breasts following childbirth, breast feeding, and/or significant weight loss.

Dr. Dionisopoulos also performs breast augmentation to reconstruct breast following mastectomy and to correct imbalance in size or symmetry of breasts.

What is the difference between saline and silicone breast implants?

Dr. Dionisopoulos uses silicone and saline breast implants both of which have similar safety profiles.

It’s important to understand the differences between these types of implants:

  • Saline implants are filled with sterilized salt water. This type of implant is filled after it is placed in the body, which allows for a smaller incision than a silicone implant. Saline implants are also generally less expensive than silicone.
  • Silicone implants contain cohesive silicone gel that patients often say feels more like natural breast tissue than saline implants. Because they maintain their form, these implants are available in a greater variety of shapes and sizes.
How much time off do I need after a breast augmentation surgery?

Most patients need 1-2 weeks off work or school after having breast augmentation surgery. Exercises and normal sporting activities can be resumed in 4 to 6 weeks after the procedure.

Before & After Photos
Before
After
Gynecomastia (Man Boobs)

Breast reduction surgery is not just for women. Some men develop excessive breast tissue, called gynecomastia, which can lead to feelings of embarrassment in situations where they may be expected not to wear a shirt.

This condition is common and has many causes including heredity – chances are if your father suffered from the condition, you will as well; obesity and poor diet, aging –bodies change shape and get fuller as we get older. Gynecomastia can be corrected with a combination of liposuction and minor surgery to remove excessive breast tissue with minimal scarring as an outpatient surgery.

How much time off do I need after a surgery?

A swift and uneventful recovery following breast lifting allows most patients to return to work within a few days following surgery. Exercises and normal sporting activities can be resumed in 4 to 6 weeks.

Before & After Photos
Before
After
Inverted nipples

Inverted nipples can look flat or slit-like or a hole in the normal nipple location. This is a common development occurrence mostly due mostly to genetics but can also occur following some types of breast surgery. 10% of women have inverted nipples but are often too embarrassed to ask for advice.

Will my nipples have the same sensation after inverted nipple correction surgery?

Yes they will. During surgery, though the nipple ducts are divided, the muscle in the nipple wall remains intact. It will still be able to contract as it did before surgery, so the nipple will respond to touch and cold as normal and sensation will generally be the same.

How is nipple inversion corrected?

The nipple is carefully lifted into its erect position and small incision is made at its base. The ducts within the nipple are then carefully divided allowing the nipple to remain in the outward position.

How long does it take to recover after inverted nipple correction surgery?

Recovery time after inverted nipple correction surgery is relatively short, as the procedure is performed under local anesthetic. You’ll only need to wear a small, unobtrusive dressing on your nipples, and should be fine to return to work the day after surgery.

You’ll probably want to wear looser clothing for a few days afterwards so your dressing won’t show, and also to avoid any unnecessary pressure or chafing.

Can I combine breast enlargement with inverted nipple correction?

If you’re unhappy with your breast size or shape as well as your inverted nipples, it’s possible to treat both at the same time. In fact, it’s the best approach, as it means you only need one operation and one anesthetic. Dr. Dionisopoulos often perform breast enlargement and inverted nipple surgery together.

Mastopexy (Breast Lift)

A breast lift (Mastopexy) is usually performed only once breast development has ended, with some exceptions. While some women opt to have a breast lift after experiencing the changes associated with pregnancy and breast-feeding, many decide to undergo the procedure at a younger age. Since the milk ducts and nipples are left intact, breast lift surgery usually will not affect your ability to breast-feed.

Dr. Dionisopoulos will discuss with you the type of breast lift you are best suited for and whether or not implants should be considered.

Am I a candidate for a Mastopexy?

You may be a good candidate for Mastopexy if your breast are sagging, lack firmness, and/or appear “deflated”. Mastopexy can also address breast asymmetries as well as size, shape, and nipple position.

How much time off do I need after a mastopexy surgery?

Most patients need 1-2 weeks off work or school after having breast mastopexy surgery. Exercises and normal sporting activities can be resumed in 4 to 6 weeks after the procedure.

Before & After Photos
Before
After

Breast Lift with Implant

Breast Asymmetry Correction

Most women have breasts that are a bit different! One may be larger, smaller, have an odd shape or form or perhaps hang lower than the other. In some women however, this difference is a source of great embarrassment and concern especially when the asymmetry between their breasts is noticeable. Some cases are corrected with a simple procedure on only one breast while more complicated cases may require surgery on both breasts to achieve the desired goals.

While each patient’s concerns are different, together with Dr. Dionisopoulos the best method of correcting the differences will be made taking into consideration your preferences and body type. Using the combined techniques of lifting, reconstruction and augmentation the breasts and nipples are positioned in a youthful position on the chest and all differences in position, volume, projection and form corrected as best as possible.

Am I a candidate for a breast asymmetry correction procedure?

The ideal candidates for a breast asymmetry correction procedure are healthy women who have realistic expectations of surgical outcomes. You may be a good candidate for a breast correction procedure if you have breasts that are uneven (asymmetrical breasts), are self conscious about the shape and size of your areola or nipple position, and/or are dissatisfaction or self-consciousness about the size and shape of your breasts.

Body surgeries

Liposuction

Liposuction is one of the most common cosmetic surgeries in North America. Many people choose this procedure to refine certain areas that have not responded to healthy eating and consistent exercise. With minimal “down time”, liposuction is a safe reliable method of removing fat and sculpting the body.

Dr. Dionisopoulos contours his patients’ bodies through tumescent liposuction, improving curves and slimming flabby areas. The fat cells that are removed do not return and so the results can be permanent. While most are women, increasingly men also seek liposuction to help with unwanted collections of fat. Most people present for liposuction in order to slim their tummy, flanks, thighs, and inner knee area.

Am I a candidate for liposuction?

Liposuction is not a treatment for weight loss. If you are in good health, a non-smoker, and have realistic expectations about the outcome of your procedure, you are probably a good candidate for liposuction.

What kind of anesthesia will be required?

A very light general anesthesia is the preferred method of anesthesia. Smaller procedures can be performed under local anesthesia with or without intravenous sedation.

When can I resume my normal activities?

Most patients return to light activity and work within 2-3 days after liposuction and normal physical activity, including sports after 3-4 weeks.

Can I have other procedures done at the same time?

Yes, patients frequently combine liposuction with a wide variety of other cosmetic procedures including breast surgery and tummy tuck.

Before & After Photos
Before
After
Abdominoplasty (Tummy Tuck)

Abdominoplasty or tummy tuck is a surgical procedure to remove loose or excess skin and fat, tightening stretched and separated muscles, and eliminating or improving the appearance of scars of the lower abdomen.

A tummy tuck is not a weight loss procedure, and it will leave scar. Abdominoplasty is an outpatient procedure performed under general anesthesia. Most patients return to normal activities in 2 to 3 weeks.

Am I a candidate for a tummy tuck?

The best candidates for abdominoplasty are in overall good health and at a stable weight.

What should I expect during recovery after a Tummy Tuck?

Pain is typically moderate and may be controlled with prescription medication. Small drain tubes are left in place for a week or more to prevent bruising and the buildup of fluid. Scars will be elevated, thick, and red for a few months before gradually fading over the course of a year.

How much time off do I need after a Tummy Tuck?

Most patients need at least two weeks off work or school after having a tummy tuck. Trying to return sooner will be difficult, can result in more bruising and will slow down the entire healing process. Exercises and normal sporting activities can be resumed within 4 to 6 weeks.

Before & After Photos
Before
After
Labiaplasty (Intimate surgery)

Labiaplasty is a surgical procedure to reduce in the size and enhance the shape women’s genetalia. A woman’s vulva or external genitalia contain two sets of labia, also referred to as “lips;” labia minora (inner lips), and labia majora (outer lips). Large labia may be genetic or possibly develop with age or after giving birth.

Although there to provide protection for the clitoris and the vaginal opening, in some women, excessively large labia can make a women uncomfortable in front of her sexual partner, when wearing tight pants or while participating in sports and exercise. During labiaplasty, one or both sets of labia may be trimmed, reshaped, shortened, made thinner, or corrected to gain symmetry.

What is the recovery process like after a labiaplasty?

Recovery time after labiaplasty varies from patient to patient but you can resume your normal activities after one week. Sexual intercourse and vigorous exercise should be avoided for at least four weeks following labiaplasty.

Although labiaplasty is a simple procedure with little to no risk involved you may experience bruising and swelling of the genitals for a few weeks after your surgery. This is normal and will improve as your body heals.

Will anyone be able to tell that I had labiaplasty?

No. There are no visible scars, and the incision lines blend into the natural crease of the labia, and fade over time.

Brazilian butt lift

A Brazilian butt lift is a butt augmentation procedure that uses liposuction to harvest fat from one or more areas of the body to inject into the butt cheeks and the outer hips. It can address a range of concerns, including flat or sagging buttocks, asymmetry, or other disproportions sometimes due to massive weight loss.

Is a Brazilian butt lift right for me?

Good candidates are close to their ideal weight with enough fat for liposuction, such as the abdomen, love handles, back, and thighs. The skin in these areas also needs to have good elasticity to avoid sagging. A consultation with Dr. Dionisopoulos will determine if you are a candidate for surgery.

Face surgeries

Blepharoplasty (eyelid surgery)

Blepharoplasty can reverse the effects of aging around the eyes. The eyelids are one of the first to show signs of aging such as lower eyelid puffiness, dark circles or drooping upper eyelids. By removing the fat and excess skin a more youthful and rested look is restored. The greatest benefit of this “scarless” outpatient procedure is that the results are long lasting and the scar can be hidden in the upper eyelid crease.

Who is a candidate for Blepharoplasty?

Good candidates for eyelid surgery are men or women who have:

· Bags or puffy bulges under the eyes (fatty deposits)
· Fullness of the upper eyelids (fatty deposits)
· Excess skin diminishing the natural fold of the upper eyelids
· Excess skin and wrinkling of the eyelids
· Impaired vision due to hanging skin on the upper eyelid

What is recovery like after Blepharoplasty?

Most patients need a week off work after having Blepharoplasty. Your eyelids will be swollen, bruised and puffy after eyelid surgery, and your vision may be blurry. The bruising, swelling and puffiness disappears within 7-10 days and you will be able to cover up any discoloration with makeup.

Brow Lift

Also known as a forehead lift, this outpatient surgical procedure lifts the sagging brow and smoothes wrinkles and frown lines across the forehead and between the eyes. Its overall rejuvenating effect on the face places the eyebrows in an alert and youthful position when aging or genetics inadvertently make you look tired, angry or sad or simply older than you feel.

Am I a candidate for brow lift surgery?

If you are generally in good health and are bothered by your brow region you can discuss your concerns and goals with Dr. Dionisopoulos and together decide and tailor the best options for you.

What is recovery like after brow lift surgery?

Most patients can return to work and light exercise within 10-14 days following brow lift surgery. Results are visible immediately and improve over the next two to three weeks as the swelling decreases and incision lines refine and fade. Final results can take up to six months. Cosmetics can help camouflage any bruising.

Neck Lift

Neck lift is an outpatient surgical procedure that will tighten loose, sagging skin on the neck and will redefine your jaw line and the angle between your neck and jaw. Aging, heredity, gravity can all contribute to the accumulation of saggy, loose skin and excess fat around the neck.

Am I a candidate for a Neck Lift?

If you are in general good health, do not smoke, and are embarrassed about your fleshy neck, jowls, neck bands or “turkey wattle,” you can discuss your concerns / goals with Dr. Dionisopoulos and together decide and tailor the best approach for you.

Recovering from Neck lift

It is recommended that you take 1-2 weeks off work to ensure that you are healing properly. Following your neck lift surgery your neck will be swollen, bruised and a little tender. For the first few days you should rest as much as possible, with your head and neck elevated and still. You should not bend, strain or lift anything heavy while you are recovering. The swelling and bruising will subside over time and you will slowly get your energy back.

Facelift

A facelift is an outpatient procedure that surgically removes excess fat, tightens underlying facial muscles, and redrapes the skin on your face and neck giving you a smooth and more youthful appearance.

Am I a candidate for a facelift?

If you are generally in good health, do not smoke you can discuss your concerns and goals with Dr. Dionisopoulos and together decide and tailor the best options for you.

Recovering from Facelift

There is surprisingly little pain for most patients after a facelift even though your face will be swollen and bruised right after surgery. Patients can usually shower and wash their hair the day after surgery! You will need to avoid strenuous activities and rest as much as possible following your facelift. Performing routine, non-strenuous activities is fine, even the day after surgery.

A facelift causes minimal scarring and your incisions will stay behind your ears and hairline. Typically, patients report that they are able to resume their normal activities after about two weeks following their surgery.

Earlobe repair

Torn or split earlobes are repaired by carefully exposing fresh tissue on both torn edges and then meticulously suturing the edges so that they mesh together seamlessly without notching. The earlobe can easily be split when the tissue becomes thin, either by the weight of earrings or through trauma when the earring is accidently ripped out of the lobe. This outpatient surgical procedure uses local anesthetic. Once completed patients report minimal pain and can return to their normal activities.

General Questions

Is plastic surgery expensive?

The cost depends on the procedure and can range from several hundred dollars to several thousand dollars. When comparing the costs to the improvements that surgery can bring about, it’s relative to the amount of work being done to obtain successful results.

After years of being perceived as something only for the rich and famous, cosmetic surgery is now being sought by people from all income brackets. In addition to increased affordability, and a variety of payment options, financing is also available. To learn more about current fees for all services provided by Dr. Dionisopoulos please call and speak to Annick McHugh who will be happy to help you.

How do I pay for my surgery and is there financing available?

We accept cash, Visa, MasterCard and debit.

We deal with a financing company called Medicard that takes care of patients wishing to finance their surgery. For additional information relating to financing, we invite you to contact them directly at 1-888-689-9876

Is there a consultation fee?

There is a $150 consultation fee for the first visit. The first consultation typically takes 30-45 minutes and Dr. Dionisopoulos will endeavor to explain the surgery as well as answer any and all questions you might have.

This fee however, can be deducted from your surgery fees afterwards and covers you for any other visits at our clinic afterwards.

How long is the wait to get a surgery?

As the surgeries are performed at our private clinic, the wait is usually only a few weeks.

How much time off do I need after a surgery?

Most patients need at least a week off work or school after having plastic surgery. Trying to return sooner will be difficult, can result in more bruising and will just slow down the entire healing process. Some operations require more time off. Exercise and normal sporting activities can be resumed in 4 to 6 weeks.

Did you know that your plastic surgery procedure can be financed?

We suggest the following financing companies that specialize in this area:

CRELOGIX

www.crelogix.com/apply
1-877-621-8686

  • Online, phone application
  • Same day approval
  • Payment terms: up to 10 years
  • Rates based on size of loan (7.49% – 15.9%)
  • No downpayment
  • Loans up to $25,000
  • No penalties for early payments
  • Patient feedback has been very positive; reputation for helpful, fast, efficient service
CREDIT MEDICAL

creditmedical.com
1-800-270-9290

  • Fax, online, phone application
  • Approval within 1 business day
  • Payment terms: 6 months to 4 years
  • Rates based on credit history (9.95% – 21.95%)
  • No penalties for early payments
MEDICARD

www.medicard.com
1-888-689-9876

  • Fax, online, phone application
  • Approval within 1 business day
  • Payment terms: 6 months to 5 years
  • No down payment
  • Rates based on overall credit history (11.9% – 25%)
  • No penalties for early payments
 

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