Dr. Stewart Collins is excited to provide you with the best cosmetic surgical care in his state-of-the-art facility.

glossary of terms

A B C D E F G H I J L M N O P R S T V

A

Abdominoplasty (Tummy Tuck) – 
Sometimes after multiple pregnancies or large weight loss, abdominal muscles weaken, and skin becomes flaccid. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In both men and women, the procedure removes excess skin and fat. Generally, an incision is made across the pubic area and around the umbilicus (navel). When skin laxity and muscle weakness are confined to the lower part of the abdomen, a modified abdominoplasty that limits tissue removal and muscle repair to the area below the navel may be performed. This usually leaves a shorter scar and no scarring around the navel.

Allergan
 is a well-know pharmaceutical company and the maker of Botox® and Juvéderm,® as well as breast implants, including the fifth-generation, form-stable silicone gel implant, the Natrelle 410.  Collins Plastic Surgery and Synergy are one of the top Allergan accounts in the area.

American Board of Plastic Surgeons – 
This board governs all board-eligible and certified plastic surgeons in the United States. Dr. Collins is fully certified and participates in ongoing education and professional conferences to continually improve patient outcomes. Dr. Collins urges patients to understand physician credentials and expertise as they consider plastic surgery.

American Society of Plastic Surgery (ASPS)
 – A professional society for which only board-eligible or board-certified plastic surgeons may be admitted. Dr. Collins is currently a candidate for membership

Areola
 – The pink skin surrounding the nipple.

Arm Lift (Brachioplasty) – 
Brachioplasty improves the contours of the upper arm area. Incisions are typically placed in the inner arm region.

Arnica Montana 
- Dr. Collins recommends this herb to patients both pre- and post-operatively to reduce bruising and discomfort after cosmetic and reconstructive procedures.

Augmentation Mammoplasty (see Breast Augmentation)

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B

Body Lift
 – Body lift surgery is performed to correct excess loose and sagging skin. Surgical body lifting improves the shape and tone of the underlying tissue that supports fat and skin. Incision patterns vary based on the area or areas treated as well as the degree of correction needed. Body lift procedures can include abdominoplasty, thigh lift, brachioplasty (arm lift), and breast lift surgery.

Botox® – 
Botox is a non-surgical treatment that can temporarily smooth moderate to severe frown lines. Botox is a purified protein produced by the clostridium botulinum bacterium, which reduces the muscle activity that create frown lines between the brows and other areas of the face. Botox also effectively treats hyperhidrosis (excessive sweating) in the armpits, feet or hands. Botox is also used to effectively treat chronic migraine headaches.

Breast Augmentation (Augmentation Mammoplasty)
 – Breast augmentation is typically performed to enlarge small breasts, underdeveloped breasts or breasts that have decreased in size after a woman has had children. It is accomplished by surgically inserting an implant behind each breast. An incision is made either under the breast, around the areola (the pink skin surrounding the nipple) or in the armpit. A pocket is created for the implant either behind the breast tissue or behind the muscle between the breast and the chest wall.

Breast Lift (Mastopexy)
 – Frequently, a woman elects this surgery after significant weight, or loss of breast volume and tone after child bearing. Dr. Collins relocates the nipple and areola to a higher position, repositions the breast tissue to a higher level, removes excess skin from the lower portion of the breast and then reshapes the remaining breast skin. Incisions are made around the areola, extending vertically down the breast and horizontally along the crease underneath the breast.

Breast Implants
 – A breast implant is a medical device used in cosmetic surgery to enhance the size and shape of a woman’s breasts (known as breast augmentation) or to reconstruct the breast (usually after a mastectomy). Implants are breast-shaped pouches made of a silicone outer shell and filled with either silicone gel or saline (salt water).

Breast Reduction (Reduction Mammoplasty) – 
Breast reduction involves removing excess breast tissue and skin, repositioning the nipple and areola (the pink skin surrounding the nipple) and reshaping the remaining breast tissue. The objective is to achieve breast size proportionate with a woman’s overall profile and alleviate discomfort and medical issues associated with overly large breasts.

Buccal Fat Pad
 – Buccal fat pads are located above the jawline near the corner of the mouth. They can be removed or contoured in individuals with excessively round faces to give a more contoured look, sometimes referred to as the “waif look.” However, plastic surgeons warn that in some individuals removal of the buccal fat pads can lead to a drawn, hollow-cheeked look as natural aging progresses.

Buttock Lift 
- Excess fat and loose skin in the buttock area can be reduced by performing a buttock lift in combination with lipoplasty (liposuction). Incisions required for skin removal can often be hidden in the fold beneath the buttocks.

Brazilian Butt Lift – When a buttocks lift does not produce the desired shape, Dr. Collins offers an additional option. He is able to harvest fat via tumescent liposuction and inject or graft the patient’s own fat into the buttock to increase volume. Some desired fat will remain and add shape while the body will reabsorb the rest. This can be done multiple times. The procedure is a preferable option vs. buttock Implants.

Buttock Implants – 
In this procedure, solid silicone implants designed to increase the buttocks volume are surgically inserted in the buttocks. Buttocks implants have an increased risk for removal and misplacement over time.

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C

Cannula
 – A cannula is a hollow tube attached to a high-vacuum device used to remove fat through liposuction.

Capsular Contracture
 – This is the most common problem associated with breast implants. It occurs when naturally forming scar tissue around the implant shrinks and tightens, making the breast feel firmer than normal and sometimes causing pain and an unnatural breast appearance. Capsular contracture can be treated with breast revision surgery. This includes exchange of the implant, removal of scar tissue, introduction of a textured implant, and placement of SERI® Surgical Scaffold or Acellular Dermis (Alloderm) to ensure secure positioning over time.
Cellulite
Cellulite is dimpled-looking fat that often appears on the buttocks, thighs and hips.

Cheekbone Augmentation (Malar Augmentation) 
- Here stronger cheekbones are sculpted with the placement of implants. The procedure is usually performed with an incision inside the mouth, but it may be done through a lower-eyelid or brow-lift incision.

Chin Augmentation (Mentoplasty) Chin augmentation increases projection, strengthening the appearance of a weak or receding chin. The procedure does not affect the patient’s bite or jaw. There are two techniques. One is performed through an incision inside the mouth and involves moving the chin bone and wiring it into position. The other approach requires insertion of an implant through an incision inside the mouth, between the lower lip and the gum, or through an external incision underneath the chin.

Cohesive Gel
 – All silicone breast implants are cohesive. Allergan’s fifth-generation silicone gel implant, the Natrelle 410, is the most cohesive.

Collagen Injections
 – Collagen  is an injectable protein that can be used to treat facial wrinkles. Before treatment, patients should be tested for possible allergic reaction. Collagen injections are effective, but not permanent. Treatment must be repeated periodically to maintain results.

 The Coobie – bra is comfortable and supportive with no underwire. It provides shape and structure for women post-surgically and after the initial recovery garments are no longer needed.

CoolSculpting®
 – CoolSculpting is a non-invasive, FDA approved, fat reduction treatment.  Targeted body fat is cooled to -4C. The cooling process diminishes fat cells and promotes gradual absorption over a 6-12 week period.

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D

Double Bubble
 – Double bubble is a breast implant deformity where the implant sags behind the breast tissue. This usually occurs when the implant is placed behind the chest muscle. Oversized implants, relative to the patient’s body size, can be a contributing factor.

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E

Earlobe Reduction
 – Earlobe reduction is a simple, 30-minute procedure, that can be performed in a plastic surgeon’s office or at the same time as a facelift operation. The reduction should not comprise more than 25% of the total length of the ear. In cases where it exceeds this dimension, an L-shaped wedge is cut away and the earlobe edges are brought together and sutured.

Eyelid Surgery (Blepharoplasty) – 
Aesthetic eyelid surgery reduces the fat that causes bags under the eyes and removes wrinkled, drooping layers of skin on the eyelids. Incisions follow the natural contour lines in both upper and lower lids, or can be done through the lining of the lower eyelid, providing access to skin and fatty tissue. The thin surgical scars are usually barely visible and blend into the eyes’ natural lines and folds.

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F

Facelift (Rhytidectomy)
 – A facelift can reduce sagging skin on the face and neck. Incisions are placed in the hairline and then pass in front of and behind the ears; the exact incision strategy may vary from patient to patient and according to the surgeon’s personal technique. When necessary, removal of fatty deposits beneath the skin and tightening of sagging muscles is performed. The slack in the skin itself is then taken up and the excess removed. Scars can usually be concealed by hair and makeup.

Fat Injections
 – This is a procedure where fat is harvested from one body site and injected into another. For example, the procedure may be used to smooth lines in the face or plump up lips. In most cases, the body naturally reabsorbs a percentage of injected fat and the procedure must be repeated.

Forehead Lift (Brow Lift)
 – The forehead lift is designed to correct or improve skin wrinkling, as well as loss of tone and sagging of the eyebrows that often occurs as part of the aging process. The procedure may also help to smooth horizontal expression lines in the forehead and vertical frown lines between the eyebrows. Incisions are placed behind the hairline above the ear and pass over the top of the head. In some cases, incisions may be placed in front of the hairline. Some patients may have the procedure performed with the use of an endoscope, requiring much shorter incisions.

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G

Gynecomastia
 – This is a condition in which the male’s breast tissue enlarges. Gynecomastia usually occurs at times of hormonal change, such as infancy, adolescence and old age.

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H

Hematoma – A pooling of blood and fluid beneath the skin in the tissue outside of blood vessels

Hypertrophic Scar  – A raised scar that generally results from a deep, traumatic injury.  The scar becomes red and thick and could become itchy or painful.  This scar develops due to an excessive amount of collagen and often contain nerves and blood vessels.  They can become restrictive if formed near a joint.  Some individuals have the genetic tendency to develop this type of scarring, however, there are preventative and therapeutic treatments.

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I

Inframammary  Incision – 
Breast surgery incision placed at the breast crease, the most common incision type.

Intravenous Sedation – Another term for this would be “Twilight Sedation”.  Patients receive a mild dose of general anesthesia to block the pain, but do not need assistance from breathing tubes.  Patients will be in a relaxed, sleepy state, with minimal sensation during surgery.

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J

Juvéderm®
 – Allergan’s hyaluronic acid filler for nasolabial folds, lips, mouth wrinkles, cheeks and scars. The product comes in Ultra and Ultra+ forms lasting for six to twelve months, as well as Voluma which can last up to two years.

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L

Lip Augmentation
 – Permanent lip augmentation can be accomplished by surgically advancing the lip forward with incisions inside the mouth. A dermal-fat graft, taken from the deeper layers of the skin, is positioned under the mucosa (the lining of the lip) to add additional plumpness. Injecting fat, collagen or other substances for lip augmentation is another alternative. The correction is not permanent, and injections must be repeated periodically to maintain results.

Lip Lift – 
This is a technique that surgically lifts the corners of the mouth to eliminate a pronounced droop and unhappy facial expression that sometimes develops with advanced age. By cutting away small diamonds of skin just above the corners of the mouth, the vermilion (border of the lips) is raised into a slight smile.

Lip Reduction – 
To reduce the lips, a small strip of the mucosa (the lining of the lip) is surgically removed to narrow the lips to the desired proportion. The small scars on the outside of the lips are barely noticeable.

Lipoplasty (Liposuction) – 
During lipoplasty, Dr. Collins removes localized collections of fatty tissue from the legs, buttocks, abdomen, back, arms, face and neck using a high vacuum device. The procedure leaves only the most minimal scars, often as short as one-half inch in length or less. The use of refined equipment allows removal from delicate areas such as calves and ankles. While lipoplasty removes fat, it cannot eliminate dimpling or correct skin laxity. If a patient’s skin has lost significant elasticity, Dr. Collins may recommend a skin tightening procedure such as a thigh lift, buttock lift or arm lift.

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M

MicroLaserPeel from Sciton
 – The MicroLaserPeel skin resurfacing system is an advanced clinical method used to improve skin texture, tone, and luminosity, and is easily customizable to each patient’s individual goals. This skin resurfacing procedure ablates the top layer of the epidermis removing old, tired-looking skin and depending on depth, will remove some light blemishes such as sun spots and pigment irregularities.  During the healing (length of heal time depends upon depth of peel) process new, healthy cells re-grow, generally improving the overall appearance of the skin.

Mini-Facelift
 – This is a limited-incision facelift and is effective in lifting the mid-face or the neck. The procedure is less invasive than a full, classic facelift. It is ideal for many patients. The results are more subtle and natural than a full facelift. Note that other names associated with the mini-facelift are Quicklift® and Lifestyle Lift.®

Mommy Makeover
 – The Mommy Makeover is a series of plastic surgeries groomed especially for a woman to restore her post-pregnancy body (or even improve upon her original silhouette). It usually includes breast lift, breast implants and body contouring procedures such as tummy tuck and liposuction.

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N

Neck Lift
 – A procedure where limited incisions are made behind the ears and hairline to tighten and smooth flaccid skin at the neck.

Nipple Sparing Reconstruction
 – This is an advanced breast reconstruction procedure that allows for preservation of the breast skin, nipple and surrounding areola. Breast tissue is removed at mastectomy and followed with an immediate implant procedure, performed on the same day. Not all women are candidates for this procedure. Women are encouraged to consult with their surgical oncologist in addition to Dr. Collins.

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O

Otoplasty (Ear Surgery) – 
During otoplasty ears are positioned closer to the head by reshaping the cartilage (supporting tissue). This is usually accomplished through incisions placed behind the ears so that subsequent scars will be concealed in a natural skin crease. Otoplasty can be performed on children as early as age five or six.

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P

Periareolar Incision
 – A breast surgery incision type encircling the areola, the pinkish area around the nipple.

Platysma
 – This is the muscle which, when tight and firm, gives the neck underneath the chin and jawline a youthful contour. The platysma muscle can be tightened during a facelift or as a separate procedure.

Post-bariatric Surgery – Plastic surgery after any dramatic weight-loss

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R

Regional Anesthesia – This blocks pain or other discomfort to a specific region of the body, such as a limb

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S

Sclerotherapy – 
Sclerotherapy effectively treats spider veins of the legs and small varicose veins with the use of a saline- or alcohol-based solution. The process takes 30-60 minutes depending on the size of the treatment area.

Silicone
 -Silicone is most common product used for breast implants in the world today. Even saline implants contain silicone: a silicone polymer forms the actual solid container for saline filler in these types of implants.

Subfascial
 – Subfascial refers to the tissue beneath fascia covering the muscle. As a breast augmentation strategy, subfascial placement does not offer the support necessary to produce a natural and pleasing outcome.

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T

Thigh Lift – 
A thigh lift can be performed to tighten sagging muscles and remove excess skin in the thigh area. Because a thigh lift leaves noticeable scars in the inner or outer thigh area that some patients find undesirable, it is not a frequently performed procedure.

Tissue Expansion Breast Reconstruction
 – Tissue Expansion is a procedure for breast reconstruction following mastectomy. A pocket is created between the chest wall and the chest muscle to hold a balloon expander. The expander is gradually filled over a period of one to two months with saline injections through a small port. This injection process gradually and naturally stretches the skin and muscle. Once the breast mound is to the desired size, the expander is removed and replaced with an implant (saline or silicone). The nipple/areola area is reconstructed by using tattooing and pieces of skin.

Tram-Flap Breast Reconstruction
 – The transverse rectus abdominis myocutaneous(TRAM) flap technique is a another effective procedure for breast reconstruction following mastectomy. A section of abdominal muscle, fat, and skin still attached to its blood supply (pedicled tram) are tunneled up to the chest area. It is sewn in place to build a new breast mound. With the muscle-sparing pedicled tram, one third (33%) of the muscle is used. This conserves 70% of the abdominal muscle traditionally described for this procedure. The nipple/areola area is reconstructed by using tattooing and pieces of skin.

Transaxillary Incision – 
A breast surgery incision type at the armpit.

Transconjunctival Blepharoplasty  – 
Transconjunctival blepharoplasty (eyelid surgery) is performed by making an incision from inside the lower eyelid. It avoids any scarring on the lower lid. It is a useful technique when only fat, and not skin or muscle, needs to be removed from the eyelid area.

Tumescent – 
The use of saline (often with lidocaine and epinephrine to reduce pain) injected into fat prior to liposuction. This allows for decreased bruising and easier removal of tissue.

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V

Varicose Veins
 – Enlarged veins that have malfunctioning valves, which can be unsightly, painful.  Sclerotherapy, laser ablation and radiofrequency are common therapies.

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8300 Health Park, Suite 205
Raleigh, North Carolina 27615

Phone: 919.510.5130 x2
Email: collins@feelsynergy.com

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Mon-Fri: 9AM-5PM
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