Dr. McLean’s areas of special interest and expertise are facelift, breast enhancement and body sculpting with special emphasis on short-scar facelift, breast augmentation and tummy tuck.
Dr. Hugh McLean
Breast Reduction, Breast Implants, Tummy Tuck, Ear Surgery, FTM Top Surgery, Rhinoplasty, Breast Lift (Mastopexy), Facelift, Eyebrow Lift, Eyelid Surgery
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Breast lift, otherwise known by its official title of mastopexy, is a surgical procedure that repositions the nipple higher on the chest wall to create more pleasing contours. For many women, their breasts begin to sag with age while others have always been plagued by breasts that appear droopy and sit lower on the chest wall. A breast lift surgery can correct this and restore the breasts to a more youthful position.
Who is a good candidate for this surgery?
Candidates for breast lift surgery must be non-smokers who are in general good health. If you are a smoker, your doctor will ask that you cease smoking at least two weeks prior to your procedure. Since smoking can greatly disrupt the body’s natural healing process, you will also need to remain smoke free in the weeks that follow your surgery to ensure that you’re able to heal properly.
Those who have breasts that sag, have lost volume or have nipples that have shifted or stretched, are ideal candidates for a breast lift. However, for optimal results you must have some minor skin elasticity in the area otherwise your newly lifted breasts will not appear natural. You must also be at a stable weight and not suffer from blood or autoimmune disorders. Finally, your surgeon will evaluate your medical history, skin and tissues in the area to determine if you are the right candidate for a breast lift.
What does the recovery from this procedure involve?
Some swelling and slight bruising is likely to occur after a breast lift procedure. This will clear up in time and shouldn’t be a cause for concern. Your doctor will prescribe painkillers and antibiotics (if applicable). You must only take medications that are okayed by your doctor and take a few days to rest after your breast lift. Most people are able to return to work after 4-5 days and can do some light lower body exercises after a week or two. Wait at least six weeks before returning to your regular full body exercise routine.
In terms of sleeping, you may find it uncomfortable to sleep on your side or stomach. You should sleep on your back or in a sitting/reclined position propped up on pillows until the post-breast lift swelling/bruising subsides. Additionally, you may have trouble lifting your arms without pain in the days following your procedure making activities like hair washing difficult.
What to look for in a breast lift surgeon
The Canadian Society for Aesthetic Plastic Surgery (CSAPS) is the only recognized body of surgeons in the country. Your surgeon must be board-certified and recognized by CSAPS and adhere to their ethical and professional standards. Along with their certification, you must find a surgeon that you trust. It’s important that you feel comfortable with your surgeon and allow them to take the time to explain the breast lift procedure to you in detail. The level of expertise is also an important factor in finding the right surgeon.
Here are three questions you can ask potential surgeons to determine how much experience they have performing breast lifts:
How long and where did you do your surgical training?
How many breast lifts have you done?
How long have you been a practicing surgeon?
How is the surgery performed?
During a breast lift procedure you will be put under general anesthesia to ensure that you are comfortable and do not feel a thing. Next, your surgeon will create small incisions in your breast. Then your surgeon will remove any excess skin or tissue. Liposuction may also be done to remove extra fat pockets from the area. Finally, the nipples will be repositioned and excess skin will be taken away from the outside of the areolas if needed.
Breast reduction, otherwise known as reduction mammaplasty, is a surgical procedure done to remove excess fat, skin and glandular tissue from the breasts. A breast reduction allows for a more proportionate chest in relation to the rest of the body and alleviates the discomfort (back, neck and shoulder pain) associated with extremely large breasts.
Who is a good candidate for breast reduction surgery?
Ideal candidates for breast reduction surgery are plagued by large breasts that limit their physical activity. They also experience back, neck and shoulder pain caused by the weight of their breasts and notice an indentation on their shoulders where their bra straps lie. Furthermore, people with large breasts may notice a skin irritation beneath the breast crease due to the weight of their chest.
In order to undergo any type of surgical procedure you must be in overall good health and a non-smoker. Smoking reduces the amount of oxygen that the brain takes in and hinders the post-surgery healing process. If you do smoke, your doctor will ask that you quit at least two weeks prior to your breast reduction surgery and continue to cease from smoking as you recover. During your initial consultation with a surgeon, he/she will evaluate your medical history to determine if you are a desirable candidate for a breast reduction procedure.
Finally, you will be a good candidate for this type of surgery if you have realistic expectations. A breast reduction will positively affect your self-esteem but it will not happen overnight. The results of a reduction mammaplasty take time to unfold but once your chest area has fully healed you will reap the benefits of smaller, more proportionate breasts.
What is the recovery process like following a breast reduction?
Prior to your surgery, your will be prescribed painkillers and in some cases, antibiotics. Make sure that you fill these prescriptions before you’re operated on so you can start taking the medication right away. Your surgeon will also give you specific aftercare instructions that detail how to care for the wound area and what type of support bra or compression garment you will need to wear as you heal.
You will need to take at least one week off from work in order to give your chest a chance to adjust to its new, smaller contours. Likewise, you will need to refrain from physical activity for a month following your breast reduction procedure. Any heavy lifting or full body workouts can hinder your body’s natural healing process but you can take walks daily to make sure you’re getting some light exercise.
Swelling and bruising on the chest are normal and will subside within a few weeks. You will have trouble lifting your arms above your head in the first few days following your surgery and activities like hair washing may prove troublesome. So, it’s best to avoid washing your hair on your own and ask a loved one or friend to do it for you. You will also need to sleep on your back as your recover to avoid putting any undue pressure on your chest.
What to look for in this type of surgeon
There is only one recognized professional body of plastic surgeons in Canada, the Canadian Society for Aesthetic Plastic Surgery (CSAPS). Any surgeon you choose to have perform your breast reductions must be recognized by CSAPS and be certified by the Royal College of Physicians and Surgeons of Canada. Besides being board-certified and have ample experience you must feel comfortable with your surgeon. You should feel as though your surgeon is not only competent but is also trustworthy.
Here are three questions to ask potential surgeons to see if they’re capable of performing your breast reduction surgery:
1. Where did you accomplish your training?
2. How long have you been in practice?
3. How many breast reduction surgeries have you performed?
An eyebrow lift, scientifically referred to as coronoplasty, is a surgical procedure that restores the eyebrows to a more youthful position. During this procedure, excess skin and fat deposits that have collected along the brows, are excised. Deep furrows and and unnatural contours that produce a worried look can also be treated with an eyebrow lift.
Who is a good candidate for this procedure?
The aging process can cause wrinkle lines along the forehead that create a look of anger or worry no matter which emotion you are trying to convey. Furthermore, our skin loses it’s elasticity and our eyebrows droop making us look less alert and older than we actually are. Anyone who experiences the aforementioned issues is a good candidate for an eyebrow lift.
Candidacy for an eyebrow lift is also determined by your overall health. When you meet with your surgeon, they will review your medical history and make sure your body can handle this surgical procedure. Additionally, smoking will need to be ceased at least two weeks before your surgery. You must also remain smoke free during the recovery process to ensure that your body receives enough oxygen.
What the recovery from an eyebrow lift entail?
You will be tired following your surgery and it’s important that you rest. Painkillers and in some cases, antibiotics, will be prescribed by your doctor to help you deal with any discomfort you may experience post-surgery. Do not take any medications that you did not previously clear with your doctor because even some over-the-counter drugs can interfere with the body’s natural healing process. You will not be able to wash your face until two days after your surgery but then you can resume showering as usual.
Bruising and swelling is common following a coronoplasty but it usually subsides after a few days. Most people are able to return to work after a week. Some patients experience a tightness in the area as they heal and this too will fade over time.
Exercise like light walking around the house is important in the first two weeks following your surgery. After two weeks you can start incorporating more strenuous movements into your workout. After four weeks you can workout as you normally would.
What to look for in a coronoplasty surgeon
The Canadian Society for Aesthetic Plastic Surgery (CSAPS) is the only body recognized in the country. Your coronoplasty surgeon must be a member of CSAPS and board-certified by the Royal College of Physicians and Surgeons of Canada. Likewise, your surgeon must be experienced and trustworthy.
There are three questions you can ask potential surgeons to see if they are a good fit for your procedure:
1. How many eyebrow lifts have you performed?
2. Where did complete your training?
3. How many years have you been in practice?
Eyelid surgery, scientifically referred to as blepharoplasty, is a surgical procedure done to correct sagging, droopy eyelids and create a rejuvenated appearance. Under eye bags are also addressed during this surgery as blepharoplasty encompasses the correction of all issues involving the lower and upper eyelid. As we age, our skin loses its elasticity causing excessive skin to collect on our eyelids. Gravity and genetics also play a role in our appearance and some people are plagued by hooding of the upper eyelids that is so bad it affects their vision.
Who is a good candidate for eyelid surgery?
Eyelid surgery can be performed on men and women who are 35 and older. However, if sagging, droopy eyelids are genetic and effect you at a younger age, impairing your vision, you surgeon may decide to let you undergo this procedure. If you are in overall good health but have bulges of skin in the upper or lower eyelids, you are a good candidate for this procedure.
If you smoke you will need to quit at least two weeks prior to your eyelid surgery. Smoking hinders our body’s natural healing process by denying oxygen intake to the brain. You will also need to keep from smoking as you recover from your procedure to ensure optimal healing.
Finally, when you meet with your surgeon for an initial consultation, they will ask that you reveal any medications you are taking and your health history. This will also help them determine if you are an ideal candidate.
What does recovery from blepharoplasty entail?
Immediately following your eyelid surgery, you will need to take it easy. Your doctor will prescribe painkillers and, in some cases, antibiotics. It’s important that you only take what was prescribed/cleared by your doctor to treat your discomfort.
During the first week after your blepharoplasty procedure the area will be sore and tender. You can use a cold compress to help bring down the swelling and bruising. Light walking is allowed to ensure that you don’t remain completely sedentary as you recover. After about two weeks most people report that they are able to return to their normal activities and at this point you can resume wearing eye makeup.
Some people find that they are sensitive to light in the week following their procedure or experience irritated or dry eyes. Should this occur, contact your surgeon immediately so he/she can prescribe eye drops to help alleviate these symptoms.
What to look for in a surgeon
The Canadian Society for Aesthetic Plastic Surgery (CSAPS) is the only recognized body in the country. Your surgeon must adhere to their strict code of ethics and conduct and also be board-certified by the Royal College of Physicians and Surgeons of Canada. Besides certification, schooling and experience you must feel comfortable with your surgeon. You should have a good rapport with your surgeon and trust them.
There are three important questions you need to ask potential surgeons to see if they’re capable of performing your eyelid surgery:
1. Where did you complete your training?
2. How many eyelid surgeries have you done?
3. How long have you been in practice?
A facelift, otherwise known as rhytidectomy, is a surgical procedure done to reverse the signs of aging. After a facelift, the skin appears more youthful and taut because the underlying muscles of the face have been tightened. Additionally, a facelift can create more aesthetically pleasing contours in the cheeks and improve facial structure that has been affected by time and the elements.
Who is a good candidate for a facelift procedure?
People with loose skin on the face and neck but still have enough skin elasticity (to allow for the new facial contours to conform to the rest of the facial structure) are good candidates for a facelift. Facelifts can be performed on men and women alike as long as they are in overall good health. There is no age limit for undergoing a facelift; however, most surgeons will not perform this procedure on people who aren’t in their mature stage of life. You will also need to possess a strong bone structure to give your new facial contours support. If you lack sufficient bone structure, facial implants can be inserted along with the facelift procedure to give the appearance of more defined cheekbones.
Moreover, ideal facelift candidates are non-smokers. Smoking hinders our body’s natural healing process and if you do smoke, you will need to stop at least two weeks before your procedure. You will also need to remain smoke free as your recover to allow your body to receive ample oxygen.
Finally, you will also need to discuss your medical history with your surgeon and he/she will use that information to determine if you are a candidate for a facelift.
What is the recovery process from a facelift like?
There is a degree of discomfort caused by the swelling and bruising that appears following a facelift. Your doctor will prescribe painkillers and antibiotics (if needed) to help deal with these symptoms. These symptoms will subside in time and are no cause for concern.
In the first week following your procedure, you should rest and avoid strenuous activities. You can, however, partake in some light walking to stimulate blood flow. Furthermore, you cannot get your face wet but can use cool compresses on your eyes to provide relief. You will also need to sleep with your head elevated and avoid anywhere where there is excess heat or steam such as a sauna, hot tub, pool, shower or bath.
Many people return to work two weeks after their facelift, depending on if the swelling and bruising has completely subsided. Each person heals differently so it’s important to listen to your body (and your surgeon) to determine when you can go back to work. The same goes for exercise. Most people take at least six weeks following their facelift to undertake strenuous workouts.
As for makeup, you will need to wait until your surgeon gives you the full approval. They will evaluate your skin as you heal in order to determine when you can start wearing makeup again. You will also be required to stay out of the sun as you heal and wear sunscreen every time you leave the house.
What to look for in a facelift surgeon
There is only one recognized professional body of plastic surgeons in Canada, the Canadian Society for Aesthetic Plastic Surgery (CSAPS). Besides being recognized by CSAPS, the surgeon you choose to do your facelift must be board-certified by the Royal College of Physicians and Surgeons of Canada. Likewise, a good surgeon will make you feel at ease and establish a level of trust with you.
1. How long have you been practicing?
2. Where did you do your training?
3. How many facelift procedures have you performed?
Nose reshaping, otherwise known as a nose job or rhinoplasty, is a surgical procedure done to to reshape and restore the nose in order to improve its function. Through rhinoplasty, the size and shape of the nose and nostrils are manipulated to create an overall better appearance and facial harmony. A nose job can narrow the nasal bridge, widen or narrow the nostrils, straighten a crooked nose, reshape the nasal tip and alter the angle between the nose and the upper lip.
Who is a good candidate for a nose job?
A nose job changes the aesthetic appearance of the nose. If you have a wide nose or a large dorsal hump, a nasal tip that droops, an enlarged nose or a nose that is too small in comparison to the rest of your facial features these factors will make you eligible for rhinoplasty. Furthermore, noses that are crooked, off-centre or asymmetrical can benefit from nose reshaping surgery. Anyone who has experienced nasal trauma like being hit during a sports game is also a good candidate for rhinoplasty.
Moreover, you must be in overall good health in order to undergo this procedure. If you smoke, you will be asked to quit at least two weeks before your procedure. Smoking hinders the body’s natural healing process and it’s important that you remain smoke free as you heal from your surgery.
Your surgeon will need a detailed list of any medications you are currently taking and they will also review your medical history. In doing so, this allows them to determine if you are a good candidate for nose reshaping surgery.
What is recovery like after a nose reshaping procedure?
After your nose reshaping surgery you will need to take time to recoup. You will experience swelling and bruising in the area and around the eyes. This is a normal side effect of nasal reshaping surgery and these symptoms will resolve themselves on their own. Some people also report skin numbness after undergoing a nose job but this should subside in a day or two. Nasal splints may be inserted during surgery to protect the septum. Your surgeon will remove the splint after about a week. You will probably feel stuffed as if you have a cold or allergies in the first week following your procedure. This is another normal side effect of a nose job and usually disappears as the healing begins.
Ideally, you should take two weeks off work. However, everyone heals differently and some people are able to return to work after one week. Also, your surgeon will prescribe painkillers and antibiotics (if needed) to help control pain. Do not take any medications that were not cleared by or prescribed by your doctor. Finally, do not perform any heavy lifting or strenuous activity for at least three weeks after your rhinoplasty procedure. All the same, you can go for light walks during your recovery period to stimulate blood flow and stay active.
What to look for in a rhinoplasty surgeon
There is only one recognized body of plastic surgeons in Canada, the Canadian Society for Aesthetic Plastic Surgery (CSAPS). You will need to find a surgeon who is recognized by CSAPS and board-certified by the Royal College of Physicians and Surgeons of Canada. Besides the aforementioned credentials, you must feel that you can trust your surgeon. Establishing a rapport is important and your surgeon should make you feel at ease as you prepare to undergo your surgery.
Here are three questions you can ask potential surgeons to help you decide if you want them performing your nose job:
1. Where did you complete your training?
2. How many rhinoplasty procedures have you done?
3. How long have you been a practicing surgeon?
A tummy tuck, also known as an abdominoplasty, is a surgical procedure done to remove loose, drooping skin from the midsection. This procedure addresses fat deposits, stretch marks and weakened abdominal muscles, repairing them to create a taut tummy with contours that are proportionate to the hips and thighs. Tummy tucks leave the patient with a firmer stomach and youthful figure and are often beneficial for women who have given birth.
Who is a good candidate for a tummy tuck?
Your surgeon will go over your medical history in detail during your initial consultation to ensure your candidacy. Additionally, in order to be considered a good candidate for a tummy tuck you must be in overall good health but posses droopy skin around the abdomen. Those who carry excess weight in their midsection no matter how much they exercise or maintain a healthy diet are also good candidates for an abdominoplasty. Furthermore, people who have lost a significant amount of weight or given birth and lost most of their baby weight but find their abdominal muscles have weakened and there is loose skin in abundance can benefit from a tummy tuck.
What is the recovery from abdominoplasty like?
After undergoing abdominoplasty you will need to take time off work to recover. It is recommended that you take at least 2-3 weeks off before returning to your job to give your body a chance to heal. Do not attempt any strenuous exercise for at least six weeks but you should be going on light walks daily to improve blood flow.
You will need to wear a compression garment for the first 1-2 months after your surgery. Your surgeon will let you know the make or model that you should be wearing. Painkillers and antibiotics (if needed) will be prescribed to you for pain management. Do not take anything that has not been cleared by your doctor. Even the most harmless of over-the-counter medications can interfere with healing so it’s best to ask your surgeon before you take anything that they haven’t prescribed.
Finally, smokers must quit at least two weeks prior to their tummy tuck. Smoking minimizes the oxygen supply to the brain which impedes healing, so it’s imperative that you also remain smoke free during your recovery.
What to look for in a surgeon
In Canada, there is only one recognized body of plastic surgeons, the Canadian Society for Aesthetic Plastic Surgeons (CSAPS). Your surgeon must be a member of CSAPS and be certified by the Royal College of Physicians and Surgeons of Canada. Members of CSAPS are held to high ethical and professional standards and must have impeccable bedside manner. This means that your surgeon must make you feel comfortable and harbour trust.
Here are three questions you can ask potential surgeons to see if they’re worthy of performing your tummy tuck:
Where did you complete your surgical training?
How many abdominoplasties have you performed?
What’s the key to a healthy recovery?