Dr. Jervis understands the need for good communication … we strive to understand your concerns so you get the best outcome possible.
From the first time you walk through our doors, we’ll make sure you are fully educated on the latest procedures, options, possible complications, final outcomes and ease any concerns.
Will I look like a better ‘me’ after my procedure?
Dr. Jervis understands that you want to look better, feel better but still be the unique person you are. A facelift , brow lift or eyelid lift can give you a more rested, youthful appearance. Often times acquaintances will notice a change but will be unsure what it is. New hairstyle? Different makeup? Weight loss or vacation?
Patients with realistic expectations don’t want to look half their age but want to look refreshed and more like their ‘old self’. Dr. Jervis can help you look rejuvenated while retaining your unique, individual features.
Will those close to me be supportive with my decision to have cosmetic surgery?
While patients are happy with their outcomes, many are shocked and surprised at the negative comments from those around them. Some choose to remain quiet about their choice to have plastic surgery while others simply wait until after to tell a select few. While we want to share our happiness with those closest to us we’re oftentimes halted by the reactions and judgement of our friends and family. Jealousy, guilt and anger can sometimes occur. Choose carefully who you share these plans with, particularly those with negative outlooks. Forgive those who for whatever reason can not back you on your choice of self improvement.
The top 5 surgical procedures are:
- Liposuction (usually laser assisted)
- Breast augmentation/ breast lift
- Abdominoplasty (Tummy Tuck)
- Eyelid lift
Botox (& other neuromodulators), Fillers (Juvederm, Radiesse, Belotera or your own fat), laser resurfacing (Cutera or Portrait Plasma) and chemical peels (Apeele) are good choices for those who want to make minor improvements but are not ready for ‘surgery’.
Take liposuction for example, or a tummy tuck, some may think surgery is ‘cheating’. Not taking into account that we all have different body types and different ways of carrying fat deposits that may or may not respond to exercise. Diet and exercise are important to our health, but some are genetically programmed to struggle more than others. Outer thighs, tummys and hip regions can shrink with exercise but they can still be ‘out of proportion’ with the rest of you.
We can be very aware and critical of our ‘problem areas’. Things that drive us crazy some may not see as a problem at all. Enhancement is a personal choice just like getting a good haircut or putting on makeup. We look better so we feel better about ourselves. No one can make that decision but you. Some may try to change your mind, they love you just the way you are. That’s wonderful but only you know how you feel. Be understanding, be selective of who you tell and know that cosmetic surgery should help you feel better about yourself; if it pleases others as well, so much the better.
Is my plastic surgeon qualified?
Dr. Jervis is certified by the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, and many other organizations that require explicit training, experience, ongoing education and adherence to specific codes of ethics.
It’s normal to be concerned, cosmetic surgery isn’t something the average person does very often. Surgery in general can be scary but the majority of patients are put at ease after their consultation with Dr. Jervis. Safety is a top priority, we employee highly skilled anesthesiologists from John Muir Hospital, all MD’s too. Dr. Jervis will take his time explaining risks, expected outcomes and answer any questions or concerns you may have at your consultation and pre operative appointment. Also know that your loved ones are welcome to come in and discuss their concerns as well. We want to make this process as safe and comfortable for you as possible.
I’m thinking about having a procedure, where do I begin?
Start with an in depth consultation with Dr. Jervis. He will explain procedures, answer questions, show his before and after photos of past patients who’ve had similar cosmetic surgery procedures and go over possible complications. He’ll be able to educate you to about down time, how long you’ll be unable to exercise, pain management, etc. Most of our patients have one or more consultations followed by a thorough preoperative assessment with Dr. Jervis before undergoing any cosmetic surgical procedures. You will be provided with detailed written instructions including specific details about preparation, prescriptions, medications to avoid, follow up appointments and aftercare.
After my plastic surgery, when can I go home? When do I come back?
You will be released 1 – 3 hours after the procedure unless there is a planned overnight observation. At Dr. Jervis’ office/surgery center we no longer do conscious IV sedation or general anesthesia cases. We limit office surgery center cases to oral sedation (if needed/requested) and local anesthesia because of the administrative burden and expense of maintaining a “one surgeon” surgery center. The larger cases needing conscious IV sedation or general anesthesia are done at John Muir Medical Center’s outpatient clinic, Aspen Surgery Center.
How long will I have bruising and swelling?
Swelling and bruising is the body’s way of healing. People vary but for most plastic surgery procedures, bruising and swelling begin to fade in approximately 1-2 weeks. Complete fading of bruises may take longer depending on where and how much work was done in that area. Makeup can be used after a few days to cover facial bruising. Swelling may take two to four weeks depending on the type of procedure done. Liposuction clients may need up to 6 months for complete resolution.
How much pain will I have after cosmetic surgery?
We want you to be as pain free as possible but after any plastic surgery procedure, some discomfort can be expected. People vary in their level of discomfort and tolerance. Some don’t require any medications at all. Dr. Jervis does write prescriptions for pain medication in the event it’s needed. Patients sometimes use prescription medications a few days after surgery and then change to Tylenol for a few more days. During your preoperative appointment, Dr. Jervis will explain what you can expect, go over any allergies to medications and advise you on activity levels while you recuperate. Aspirin and other blood thinners need to be avoided for several weeks before and after procedures with significant risk of bleeding to avoid unnecessary bruising or worse, a hematoma (collection of blood), that could need to be drained.
How much time should I take off from work?
Work restrictions vary with the type of work as well as the type of procedure. Generally one week to 10 days for minor surgery and 2-3 weeks for multiple procedures or extensive plastic surgery. Disability is covered for cosmetic procedures.
When can I exercise after my plastic surgery procedure?
Aerobic and anaerobic exercises that elevate pulse and blood pressure should be avoided for a week or longer. Sam for bending, lifting and straining. Excess activity could cause bleeding resulting in a hematoma that could require a return to surgery, or even wound disruption. You are welcome to ask any question before, during or after any procedure.
I want to look better but I’m just not ready for any ‘big’ procedures. Is there anything I can do?
Little improvements can add up to big improvements. Xeomin, Botox, Facial fillers, Portrait Plasma, and chemical peels are just some of what we can do help you look younger, more rested.
Plastic surgery cost?
People have different body types, budgets and expectations. Few prices are written in stone until we meet with the patient. Dr. Jervis prefers to customize his fee by extent, duration, and complexity of the procedure(s). During your consultation, the fees will be discussed in detail. Generally if more than one procedure is done at the same time, discounts are offered.
Some procedures have fixed prices such as Breast Augmentation; others, such as liposuction, depend on the time in procedure so exact prices can only be determined during the consultation. Likewise there are several degrees of facelift which make the fees vary.
We are happy to discuss our fees for plastic surgery procedures with you at any time. To set up a consultation with Dr. Jervis, please call us at 925-937-7100 or email us. At that time, we can also share information on financing plans.
Help! I’m nervous. What can I do to feel more comfortable with decision to have a procedure?
It’s ok to be nervous. One of the best ways to deal with nervousness is to educate yourself. You may want a 2nd consultation with Dr. Jervis to make sure all your questions and concerns have been answered. An educated patient knows when and if the time is right to proceed. We also have past patients who can call and give you insight on the entire process in ‘laymans terms’.
Mammograms after a breast augmentation or breast lift?
Silicone or saline breast implants should not keep you from having a mammogram but the ordering doctor should know you have implants and whether they are in front of or behind the pectoral major muscle.
Breast feeding after breast augmentation?
As breast implants are most commonly placed behind the pectoral muscle, a silicone or saline implant will not keep you from normal breast feeding as the implant simply pushes your natural breast tissue forward. This should be a wonderful time to bond with the newest member of your family.
I personally do not cut through the mammary in placing the implants, the opening is between the skin and the breast glands to the muscle layer. Most surgeons cut directly through the breast tissue which could result in diminished sensation and reduce the ability to breast feed.