137 Johnson Ferry Rd
Building 2000
Suite #2240
Marietta, GA 30068

Sedation Breast Augmentation

Posted on April 22, 2015 by adminpsi

The goal was simple: Improve recovery from breast augmentation procedures. General anesthesia using inhaled gas and a breathing tube (endotracheal tube or LMA) is an incredible tool that allows the plastic surgeon to perform invasive procedures without the patient feeling or being aware of pain. I have performed, and continue to perform a number of breast augmentations under general anesthesia and I consider it extremely safe . But there are two major drawbacks to general anesthesia: 1. Many patients are so scared of general anesthesia that they change their mind and decide not to have breast augmentation, and 2. General anesthesia can leave the patient listless, groggy, and often nauseated a few days after surgery. By performing breast augmentation under IV sedation we can alleviate many of the fears patients have regarding general anesthesia and improve their recovery from surgery. The medications used during IV sedation breast augmentation are strong sedatives and pain relievers that carry the added benefit of being short-acting. A submuscular or dual plane breast augmentation procedure takes between 30-45 minutes to complete, such that I can finish the procedure just as the meds are wearing off. We limit the amount of IV narcotic sedatives used, such as fentanyl or morphine, and this significantly improves the risk of postoperative nausea. During breast augmentation under general anesthesia or IV sedation I inject 200-400cc of tumesecent fluid per breast. This tumescent fluid contains long- and short-acting agents (lidocaine) which numb the tissues and it contains epinephrine, a strong vasoconstrictor, which prevents bleeding during and after surgery. Proper infiltration of tumescent fluid beneath the muscle and around the breast is the key to performing breast augmentation under IV sedation.

The cosmetic results of breast augmentation under general versus IV sedation are identical. The type of anesthetic (general versus sedation) does not limit or change the plastic surgeon’s ability to create a precise submuscular pocket and to release the inferior and medial borders of the pectoralis muscle to place the breast implant in the correct position. We have seen less postoperative nausea and much quicker surgical recovery from IV sedation as compared to general anesthesia. When asked, our patients resoundingly report that they would prefer surgery under IV sedation. We enjoy offering patients the option of IV sedation for breast augmentation, especially for those who are concerned about general anesthesia and for those who desire a quicker recovery from surgery.

For more information on procedures offered by Dr Paul McCluskey at the Plastic Surgery Institute of Atlanta visit:

Facelift without Surgery Options

Posted on April 15, 2015 by adminpsi

Facelift without Surgery Options

Signs of aging can show up more conspicuously on the face, which may make a person appear older than their actual age. The proven and most effective procedure available to deal with this condition is facelift cosmetic surgery. However, many people are reluctant to undergo a surgical treatment just for aesthetic purposes, and may seek non-invasive treatment options from the plastic surgeon.

Advancements in laser, ultrasound, injectable and other technologies have led to the emergence of a number of non-surgical treatments to rejuvenate the face. Dr. Paul McCluskey provides such solutions to patients in Atlanta, GA and surrounding communities. Some of the key non-surgical facelift options are described as follows.

Anti-Wrinkle Creams and Lotions

Minor conditions of facial wrinkles and lines can be addressed with over the counter solutions such as anti-wrinkle creams and lotions. Patients who may not be ready for cosmetic surgery may discuss with the surgeon about the most appropriate creams for their skin type. These creams include moisturizing agents to keep the skin hydrated and helping plump up the facial tissue.

Botox Injections

A plastic surgeon may provide Botox as an effective non-surgical facelift alternative to patients with mild wrinkles and lines on the forehead, between the brows, around the eyes and other areas of the face. Botox treatment has been approved by the FDA, and is widely popular all over the world. Dr. McCluskey offers Botox injectables to suitable candidates in Atlanta, GA and other areas for facial rejuvenation.

Thermage

Thermage skin tightening system employs the cutting edge radio frequency technology to lift the sagging facial skin. Thermage system targets the depleted and saggy areas of the face with deep and uniform thermal energy that causes stimulation of fresh collagen in the skin. Collagen helps in holding back the skin together and providing longer lasting and natural looking results for the face.

Laser Therapy

Laser therapy is among the more popular non-surgical skin tightening treatments for the face. It involves the delivery of infrared beams of heat energy to promote less wrinkled and more youthful looking skin. The procedure applies low intensity laser beams in very precise areas to achieve safe and targeted results.

Laser energy is designed to reach the deeper skin layers without any cuts or incision. It promotes collagen production, increases moisturization and oxygenation of the skin, and causes it to firm up. It enhances the face tone and texture, reduces wrinkles and lines, lifts the jaw line, and makes the skin around cheeks and eyebrows smoother.

Microcurrent Facelift

One of the latest and popular non-surgical treatments to make the facial skin appear younger and healthier is microcurrent facelift. The treatment is also known as bio-ultimate facelift. It makes use of mild electric currents to spur the production of natural collagen in the skin, improve the blood circulation and re-hydrate the facial skin.

Microcurrent facelift solution is designed to rebuild the thinning parts of facial skin, strengthen loose muscles, and fill up wrinkles with tissue regeneration. This non-surgical procedure is highly safe and causes no damage to the top layers of the skin.

For more information on treatments and procedures offered offered by Atlanta Plastic Surgeon, Dr. Paul McCluskey visit:

Tummy Tuck vs. Liposuction

Posted on April 10, 2015 by adminpsi

Tummy Tuck vs. Liposuction

Tummy tuck, clinically known as abdominoplasty, is a procedure performed by a cosmetic surgeon to help a patient achieve flatter, tighter, and firmer tummy. The procedure may also involve the repositioning of the navel to a more appropriate position. Liposuction, on the other hand, is a more targeted procedure that is specifically aimed at reducing excess fat deposits from certain areas of the body, including the abdominal area.

Dr. Paul McCluskey is an experienced plastic surgeon providing both tummy tuck and liposuction procedures to patients as per their needs. During the initial consultation, Dr. McCluskey will discuss various treatment options, and inform their pros and cons in order to help the patient make an informed decision. He receives patients from Atlanta and surrounding areas.

Which procedure is the right one for you?

Both tummy tuck and liposuction have their own suitability, and the cosmetic surgeon is in the best position to decide the more appropriate procedure for a particular patient. Patients with excess fat tissue in lower as well as upper abdominal areas along with sagging skin and weak or separated underlying muscles may be more suited for tummy tuck.

On the other hand, the plastic surgeon may recommend liposuction if the tummy skin is still fairly tight and muscles are intact, but only excess fat deposits in the lower abdomen are a concern. Patients in Atlanta and surrounding communities have an opportunity to receive these procedures from Dr. McCluskey.

Which procedure is more widely performed?

Liposuction surgery is typically a faster surgical procedure as compared to tummy tuck, particularly when it is focused only on fat reduction in the tummy area. This makes liposuction relatively less costly. At the same time, scarring in liposuction will be less conspicuous. These factors may make liposuction a more widely popular and accepted procedure as compared to tummy tuck.

Recovery Process

Recovery in case of liposuction is relatively faster and less painful as compared to tummy tuck. In many cases where a small problem area is being teated, liposuction may not even involve general anesthesia. Tummy tuck, on the other hand, may require general anesthesia, and about two weeks off from the workplace for proper recovery.

Who is a Good Candidate?

Candidates who will require tummy tuck surgery will typically be men or women above the age of 40. At this age, excess fat accumulation in the abdominal area may be accompanied by skin laxity and weaker underlying muscles. Women who have gone through multiple pregnancies may also require tummy tuck instead of liposuction. Liposuction is usually recommended in cases where patient has a moderate and stable body weight with relatively elastic skin, but has excess fat pockets without sagging excess skin.

Combining the Two Surgeries

Tummy tuck will usually be performed in combination with some amount of liposuction in the sides and buttocks in order to produce more harmonious outcomes. However, on the converse side, liposuction may not necessarily be combined with tummy tuck. Liposuction can be performed as a standalone surgery to achieve precise and targeted fat reduction results in specific areas of the tummy.

For more information on treatments and procedures offered offered by Atlanta Plastic Surgeon, Dr. Paul McCluskey visit:

Eyelid Surgery (Blepharoplasty) Before & After Photos

Posted on March 25, 2015 by adminpsi

Eyelid surgery is a godsend for anyone who has a problem with tired and puffy looking eyes. For some, this excess skin and fat around the eye can even impair vision. Blepharoplasty performed by a skilled plastic surgeon like Dr. Paul McCluskey in Atlanta, GA can significantly improve their quality of life by improving a patient’s view of the world.

Understand the process of a blepharoplasty

If you have opted for Blepharoplasty it helps to get a good understanding of what to expect and realistic results you can look forward to.

The process of an eyelid surgery takes about 45 minutes to 60 minutes on an average, according to data from Dr. Paul McCluskey in Atlanta, GA. He takes out the stitches in 3 to 5 days time and most patients are able to return to work within about 10 days.

Eyelid surgery: Before and after photos

While getting clarity on results you can expect is crucial, it is also important to understand that no two experiences will ever be exactly alike. You can look at photographs of people whose before photos are closest to your own. But factors like gender, ethnicity, age, and environmental factors may all impact how your eyelid surgery turns out. The results are sure to vary a bit from person to person.

What blepharoplasty before and after photos can tell you

What a before and after photo may help you do however, is to understand the skill of the plastic surgeon. Much like a patient testimonial, these will tell you what results of the eyelid surgery were really like.

However, you can never be sure what it was each person really wanted and requested to start with. Also, while some may have done the eyelid surgery for purely aesthetic reasons, some older people may find baggy eyelids interfere with their vision and may have opted for the cosmetic surgery for more functional reasons.

Results from your own eyelid surgery (blepharoplasty)

After your eyelid surgery, your plastic surgeon will prescribe a lubricating ointments and may also recommend a cold compress to soothe the area. Dr. Paul McCluskey might use gauze and bandages should he feel the need. Mild bruising and swelling in the days following the surgery is normal.

In a few weeks time, you should start seeing a difference and the results of the Blepharoplasty will become more evident. The incision lines may take a while longer to fade away completely, but the general puffiness you experienced prior to the surgery should have significantly reduced.A nicely defined eyelid will also give you a more youthful appearance in general.

For longer lasting results take care to protect your skin from the elements. Using a good sunscreen helps slow down the effects of aging due to exposure to sunlight. Most important however, is the care you take during the days following the surgery. Be sure to follow your plastic surgeon’s instructions and use the medication prescribed to help your eyelid heal from the Blepharoplasty and ensure a quick recovery.

For more information on treatments and procedures offered offered by Atlanta Plastic Surgeon, Dr. Paul McCluskey visit:

The G-Shot at PSIAtlanta

Posted on March 17, 2015 by adminpsi

What is the G Shot?

First, the G Shot is a simple, pain-free procedure which is performed in the office. Second, the G Shot provides a nice enhancement of the most sensitive spot on the vaginal wall. There are many theories about the location of the “G spot” but experts agree that the G spot is a patch of tissue on the anterior (upper) vaginal wall which is often more prominent than the surrounding tissue. Many of the nerve endings associated with sexual pleasure are concentrated in the clitoris and the G spot. Some women don’t experience much sensation in the G spot while others find it to be a very sensitive area. The G Shot works best in women who already experience heightened sensation in the G spot area. Enhancing the volume and prominence of this area on the vaginal wall improves sensation for both the woman and her partner.

How does the G Shot work?

I completely understand that it’s a little intimidating and embarrassing for a patient to talk about these procedures during a consult. Patients have a lot of questions about procedures like the G Shot, or for that matter, anything to do with sexual aesthetics & vaginal rejuvenation, but they’re often afraid to ask. We’ve worked very hard to make this experience as comfortable and un-intimidating as possible. Often for procedures like the G Shot I will schedule the consult and the procedure on the same day. This means just one trip to the doctor! This means just one quick discussion about the procedure and what results the patient is trying to achieve, then a little numbing medicine, a little G Shot, and she’s out the door within the hour! In short, the G Shot is an injection of filler into the G spot.

Use of Fillers For The G-Shot

I typically use hyaluronic acid fillers such as Juvederm but I’ve performed a number of G Shots by transferring the patient’s own fat into the G spot area. Both of these fillers (fat and hyaluronic acid, or HA) have their advantages and disadvantages. The hyaluronic acid G Shot is the simplest of in-office enhancements and only takes a few minutes. The patient can easily be in and out of the office in 20-30 minutes and the HA enhancement can last 9 months or longer. A G Shot with HA can also be repeated months later for further sexual enhancement without any risk of scar tissue formation or other side effects. Hyaluronic acid is a naturally occurring component of the human body and the results of an HA G Shot actually improve with time because HA absorbs water causing additional prominence of the G spot.

Using The Patient’s Own Purified Fat For A G-Shot

Performing a G Shot with the patient’s fat takes a few extra minutes as compared to HA but the results are excellent. G spot enhancement using the patient’s own fat will also last 9 months or longer and it can be repeated to improve the desired effect. Another advantage of using fat is that it can easily be combined with other procedures. If we are performing liposuction of other areas why not transfer some of the fat to the G spot to improve sexual satisfaction? The G shot only requires a few cc’s of fat (1-5cc) but during a typical fat-harvesting procedure I’ll remove 20-30cc of fat. We call this fat “liquid gold” because it is the patient’s own fat, dense in tissue factors and stem cells, and it can be used to enhance multiple areas of the body including the G spot, the labia majora, and labia minora, facial lines & lips, and it can be used for rejuvenation of the hands.

To reiterate, the G shot is a simple, short, pain-free, in-office procedure which can be performed on the same day as consultation. Patients will often experience heightened sensation afterward with very few, if any, risks or complications.

For more information about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Breast Lift Surgery (Mastopexy) Cost

Posted on March 15, 2015 by adminpsi

It is hard to put a price on something like breast lift surgery. A very personal choice, a mastopexy is typically something that should be your decision, and yours alone. A good plastic surgeon like Dr. Paul McCluskey in Atlanta, GA can help make the entire process much more comfortable for you and improve the quality of the results you get from this plastic surgery.

Once you have shortlisted your cosmetic surgeon, you will need to come down to discussing the details of your procedure and that all important question of – the costs.

The cost of mastopexy

Breast lift surgery prices will vary from plastic surgeon to plastic surgeon. The prices in Atlanta, GA may be quite different from San Diego, CA. What is important to consider above all else, is the expertise and experience of your cosmetic surgeon. You would do well to choose a reputed and qualified surgeon, even if you have to fork out more on the procedure, rather than choose a less experienced one who charges less but whose work may be less than perfect, may last for fewer years or worse – leave you scarred. The costs involved – both emotional and monetary – in fixing a botched up job will be far higher.

Check with your plastic surgeon on the estimated costs. You will find that surgeons like Dr. Paul McCluskey are forthcoming with these details, because they want patients to be clear on what to expect. Do remember, besides the cosmetic surgeon’s fees you will need to plan for expenses for the use of the surgical facility, the anesthesia and medicine, any tests that may be needed, consumables and surgical garments used for your breast lift surgery.

Insurance and breast lift surgery

Breast lifts are elective surgeries, so insurance will not cover the costs. However, do check for installment plans or special payment schemes that your plastic surgeon can work out for you. Patient payment programs and financing options are usually available, so don’t hesitate to ask. Start saving up so that you have a little bit put away in advance. Most patients say they think of it as an investment rather than a cost.

The exception to this rule is in cases where a breast lift surgery is required as part of a larger mastectomy reconstruction. In this case health insurance may cover the expense. Do check with them in advance to be sure.

How long will the effects of your breast lift surgery (mastopexy) last?

Another important thing to consider when weighing the costs involved is the duration for which the effects are likely to last. An experienced and well qualified plastic surgeon can give you a breast lift that could last decades. Unless you undergo further weight loss and gain, the mastopexy should hold for a good number of years. Plastic surgeons like like Dr. Paul McCluskey will usually not just lift the skin but also use their skill to sculpt the surrounding tissue helping improve the longevity of the procedure.

For more information on treatments and procedures offered offered by Atlanta Plastic Surgeon, Dr. Paul McCluskey visit:

Breast Lift Surgery (Mastopexy) Overview

Posted on March 5, 2015 by adminpsi

Breast Exchange | Plastic Surgeon | Cosmetic Surgeon | Atlanta | GA Breast lift surgery can be a big confidence booster and can improve your silhouette if you have drooping or sagging breasts. However, the surgery requires precision and expertise, so take your time and ensure you choose a well qualified cosmetic surgeon like Dr. Paul McCluskey who practises in Atlanta, GA.

Who should get breast lift surgery?

A simple check to see if you may be a candidate for mastopexy, is to try placing a
pencil under your breast. If it doesn’t fall, you could benefit from a breast lift surgery with a qualified plastic surgeon. Ultimately though, this is a very personal decision and you may feel you have an aesthetic need to give your breasts a boost. Discuss your reasons and have a good plastic surgeon review your case to see if this is the right choice for you. Remember, a breast lift doesn’t enlarge your breasts (for that, choose a breast augmentation).

Breast Lift Incisions

Typically, life changes like pregnancy, motherhood, age and weight gain or loss can cause your breasts to not be as firm and youthful as they once were. The sagging can add unwanted years to your age, and a breast lift can actually help turn back time. You may also consider getting mastopexy if you have an areola that has expanded over time – the procedure helps reduce it.

What to expect in a mastopexy

In the consultation before your breast lift surgery, your plastic surgeon will get your medical history to understand if there is a history of breast cancer, previous surgeries and other factors that could influence the outcome of the surgery. It is important to be completely open about medications you take and your history. The surgeon will then do a physical check and take photographs of your breasts along with detailed measurements. Dr. Paul McCluskey and his team understand the importance of this stage of the process and ensure that every care is taken to ensure a successful breast lift surgery.

During the procedure, your plastic surgeon will put you under general anesthesia or give you an intravenous sedative. Incisions may be made around the areola, around the areola and vertically down, or in both these areas as well as horizontally on the breast crease. The tissue is lifted and the nipple/areola brought back up to a height where they may originally have been in your youth. Excess skin is also removed.

Recovering from breast lift surgery

Immediately after the surgery, your cosmetic surgeon will dress the incisions and wrap the area with bandages. Besides this you may need to put on a support bra or an elastic bandage to keep swelling down. Your breasts will also need the extra support to heal. Sometimes, some blood or fluid may collect near the incisions and a thin tubing may be inserted in the area to drain this. Your plastic surgeon may prescribe medication and give you special instructions to follow after the surgery. Be sure to always check with him or her if you have any questions. Recovery time varies from person to person, so get an estimate for your case, from your surgeon.

Pick a good plastic surgeon and check their credentials and track record. If you are in the Atlanta, GA area, Dr. Paul McCluskey makes an excellent choice, with his experience and skill. When you know you are in safe hands, that’s half the battle won.

For more information on treatments and procedures offered offered by Atlanta Plastic Surgeon, Dr. Paul McCluskey visit:

Before & After Photos: Breast Augmentation

Posted on March 3, 2015 by adminpsi

Following weight loss, breast feeding, and simply with age, breasts lose volume and begin to sag. Losing that youthful full bust is not uncommon, but is a factor in reduced confidence that we see in many of our patients. Breast implants are a great solution to this loss of volume and returning the breasts to a more rounded, youthful shape.

As can be seen below, in this patients case breast implants can be used to create a very natural looking, full chest while in many cases increasing self-esteem and confidence. There are so many options available for breast implants, from material, to size, to placement each patient is able to have their specific and unique needs met. Dr McCluskey discusses all options in detail with each patient so that the procedure is tailored to meet expectations as well as possible.

For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit:

Eyelid Surgery (Blepharoplasty) Cost

Posted on February 20, 2015 by adminpsi

Eyelid Surgery (Blepharoplasty) Cost

Eyelid surgery or blepharoplasty is a procedure performed by a cosmetic surgeon to reduce the aging signs and loose skin around the eyelids. The procedure may be performed on upper or lower eyelids, or both. In some cases, eyelid surgery may also include tightening of underlying muscles.

During the initial consultation, the plastic surgeon will discuss various aspects of the procedure, including its estimated costs in order to help the patient make an informed decision. Dr. Paul McCluskey is an experienced plastic surgeon providing upper and lower blepharoplasty and other procedures to patients in Atlanta, GA and surrounding areas.

Cost Factors

The cost of eyelid surgery may vary from one practice to another and even from one patient to another at the same practice. Cost variations can occur due to several factors.

Location of the Practice

The cost of living index will typically differ between two regions, which can impact the average costs of most types of goods and services, including the services provided by a cosmetic surgeon. For instance, the cost of an eyelid surgery procedure in Atlanta, GA may not be the same as the cost in say, Los Angeles, CA.

Surgeon’s Fee

The plastic surgeon may charge a fee for blepharoplasty depending on their qualifications, experience, and recognition in the field of eyelid surgery. The American Society of Plastic Surgeons (ASPS) recommends that patients should choose the right surgeon for the procedure, and factors such as the surgeon’s fee should only secondary to such a choice.

Anesthesia and Operating Room Costs

Blepharoplasty procedure may be performed using general anesthesia in some cases. The cost of anesthesia will vary according to the fees charged by a particular anesthesiologist. The procedure may be performed at a state of the art surgical facility with experienced staff and personalized service, which may increase the cost somewhat in comparison to an average operating room.

Complexity of the Procedure

Whether the patient needs blepharoplasty for upper, lower, or both eyelids, whether muscle tightening is involved, and whether any other surgical or non-surgical facial procedures are combined with the surgery, are all factors that will influence the overall cost of eyelid surgery. Additional costs such as prescription medications, lab tests, and other related expenses should also be considered while estimating the overall cost of an eyelid surgery procedure.

Average Cost

The overall cost of eyelid surgery can vary significantly between two practices or patients, depending on various factors as discussed above. According to the ASPS, the average cost of eyelid surgery in the US was $2,818 in 2013. However, the ASPS clarified that this cost did not include anesthesia costs, operating room expenses, and other related surgical costs. The overall cost may range between $6,000 and $10,000 for eyelid surgery.

Health insurance may not cover the costs, unless the procedure is performed specifically to correct vision scope or other health reasons. Patients should explore different financial options to make the payments in convenient monthly installments spread over a period of time. The surgeon’s office may be able to provide guidance and assistance with regard to insurance and financing.

For more information on treatments and procedures offered offered by Atlanta Plastic Surgeon, Dr. Paul McCluskey visit:

Face Lift: Before and After Photos

Posted on February 18, 2015 by adminpsi

A Facelift can help erase years from the neck and jawline by lifting, tightening and smoothing the skin. Weight fluctuation can cause skin in this area to become sag, but there are very few of us who will escape the tell tale signs of aging that come from the loose and sagging skin of the neck and jowls. You can see Dr McCluskey perform a facelift here! As you can see from the patients results below, the Facelift gives a natural, subtle, younger looking silhouette to the face.

You can learn more about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta: