Cosmetic Surgery Honolulu Hawaii

If you are considering plastic surgery and looking for a plastic surgeon in Hawaii, one plastic surgeon that you should see is Dr. Pasquale. His credentials and training are some of the best. Dr. Pasquale is a Board Certified Plastic Surgeon in Honolulu, Hawaii. Electing to have plastic surgery is an important decision, and the plastic surgeon you choose will have a profound effect on your experience and the final results of your cosmetic surgery. A widely recognized expert on plastic surgery procedures such as breast augmentation, tummy tuck (abdominoplasty), liposuction and labiaplasty, Dr. Pasquale has that rare experience and first hand knowledge possessed by only the world's best cosmetic and plastic surgeons. Our patient coordinators are available to help you in multiple languages including Korean, Japanese, Filipino, Mandarin Spanish and Cantonese.

 

 

• Breast Augmentation
Dr. Pasquale has extensive experience in breast augmentation, breast lift and breast reduction surgery. Whereas some plastic surgeon's prefer one breast implant incision site or another, Dr. Pasquale is an expert with trans-axillary, periareolar, inframammary, perithelial and more. Our breast augmentation picture gallery contains various breast sizes and styles for many different body types and nationalities. Dr. Pasquale also performs a considerable amount of breast augmentation revision surgeries for patients of other surgeons. Some of the breast augmentation revisions Dr. Pasquale performs are: capsulectomy (capsule removal), breast pocket adjustments and remove replace of ruptured implants. Breast augmentation is one of the most popular procedures we perform in our Hawaii office surgery suite. We will provide you with all the information you need when considering breast augmentation surgery, including the risks, breast surgery recovery, types of breast insicions, the types of breast implants and which work best with both your preferences and your body type.
Today, breast augmentation or breast implants surgery is one of the most popular procedures we perform in our plastic surgery suite. Typically we perform 3 or 4 breast augmentation procedures every week, which not only keeps our skills sharp, but gives us the opportunity to truly develop our own breast augmentation style and preference. It is vital to select a qualified plastic surgeon to perform breast enlargement as this largely reduces the risks and complications.
The breast implant procedure generally yields very predictable results, which helps ensure patient satisfaction. To increase the size of a woman's  breasts, we place breast “implants” into the chest tissues. Therefore we first need an incision in which to work through and a pocket in which to place the implant. The saline filled implants today are generally inflatable like a balloon, so we can use small incisions to place a large implant and “inflate” it after it is in the position that we desire. However, the pocket must be created so that the inflated implant will fit.

 

One decision we have to make in each case is where the incision site is placed. A fine line scar is produced and the choices are as follows.
a. Periareolar Incision - through the areola (outside edge of the nipple, although some feel that this damages the ducts for breast feeding)
b. Transaxillary Incision - in the crease under the armpit (most breast tissue can be avoided with this incision site)
c. Perithelial - very close to the nipple
d. Transumbilical or TUBA - through the naval (a newer technique)
e. Inframammary - under the breast itself, in the natural crease (one of the older techniques)

 

When you come in for your consultation we can discuss further aspects of each approach. The photos on our site show some of our real-life patients, and you may want to peruse these to see how discreet we can make your scars.
Another decision that also needs to be made is whether to place the implant above the muscle or under the muscle. The “muscle” we are talking about is the pectoralis major muscle under the breast and on the chest wall. (The other term used is submuscular for under the muscle and subglandular for over the muscle.)
Here again each position has its advantage and disadvantage. I believe for example that the above the muscle position sags more quickly, yet is not as painful the night after surgery. These details will have to be discussed at length during your consultation. There are many other details about above the muscle and below the muscle techniques that we can explain during your consultation.
Finally, we must work together to determine an appropriate size - how much to enlarge your breast implant. This can get tricky and we have developed a sizing technique in our office in which we have found 96% complete satisfaction rate for size considerations. There may be limitations on size depending on your individual anatomy.
Breast augmentation is an art and a craft developed over years with many factors to consider. The most important factor, that I make my priority is to make my patient happy with the result. I have found over the years that the happiest patients are the ones who understand what this art form is about and what its limitations are. During your consultation, we seek to educate you and bring you into the decision-making process, which I believe will lead to a decision you will not regret.

 

• Breast Lift (Mastopexy)

Many people seem to confuse breast lifts with breast augmentation. The simplest and easiest way to differentiate between the two is that a breast lift removes the excess skin that causes the breasts to sag and reshapes it; breast augmentation involves the placing of a breast implant above or below the skin in order to augment it. While breast lifts don’t change the firmness and size of breasts, breast implants do.
Childbirth, nursing, and aging can cause the breasts to sag over time, changing the shape and contour of the breast. This fact leads many woman to seek breast lift (technically known as mastopexy). There are many variations of mastopexy which may be chosen. One thing that all of these procedures have in common is that there is a resulting scar on the breast. This may be only mildly perceptible or may be more noticeable. Be sure to discuss your concerns about scarring with Dr. Pasquale.
The decision for breast reshaping will depend on the type and extent of change you are looking for. Some women choose to combine breast augmentation and breast lift to restore youthful volume and contour at the same time.
Dr. Pasquale uses many techniques for reshaping the breast. Your desired outcome, your shape, concerns about scarring, and individual anatomy will all be considered. Some of the women pictured on this site are real breast lift patients of Dr. Pasquale. Although you are not guaranteed to have results identical to theirs, the photos should help give you a realistic idea of what breast lift results can look like.

 

• Breasts lifts are ideal for women with small sagging breasts. While the cosmetic surgery may be performed on women with heavy breasts the effect may not remain for long and the breasts may soon sag.

• Essentially what the breast lift does is to remove the excess skin in the breasts that is distorting its shape. This is done in a 2-3 hour procedure under general anesthesia (in some cases local anesthetic may be used.) The excess skin under the areola is removed and the nipples and areola positioned higher. Thereafter the remaining skin around and under the areola is stitched back providing a lift to the breasts.

• The stitches are generally in a vertical line from under the areola and along the lower crease of the breast. The stitches will cause scarring and though they will fade with time, they will not disappear. However the incisions and stitches are positioned that so that they are covered by the bra and will not be visible in a low neck dress or in a bikini.

• For women with small breasts with less sagging a ‘doughnut mastopexy’ or breast lift may be performed. In this case the incisions are less invasive and are in concentric circles around the nipple area.

• If you are planning on having a baby then it is suggested that you postpone your breast lift until after the delivery and the nursing as the hormones may cause the breasts to sag.

 

Breast lifts requires cosmetic surgery and thus needs proper pre and post operative care. Initially the breasts may be sore, swollen and bruised but this subsides soon. An elastic bandage or surgical bra may be used over the gauge dressing and this could be replaced by a softer support bra in a day or two. The woman can begin her daily routine in about 1-2 weeks but strenuous work and exercise should be avoided for at least 4-5 weeks or as advised by the doctor.

 

The price of a breast lift ranges between $7,000 and $9,000 and would depend on the surgeon.

 

Women with large, heavy breasts often experience physical discomfort in the back, neck, or shoulders. In addition, large breasts make some women feel insecure. They may avoid exercise and fitted clothing because of their breast size. Breast reduction surgery can help combat the problems often associated with large breasts.

Breast reduction surgery typically requires an anchor-shaped incision. Excess fat, skin, and tissue are removed, and the breast is sculpted into a smaller, more attractive shape. The exact technique may vary depending on your specific anatomy and goals. Breast reduction surgery can be a very rewarding and liberating procedure. Dr. Pasquale's breast reduction patients report a very high level of satisfaction with their results. If you are interested in learning more about breast reduction surgery, please contact Dr. Pasquale.

There are many medical conditions associated with having large breasts. These include back and neck pain, skin irritation, skeletal deformities or breathing problems. Besides the discomfort that may come with having large breasts, they may be the cause of psychological self-image issues in both men and women.

 

All breast surgeries come with the possibility of complications. One of the more serious complications is the possibility of an adverse reaction to the anesthesia. Allergic reactions may result in symptoms such as nausea, vomiting, headaches, a sore throat, and shivering. Serious complications related to anesthesia can include the possibility of a heart attack or a stroke.

Another complication is the possibility that a hematoma may develop. A hematoma is a collection of blood in a body cavity, which usually occurs just below an incision. A hematoma may cause pain, infection, scar tissue. It may be apparent right after surgery or during the recovery period. A sudden change in the shape or color of the breasts can be a sign of a hematoma. The doctor must be notified immediately about changes like these.

Infection is another risk. Signs of an infection may be observed in around one to six weeks after surgery, and they include swelling, pain, redness, discharge, a foul smell, and fever. To avoid infection, the patient must take their prescribed medicines regularly.

 

Scars generally fade within a year of surgery, though they will be permanent. Depending on the type of breast reduction, they may range from small scars from the incisions made in liposuction breast reduction to bigger, anchor shaped scars that result after the traditional breast reduction procedure. These scars may appear red and lumpy in the first few months before healing is complete. However, the placement of these scars makes them easily concealed by a bra or a bathing suit. Healthy non smoking patients will heal faster than smokers, though either way the scarring after a breast reduction procedure will be permanent.

 

The patient can expect swelling and bruising in the breast area after breast reduction surgery. Lotions or creams may be used to alleviate any itching or dryness. These should not be applied directly to the scars or incision sites, however.
The patient will be wrapped in an elastic bandage which must be worn for the first two or three days following the surgery, although once this is removed the patient will still have to wear a surgical bra for the next few weeks. The stitches are removed in one to two weeks after surgery. Strenuous activity must be avoided during the healing process, although most women may return to work in about two weeks or less depending on the type of work that they do.
For the next few months, the patient should avoid unnecessary force or contact on the breasts. As well as breast sensitivity, the patient can experience an altered sensation in the nipples. Some patients experience a heightened sensitivity while others may feel a numbness. These changes are not permanent and will revert back to normal once the nerves begin to heal and shift.

 

The most common type of breast reduction surgery incisions is the anchor pattern incision. Named for the appearance of the scar that it produces, this incision method is advantageous for women with extremely large breasts. This method allows for the removal of the most breast tissue, maximizing the results of a breast reduction surgery, and allows for the removal of the most excess skin, which provides a smoother appearance.

 

The vertical pattern breast incision technique is advantageous for women who do not require extensive tissue removal. This method results in less scarring, eliminating the horizontal scar along the crease of the breast. The vertical pattern breast reduction incision generally provides a more natural breast shape and requires less surgery time to perform. It is also referred to as the lollipop pattern incision, for the shape of the scar that it provides around the areola and vertically down the middle of the breast.
While the anchor pattern breast reduction incision can produce smooth results after only a month after surgery, it may take significantly longer for the result of the vertical pattern breast reduction surgery to smoothen and tighten.This pleated effect will smoothen out over time but this will happen gradually. Also, because this incision method does not allow for maximum access to the breast tissue, the nipple may have to be completely detached during this procedure, which will contribute to chances of a loss in nipple sensation and interference with breast feeding ability.

This surgery may be performed on any healthy, emotionally stable individual. Ideal patients would be those with firm, elastic skin that will respond to the changes in the body's shape.
Every major surgery comes with the risk of infection, or of adverse reactions to the anesthesia administered. Other complications that may occur are skin injuries, excessive bleeding, and excessive fluid loss or accumulation. Temporarily there may be a loss of sensation in the breast area, which may last up to a year. This is due to the shifting of the nerves during surgery. While it may take as long as a year for the nerves to fully recover and for sensation to return, this period is usually significantly shorter for most patients.
The inital consultation before surgery is very important, as before surgery may be performed it is important to determine the cause of the gynecomastia. This may be due to a variety of reasons, ranging from an impaired liver function to the use of anabolic steroids.

 

• Puberty
• Obesity
• Klinefelter Syndrome
• Gilbert’s Syndrome
• Aging
• Problems with testicular hormone production
• The use of common prescription medications
• The use of medications containing estrogen
• The use of anabolic steroids
• The use of herbal testosterone additives
• Impaired liver function

We provide a set list of instructions to our patients to follow in preparation for surgery, usually beginning two weeks before the surgery date. We ask the patient to eat healthy, take certain vitamins and medications, and to avoid alcohol and smoking, even during the recovery period. Smoking is known to decrease circulation in the body, and may contribute to bad scarring.

Chin & Cheek Implants | Asian Eyes | Asian Nose
Dr. Michael Pasquale has a well-earned reputation for excellence in facial cosmetic surgery. He combines the science of superior surgical technique with an artist's eye for beauty. His exceptional results bring patients from Hawaii, the U.S. mainland, Japan, and points beyond. If you are considering facial cosmetic surgery, please contact us today.

Whether it is changing a feature on your face you have never been happy with or reducing signs of aging to help restore confidence in your appearance, facial cosmetic surgery can make a dramatic difference in your life. In many cases, it can totally transform both the way you look and feel about yourself.

Facial cosmetic surgery ranges from the more complex face lifting procedures to smaller, less involved ones such as collagen injections. Dr. Pasquale has extensive experience in all types of facial plastic surgery and skin care, and he can offer a wide selection of techniques to help enhance your appearance. The choice of procedures will be dependent on many factors: your desired results, your skin type and condition, your budget, and the amount of recovery time you are considering.

 

Dr. Pasquale is a board certified plastic and reconstructive surgeon who has completed not only full residency training in plastic and reconstructive surgery, but also an additional two years of training in the subspecialty of cosmetic surgery. Since then, his many years of private practice have only perfected these skills. Of special note, as a practicing cosmetic surgeon in Hawaii, Dr. Pasquale has particular expertise working with Asian facial features and has an in-depth understanding of the Asian concept of beauty. With this unique background, he is able to help both Asians and non-Asians alike achieve the beautiful and natural looking facial results they desire.

On this website, you can view before & after photos, read about the facial cosmetic procedures Dr. Pasquale performs, and get to know our practice. We make a real difference in the lives of real people.

 

Our practice is proud to offer patients a state-of-the-art surgical facility equipped with the latest in advanced technology. Our cutting edge equipment includes the Ultrapulse CO2 (carbon dioxide) laser, used for laser skin resurfacing, as well as extensive monitoring and video equipment in each surgery room. In addition to laser treatment, patients can also choose from radio frequency energy or intense pulsed light therapy with the following two technologies, both available at our practice.

 

Imagine having younger, more vibrant skin free of wrinkles and folds—without surgery. The revolutionary new ThermaCool TC system uses special radio frequency energy to perform non-surgical face lifts. The machine works by heating the collagen in the inner layers of the skin while keeping the outer layers cool with a refreshing spray. The heat tightens the collagen, giving the skin the added support of face lift with no incisions and virtually no recovery time. To learn more about ThermaCool TC, please contact our office today.

 

Prolite is an innovative skin care system that uses intense pulsed fluorescent light to effectively treat a number of skin conditions, from rosacea and unsightly facial veins to unwanted hair or skin pigmentation. During treatment, intense pulsed light from the Prolite machine enters and breaks up pigment in the targeted area, without overheating or harming the surrounding skin. The Prolite system can also be customized to filter out specific light wavelengths, depending on a patient’s skin type and on the skin problem being treated. Prolite treatments are simple, involve little to no discomfort, and provide dramatic improvement to the look of your skin. To find out more about the Prolite system and the many treatment options with it, please contact the practice of Dr. Pasquale today.

Cost
If you are comparing the prices for a face lift or other facial cosmetic procedures, make sure you know what the quote you receive from your surgeon includes. (Plastic surgeons typically charge more than other specialists who also may perform facial cosmetic procedures because of their additional training.) When evaluating a fee quote, be sure to consider the following points:

Is it simply the surgeon’s fee? Does it include anesthesia and, if so, what type?
The price of facial cosmetic procedures varies widely depending on the type of procedure chosen. To give you some idea, a face lift, on average, can cost from $5,000 to $10,000 U.S. dollars. Anything less and you need to question why it is so inexpensive. (Does the surgeon need the experience so he/she lowers the price?) Obviously, less involved procedures – those that do not, for example, require general anesthesia or full surgery – will cost less.

Ask your surgeon what the arrangements are if a revision is needed. Will he or she charge you a full fee or just cost? Although revisions are generally not common, they are a possibility and it is important to understand how your surgeon will charge you for them.
There are websites that promise very cheap prices, but remember: if it sounds too good to be true, it probably is. Can you put a price tag on your health? If you are interested in learning more about the specific costs associated with a facial cosmetic procedure from Dr. Pasquale, please contact us. Prices differ amongst procedures and may also depend on the surgical techniques you require.

 

The purpose of undergoing a labiaplasty is to reshape or reduce the labia minora by better defining the labia, leading to a more symmetrical clean appearance. Any large protuberance of the labia minora can be caused by genetics, injury, sexual intercourse, childbirth or aging, which is easily corrected through labiaplasty surgery.
Vaginoplasty is the procedure used to tighten the vaginal canal which may have a larger diameter than prior to childbirth or from changes associated with aging. Sometimes a poorly healed episiotomy (cut made at childbirth) may require correction. Vaginoplasty is more of a reconstructive procedure to "tighten" the vaginal opening which my increase sexual pleasure for both partners. Vaginoplasty and labiaplasty can be combined along with other cosmetic procedures as well.