Choosing the right plastic surgeon is essential. In addition to considering the credentials of your surgeon, you should also know where they operate. An accredited surgical facility has to meet strict standards for safety and quality of care. As American Society of Plastic Surgery (ASPS) member surgeons, we only use accredited facilities for our procedures.

What is an Accredited Surgical Facility?

An accredited facility must meet criteria from one or more organizations. There are a variety of agencies that conduct these independent reviews. Although specific requirements differ, the general assessment will be fairly similar. All agencies will make sure the facility is prepared for emergencies, that procedures are performed by qualified surgeons and support staff, and that the operating area is clean.

Some common accrediting agencies include:

  • American Association for Accreditation of Ambulatory Surgery Facilities (AAASF)
  • Accreditation Association for Ambulatory Health Care (AAAHC)
  • The Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Why Accreditation Matters

As a patient, you should verify that the facility where you are undergoing your procedure is accredited. The good news is ASPS member surgeons are required to use accredited facilities, so you will already have a good idea of whether the surgeon you are interested in operates in accredited surgical centers.

Here are some of the reasons why it’s important to choose an accredited facility:

Emergency Preparedness

Accredited surgical centers have plans in place for emergencies (power outages, fires, et cetera) and for complications that can occur during surgery. In addition to having a plan, they will need to have all the necessary equipment available. While these types of issues are exceedingly rare, patients can feel at ease knowing the facility is prepared for any potential situation.

Clean Facility

Cleanliness is essential for surgery. It’s important for your peace of mind as a patient to know that your surgical center will follow all necessary practices for cleaning and sanitization.

Qualified Staff

In addition to your surgeon, various other individuals will help with your procedure. Accredited facilities have requirements for all individuals who will be involved with surgeries.

Anesthesia Standards

For procedures that require intravenous (IV) sedation or general anesthesia, proper administration and monitoring are crucial. Accredited facilities have requirements in place for anesthesia. At Hess & Sandeen Plastic Surgery, we only work with board-certified anesthesiologists at the accredited surgical centers where we operate.


Accredited surgical centers have to adhere to standards for protecting your privacy as a patient. This includes demonstrating compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Learn More About Your Plastic Surgery Options

If you are interested in cosmetic surgery, it’s important to choose the right surgeon for the job and to know they will use an accredited center for the procedure. At Hess & Sandeen, our surgeons are highly qualified and prioritize patient care and safety every step of the way. We can work with you to help you reach your aesthetic goals to look and feel your best.

Schedule your cosmetic surgery consultation today.

Although most women are satisfied with the results of breast augmentation and do not require breast implant removal, there are several reasons a patient may need or want explant surgery. A surgeon can either perform the removal by itself or in combination with a breast lift, also known as mastopexy. Whether a combination of breast implant removal and lift is best for you is influenced by a variety of factors and will ultimately depend on your personal preference.

Do You Need to Decide Immediately?

Undergoing a lift and breast implant removal at the same time is more efficient than waiting between the two procedures. If possible, we will usually recommend combining the procedures during one surgery. That being said, you can always get your implants removed first, then come back for a lift after healing if you still desire one. This will increase the recovery time and expenses, but it is a possibility if you want to see how your results will look without a lift first.

How Likely is Sagging After Breast Implant Removal?

Knowing the likelihood of sagging breasts, medically known as ptosis, after explant surgery can help you decide whether a lift will be beneficial for you. There are several factors that influence this and your surgeon can discuss them in detail with you during a personalized consultation.

Some of factors that affect the likelihood of ptosis after implant removal:

Skin Elasticity

Some patients’ skin is better able to tighten after explant surgery, depending on its elasticity. Age, genetics, and previous weight fluctuations can all impact this. If your skin is less elastic, sagging is more likely.

Patient’s Age

Aging has a negative impact on skin elasticity which, as mentioned above, can result in ptosis being more likely after explant surgery. In addition to this, breast sagging is more likely as women age, regardless of whether they have implants or not. This means that even if your skin is able to tighten slightly, some sagging may still remain without a breast lift.

Age of Implants

The longer you have had your implants, the less likely your skin is to retract completely after removal. This is partially related to the fact that you will have aged during this time as well.

Size of Implants

The larger your implants are compared to your natural breasts, the more your skin will stretch to accommodate them. This results in more excess skin (and thus a higher chance of ptosis) after implant removal.

Existing Ptosis

If you are already experiencing breast sagging prior to implant removal, it is likely to at least stay the same. In most cases, you can expect the ptosis to increase. Pairing explant surgery with a lift allows you to address the existing sagging while also removing the implants.

Breast Implant Removal and Mastopexy in Tucson

At Hess and Sandeen, our experienced surgeons can perform explant surgery with or without a breast lift. We can discuss your aesthetic goals and help you determine whether a removal and lift will be the best fit for you.

To learn more about breast implant removal with lifting, contact us today.

Plastic surgery can help you love the way you look. Different procedures can minimize signs of aging or sculpt your body. One of the common questions patients have before undergoing cosmetic surgery is how long their results will last. In general, these procedures are very long-lasting, although the exact amount of time before revision may be necessary varies depending on the type of surgery.

Here is more information about the longevity of plastic surgery results, broken down by procedure:

Facial Plastic Surgeries

When it comes to facial surgery, keep in mind that aging will continue to affect your appearance over time. As a result, no procedure is truly permanent. However, the results last significantly longer than non-surgical options.


A facelift tightens and lifts skin on your face and neck to reduce sagging. Results can last a decade on average. However, your skin will continue to age over time, which is why facelift results are not permanent. You can increase the length of time your facelift will last by having a consistent skin care routine and may also want to consider Dysport or fillers to extend the results.

Brow Lift

A brow lift moves sagging eyebrows up, restoring a more youthful appearance. Like a facelift, the effects of gravity and aging do eventually affect the results. A brow lift will typically last between five and ten years.


Blepharoplasty, more commonly known as eyelid surgery, removes excess skin and fat around the upper and/or lower eyelids. Upper eyelids will begin to sag over time due to aging, so upper lid blepharoplasty typically lasts between five and ten years. Lower lid blepharoplasty, on the other hand, is even more long-lasting, and results can persist for a lifetime without touch-ups in many cases.

Body Surgeries

Cosmetic surgeries performed on the body tend to last longer than facial surgeries, because the effects of aging are less noticeable. These surgeries can last a lifetime in ideal conditions. However, anything that changes your body significantly can affect the results. Examples include pregnancy, weight gain, and weight loss. If any of these do occur, you may need a revision surgery to maintain your results.

Body surgeries that can last a lifetime, assuming no major body changes, include:

Breast Surgeries

Breast Augmentation

The longevity of breast implants can vary. For modern implants, you generally only need to remove and replace them if there is a complication. The average lifespan is 10 to 20 years.

Breast Reduction

Breast reduction is similar to procedures that are focused on the body, in that it can last a lifetime in ideal circumstances. If you gain a significant amount of weight, your breast size may increase and this will undo the results of the breast reduction. The same can be true for pregnancy.

Breast Lift

The length of time that breast lift results last can differ. Some patients notice that the results last 10 to 15 years, and this is more common if the sagging was due to aging. For patients who pair a breast reduction with a breast lift and who do not gain weight after surgery, the results can last longer.

Are You Considering Plastic Surgery?

If you are interested in cosmetic surgery, we can discuss your options and help you love the way you look. We offer a variety of procedures and our surgeons are highly experienced.

To learn more about plastic surgery in Tucson, contact us today.

Pregnancy and childbirth change a woman’s body in a variety of ways. It’s completely natural to look different, but this doesn’t make it any less frustrating. If you’ve tried diet and exercise and they haven’t given you the results you’re looking for, it may be time to consider a mommy makeover.

A mommy makeover is a combination of plastic surgeries that address the most common cosmetic concerns women have after pregnancy. Your surgeon will tailor the procedure to your needs and it may include any of the following: breast augmentation, breast reduction, breast lift, tummy tuck, and liposuction.

One of the major factors that can hold women back from getting a mommy makeover surgery is the question of how to fit the recovery time into their busy schedules. Although it can be challenging, your confidence is worth the effort.

Here are some tips for planning for your mommy makeover recovery:

1. Tailor Your Plan to Your Procedure

The recovery process looks different depending on which surgeries are a part of your mommy makeover. If a tummy tuck is a part of your procedure, you should expect a longer recovery time. Talk with your surgeon about what to expect and get personalized recommendations. This will help you create a plan that works for you rather than relying on more general advice.

2. Focus On Your Health

The healthier you are before surgery, the better your chances are for a smooth recovery. Make sure you are eating nutrient-rich foods and exercising regularly (although you will need to reduce your physical activity during recovery). If you smoke, you should quit several weeks before your surgery.

Your surgeon will make sure you have a clean bill of health and are a good candidate for a mommy makeover before moving forward.

3. Identify Your Support Network

There will be some tasks you won’t be able to perform in the first weeks and months after surgery. Having people who can help care for your children, keep the house clean, and prepare meals can make recovery much easier. Identify the people in your life who would be able to help you during this time and ask for their assistance.

4. Prepare Ahead of Time

Before your surgery, it’s a good idea to prepare for the initial recovery period and make sure everything is in order. Your to-do list will look different depending on who is able to help you after surgery and what they can take care of. You may want to prepare meals, clean your house, and set up an area where you can rest during recovery.

5. Cultivate a Positive Mindset

While the logistics of planning for mommy makeover recovery can be complicated in any situation, the process is more difficult if you have a negative mindset. Many women feel guilty about taking this time for themselves and asking for help from others. However, you deserve to love your body and to take the steps to help you increase your confidence. Try to stay positive before your surgery and throughout your recovery.

Mommy Makeovers in Tucson

At Hess & Sandeen, our highly skilled surgeons can perform a wide variety of cosmetic procedures, including mommy makeovers.

To learn more about mommy makeover surgery, contact us today.

Breast augmentation can help you feel more confident in your body. Advancements in technology have made it possible to achieve natural-looking results while minimizing the risk of complications.

The lower rate of complications means that implants are also able to last longer. While breast implants are not permanent, they typically last for 10 to 20 years after surgery and may last even longer in some cases.

Do You Need To Replace Implants After 10 Years?

Some sources will say that you need to replace implants no matter what after a certain time frame, such as every decade. However, this is typically not the case. You will only need to remove/replace your implants if there is a complication or if you desire to do so.

The reason you will often see 10 years as the estimated lifespan of implants is due to a 2011 study from the Food and Drug Administration (FDA). Their data demonstrated that 20% of women removed or replaced breast implants within 10 years of the initial surgery. The study grouped all reasons for removal together whether there was a medical reason or a desire to change the appearance of the implants.

Keep in mind that this means 80% of women kept the same implants even after the 10-year mark. Again, new and improved gummy bear implants have a lower risk of complications and if you choose a size that works for you in the long term, you may be able to extend the longevity of your implants.

When to Remove/Replace Your Breast Implants

Although you do not need to remove and replace your implants based on how long you have had them, you may need or want to do so for other reasons.

Complications that require implant removal include:

  • Capsular Contracture: This is a tightening of scar tissue around the implant and results in the hardening of the breast. The textured surface of gummy bear implants helps prevent this and although it is rare, it can still occur. In this case, a surgeon will need to remove the implant and scar tissue.
  • Rupture: If the shell of your breast implant ruptures, a surgeon will need to remove it. For saline implants, this is generally more noticeable as the breast size will decrease over the course of a few days while the saline is harmlessly absorbed. For silicone implants, a rupture may be more subtle. It is recommended that you get a magnetic resonance imaging (MRI) scan every 2 years after getting implants to check for so-called “silent rupture.”

Some patients remove/revise their implants for cosmetic reasons, including:

  • A desire to increase/decrease breast size
  • Sagging due to aging
  • Changes in breast size or proportionality due to pregnancy or weight loss/gain

Removal Only vs Replacement

If you need or want to pursue breast implant removal, you may be wondering whether or not you should go without implants or get replacements. This will depend on your personal aesthetic goals, as well as the specifics of your medical situation. During your consultation with our plastic surgeons, we will help you determine what your options are.

We can pair implant removal with a breast lift if loose skin or sagging are concerns. This can be common if your implants were significantly larger than your natural breasts.

Remove or Revise Your Breast Implants

If you have implants and wish to remove them or change their appearance, we can help. We offer breast implant removal as well as other breast surgeries, including lifts, in Tucson, AZ.

To learn more about breast implant replacement, contact us today.