We are always happy to answer your questions during your consultation or anytime thereafter.

During your consultation, we discuss your specific goals and conduct a thorough and detailed medical history and physical examination to evaluate your overall health. Based on this information, we formulate a safe and realistic plan to help you achieve your goals. We encourage you to openly ask any questions you may have regarding your procedure, alternatives, risks, expected outcomes and recovery. The staff at New Body Plastic Surgery is always happy to answer and address your questions and concerns at any time, even after your consultation. Necessary forms and consents are discussed and signed during your consultation as well.
Many surgical procedures are covered by insurance, especially the ones that are considered reconstructive in nature. Differences may exist amongst individual insurance carriers. Cosmetic, also known as aesthetic procedures, are not covered. We advise all patients to carefully review your health insurance subscriber-information pamphlet or contact your insurance company for a detailed explanation of their policies for covered procedures. Breast reconstruction and procedures on the opposite breast to achieve symmetry are covered procedures. Other examples of covered procedures include removal of excess abdominal skin causing frequent irritation, skin cancer removal, removal of excess skin on upper eyelids that obstructs vision and nose surgery to improve breathing. Preauthorization by your insurance carrier is required for all covered procedures. Our patient coordinator will assist you with the process.
There are risks inherent with all surgical procedures; plastic surgery procedures are no exception. This applies to both cosmetic and reconstructive procedures. During your evaluation, a complete history and physical examination are taken by Dr. Ziakas who determines if plastic surgery is a good choice for you based on your goals and overall health. We strongly encourage all our patients to disclose all information regarding prescription and over the counter medications, nutrition supplements, allergies, smoking habits, previous surgeries and medical conditions during their consultation. In so doing, we can provide the best evaluation of your overall health and more accurately determine if surgery is safe for you.
Every surgical procedure has the risk of complications, including elective cosmetic surgery. CosmetAssure® is an affordable solution that helps patients avoid the financial burden of unexpected complications. It is endorsed by the prestigious American Society of Plastic Surgeons (ASPS) and is an Alliance Partner of the American Society of Aesthetic Plastic Surgery (ASAPS). It is exclusively available to ASPS and ASAPS members and candidate members who have successfully completed their written boards. New Body Plastic Surgery encourages all patients seeking cosmetic surgery to consider enrolment with CosmetAssure®.
There has been an increase in combining plastic surgery procedures in the recent years. Even though there may be a decrease in some of the costs related to anesthesia and use of surgical facilities, a true economic benefit to the patient may not be realized. Multiple procedures increase the length of anesthesia and related risks. Fluid shifts or blood loss may also increase during multiple procedures. Overnight hospitalization is often required after very lengthy procedures which may also increase the cost of surgery. Having multiple body areas operated on will increase pain and possibly the amount of pain medication needed. Prolonged recuperation may be needed as well. Patient safety is paramount, and during your consultation, your surgeon will evaluate if combining procedures is a safe option based on your overall health and goals.
All surgical procedures involve several fees which vary depending on many factors, such as inpatient or outpatient, cosmetic or reconstructive, etc. There are surgeon fees, surgery center or hospital fees (also known as facility fees) and anesthesia fees. Other fees may include imaging, pathology or laboratory fees. Even procedures that are covered by insurance require a percentage (known as coinsurance and deductible) of the fees involved to be paid by the insured patients.
New Body Plastic Surgery has partnered with CareCredit® and United Medical Credit to assist you in financing for your plastic surgery procedure and other treatments. These programs do not replace your health insurance but help you pay out-of-pocket expenses.
All patients are instructed to “take it easy” after all major surgical procedures. Walking is encouraged for all. The human body needs good nutrition and time to recover after surgery. Individual differences are expected, and postoperative instructions are tailored to your particular procedure, lifestyle and needs. Patient cooperation and adherence to postoperative instructions is very important and will help you decrease the risk of complications and return to everyday life sooner.
For most procedures, you may shower as soon as 24 hours after your procedure. Using mild soap, comfortable temperature and pressure of the water in the shower are recommended. Submersion under water, bathing or swimming in pools, rivers or the sea are best avoided for 8 weeks after surgery in order to decrease the risk of wound infection or breakdown. Individual instructions may vary depending on your procedure and may be discussed with your surgeon during your consultation, follow-up visit or anytime thereafter.
While there are no specific age limits for most procedures, the common limiting factor relating to one’s age is their overall health. Procedures are offered to patients when they can be performed safely and to the benefit of the patient. There are specific regulations by the FDA applicable to the use of breast implants for cosmetic surgery but not for breast reconstruction after cancer surgery. Cosmetic breast implants are approved for patients 18 years of age and older for saline, and 22 years of age and older for silicone.
There has been extensive research regarding safety of breast implants in recent years. The Institute of Medicine, Committee on the Safety of Silicone Breast Implants has published the following:

The committee finds no convincing evidence for atypical connective tissue or rheumatic disease or a novel constellation of signs and symptoms in women with silicone breast implants.

Based on its review of evidence, the committee concludes that the available evidence does not support an association of silicone or silicone breast implants with experimental carcinogenesis, primary or recurrent breast cancer. The committee finds that the evidence for a general neurologic disease or syndrome caused by, or associated with, silicone breast implants is insufficient or flawed.

The committee concludes on the basis of the studies reviewed that evidence for an association of maternal silicone breast implants and children’s health effects is insufficient or flawed. No biologically plausible causation has been suggested. Convincing evidence is available that silicon concentrations in breast milk are the same in mothers with and without breast implants, and thus there are no data to support transmission of silicone to infants in breast milk of mothers with implants.

The committee finds magnetic resonance imaging to be the most accurate imaging modality for the detection of intra-and extracapsular rupture. Mammography is of limited usefulness in detecting implant rupture in women with silicone implants.

For more information, read the Safety of Silicone Breast Implants report.

Breast implant associated-ALCL is very rare, and if it occurs, is highly treatable in the majority of patients. ALCL is not a breast cancer or cancer of the breast tissue; it is a lymphoma, a cancer of immune cells. The American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) are committed to patient safety, advancing quality of care, and practicing medicine based upon the best available scientific evidence on breast implants and have issued the following joint statement on Breast Implant associated ALCL (BI-ALCL):

In January 2016, the United States FDA provided an update to the 2011 safety communication that identified a possible association between breast implants and the development of ALCL, a rare type of non-Hodgkin’s lymphoma. According to the World Health Organization, BI-ALCL is not a breast cancer or cancer of the breast tissue; it is a lymphoma, a cancer of immune cells. Women with breast implants may have a very low, but increased risk of developing ALCL adjacent to a breast implant.

For more information, download Joint ASPS & ASAPS Statement on Breast Implant-Associated ALCL (PDF).

All surgical procedures involve scars. Plastic surgeons are trained to place scars in areas of the body that can be easily concealed and are less noticeable. Most scars change over time and become less visible. Also, individual differences exist based on genetic predisposition. Keeping your scar clean and using a good quality sunscreen to protect the scar from the sun are important steps you can take to make your scar less conspicuous.
The sun is a powerful source of energy which is delivered mostly via radiation. Though a portion is absorbed by the atmosphere, another one reaches the earth even through cloudy skies. The most common ones are UVA and UVB radiation which are harmful to the skin. Prolonged exposure causes skin damage which may range from aged appearance with deep wrinkles to skin cancers. New Body Plastic Surgery strongly advises all persons to use a good quality sunscreen when outdoors, for either professional or recreational activities, to help protect sun exposed areas. A product with SPF 30 or higher should be used and reapplied frequently.
Smoking, including secondhand smoke, has many deleterious effects on the human body which are exerted by a variety of chemical substances. There has been extensive research and public awareness in the recent decades regarding the effects of tobacco on our health. Tobacco smoking contributes to premature skin aging and increases the risk of wound healing problems after any surgical procedure. New Body Plastic Surgery strongly advises against smoking or use of any tobacco products and encourages all persons who smoke to seek the assistance of their primary care physicians with smoking cessation.
Dr. Ziakas holds privileges in several hospitals and outpatient facilities in the West Houston, Katy and Sugar Land areas. Participation in new facilities may be added periodically. Where your procedure is going to be performed depends on many factors. Current privileges are held at:

• Methodist Hospital West Houston
• Methodist Hospital Willowbrook
• Memorial Hermann Katy Hospital
• Memorial Hermann Surgery Center- Katy
• Memorial Hermann Surgery Center- Kingsland
• Memorial Hermann Surgery Center- Memorial City
• Memorial Hermann Surgery Center- Memorial Village
• Memorial Hermann Surgery Center- Sugar Land
• Memorial Hermann Surgery Center- Southwest

New Body Plastic Surgery participates in several insurance plans. Participation with new carriers and plans may be added periodically. Current plans accepted are:

• AETNA Medicare Advantage PPO
• BCBS Blue Choice PPO
• BCBS Medicare Advantage PPO
• HUMANA Choice Care PPO
• HUMANA Medicare Advantage PPO
• HUMANA Medicare Advantage POS
• HUMANA Medicare Advantage PFFS
• Medicare

Real SelfFind more questions answered by Dr. Ziakas on Real Self.

©2016 New Body Plastic Surgery

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