Call Us: (408) 946-9453 | 1109 South Park Victoria Dr., Milpitas, CA 95035

      Our Location

      1109 South Park Victoria Dr.,

      Milpitas, CA 95035

      Surgical

      Liposuction of Body

      Every year, thousands of men and women choose liposuction surgery to remove the fatty deposits that just won't respond to diet and exercise. That's why liposuction has become the number one procedure in the United States. One of the most popular forms of liposuction to date has been the Tumescent Liposuction Technique. This safe and effective procedure has been performed in doctors' offices for many years. Large volumes of saline solution, local anesthesia, and adrenaline are infused into the fatty area being treated. The fat is then removed through a small instrument called a cannula. The cannula is inserted into the fatty tissue through tiny incisions placed in inconspicuous locations. Your surgeon gently moves it around under your skin, suctioning away the unwanted fatty deposits. The procedure resculpts bulging areas to reveal more attractive contours.

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      To learn more about Liposuction, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      VASER® LipoSelection™

      Now, VASER® LipoSelection™ is performed by Dr. Zikira for patients in our region as more gentle and effective technique that dissolves fat using sound energy. Once the tumescent fluids fully saturate the body, VASER® LipoSelection™ uses high frequency sound waves to liquefy subcutaneous fat cells, making them easier to remove. The sound energy acts primarily on the fat cells and has little, if any, effect on the vascular, nervous, or connective tissues. With VASER® LipoSelection™ we can achieve smoother results, remove difficult fibrous fatty deposits and aspirate more fat. For some patients, it is the improved self-image and self-acceptance that is the most important. With VASER® LipoSelection™, many patients are happier the next day when they take off their dressings to see a slimmer, more pleasing contour to their body.

      The most frequent areas treated by VASER® LipoSelection™ in men are the face, "love handles", breasts, abdomen and neckline. In women they include: the face, lower back, arms, thighs, hips, buttocks, stomach, knees, lower leg, cheeks, and double chins. Some women elect to have their fat recycled through lipo-augmentation. The procedure may be performed using local anesthesia with sedation. Side effects may include temporary swelling, bruising, soreness or a burning sensation. Possible risks are infection, skin loss, asymmetry, collection of blood beneath the skin that may require draining, or wavy, baggy or spotted skin. After Dr. Zikira performs VASER® LipoSelection™, patients feel better in 1 - 3 weeks and all bruising and swelling should subside within 12 weeks. Overeating will cause weight gain, but the treated area should remain proportionate. Cosmetically speaking, results from VASER® LipoSelection™ are measured in inches rather than pounds. The weight removed is not as important as the improvement in your body's contour. Patients who have had VASER® LipoSelection™ experience less pain, bleeding, bruising and recover faster.

      To learn more about VASER® LipoSelection™, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      You will go home after the procedure and rest for a few hours, after which you may gradually increase your activity as tolerated. After 2 - 5 days you may resume normal activities. You may need to wear a snug elastic dressing, girdle, or body stocking over the treated area to aid healing.

      Tummy Tuck

      A protuberant abdomen can be a cause of distress for men and women alike. It can be the result of excess fat, weak abdominal muscles, pregnancy, or loose skin that has been over-stretched and no longer responds to diet and exercise. For those who have experienced a massive weight loss, their only alternative to lose overhanging skin is surgery.

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      A "Tummy Tuck", or abdominoplasty, is performed by Dr. Zikira for patients in our region to flatten their protruding abdomen by tightening the muscles in the abdominal wall and removing excess fatty tissue and skin. This surgical procedure is a common one and can benefit men and women who are bothered by a protruding abdomen. Patients whose weight has been stabilized in their weight loss program or who feel they are at their ideal weight are the best candidates for a tummy tuck. Many patients combine their tummy tuck with other cosmetic procedures such as liposuction, breast augmentation or breast reduction surgery.

      Keep in mind that while a tummy tuck will enhance your figure and your self-confidence, it's not likely to change your life or the way people treat you. During your private consultation with our physician, you should explain your goals and expectations of the surgery. Our surgeon will assess the nature of your abdomen, your expectations, and explain the probable outcome of your procedure. You will be shown several before and after treatment photographs of patients having similar abdomens, and our surgeon will explain the treatment and the results you can expect to receive. Before and after photographs may be taken of your abdomen to document your improvement.
       

      • Fully Tummy Tuck - Involves an incision around the belly button and another incision that runs from hip to hip. Your entire abdominal wall is tightened with permanent sutures, and the excess skin and fat is removed.
      • Mini Tummy Tuck - Usually performed in conjunction with liposuction of the upper abdomen and the flank areas. With a mini tummy tuck, a smaller incision is made in your bikini area and no incision is made around your belly button. Our surgeon will remove your excess skin and fat through this incision. Permanent sutures will also be placed through this incision to tighten the muscles of the abdominal wall.

      Regardless of which procedure you have, your incisions are closed with small sutures. Small drains may also be inserted to eliminate fluid buildup. Snug elastic bandages are then applied to the area. After Dr. Zikira performs your tummy tuck, bed rest is recommended for the first day. Most patients experience some numbness in the area of their abdomen, which may last as long as a year. Any pain or discomfort that follows surgery can be controlled with oral medication. If drains are used, they may remain in place for 3 - 7 days until discharge fluids decrease. Sutures will be removed in 1 - 2 weeks, however, your bandages may remain a little longer. A special abdominal support garment is often necessary for several weeks. There will be some scarring that will fade significantly over time. During your recovery, you must refrain from any strenuous activity or lifting. Most patients are back to work within 1 - 3 weeks, depending on the degree of surgery. Our surgeon will decide when you can resume normal activities. Results can be quite dramatic, and patients love their slimmer, trimmer figures and flatter abdomens!

      To learn more about Tummy Tuck, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      After Dr. Zikira performs your tummy tuck, bed rest is recommended for the first day. Most patients experience some numbness in the area of their abdomen, which may last as long as a year. Any pain or discomfort that follows surgery can be controlled with oral medication. If drains are used, they may remain in place for 3 - 7 days until discharge fluids decrease. Sutures will be removed in 1 - 2 weeks, however, your bandages may remain a little longer. A special abdominal support garment is often necessary for several weeks. There will be some scarring that will fade significantly over time. During your recovery, you must refrain from any strenuous activity or lifting. Most patients are back to work within 1 - 3 weeks, depending on the degree of surgery. Our surgeon will decide when you can resume normal activities. Results can be quite dramatic, and patients love their slimmer, trimmer figures and flatter abdomens!

      Breast Augmentation

      For many women, breast size is an important part of feeling good, desirable and normal. Most women compare themselves to a cultural idea of beauty. Having a breast augmentation procedure can greatly improve self-esteem for many women. It can make a woman feel more like the ideal by drastically improving the way she views herself. Breast enhancement or augmentation is one of the most frequently performed cosmetic procedures in the United States today. It can dramatically improve the appearance of a woman's breasts. Breast augmentation is performed by Dr. Gul Zikira for patients in our region to enlarge small breasts, underdeveloped breasts, or breasts that have decreased in size after a woman has had children. Recent studies have supported the safety of saline breast implants. Should a saline implant leak, the salt water is safely reabsorbed by the body as the implant deflates. Most of the implant companies provide replacement warranty.

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      During your conference with Dr. Zikira, discuss your goals and expectations of the surgery. Your surgeon will assess the nature of your breasts, your expectations, and explain the probable outcome of your procedure. You may be shown several before and after treatment photographs of patients having similar breasts, and your surgeon will explain the treatment you can expect to receive. You may also try some different size implants on in a bra to give you an idea as to the look you desire. Often a mammogram (X-Ray) will be required pre-operatively. Breast augmentation is performed on an outpatient basis using a general or local anesthesia. The procedure usually takes about 2 hours. One of the more frequent techniques used requires an incision under the lower portion of the breast near the chest wall or under the lower portion of the areola (the darker area around your nipple). After the incision is made, a pocket is created under the breast tissue or beneath the chest wall muscle. The implant is securely positioned in the pocket, and small sutures are used to close the incision. When inflatable implants are used, your surgeon can adjust the amount of inflation. There is no evidence that breast implants increase the risk of breast cancer or any other condition. Most women can also safely breast feed after augmentation surgery.

      Getting used to a new figure can be a satisfying and even exciting experience as you and those around you learn to appreciate your new, more shapely figure. To avoid complications and assure your safety, it is imperative that you examine yourself regularly and visit your surgeon for check-ups on a regular basis. Those in the appropriate age groups should continue to have routine mammograms as prescribed. Rest is recommended for the first few days following surgery. A post-surgical sports bra is usually worn for several weeks. Most discomfort associated with breast surgery can be controlled with oral medication prescribed by your surgeon. Antibiotics may also be prescribed. Most women experience mild swelling, bruising and tenderness. These symptoms should subside in a short time. Your surgeon will advise you on a proper schedule for returning to your normal activities. Most patients are back to work within the first week. Regular physical activity may be resumed in 4 - 6 weeks. After Dr. Zikira performs your breast augmentation surgery, you will enjoy a new, more pleasing shape, with more comfortable breasts that are in better proportion to your physique.

      To learn more about Breast Augmentation, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Rest is recommended for the first few days following surgery. A post-surgical sports bra is usually worn for several weeks. Most discomfort associated with breast surgery can be controlled with oral medication prescribed by your surgeon. Antibiotics may also be prescribed. Most women experience mild swelling, bruising and tenderness. These symptoms should subside in a short time. Your surgeon will advise you on a proper schedule for returning to your normal activities. Most patients are back to work within the first week. Regular physical activity may be resumed in 4 - 6 weeks. After Dr. Zikira performs your breast augmentation surgery, you will enjoy a new, more pleasing shape, with more comfortable breasts that are in better proportion to your physique.

      Breast Lift

      Cosmetic breast surgery has become one of the most popular cosmetic surgeries in the world today. The vast majority of cosmetic breast procedures are for augmentation. However, breast lift procedures are performed by Dr. Zikria for patients in our region to rejuvenate the appearance of their breasts by providing a younger looking, more comfortable lift. Most people think a breast lift is requested more often by older women. However, the average age of patients choosing to have the procedure is only 39. This is just slightly older than those having augmentation and reduction procedures. As women age and/or have children, their breasts tend to lose fat and the breast tissue begins to thin. In most cases, when the breast tissue shrinks, the skin does not and the areola/nipple droops down below the inframammary crease. Lifting the nipple above the crease will restore a youthful look. While it is possible to nurse after a breast lift, it is generally recommended that you wait.

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      Should you become pregnant your breasts will swell and stretch the skin and you may lose the benefits of the procedure. Many patients who request a breast lift also want to have the fullness back. These patients usually decide to have implants as well. In certain instances, the augmentation will aid in stretching the skin, enabling your surgeon to do a breast lift with shorter scars. Other patients may require a breast reduction as well as a breast lift to restore the look they desire. Breast lifts are performed on an outpatient basis using a general or local anesthesia. A breast lift may take 2 hours depending on the complexity. Your surgeon may choose from a variety of surgical approaches. The most common approach, the "anchor" incision, is actually three incisions. The first incision is made around the areola. The next runs from the bottom of the areola down to the breast crease and the third incision follows the horizontal breast crease. Working through these incisions, excess skin is removed from the lower portion of the breast. Areolas that have been stretched over time can be resized and the tissue is repositioned to reshape the breast. The breast tissue and nipple are lifted into the higher position, and the nipple is repositioned. Like many surgeries, the trend in breast lifts has been to smaller, shorter incisions resulting in less scarring.

      These smaller scar techniques include the "lollipop" incision which avoids the horizontal incision beneath the breast, and the "peri-areola" or "donut" incision around the areola which avoids both the vertical incision from the breast crease to the areola and the horizontal incision beneath the breast. After examining the size, shape, and sagging of your breasts and the size of your areolas, your surgeon will discuss the technique best suited for your procedure.The size and amount of scarring is different for every patient. However, the use of silicone sheathing, topical liquid silicone or laser treatments can greatly diminish the appearance of scars. Bed rest is recommended for the first day. For the first few days following any breast surgery, you may be asked to wear surgical dressings or a special post-surgical garment. Most discomfort associated with breast surgery can be controlled with oral medication prescribed by your surgeon. Antibiotics may also be prescribed. Most women experience some degree of swelling, bruising and tenderness. These symptoms should subside in a short time. All sutures are removed within 1 - 2 weeks. Your surgeon will advise you on a proper schedule for returning to your normal activities. Most patients are back to work within the first week. After our physician performs your breast lift, you will enjoy a new, more pleasing shape, with more comfortable breasts that are in better proportion to your physique.

      To learn more about Breast Lift, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Bed rest is recommended for the first day. For the first few days following any breast surgery, you may be asked to wear surgical dressings or a special post-surgical garment. Most discomfort associated with breast surgery can be controlled with oral medication prescribed by your surgeon. Antibiotics may also be prescribed. Most women experience some degree of swelling, bruising and tenderness. These symptoms should subside in a short time. All sutures are removed within 1 - 2 weeks. Your surgeon will advise you on a proper schedule for returning to your normal activities. Most patients are back to work within the first week. After our physician performs your breast lift, you will enjoy a new, more pleasing shape, with more comfortable breasts that are in better proportion to your physique.

      Breast Liposuction Reduction

      Not all women think having large breasts makes them more attractive. In fact, many women are eager to reduce the size of their breasts to ease the discomfort, posture problems or the embarrassment. For them, just the thought of squeezing into tight clothing, dancing or playing sports can be a nightmare. Breast reductions are performed by Dr. Gul Zikira for patients in our region who are concerned about the effects the excess weight of their breasts will have on their upper body. In the past, having the size of your breasts reduced meant undergoing surgery that could take up to 8 hours, several days in the hospital, followed by extensive recuperation, significant pain and extensive scars. Now, Dr. Zikira performs Tumescent Liposuction to reduce breast size a few sizes with almost no visible scars. It is done under sedation with local anesthesia in less than 3 hours. Patients go home the same day usually with only minimal discomfort. Some patients resume work in about 1 - 2 days and are back to full activity, including sports and dancing, within a week or two.

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      The best candidates for this procedure are women who desire a reduction of only a few cup sizes in the size of their breast. Breast asymmetry may also be corrected using this technique. Additional candidates include women who fear general anesthesia, women who can't spare the time of a lengthy recovery, women who have been rejected by their insurance company for a traditional breast reduction and women who have experienced regrowth after a previous procedure. During your consultation with our physician, explain your goals and expectations of the surgery. Your surgeon will assess the nature of your breasts, your expectations, and explain the probable outcome of your procedure. You may be shown several before and after treatment photographs of patients having similar breasts, and your surgeon will explain the treatment you can expect to receive.

      Often a mammography (X-ray) may be required. With breast lipo-reduction we can only reduce breast size a few cup sizes and we can not guarantee the size and exact shape of your breasts following the procedure. In most cases the height of the nipple will come up about 2 cm and the size of the areola will shrink in proportion to the smaller breast size. Dr. Zikira performs breast reduction by liposuction on an out-patient basis. It is performed using light sedation and tumescent local anesthesia. Several tiny, well-concealed incisions are made in the breast fold, to insert the cannula. The fatty tissue is gently suctioned away. The entire procedure takes three hours or less. Post-operatively, most patients experience minimal discomfort. They are only in the recovery room for about two hours and then they go home. Dressings are worn for the first day or two. Patients are encouraged to resume normal activities as soon as they feel up to it. The results of breast reduction surgery are usually permanent but breast size may change due to weight gain or pregnancy.Breast reduction can make a dramatic change in your appearance and your outlook. A breast reduction can make your breasts smaller and firmer. Many patients find new enjoyment in sports, exercise, dancing or even just walking.

      To learn more about Breast Liposuction Reduction, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Post-operatively, most patients experience minimal discomfort. They are only in the recovery room for about two hours and then they go home. Dressings are worn for the first day or two. Patients are encouraged to resume normal activities as soon as they feel up to it. The results of breast reduction surgery are usually permanent but breast size may change due to weight gain or pregnancy.

      Brachioplasty (Arm Lift)

      Brachioplasty, commonly referred to as arm-lift, is a surgical procedure performed by Dr. Zikira in San Jose, that reshapes and improves contouring of the arms by reducing excess sagging skin that hangs downwards and reduces pockets of fat in the upper arm area. The surgery entails the tightening and smoothing out of the underlying supportive tissue that defines the shape of the upper arm.Drooping of the upper arm skin is usually due to weight fluctuation, old age, and/or genetics. A candidate for brachioplasty is someone who has lost excessive weight and consequently has extra skin in the upper arm region. Extra skin does not respond to diet and exercise.

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      Depending on the excess skin and fat of your upper arms, the physician can perform three of the following procedures:

      • Liposuction of the upper arms, which is the least invasive option. The scar is practically not visible as it is located under the axilla (armpit). This option is usually for patients who have excessive fat not skin.
      • Minimal Incision Brachioplasty, which is a smaller incision meaning smaller scar.
      • General Brachioplasty, which is the full-fledged arm-lift. The scar will run down the inside of the upper arm.

      To learn more about Brachioplasty – Arm Lift, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Drooping of the upper arm skin is usually due to weight fluctuation, old age, and/or genetics. A candidate for brachioplasty is someone who has lost excessive weight and consequently has extra skin in the upper arm region. Extra skin does not respond to diet and exercise.

      Depending on the excess skin and fat of your upper arms, the physician can perform three of the following procedures:

      • Liposuction of the upper arms, which is the least invasive option. The scar is practically not visible as it is located under the axilla (armpit). This option is usually for patients who have excessive fat not skin.
      • Minimal Incision Brachioplasty, which is a smaller incision meaning smaller scar
      • General Brachioplasty, which is the full-fledged arm-lift. The scar will run down the inside of the upper arm

      Lower Body Lift

      Do you remember what you looked like before time and gravity took over? Millions of men and women diet and exercise on a regular basis. Unfortunately, many of them end up disappointed by the loose, sagging skin remaining on their thighs caused by a significant weight loss. Others find that no matter how hard they work out, they can't reverse what time and gravity have done to their buttocks. The hips, thighs, stomach and buttocks are prone to excessive fat accumulation. They often contain deposits of fat that do not respond to diet and exercise. Thigh, hip and buttock lift surgery is performed by Dr. Zikira for patients in our region to tighten the skin of the outer and inner thighs, hips and buttocks.

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      This procedure is often combined with a tummy tuck (abdominoplasty). These procedures improve the firmness of skin and underlying tissues. For those with tight, unstretched skin, liposuction alone is the treatment of choice.If the skin is overly stretched, loose and flaccid, liposuction will be combined with excisional surgery to remove the excess skin along with the fat.Men and women with loose skin in the outer and inner thighs and with sagging buttocks are the best candidates for thigh and buttock lifts. Liposuction is the most common cosmetic surgical procedure performed today. Liposuction surgery is performed to actually remove unwanted, localized deposits of fat cells from the body. The procedure is meant for body contouring, not for treatment of obesity. A suction tube is inserted through a tiny incision placed in an inconspicuous location on the skin. With a high-pressure vacuum, fat cells are extracted through this tube. The result is a resculpting of bulging areas into more attractive contours. Once removed, the fat cells are gone forever.Excisional surgery is combined with liposuction when the patient has excessive folds of skin. An incision is made and concealed in the groin area and under the buttocks. The skin is tightened, redraped and the excess skin is removed. Sutures are used to close the incision.

      After Dr. Zikira performs your lower body lift, you will go home and rest for at least 24 hours, after which you may gradually increase your activity as tolerated. Some discomfort and pain is to be expected, but it can be controlled with medication. The bandage over the incision site will be removed the day after surgery and you will be able to shower. Generally, it is necessary to wear a light compression garment 2 - 3 weeks after your surgery. All sutures are internal and absorbable. After 2 or 3 days you may resume most non-strenuous activities. Walking and other non-strenuous activities including work may be resumed after a week or two. Sports and other strenuous activities are prohibited for at least two months.
      During the first 10 - 14 days, you will be bruised from your upper thigh down. Scars will be red for the first few months, but they will gradually fade. Patients who have had liposuction will have more swelling than those who only had a lift performed. The use of smaller cannulas during your liposuction allows the fibrous connections between your skin and body to remain. These connections will contract over time, after which the excessive skin folds will be gone.
      Following your surgery, you will enjoy the new, more pleasing, youthful shape you desire.

      To learn more about Lower Body Lift, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      During the first 10 - 14 days, you will be bruised from your upper thigh down. Scars will be red for the first few months, but they will gradually fade. Patients who have had liposuction will have more swelling than those who only had a lift performed. The use of smaller cannulas during your liposuction allows the fibrous connections between your skin and body to remain. These connections will contract over time, after which the excessive skin folds will be gone. Following your surgery, you will enjoy the new, more pleasing, youthful shape you desire.

      Facelift (Rhytidectomy)

      Wrinkles, sagging skin, laxity in the jowls and neck begin to appear after years of exposure to the elements, facial expressions and the natural aging process. Not long ago, a facelift was considered by many to be reserved for movie stars and celebrities. Today, a facelift, or rhytidectomy, is not just for the rich and famous. It is one of the most well accepted and most frequently performed cosmetic procedures in the United States. Recent studies have shown that looking good has a direct correlation to higher pay. Facelifts are performed by Dr. Zikira for patients in our region so that they can look younger and feel better. People from every walk of life elect to have a facelift for cosmetic as well as economic reasons.

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      If you have been considering a facelift to reverse the signs of aging, you should understand what a facelift can and can't do. Although the incisions made for a facelift are hidden back in your hairline, it does nothing to correct the visible signs of aging in the upper face. A facelift provides an overall lift to the lower third of your face by tightening loose skin in the jowls, neck, and jaw line. A facelift alone will not remove forehead wrinkles, crow's feet or bags under your eyes. These areas can, however, be treated at the same time as your facelift. During your initial consultation, your surgeon will discuss your particular condition, your expectations, and the probable outcome of your various treatment options. You will be shown several before and after photographs of patients having similar conditions, and we will explain the details of your procedure. Before and after photos may be taken of your face to document your results.

      A facelift procedure may be performed in your doctor's office or in an outpatient surgical facility. Premedication is generally recommended to relax the patient. The procedure is usually performed under general anesthesia with the patient asleep, but can be performed using a local anesthesia. Your surgeon will operate on one side of the face at a time. The incision is placed in the natural crease of the facial skin and begins inside the hairline, in the temple area above and forward of the ear. It continues inside the ear, or in front of the ear around the earlobe and behind the ear. The skin is lifted outward and the surgeon tightens and repositions the underlying muscles and tissues. Excess skin and fat may be removed. The incision is then closed with fine sutures and/or metal clips. If metal clips are used, shaving hair from the incision site may be avoided. A facelift can take between 2 - 4 hours depending on the extent of the procedure. Some relaxation of facial tissues will occur during the first few weeks. After that, the aging process continues. Your lifestyle choices, bone structure, skin type, sun exposure and heredity all play a role in determining how many years can be removed and for how long. In general younger patients enjoy longer-lasting results. If you are in your forties, the effects may last up to 10 years. If you are in your sixties, your results may last 5 - 7 years.

      After Dr. Zikira performs your facelift, there will be bruising and swelling that will persist for a few days. Pain is normally minimal and can be controlled with oral medication. We will take off your bandages in our office in 1 - 2 days after surgery. You may then go home, take a shower and wash your hair. Sutures may be removed in stages to minimize scarring.
      Healing is a gradual process. After about 2 weeks you will feel comfortable (with make-up) among strangers. After 3 weeks you will look and feel confident enough to go out with friends again. Your face will feel completely "normal" in about 10 - 12 weeks. Direct sun should be avoided for several weeks. Most patients are delighted with their new, more youthful and relaxed appearance.

      To learn more about Facelift (Rhytidectomy), please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      After Dr. Zikira performs your facelift, there will be bruising and swelling that will persist for a few days. Pain is normally minimal and can be controlled with oral medication. We will take off your bandages in our office in 1 - 2 days after surgery. You may then go home, take a shower and wash your hair. Sutures may be removed in stages to minimize scarring. Healing is a gradual process. After about 2 weeks you will feel comfortable (with make-up) among strangers. After 3 weeks, you will look and feel confident enough to go out with friends again. Your face will feel completely "normal" in about 10 - 12 weeks. Direct sun should be avoided for several weeks. Most patients are delighted with their new, more youthful and relaxed appearance.

      Short Car Facelift or S-Lift

      Your face provides the world with a lasting impression of who you are and how you feel. But, it doesn't have to tell your age. For many of our patients, the "wind-tunnel" look caused by overly taut skin following a facelift is no longer acceptable. They desire a more "natural looking" rejuvenation. Busy patients demand more immediate results with little, if any, downtime, smaller incisions, no visible scars and no potential for hair loss. The S-Lift, or short scar facelift, is performed by Dr. Zikria for patients in our region to provide an overall lift to your neck and the lower third of your face. Compared to a traditional facelift, it is a quicker operation with fewer complications and a much faster recovery. The S-Lift is particularly well suited for middle-aged and younger patients and can make a dramatic change in the way you look by tightening sagging muscles and skin of the cheeks, chin and neck. An S-Lift is performed using tumescent local anesthesia and may be combined with facial and neck liposuction. Results from your S-Lift can be further enhanced with subsequent laser resurfacing to smooth wrinkles and provide greater skin contraction.

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      An S-Lift procedure may be performed in our doctor's office or in an outpatient surgical facility. Pre-medication is generally recommended to relax the patient. An S-Lift is performed using a special anesthetic solution, which is injected in the area forward of the ears. This fluid gently lifts the skin from the underlying tissue. Operating on one side of your face at a time, our physician excises a narrow "S"shaped section of skin from the area forward of your ear. The skin is lifted and the surgeon tightens and repositions the underlying muscles and tissues. Excess fat is removed. The opening is closed using fine sutures. The procedure normally takes less than 2 hours.

      • A natural look
      • Quicker recovery time
      • Minimal complication risk
      • Minimal scars
      • No hair loss

      Following surgery, the normal aging process resumes. Your lifestyle choices, bone structure, skin type, sun exposure and heredity all play a part in determining how many years can be removed by an S-Lift and for how long. In general, younger patients enjoy longer-lasting results. If your excess or lax facial or neck skin is bothering you, an S-Lift may be your answer. Your doctor can help you decide the best treatment to obtain your desired results. After our doctor performs your S-Lift, the changes can be dramatic. The use of smaller instruments and fluid to separate the skin from underlying tissue results in an almost bloodless procedure. After your procedure, you will go home and rest for at least 24 hours. There may be some minor bruising and swelling for 1 - 2 days. You will wear a small bandage over the incision site for the next 2 - 3 days. Mild pain relievers may be needed. After that, you may take a shower and wash your hair. Men may shave their face. Sutures will be removed after 6 - 7 days. Direct sun should be avoided for several weeks. Most of our S-Lift patients resume normal activities after 4 - 5 days, some choose to return to work immediately. Our S-Lift patients love the fact that after their S-Lift they don't look like they had surgery. They just look great and years younger.

      To learn more about Short Car Facelift or S-Lift, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      After our doctor performs your S-Lift, the changes can be dramatic. The use of smaller instruments and fluid to separate the skin from underlying tissue results in an almost bloodless procedure. After your procedure, you will go home and rest for at least 24 hours. There may be some minor bruising and swelling for 1 - 2 days. You will wear a small bandage over the incision site for the next 2 - 3 days. Mild pain relievers may be needed. After that, you may take a shower and wash your hair. Men may shave their face. Sutures will be removed after 6 - 7 days. Direct sun should be avoided for several weeks. Most of our S-Lift patients resume normal activities after 4 - 5 days, some choose to return to work immediately. Our S-Lift patients love the fact that after their S-Lift they don't look like they had surgery. They just look great and years younger.

      Browlift

      It used to be that cosmetic surgery was for the over fifty crowd. Patients waited until they saw wrinkles and then asked for "the works." Their results were dramatic, but unfortunately, everyone could tell they just had surgery. Today, nearly one-third of those seeking facial rejuvenation surgery are between 35 and 50 years old. Wrinkles and frown lines often first appear in the brow and forehead area. A forehead lift or browlift is performed by Dr. Gul Zikira for patients in our region to smooth out the wrinkles and correct drooping brows and heavy lids to provide a younger, friendlier appearance. A browlift can be performed alone or with other cosmetic procedures such as a facelift, eyelid surgery, or laser skin resurfacing.

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      During your initial cosmetic consultation, Dr. Zikira will discuss your goals for the surgery and explain your probable outcome of treatment. Your doctor will also help you decide which surgical approach will best meet your cosmetic goals: the "open" or classical method, or the endoscopic forehead lift. You may be shown several before and after treatment photographs of patients having similar conditions, and we will explain the treatment you can expect to receive. Before and after photos may be taken of your area to be treated to document your results.

      A browlift can be performed as an outpatient procedure under local anesthesia with deep sedation, or general anesthesia, and may take 1 - 2 hours. With the classical or "open" method the incision is hidden just inside or by the hairline across the scalp and between the ears. Your surgeon lessens the appearance of wrinkles by removing selected muscles and releasing tissues, which cause the wrinkles. The eyebrows may also be elevated, and excess skin at the incision will be removed to allow a gentle redraping of your forehead skin.Endoscopic or minimal-scar browlift is performed using a tiny fiberoptic lens inserted through half-inch incisions placed in the hairline. The lens is attached to a camera, which is connected to a television, allowing for visualization of the surgery. Additional half-inch incisions are made for the insertion of tiny scalpels, scissors and retractors. Your surgeon performs the procedure while viewing the television monitor and manipulating the tiny instruments externally.

      An endoscopic browlift is particularly useful with younger patients where the removal of excess skin is not required. With an endoscopic browlift, loss of sensation or hair at the incision site is minimized. Since an endoscopic browlift can significantly reduce the frown lines between the eyes, it is often performed in conjunction with upper eyelid surgery to achieve optimal resulSmaller incision. After Dr. Zikira performs your browlift, there is a minimal amount of discomfort. There will be swelling and bruising that may last from 7 - 10 days. For some patients this may include the cheeks and eyelids. Keeping your head elevated and application of cold compresses will help to reduce swelling. As your incisions heal, you will notice some itching and possibly some numbness. These symptoms will diminish over time. You may wear make-up after 3 days, and your sutures will be removed in 7 - 10 days. Strenuous activity is restricted for 6 weeks.

      To learn more about Browlift, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      After Dr. Zikira performs your browlift, there is a minimal amount of discomfort. There will be swelling and bruising that may last from 7 - 10 days. For some patients, this may include the cheeks and eyelids. Keeping your head elevated and application of cold compresses will help to reduce swelling. As your incisions heal, you will notice some itching and possibly some numbness. These symptoms will diminish over time. You may wear make-up after 3 days, and your sutures will be removed in 7 - 10 days. Strenuous activity is restricted for 6 weeks.

      Platysmaplasty – Neck Lift

      As we age, different areas of the face and neck are affected differently. Some people develop wrinkling and sun damage in their entire face and neck. Some people seem to lose facial fat, while others accumulate fat in the neck and maintain good skin tone. Others may develop more exaggerated signs of aging in their neck. Neck rejuvenation surgery is performed by Dr. Zikria for patients from Santa Clara,San Jose, Milpitas,Palo Alto, Sunnyvale, San Francisco, Fremont to provide dramatic results and a more pleasing profile. These results are especially dramatic when combined with our other rejuvenating procedures.

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      During your initial consultation, our physician will discuss your goals for the surgery and explain your probable outcome of treatment. Our doctor will also help you decide which procedure or combination of procedures will best meet your cosmetic goals. You may be shown before and after treatment photographs of patients having similar conditions, and we will explain the treatment you can expect to receive. Before and after photographs may be taken of your neck to document the results. Neck rejuvenation procedures are generally performed on an outpatient basis. They may be combined with other procedures in order to maximize improvement Lasers can be used to tighten the skin that is only a little loose, while neck liposuction is accomplished through tiny incisions placed behind the ears and under the chin. With neck liposuction, little straw-like cannulas are used to suction the fat away. Endoscopic surgery through a small incision placed underneath the chin may be used to tighten the neck muscles if you do not have excessive skin. A necklift may be the best approach if the excess skin is significant.

      • Loose, sagging skin under the chin requires tightening of the skin with a laser.
      • If the skin is too excessive, it may need to be removed with excisional surgery.
      • If you have visible vertical bands in your neck, the neck muscles will need to be tightened in the midline.
      • Fat deposits in the neck can be removed with liposuction or direct excision.

      The skin is pulled up and back and the excess skin is removed. This provides a new, more pleasing neck and jaw line. The incisions are hidden inconspicuously behind your ears. Your doctor will help you choose the procedure or combination of procedures that will best meet your goals. Depending on the extent of the procedure, you may have some swelling and localized bruising which can be covered with make-up. Both are generally gone within 4 - 10 days. A bandage will be placed underneath your chin and an elastic bandage is wrapped around your neck and head. The next morning you may remove the bandage. However, it is important that you continue to wear the elastic garment at night for 2 weeks. Any sutures that require removal are taken out after about a week to 10 days. Over the next several months, as the healing process occurs, the soft suppleness of the neck skin will return. After Dr. Zikria performs your neck rejuvenation procedure, your pulled back and tightened neck will have a youthful, more defined profile. You may resume normal activities almost immediately. Most patients are active and going out by the next day.

      To learn more about Platysmaplasty – Neck Lift, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Depending on the extent of the procedure, you may have some swelling and localized bruising which can be covered with make-up. Both are generally gone within 4 - 10 days. A bandage will be placed underneath your chin and an elastic bandage is wrapped around your neck and head. The next morning you may remove the bandage. However, it is important that you continue to wear the elastic garment at night for 2 weeks. Any sutures that require removal are taken out after about a week to 10 days. Over the next several months, as the healing process occurs, the soft suppleness of the neck skin will return. After Dr. Zikria performs your neck rejuvenation procedure, your pulled back and tightened neck will have a youthful, more defined profile. You may resume normal activities almost immediately. Most patients are active and going out by the next day.

      Blepharoplasty

      Blepharoplasty is eyelid surgery that is performed to improve the appearance of the eyelids. Depending on the patient it can be performed on the upper lids, lower lids or both. Each year thousands of women and men choose eyelid surgery to help restore a more energetic and youthful appearance. Eyelid surgery, or blepharoplasty, is performed by Dr. Zikria for patients in our region to correct sagging eyelids, remove fatty pouches beneath the eyes and remove excess skin from the upper eyelids. Blepharoplasty can be done alone or in conjunction with other facial surgery procedures such as a facelift, a brow lift or laser skin resurfacing.

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      During your initial cosmetic consultation, your doctor will discuss your particular condition, your expectations, and the probable outcome of treatment. You will be shown several before and after treatment photographs of patients having similar conditions, and you will receive an explanation of your treatment. Before and after photos may be taken of the area to be treated to document your results.

      Blepharoplasty can be performed in your doctor's office, an outpatient surgical facility or a hospital. It is generally performed under local anesthesia, but can be performed under general anesthesia. The surgeon places fine incisions in the crease above each eye to correct problems of the upper eyelids. Then a thin crescent of excess skin and muscle is removed. The incisions are closed with very fine sutures. To remove the fatty deposits beneath the eyes, the incisions are placed just inside the lower eyelid. After the fat is removed, the incisions may be closed with absorbable sutures or may be left to heal naturally. When excess skin and muscle needs to be removed from the lower lids, the incisions are placed in the natural smile crease below the lashline. The procedure can take between 1 - 2 hours, depending on the extent of the surgery. Eyelid problems are common, even in younger people. Correcting eyelid problems that interfere with your vision may be covered by your health insurance. However, when eyelid surgery is performed for cosmetic reasons, it may not be covered in part or in whole by your health insurance. It is the patient's responsibility to check with their insurance provider for the information on the degree of coverage. We will be happy to answer any questions.

      When Dr. Zikria performs your eyelid surgery alone, and not with a facelift, it is generally done under local anesthesia. After the surgery, the area around your eye will be bruised and swollen for about 2 weeks. Patients should keep their heads up and place cold compresses on their eyes periodically. Antibiotic eye drops or ointment may be prescribed. Patients can't wear contact lenses for about 2 weeks, since the eyelids may be stiff and sore. Make-up may be worn after about 10 days. The resulting hairline scars which follow the natural contour of the eyelids tend to fade in about 2 months. After cosmetic surgery, our patients have a softer, more youthful look to their faces. Many seem to have a new spring in their step after facing their fresher reflections in the mirror.

      To learn more about Blepharoplasty, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      When Dr. Zikria performs your eyelid surgery alone, and not with a facelift, it is generally done under local anesthesia. After the surgery, the area around your eye will be bruised and swollen for about 2 weeks. Patients should keep their heads up and place cold compresses on their eyes periodically. Antibiotic eye drops or ointment may be prescribed. Patients can't wear contact lenses for about 2 weeks, since the eyelids may be stiff and sore. Make-up may be worn after about 10 days. The resulting hairline scars which follow the natural contour of the eyelids tend to fade in about 2 months. After cosmetic surgery, our patients have a softer, more youthful look to their faces. Many seem to have a new spring in their step after facing their fresher reflections in the mirror.

      Fat Grafting (Fat Transfer)

      Facial wrinkles and creases are part of the aging process. They begin to appear as the underlying collagen and elastin fibers break down and wear out. While this breakdown is part of the natural aging process, it can also result from excessive squinting, frowning and smiling. Fat transfer, also called autologous fat transplantation or micro-lipoinjection, is performed by Dr. Gul Zikira for patients in our region to plump up facial features with a patient's own fat. It is a popular alternative to other wrinkle treatments. Fat transfer to the face is a safe, natural, non-allergenic procedure designed to recontour your face and can provide definition to your cheeks and chin. It can also be used to correct facial deformities. Since fat transfer uses your own fat cells, you can never have an allergic reaction, because it's from your own body.

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      With fat transfer it is possible to have fat liposuctioned from your thighs and then transferred to any area of your body. Reinjected fat lasts longer in larger areas of non-movement, so it is very successful for the correction of sunken cheeks because this area does not move as often. Fat transfer can also correct atrophic aging of the hands and post-surgical and post-traumatic defects. But not every area of the body responds well to fat transfer. The breasts for instance, are out. Injecting fat into the breast makes it much more difficult to detect breast cancer with mammograms.

      Fat transfer is performed in our office on an outpatient basis. Both the area from which the fat is taken and the treatment site are anesthetized with a local anesthetic. Using a small needle attached to a syringe, fat is removed from a donor site where your fat is most tightly packed, such as your abdomen or your buttocks. Once removed, your fat is processed to remove excess fluids and then reinjected using another needle, which is placed just under your skin beneath the wrinkle. This process may be repeated until the desired correction has been achieved. Harvesting the fat cells for reinjection is often performed in conjunction with other procedures, such as liposuction, tummy tuck or cosmetic breast surgery. When fat is harvested during another procedure, it is often possible for your surgeon to harvest a larger amount of fat, then freeze and store your fat for future injections when they become necessary.

      • Fat transferred to the face can last as long as three years.
      • Fat transfer can be very cost effective when combined with another procedure.
      • There's no chance of an allergic reaction.

      After Dr. Gul Zikira performs a fat transfer, patients are up and around immediately. Any discomfort following the procedure can be controlled with medication. Some swelling at the treatment site may last up to 36 hours. There may be some bruising, which can be covered with make-up. Your initial injection should last up to 6 months. For results that will last years, patients usually receive 3 - 4 treatments over a 6 month period.

      To learn more about Fat Grafting (Fat Transfer), please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      After Dr. Gul Zikira performs a fat transfer, patients are up and around immediately. Any discomfort following the procedure can be controlled with medication. Some swelling at the treatment site may last up to 36 hours. There may be some bruising, which can be covered with make-up. Your initial injection should last up to 6 months. For results that will last years, patients usually receive 3 - 4 treatments over a 6-month period.

      Vaginoplasty

      Today, women no longer have to suffer with vaginal looseness that occurs with childbirth or aging. The stigma associated with vaginal surgery for vaginal tightening, to enhance sexual pleasure or improve the appearance of the vagina, is gone. Women now actively seek to improve their vagina, including stretched muscles and supporting tissues, to restore their youthful feeling. Vaginoplasty is performed by Dr. Zikira for patients in our region.

      To learn more about Vaginoplasty, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Dr. Zikira performs Vaginoplasty with the patient under conscious sedation or with local anesthesia. The length of the procedure is typically 1 - 2 hours. Healing usually takes approximately 6 weeks. Patients may choose to combine Vaginoplasty with Labiaplasty for sexual enhancement and to relieve any discomfort and self-consciousness they may have had in the past.

      Labiaplasty

      As Labiaplasty and other types of vaginal rejuvenation and vaginal reconstruction become more mainstream, women no longer have to be embarrassed when seeking labia improvement. For years women had few alternatives to relieve pain, to enhance sexual satisfaction or to improve the appearance of their labia. Most often, Labiaplasty is performed for medical or aesthetic reasons. Labiaplasty is performed by Dr. Zikira for patients in our region seeking to improve the comfort and appearance of their labia.

      Labiaplasty is performed to reduce the inner lips of the vulva with symmetry and with the most natural results as possible. The reduction of the labia minora may improve physical comfort and the sexuality of the patient. Dr. Zikira performs Labiaplasty as an out-patient procedure and it takes approximately an hour. It is performed under local or general anesthesia and bed rest is recommended for a week.

      To learn more about Labiaplasty, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       


      Dr. Zikira performs Labiaplasty as an out-patient procedure and it takes approximately an hour. It is performed under local or general anesthesia and bed rest is recommended for a week.

      G-Spot Amplification®

      It wasn’t that long ago that you could ask women of all ages about their G-Spot and find that very few had knowledge of it, or that it was even part of their body. Today, women are far more educated, they understand the role the G-Spot plays in sexual gratification. It’s no longer uncommon for women to discuss sexual enhancement, and many modern women want to learn more. G-Spot Amplification is performed by Dr. Zikira for patients in our region interested in enhancing their G-Spot.

      To learn more about G-Spot Amplification®, please contact our office by calling (408) 946-9453 or emailing care@drzikria.com.
       

      Gul A. Zikria, M.D., FACOG
      Obstetrics / Gynecology, Infertility, Cosmetic Surgeon

      Dr. Zikira performs G-Spot Amplification for patients from Milpitas, San Jose and Sunnyvale in our meoffice under local anesthesia. The actual injection of specially developed and processed collagen takes less than 8 seconds and the entire procedure takes between 10 and 15 minutes.

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