Ask the Cosmetic Plastic Surgery Expert - Dr. Brooks

Updated: Jul 6, 2020

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July 2020

Carpal Tunnel is by far the surgery that I do the most. It is my favorite surgery to do too. Carpal Tunnel is a condition caused by pressure to the median nerve within the hand/wrist, or carpal tunnel. You might feel pain, a tingling sensation, numbness of the fingers, weakness or aching. Carpal tunnel syndrome is associated with multiple conditions including repetitive motion or overuse, fluid retention during pregnancy, injury to the nerve in the carpal tunnel or arthritis.

Carpal Tunnel is diagnosed with a nerve conduction study. If the symptoms are mild a trial of nighttime splinting can be started. If the symptoms are moderate to severe, a surgical intervention is the best option. The surgery takes less than half an hour and is done under a local anesthetic, so you can eat your normal breakfast, lunch, dinner, and head home to recover right after the procedure. The incision is about an inch long and dissolvable sutures are usually used so you do not have to have a suture removal appointment a week or so later.

Recovery is 3-5 weeks, with no splint/cast. I encourage you to wiggle and move your hand the day of surgery, and start light duties about 4 days after, but you need to avoid working with items that are heavier than 10 lbs for the first 2 weeks.

My full post-operative care instructions are found at

June 2020

Medical Tourism – you might think that a hot holiday and a plastic surgery sounds like a win-win scenario, but emergent complications like infections from surgeries done abroad cost our local health system hundreds of thousands of dollars each year.

Follow-up care and monitoring are important parts of any cosmetic surgery. Without operative reports, local doctors may not know what surgical techniques the original surgeon used, making treatment difficult or next to impossible.

What at first may seem like a bargain surgical fee might not be cost effective at all. Revision surgeries that are undertaken after complications can be more complex than the initial operation. Revision surgeries are not free, and patients rarely get their desired results.

Every surgery comes with some risks involved and those risks may increase during vacation plastic surgery. Vacation related excursions or even just sunbathing should be avoided after a procedure for appropriate healing and to reduce the risks of complications.

Did you know that lengthy flights or long surgeries can increase the potential risk of blood clots? A long surgery followed by a long flight is a risk you should consider very seriously.

Do Your Homework: Research the procedure, the benefits, and the risks. Refer to for the latest information on plastic surgery procedures.

May 2020

We are in this together and your safety has always been our priority. My clinic is only open to see referred patients from the ER or family doctors on an emergent/urgent basis for things like hand trauma, lacerations to the face, burns, skin cancers, etc. I urge you to do all isolation activities with added caution right now. We do not need to put added stress on our health system. While some of you may have more time for projects, please remember that a table saw injury to your hand & fingers or the slip of a knife while chopping or cutting items in your kitchen could put you in an emergency room bed and/or on an operating room table. We understand that frustrations are high, and you may be feeling upset & worried about your financials, the health of your loved ones, or just our unknown future. Now is not the time to take your aggressions out, by punching something or even worse someone. In a time where hand washing is a high priority, if you end up with a broken hand or finger, when you are put in a splint you will have a much harder time with hand hygiene on top of the usual troubles that come with navigating your daily activities with a splint on 24/7. Our community is doing a great job slowing the spread of COVID-19 & keeping safe. We’re proud of you, keep it up!

April 2020

You may have heard of Carpal Tunnel Syndrome as it is more common, but have you ever heard of Cubital Tunnel Syndrome? Cubital Tunnel Syndrome occurs when your ulnar nerve or “funny bone nerve” is stretched or compressed. The nerve gets really small and during surgery it is evident as it often has a different appearance where the compression has affected it. You can see a surgical photo and a diagram of the anatomy of the elbow on my Instagram account @drtrevorbrooksoffice. Cubital tunnel symptoms include numbness and tingling of the ring and pinky fingers. These symptoms are often worse at night or when people lean on their elbows (i.e. while sitting in an armchair, or while driving). If you have the symptoms described, you should have a conversation with your family doctor or a walk-in clinic doctor for a referral to a plastic surgeon. Consultations are complimentary, but 24 hrs notice is needed for missed appointments (a no- show fee is documented if you ever would like to reschedule).

March 2020 Article

Let’s talk implant placement and when to consider implants below the muscle or above.

Submuscular placement, sometimes called sub-pectoral is known for producing a more natural looking result. If you are a woman who is lean and does not have a lot of existing breast tissue, then placing the implants below the pec muscles may be the best option for you. With this method patience after surgery is necessary because it takes time for the muscles to relax and for the implants to drop and settle.

Subglandular Placement, also known as over the muscle placement, is a good option for women who have a lot of breast tissue to help conceal the appearance of the implants. It can also be the best option for athletic women or women who are active in movements that involve stress of the chest muscles. Patients may also be drawn to the faster recovery time with this type of surgery.

Most of the time my patients and I choose submuscular placement.

Consultations are complimentary, but 24 hrs notice is needed for missed appointments (a no- show fee is documented if you ever would like to reschedule).


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