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Burr Von Maur, M.D.

Award Winning Plastic Surgeons to Ensure Your Best Treatment

We are the leading destination in Southern California for full-service aesthetics, where patients can receive first-class care with proven results from experts they trust.

We relentlessly dedicate our practice to providing the best care available, cutting-edge services, and proven results, maintained by our highly qualified team.

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Beloved by his patients, Dr. von Maur has a true artistic eye and passion for providing the best patient care, while delivering superior results. 

Burr Von Maur, M.D.

Burr von Maur, MD is a board-certified Orange County plastic surgeon and former Chief of Plastic Surgery at Mission Hospital Regional Medical Center. With over 35 years of experience, Dr. von Maur specializes in facial rejuvenation procedures including rhinoplasty and blepharoplasty, body contouring procedures such as liposuction, and breast enhancement procedures including breast augmentation.

Request a consultation today to learn how Dr. Burr von Maur
can help you look your very best.

Education

  • M.D. – University of Iowa, 1972

  • General Surgery – University of Iowa

  • General Surgery Residency – University of Iowa, 1977

  • Residency – University of Missouri, 1979-1981

  • Specialty Cosmetic Surgery Training – New York University, 1980

Board Certifications

  • American Board of Plastic Surgery

  • American Board of Surgery

Professional Committees / Societies

  • American Society of Plastic and Reconstructive Surgeons

  • American Society of Aesthetic Plastic Surgery

  • California Society of Plastic Surgeons

  • Orange County Society of Plastic Surgeons

  • Fellow of the American College of Surgeons

Facial Rejuvenation Surgery

Dr. von Maur specializes in facial rejuvenation procedures. He utilizes computer imaging with each consultation to achieve highly satisfying results with his patients. Procedures he performs include:

 

  • Facelift 
  • Fat grafting
  • Neck lift 
  • Liposuction 
  • Brow and forehead lift
  • Blepharoplasty 
  • Rhinoplasty

Body Contouring Surgery

Many patients, despite diet and exercise, are unable to achieve the body or silhouette they desire. And those who have lost weight often find themselves dealing with “problem areas” where there is excess, redundant skin.

Dr. von Maur specializes in body contouring from head to toe. He has a vast experience with abdominoplasty (tummy tuck), thigh-buttock lift, lower body lift, inner thigh lift, and arm lift (brachioplasty). These are very rewarding procedures, especially for patients who have struggled most of their adult life and who may lack confidence as a result. Utilizing the best techniques and technology, Dr. von Maur delivers incredible life-changing results. Dr. von Maur performs body contouring procedures including:

  • Liposuction
  • Abdominoplasty (tummy tuck)
  • Full body lift (includes buttock, thighs, and abdomen)
  • Thigh lift
  • Buttock enhancement with fat transfer or implants
  • Brachioplasty (arm lift)

Breast Surgery

Breast augmentation is one of the most popular plastic surgery procedures in Orange County. Dr. von Maur is skilled in performing breast augmentation with implants, as well as breast augmentation with fat transfer.  Additionally, he has extensive experience with breast lift, and breast reduction procedures.  Often times a breast lift will be combined with breast augmentation, depending on your aesthetic desires and goals. 

  • Breast lift (mastopexy) is the best way to correct skin that has stretched, either due to pregnancy, weight loss or age, or a combination of factors. There are varieties of mastopexy methods used that are state-of-the art and very effective. The breast lift can be done with or without a breast implant.
  • Breast reduction helps to improve body proportion, reduce neck, back and shoulder pain, improve well-being, and allows many patients to engage in activities that would normally be a challenge. 

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Female Plastic Surgeons

Getting plastic surgery is an important, life-benefitting decision. It’s absolutely crucial that you, the patient, are comfortable with the procedure and, most importantly, the surgeon. In order to mentally prepare for the procedure and make sure your surgeon is qualified, here are a few questions you can ask at your initial consultation.

Their History

In order to instill your trust into a surgeon, it’s recommended that you ask questions about their history and experience as a plastic surgeon.

  • Are you board certified in cosmetic surgery?

If your surgeon is certified, you’re ensured that they’ve had all of the necessary education and hands-on training to perform cosmetic procedures.

  • How long have you been practicing cosmetic surgery?

While it’s important to know whether or not the surgeon is certified, it is also crucial to understand their experience. While many people do have successful results with less experienced surgeons, it is important to many patients that their surgeon has performed surgery for many years.

  • How many times have you performed this surgery?

Your surgeon should be experienced in performing the exact surgery you want. Many plastic surgeons are specialists that focus on many different areas of cosmetic surgery. The more experience with the procedure, the easier it is to trust your surgeon.

The procedure

  • Can I see before and after images?

Seeing is believing, so you can more readily trust a surgeon who can prove his/her ability through photos of past patients.

  • What type of anesthesia will I need?

Understanding anesthesia is important for many patients as some patients are more comfortable with local anesthesia over general anesthesia and vice versa.

  • Who will be administering my anesthesia?

Many patients don’t consider this. Your safety should be important not only to yourself but to your surgeon, so make sure that the person administering the anesthesia is certified and has received all of their proper education.

  • How long will the procedure take to complete?

In most cases, patients will plan their day around surgery so that they can get family and friends to drop them off and pick them up to take them home after the procedure.

  • What are the risks?

With any medical treatment, there might be some risks involved. Your surgeon should always be honest with you so that you can make the best decision for yourself.

  • Are there other options?

Some patients may have other options apart from the procedure that they’ll initially discuss with their surgeons. If their plastic surgeon believes another option may be better for the patient, they will readily let them know and discuss all possible options.

  • How long is recovery?

While your surgeon can’t give you an exact date of when your recovery will be complete, they can give you an estimate and let you know when you can resume normal daily activities.

  • Can I contact you after surgery?

Many patients will feel more comfortable with their surgeon if they are offered the ability to contact them after surgery. Anxiety is completely normal for patients, so you’ll appreciate the ability to contact your surgeon post-surgery.

 

Costs

  • What are the total costs of the procedure?

It’s important to always consider the cost to make sure the procedure fits in your budget. Other than the procedure itself, it is advised to get the estimated cost for pre and post-op visits and medications.

  • Does insurance cover this?

It’s possible that your insurance can cover part of your procedure. Your insurance company can also answer this question for you.

  • Do you have payment plans or financial aid?

Many places will offer payment plans or some sort of help for patients who can’t afford to pay all costs up front.

MOMMY MAKEOVER

Congratulations on becoming a new mom! This is the most rewarding time of your life. Unfortunately, there are physical demands of pregnancy, childbirth, and breastfeeding that can take a toll on your body. These effects may be difficult to reverse with regular diet and exercise, no matter how great of shape you are in. Mommy Makeover procedures are designed to help mothers get their bodies back after having a child.

 

What’s involved in a Mommy Makeover?

After childbirth, women may notice changes to their body including stretch marks and pockets of fat that didn’t exist before pregnancy.

A mommy makeover can involve many different procedures:

Breast Augmentation:

It’s common for new mothers to be left with sagging breasts. Augmentations help to perk-up the chest and improve the physical appearance of the breasts.

Breast Lift & Tummy Tuck:

Getting a breast lift and tummy tuck can completely enhance the aesthetics of the body. After pregnancy, you may experience stretch marks and loose skin that can’t be improved using other methods. Your breasts may also sag after breastfeeding because they’re no longer full. A breast lift and tummy tuck can improve the appearance of your body after childbirth that simple exercise and diet cannot.

Liposuction:

You may start noticing pockets of fat that didn’t exist before pregnancy and childbirth. Liposuction can help rid your body of these pockets when diet and exercise don’t work.

Vaginal Rejuvenation:  

Childbirth can affect the tightness of the vagina by stretching the tissues and separating the muscles. In some cases, women may experience incontinence. Vaginal Rejuvenation procedures such as labiaplasty, CO2RE Intima, or the O-Shot will help tighten those tissues, improve the appearance, and help with urinary incontinence.

 

How long after giving birth do I have to wait to get a Mommy Makeover?

Typically, most surgeons will make you wait at least six months after childbirth before having plastic surgery. Your body needs time to heal itself. Throughout the pregnancy and childbirth process, your body has gone through immense stress, so it’s important to allow your body to heal before getting involved in invasive plastic surgery.

Consultation

When you visit your surgeon for the first time for the consultation, it’s best to be honest about your goals so that they can try to help you as best they can. It’s important to let them know what aspects of your body you believe are less than desirable. At your consultation, your surgeon will let you know if you are a good candidate for the procedures, and if not, they may recommend other procedures that are more appropriate for you to help you achieve your goals.

 

Recovery

It typically takes about six to eight weeks to recover from a Mommy Makeover, although recovery time will differ depending on each patient and the procedures performed. For the first couple of weeks, you may feel some discomfort, so it’s important to rest so that your body can heal properly.

 

After Recovery:

After you are fully recovered, you can maintain your new body with a good exercise program and a healthy diet. For long-lasting results, it’s important to speak to your surgeon and develop a healthy lifestyle plan so you can continue to look and feel your best for years to come.

Did You Know That You Can Often Choose Between Local Vs General Anesthesia for Your Plastic Surgery? 

Many patients don’t realize that they actually have options when it comes to anesthesia. As a whole, the concept of intentionally depressing your sensory functions can seem a bit daunting. That’s why most of us leave the decisions regarding these somewhat intimidating processes to the medical professionals. However, there is a growing number of plastic surgery procedures that can be effectively and sometimes beneficially performed with local anesthesia. It might sound a little questionable at first, but when comparing local vs general anesthesia, many patients and

orange county cosmetic surgeon alike are starting to see the strategic benefits to the former option. That is, these medical professionals are beginning to prefer a more minimal and less physically draining approach to anesthetic usage. 

local vs general anesthesia

What Types of Cosmetic Enhancement Procedures Require Anesthetics? 

The majority of surgical and non-surgical cosmetic procedures utilize at least some type of local anesthesia, typically in the form of lidocaine. Even facial injectables like Juvederm and Restylane are frequently mixed with lidocaine to minimize the discomfort felt at injection sites. For more intensive surgical treatments, a general anesthesia is traditionally used to ensure that the patient is entirely unconscious. There are also instances when lighter variations of general anesthesia can be administered to minimize consciousness to a controlled degree. This usage is commonly referred to as twilight anesthesia, as it places the patient in a relaxed and sleepy “twilight" state without completely knocking them out. 

For the most part, the use of local anesthesia during non-surgical treatments provides a minimal numbing effect that can help alleviate minor pain or discomfort. Patients can often opt-out of receiving injectables that utilize lidocaine with little overall change in the treatment results. The really important decisions for using local vs general anesthesia are reserved for the realm of surgical-based enhancements. If you are planning to undergo a plastic surgery procedure, it’s important to understand your anesthetic options to optimize your results while minimizing your discomfort and recovery time. 

A Closer Look at Twilight Anesthesia and Local vs General Anesthesia 

First, let’s take a closer look at the most common forms of local vs general anesthesia. In the world of local anesthesia, lidocaine reigns supreme. Lidocaine is a sodium channel blocker that numbs skin tissue in whatever area it is injected into. It effectively creates a temporary blockage of signals from your nerves, allowing for full sensory depression in the desired region. 

A Brief History of Lidocaine 

Lidocaine is the most recent medical development in a line of local anesthesia injectables that were originally spawned from cocaine. As modern formations of surgical and dental procedures were beginning to come to fruition throughout the 19th century, medical professionals struggled to find ways to efficiently minimize patient discomfort. Opium, alcohol, ether, chloroform, and nitrous oxide (laughing gas) were all experimented with as general anesthetics, however a suitable local anesthesia had yet to be discovered. Eventually, cocaine surfaced as a viable candidate for this localized pain relief. 

Unfortunately, cocaine’s effect on the circulatory system and its highly addictive nature made it very unideal for frequent usage. In the early 20th century, a less toxic synthesized version of cocaine was discovered and marketed as Novocaine. Today, most people assume that novocaine is still in widespread use at their average dentist’s office. What most fail to realize is that a less allergenic version called Lidocaine almost entirely replaced Novocaine in the 1960s. And now, Lidocaine is the most widely used local anesthetic in the realm of modern medicine. 

local vs general anesthesia

Local vs General Anesthesia: A Basic Overview of Effects and Uses  

General Anesthesia Overview: 

While both types of anesthesia are injected into the body, general anesthetics are typically done so intravenously or through an IV. Occasionally, a gaseous anesthetic is inhaled in order to achieve a lack of consciousness. The mixtures or blends of general anesthesia drugs are sometimes colloquially referred to as “cocktails” and can take on various forms depending on the desired effect and unique needs of each patient. Unless the intention is to reach a state of twilight anesthesia, most intravenous or gaseous anesthetic applications will render the patient completely unconscious and unable to feel. This is also known as a medically induced coma and the taxing effects it can have on the body are far from negligible. 

local vs general anesthesia

Effects of General Anesthesia:

It’s important to understand that "going under” for surgery using general anesthesia is not synonymous with falling asleep and waking up. The “anesthetic hangover” effects of being forcibly knocked unconscious through drug cocktails can sometimes take several days to fully wear off. And the recovery times for patients who have undergone local vs general anesthesia can be drastically different. 

Negative side effects of general anesthesia can range from nausea and vomiting to breathing disorders or issues with blood pressure. Even without these more drastic effects, coming back from a medically induced coma is not dissimilar to recovering from a nasty alcoholic hangover. Your entire body is forced to deal with delayed pain and discomfort and the withdrawal of serious drugs from your system. These various “hangover” symptoms can result in longer post-surgery recovery times and can even lead to minor illnesses like colds or flus due to depressed immune system functions. 

This isn’t to say that general anesthetics are inherently unhealthy or dangerous. The drugs used to fully anesthetize patients can be harsh on the body, however they are often necessary medical lifesavers that allow for serious surgical procedures to be performed without pain or strife. If your doctor strongly suggests or even requires that you use general anesthesia, you should probably head her or his advice. It’s not recommended to skip out on surgeries just because general anesthesia is a requirement. While “going under” can be intimidating, it is often the lesser of two evils to choose from. In fact, some people actually enjoy the entire process. It all depends on your unique constitution. 

Local Anesthesia Overview: 

Local anesthesia, namely lidocaine, is usually injected directly into the skin tissue surrounding the treatment area. It can also be used as a topical anesthetic depending on the circumstance. This is where the primary difference between local vs general anesthesia comes into play. For lidocaine, the only part of the body that experiences sensory depression is the actual targeted skin tissue, while the rest of the body and all cognitive and motor functions are unaffected. Ostensibly, patients who choose to undergo surgery with lidocaine will be able to carry out entire conversations during their procedure, while still feeling no pain or discomfort from the area being treated. This might seem even more frightening than general anesthesia at first, however the benefits are rather astounding. 

Lidocaine is often used in conjunction with other forms of anxiolytics or general anesthetics. This is especially the case when a type of twilight anesthesia is desired. During twilight anesthesia, aestheticians (doctors who specialize in anesthetics) will administer controlled amounts of their anesthetic cocktails in order to induce a light semi-conscious state in the patient. There are several stages or levels to twilight anesthesia, with the lowest consisting of a basic anxiolytic state that is typically paired with lidocaine or another topical anesthetic. During this stage, patients will be responsive and semi-alert, however their central nervous system will be mildly suppressed and they won’t be able to feel any pain. Twilight anesthesia allows for a more efficient awakening and recovery time for most patients. 

Effects and Benefits of Local Anesthesia, or Lidocaine:

Lidocaine was originally created as a less allergenic form of novocaine, although it is still possible for a minority of patients to experience allergic reactions. To be sure, you should always check with your primary care physician to determine various drug interactions or potential allergies. As a whole, lidocaine is a very safe and effective drug for numbing skin tissue and depressing nervous system responses within a given area. When administered properly, patients will be unable to feel anything in the treatment area and some major surgical procedures can be performed with a simple lidocaine injection. 

The benefits of using local vs general anesthesia are very promising. For one, surgeries performed with lidocaine take less overall time and are just as precise and controlled. And these speedier surgeries lay the groundwork for quicker recoveries with less undesirable side effects. Patient who undergo plastic surgery with local anesthesia are in and out of the office faster, often end up feeling better, and experience dramatically faster recovery times. This is because your body is able to focus on healing just the specific treatment areas rather than recuperating from a medically induced coma. Patients often feel better both physically and psychologically, without compromising their comfort in the least bit. 

local vs general anesthesia

What Types of Surgeries Can Be Performed with Local Anesthesia? 

We know what you’re thinking: “Lidocaine can only be used for minor procedures, right? There’s no way that a major surgery like a tummy tuck or a breast augmentation can be performed using only local anesthetic!” 

Well, actually, those very same major procedures are currently being undergone with standalone lidocaine injections and are seeing extremely high success rates. It’s entirely possible for you to receive a breast augmentation, tummy tuck, or even rhinoplasty without having to go under general anesthesia. No longer are the days where your fear of “going under” outweighs your desire to achieve your aesthetic goals. In other words, you can now have your cake and eat it too! 

Asking Your Doctor About Your Options

local vs general anesthesia

Still, we shouldn’t get too carried away here. Not all types of plastic surgery can be undergone without general anesthesia. And “going under” does still have its benefits for certain patients and types of procedures. It’s important to consult with a board certified plastic surgeon who can walk you through and thoroughly explain all of your anesthetic options. 

At

cosmetic care center in Orange Country, we take pride in our continued efforts to understand each patient’s individual needs and desires. We start by consulting one-on-one with each patient and lay out all conceivable treatment options for achieving their unique aesthetic goals. We are currently seeing a high volume of patients who wish  to use local vs general anesthesia and we are more than willing to adjust our surgical plans to meet their desires. Click here to contact us or schedule a consultation to start discussing your ability to undergo plastic surgery with local anesthesia today. 

Call (949) 415-5965 to schedule a consultation today! 

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