L. Franklyn Elliott, M.D.
Board Certified in Plastic and Reconstructive Surgery
President, Southeastern Society of Plastic and Reconstructive Surgeons, 2000-2001
Director, Atlanta Breast Surgery Symposium, 1989-2003
Co-Director, Atlanta Breast Surgery Symposium, 2003-Present
Located at our Northside & Alpharetta Location
Plastic Surgery Career
Dr. Elliott has been in the private practice of plastic and reconstructive surgery since 1983 – over 30 years – during which he has specialized in all areas of cosmetic surgery including procedures of the face, breasts, body, and extremities. He has held regional and national offices in numerous plastic surgery organizations and has lectured and operated frequently at national and international meetings and locations. He has developed a procedure for breast reconstruction using a scarless latissimus (no scar on the back) flap as well as a short scar facelift procedure that only requires local anesthesia.
New Trends in Plastic Surgery
Dr. Elliott has continued to be an innovator in plastic and reconstructive surgery procedures throughout his 30+ year career as breast implants have changed from gel to saline – and back, and from smooth to textured surfaces – and back. He has been at the forefront of technical improvement. The addition of endoscopic procedures during the 90s led to not only shorter scars, but improvements in techniques for the browlift and facelift.
Cosmetic Surgery of the Face, Breast, and Body
Cosmetic and plastic surgery can improve the appearance of the face, breast, and body. Board certified plastic and reconstructive surgeon Dr. Franklyn Elliott is advanced in cosmetic procedures ranging from the traditional facelift and breast enhancement to the all-encompassing mommy makeover surgery and circumferential body lift. Dr. Elliott is particularly interested in developing new cosmetic surgery techniques, and has developed a short scar facelift procedure that is performed under local anesthesia. His enthusiasm for emerging techniques assures his patients of his commitment to their safety and mission to provide optimal plastic surgery results.
Click on a cosmetic surgery procedure listed below to learn more:
Cosmetic Surgery of the Breast
Cosmetic Surgery of the Face
Cosmetic Surgery of the Body
While cosmetic surgery is used to improve the appearance of the face, breast, and body; reconstructive surgery is used to restore the function of facial and body features compromised by congenital defects or the treatment of long-term illnesses like chemotherapy or radiation. Dr. Elliott is experienced in various types of reconstructive surgery, but he specializes in reconstructive surgery of the breasts. Dr. Elliott continues to research and advance surgical reconstruction of the breast: developing and refining breast reconstruction procedures like the scarless latissimus flap, DIEP flap, and TRAM flap methods.
Dr. Elliott has remained committed to breast reconstruction after mastectomy since the first days of his career. For over 30 years, Dr. Elliot has performed both immediate and delayed breast reconstruction after mastectomy in addition to cosmetic surgeries of the face, breast, and body at his Atlanta, Georgia practice. His experience with the TRAM flap, both pedicled and free, is extensive. He has written many articles on this subject and has performed the procedure live in a number of centers around the world. He also employs the breast implant and/or tissue expander when the TRAM flap is not an option or not desired by the patient.
Dr. Elliott has also been involved in the development of new techniques, including the use of the scarless latissimus flap, which utilizes muscle from the back without requiring a scar on the back. He has also developed a procedure for patients who had breast augmentation but were subsequently diagnosed with breast cancer: an exciting new option for patients.
Click on a reconstructive surgery procedure listed below to learn more:
Reconstructive Surgery of the Breast
Plastic Surgery Complications of the Breast
With a distinguished career in plastic surgery, Dr. Elliott has become a source of referral for those doctors and patients who have had problems with previous breast surgeries and are seeking a doctor with extensive experience in breast revision surgery. Dr. Elliott has managed all types of difficult problems following surgical procedures. Below is a list of some of his encounters.
Click on a condition to learn specific information:
Complications of Breast Surgery
- Hernia after TRAM Flap Surgery / Abdominal Wall Weakness
- Breast Asymmetry-Shape or Size
- Breast Implant Displacement / Misplacement
- Nipples Too High
How long will the results of a liposuction procedure last?
Liposuction removes excess fat cells from a targeted area of the body, and can be a great way for patients who are already maintaining a healthy weight to minimize localized pockets of unwanted fat. The fat cells that have been removed will not return. However, if a patient gains weight after their procedure, the remaining fat cells in the treated area as well as fat cells in other areas of the body can expand, making the patient’s results less apparent. In other words, liposuction results can be extremely long lasting if the patient maintains their post-procedure weight, but subsequent weight gain in the treated area is still a possibility.
What type of scar can I expect after an arm lift?
An arm lift (or brachioplasty) removes lax skin and, if needed, excess fat from the upper arms. The incision and the scar it leaves depends on the individual patient. In some patients, the incision is made along the underside of the upper arm. For patients who are looking for a more subtle improvement, however, the incision may be limited to the armpit area. To discuss whether an arm lift can benefit you and what type of incision would be needed, schedule a consultation with Dr. Franklyn Elliott.
How much time will I need to recover after an arm lift?
Following arm lift surgery, patients typically need 1 – 2 weeks before returning to work. During the first week of recovery, try to get light exercise like walking and avoid activities that raise your blood pressure, as this could cause bleeding at the operative site. Avoid exercises and movements that directly stress the area of your surgery like weight lifting for 4 weeks after your procedure. After a month, patients can generally begin more strenuous cardiovascular exercise like riding a stationary bike or brisk walking. Avoid heavy lifting, contact sports and jogging for up to 6 weeks.
How do I know what size of breast implants to choose?
Patients who are considering breast augmentation have a wealth of options, from selecting the type of implants (like silicone, saline, or gummy bear) to choosing a size. The size of a patient’s breast implants depends largely on the patient’s preference, as well as what is medically safe and feasible. During your personal consultation, Dr. Elliott will guide you through your various options and help you reach a decision that you feel comfortable with.
How does eyelid surgery improve the appearance of bags under the eyes?
Bags under the eyes are caused by fat deposits. Genetics are often to blame for these fat deposits, but they tend to grow more prominent with age when the rest of the face loses volume. Lower eyelid surgery, or lower blepharoplasty, removes the fat deposits to create a smoother, more youthful appearance.
Will a breast lift change the size of my breasts?
A breast lift procedure focuses on the height of the breasts, and generally does not affect their size. However, many mastopexy (or breast lift) patients do want their breasts to be larger or smaller in addition to looking younger. In this case, Dr. Elliott can often combine the breast lift with either a breast reduction or a breast augmentation. Having both procedures in one surgery can cut down on recovery time and costs, and can help patients achieve the results they’re looking for sooner. However, each patient’s cosmetic goals and medical needs are unique, so the first step is a consultation with Dr. Elliott to discuss your surgical options.
What is a mommy makeover?
A mommy makeover is a plastic surgery which combines multiple procedures in order to improve the areas of a woman’s body that have been aesthetically impacted by past pregnancies. While every mommy makeover depends on the individual patient’s needs, these surgeries typically involve a breast procedure (whether it be an augmentation, a reduction, or a lift), a tummy tuck, and liposuction. Using a single surgery for multiple cosmetic procedures can allow patients to achieve the end result they’re looking for with less recovery time and expense than several individual surgeries would require, but a consultation is the first step toward determining whether you’re a candidate for a mommy makeover.
What is the difference between a tummy tuck and liposuction?
Essentially, liposuction specifically removes unwanted fat. A tummy tuck, on the other hand, focuses primarily on removing excess skin on your abdomen, which often becomes stretched due to pregnancy or weight fluctuations. A tummy tuck can also repair abdominal muscles which have changed shape as a result of pregnancy, and which can create a “pooch” on even a slender midsection. For patients who would benefit from skin firming and muscle repair as well as fat reduction, liposuction can often be combined with a tummy tuck for a more comprehensive result.
What’s the difference between a traditional facelift and a short scar facelift?
Both of these procedures restore firmness to facial skin that has become lax and wrinkled by the aging process. However, a facelift traditionally uses an incision within the creases of the face and the hairline behind the ear. A short scar facelift, on the other hand, only requires small incisions concealed by the temporal hair and extending downward in front of the earlobe, so the procedure is less invasive and scarring is minimized.
How long will the results of ear surgery last?
Although the effects of anti-aging procedures like facelifts are inherently temporary, because new signs of aging are always forming, the structure of the ears changes very little throughout our lives. Therefore, the results of plastic surgery on the ears can easily last into the patient’s adulthood and beyond. Keep in mind, however, that in order for you to attain the results you’re looking for, it’s important to follow your post-surgical instructions closely, including keeping your bandages on for a specified period of time so they can support your ears’ new shape.
Will I have extensive scars after male breast reduction?
Each man’s breast reduction is unique based on the type of tissue being removed. For men with the condition gynecomastia, the chest area may have excess breast tissue which creates an appearance similar to female breasts. In this case, the issue can often be resolved using a small, discrete incision around the bottom of the areola to allow for the removal of the breast tissue. For patients whose primary concern is excess fat in the chest area, liposuction alone may be able to produce a satisfying result. Liposuction only requires a few incisions that are large enough for the narrow metal tube used to remove the fat, so the incisions are only a few millimeters long and they leave little or no visible scarring. For men who have also lost extensive amounts of weight and, as a result, have excess skin in the chest that needs to be removed, a scar along the natural creases of the pectoral area may be necessary. Ultimately, it will depend on your unique needs, which I can evaluate during your in-personal consultation.
At what age can a teenager safely have rhinoplasty?
Medically, the nose reaches nearly its full adult size by around age 14-15 (or sometimes a couple of years older for boys), and at this point, surgery may be an option to make cosmetic changes to the shape and/or size of the nose. However, keep in mind that rhinoplasty is a true surgery, so it requires patients to be firmly committed to their health throughout the preparation and the recovery. As a result, a teenager’s maturity level and their comprehension of the procedure will determine whether or not they are a candidate, so some patients may achieve a better result if they wait until their later teen years or into adulthood. All the factors that affect cosmetic nose surgery will be discussed at a pre-surgical consultation, where I can meet the potential patient (and the parents, if applicable), examine the patient’s nose, and make a confident recommendation.
I’ve heard that breasts are largely made up of fat. Can’t I just use liposuction for breast reduction?
You’re correct that there is some degree of fat in the breasts. However, in order for breast reduction to truly be successful in providing the cosmetic results that you want while also relieving the physical burdens that excessive breasts cause, such as back pain and shoulder pain, the best option is a true breast reduction. Unlike liposuction, which uses a very narrow tube to remove fat cells alone without affecting other types of tissue, a breast reduction involves removing fat as well as breast tissue and skin for a comprehensive result. Not only will breast reduction surgery allow me as your plastic surgeon to remove the precise amount and type of tissue necessary, but it will also allow me to sculpt your breasts into an attractive and youthful shape, rather than leaving the significant laxity that liposuction would result in.
Is weight-loss surgery needed after considerable weight loss or can my skin recover on its own?
Post-weight loss surgery is intended to help patients get rid of their loose, excess skin after their weight loss. For patients who experience sagging skin following their weight loss, post-weight loss surgery can provide comfort and an improvement to the appearance of their skin. While the procedure is not a requirement, it is highly unlikely that their skin will correct itself after massive weight loss without surgery. It’s a matter of personal aesthetic preference.
What can cause a breast implant to rupture?
A rupture may occur when the shell of the implant breaks, but the fibrous capsule formed by the breast remains intact. A ruptured implant causes the fibrous tissue to become inflamed and form scar tissue around the breast. This is known as capsular contracture. The scar tissue can often produce pain or discomfort in the affected breast, as well as changes in size and firmness. This can be treated with a breast revision procedure.
Can I get a tummy tuck and then become pregnant in the future?
Though every woman’s body may respond differently to pregnancy and surgery, I recommend that all my patients wait until they are finished having children before undergoing a tummy tuck or any other body-contouring cosmetic procedure. During a tummy tuck, excess skin and tissue is removed from the abdomen and the abdominal muscles are tightened. By repairing any separation in the abdominal muscles that results from pregnancy or weight gain, a tummy tuck is able to create a flatter, trimmer midsection. The effects that pregnancy can have on the body before or after a tummy tuck (including weight gain, stretching of the skin and muscle separation) can negatively affect or even reverse some of the results of your procedure. Some patients may require an additional tummy tuck or a mini tummy tuck to re-achieve their initial results before any subsequent pregnancy.
Will there be significant weight loss after a Mommy Makeover?
Unfortunately not. A Mommy Makeover and it’s component procedures (liposuction, tummy tuck, and cosmetic breast surgery) are meant to provide body contouring improvements, not weight loss. While it is true that excess skin and fatty tissue is removed during a mommy makeover, what is removed typically does not weigh that much. This is why I recommend that my Mommy Makeover patients reach their goal weight before undergoing their procedure in order to achieve the best results possible.
How long will I need to recover after chin surgery?
Patients can normally resume their daily routine about ten days after their chin surgery procedure, though they should refrain from more strenuous activities for a few weeks. Patients can typically begin more intense, high impact exercises again roughly four to six weeks after their surgery. Keep in mind that with any plastic surgery, it can take several months for all residual swelling to fade so that your final results are truly settled. It is important to closely follow all of your post-surgical instructions and maintain communication with your plastic surgeon in order to successfully heal and achieve the best possible results from your chin surgery.
Can a neck lift be performed on its own or does it need to be combined with a facelift?
Although neck lifts are commonly combined with other procedures like a facelift, chin surgery, or eyelid surgery to provide more comprehensive cosmetic results to the face and neck area, the procedure absolutely can be performed as a stand-alone surgery. During a neck lift, excess skin is removed and sagging neck muscles are tightened to improve definition and create a more-toned, younger-looking appearance. Depending on the patient’s needs, I may also use liposuction to remove excess fat in the neck and jowl area. For men I often just take out the excess skin directly by simply removing whatever is excessive in the front of the neck under the chin. While this does leave a scar, it is hard to see in this location after 3-4 weeks and it is a simple procedure that can be performed under local anesthesia.
At what age is it safe to have breast reduction surgery?
Breast reduction is intended to reduce the size and volume of the breasts to create a more proportional body contour. Although there is no specific age requirement for women who are interested in breast reduction surgery, I normally recommend patients wait until their breasts have fully grown and developed before undergoing the procedure. Continued growth and development in the breast area can negatively affect the results of your breast reduction. Additionally, other changes that occur in the body over time like significant weight fluctuation or pregnancy can have similar adverse effects on a patient’s breast reduction results.
How long will the results of rhinoplasty last?
Regardless of whether it was performed to alter the shape or size of the nose, smooth out bumps or depressions, or correct issues with the nostrils, the results of a rhinoplasty are intended to last a lifetime. As you age, your nose may experience normal drooping, however a rhinoplasty can strengthen the nose and allow for more graceful aging. If properly performed by a board-certified plastic surgeon, a rhinoplasty should not require any additional maintenance over time.
Who are good candidates for a thigh lift?
Thigh lift candidates are people who experience excess loose or stretched skin on their thighs as a result of considerable weight loss. A thigh lift can help remove excess skin from the inner (medial) thigh region and/or the outer (lateral) thigh. Since a thigh lift is a body contouring procedure and not weight loss surgery, patients should be at or near their ideal weight before the time of their surgery. Thigh lift patients should be non-smokers in good general health who maintain realistic expectations before and after their procedure.
How long will the results of male breast reduction surgery last?
The results of male breast reduction can be extremely long-lasting. Gynecomastia, or enlarged breasts in men, is caused by an excess of glandular breast tissue. Since male breast reduction removes the excess breast tissue, the results from your procedure can last a lifetime. However, in order to maintain your results, it’s important to follow your post-surgery instructions closely. Steroid use, abuse of recreational drugs like marijuana, certain medical conditions, or even considerable weight gain can lead to a recurrence of your gynecomastia.
What is the difference between a breast lift and a breast reduction?
Although it is common for patients to associate these two procedures with each other, they are very different surgeries with very different results. A breast lift is performed for patients who want to lift or reposition breasts that sag, whereas a breast reduction actually alters the size of the breast itself. During a breast lift, skin is removed to help reshape the breasts and then the breast tissue is repositioned to provide a perkier, younger-looking breast contour. A breast reduction procedure involves removing excess breast tissue, fat, and skin. Certain patients prefer to combine breast reduction surgery with a breast lift for more comprehensive results.
Can breast augmentation be performed without breast implants?
For women who prefer a more subtle breast enhancement, breast augmentation can be performed using fat transfer injections to the breast instead of implants. During the procedure, fat is removed from the patient’s body with liposuction. The fat is then purified and injected in to the breasts to create a modest, natural-looking increase in breast size. It’s important to note that only about 60% of the injected fat will survive over time, so the patient should anticipate some reduction in breast size relative to the results immediately following the procedure and may require a follow-up procedure for further enhancement down the road.
Who are good candidates for a breast lift?
Any woman who experiences significant breast sagging and wants to improve the shape and positioning of her breasts may be a good candidate for a breast lift. Breast lift candidates must be in good overall health to undergo the procedure. In addition to providing perkier, younger-looking breasts, a breast lift can also help patients who have elongated breasts, downward pointed nipples, enlarged areolas and/or stretched breast skin.
How long does it take to recover from eyelid surgery?
Full recovery from eyelid surgery (AKA blepharoplasty) can take multiple weeks, but you will begin to notice progress soon after your procedure. The stitches are typically removed just a few days after your surgery. During the first week of your recovery, it’s important to give your eyes plenty of rest. Most patients can return to work after three to seven days, but this does vary from patient to patient. Any redness, swelling, or bruising that you experience after your procedure should fade within a week to ten days as well. You may begin exercising again after about two weeks, but there may be some restrictions that will be discussed in more detail during your post-surgical follow-up appointments.
What areas can be treated with fat transfer injections?
Fat transfer injections use the patient’s own fat that is removed from areas like the abdomen or thighs during liposuction to help add lost volume to different areas of the face and body. After it has been removed, the fat is then purified and re-injected to restore volume to the cheeks and lips, creating a similar effect to injectable facial fillers. Fat transfer injections can also be used to help patients who want to safely rejuvenate the appearance of the breasts, buttocks, and more.
Will a tummy tuck help me lose weight?
A tummy tuck is a body contouring procedure and not weight loss surgery. This means that undergoing a tummy tuck will not help patients who seek to lose a considerable amount of weight. Although fat is sometimes removed during a tummy tuck, the procedure primarily removes stretched, excess skin. The total amount of fat and skin removed during a tummy tuck doesn’t weigh very much. This is why tummy tuck patients should reach their goal weight before having their surgery.
Can male breast enlargement be treated without surgery?
Unfortunately not. Gynecomastia, a condition in which excess glandular breast tissue causes an enlargement of the male breast, can only be successfully treated with male breast reduction surgery. Since the condition is genetic in nature and caused by an excess of tissue and not fat, diet and exercise will not be able to reduce the contour of the chest area. Additionally, there are no known medicinal treatments that can successfully treat gynecomastia.
Can a brow lift and eyelid surgery be performed at the same time?
As long as the patient is healthy enough to undergo their surgery, it is generally safe to combine eyelid surgery with a brow lift. Some patients prefer to have both procedures done at the same time to achieve more comprehensive aesthetic results, reduce costs, and cut down on overall recovery time. But every patient is different and combining procedures may not be the right approach for everyone. This is something we can discuss during your plastic surgery consultation.
How much scarring will I experience after liposuction?
The incisions made during a liposuction procedure are quite small (sometimes only a few millimeters), meaning that post-surgery scarring is typically very minor. During liposuction, I work hard to make incisions in more concealed, less naturally visible areas to help keep them less noticeable. Keep in mind that liposuction scars will also fade considerably over time.
How much visible scarring will there be after ear surgery?
As with any other cosmetic surgery procedure (especially facial procedures), scarring is a common concern for patients undergoing ear surgery. During an ear lift (otoplasty), I am able to make very small incisions in the back of the ear, which helps keep visible scarring very minimal after ear surgery. Some patients may require their incisions to be made in the front of the ear. In these cases, I am careful to make the incision as discreetly as possible to help limit visible scarring.
Is it safe to combine multiple plastic surgery procedures?
As long as the patient is in good physical and mental health, combining cosmetic surgery procedures can be a great way to achieve more comprehensive aesthetic results, while cutting down on overall recovery time and costs of multiple surgeries. As an example, many patients combine a cosmetic breast surgery with a tummy tuck as part of a mommy makeover. However, combining procedures is not necessarily the right approach for everyone. It’s important to consult with your board-certified plastic surgeon to find out if you are healthy enough to combine plastic surgery procedures.
What areas of the body can be treated with liposuction?
As long as your surgery is performed by an experienced, board-certified plastic surgeon, liposuction can safely and effectively be used on areas all over the body. This can include the abdomen, hips, back, flanks, neck, thighs, breasts, and more. Before any liposuction procedure, a consultation with your plastic surgeon will be required to determine which areas of your body can be safely treated with liposuction.