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Dr. Edward J. Gross is devoted to providing his cosmetic plastic surgery patients at his Orlando-area practice with the best possible care. He is committed to educating patients about all aspects of their procedures and the surgical process. Here, we provide answers to some of the most common questions patients ask.

If you have further questions about any of Primera's treatments, don't hesitate to contact us; we are happy to share all our knowledge. Request an appointment online, or call our office at (407) 333-3040.

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Common Questions

Read on to learn some general information about our policies and surgical process, and explore the links to the left for more specific answers about the procedures we offer.

Why do patients choose Dr. Gross and Primera?

The most commonly cited reason is specialization in facial plastic surgery and the excellent results he achieves. There are myriad other reasons our patients cite as important determining factors in their decision-making process including: years in practice, double board certification in facial plastic surgery, computer imaging, before-and-after photos, professional website, training at a prestigious institution, referrals from other doctors, helping victims of domestic violence and war veterans, beautiful and clean facility, helpful and educated staff, and commitment to patient care and education.

What is the difference between a facial plastic surgeon and a general plastic surgeon?

A facial plastic surgeon has dedicated training in addition to greater experience in this area and is considered a true specialist in the field of facial plastic surgery. Although both kinds of surgeons are board certified, facial plastic surgeons typically perform more facial procedures per year than general plastic surgeons. Informed and educated patients recognize the importance of specialization and the distinction of the American Board of Facial Plastic and Reconstructive Surgery.

What does it mean to be ABFPRS certified?

Certification by the American Board of Facial Plastic and Reconstructive Surgery means that the facial plastic surgeon:

  • Has completed an approved 5-year residency after medical school in 1 of 2 surgical specialties focusing on facial plastic surgery (plastic surgery or otolaryngology — head and neck surgery)
  • Is certified by 2 boards, having earned prior certification in 1 of those specialties through the American Board of Medical Specialties or the Royal College of Physicians and Surgeons in Canada, and ABFPRS certification
  • Has successfully completed a 2-day written and oral examination
  • Has completed at least 2 years of clinical experience, including operative reports of a minimum of 100 facial plastic surgery cases

How accurate is computer imaging?

Dr. Gross has many years of experience in Orlando performing cosmetic plastic surgery and working with the computer imager. This allows him to be quite accurate with these predictive images. Although our results are very close approximations, final results may vary. You can feel comfortable knowing Dr. Gross has successfully met or exceeded computer imaging results in many hundreds of patients during his more than 19-year career.

How often does Dr. Gross perform surgery?

Dr. Gross performs surgery on Mondays and Fridays.

Will I look natural?

Yes. The hallmark of good facial plastic surgery is a natural yet enhanced look. Our results are balanced and natural looking. "A good rhinoplasty should whisper, not shout, across the room," according to Dr. Gross.

Will I be completely asleep for my surgery?

Yes, you will be completely asleep for your surgery. You will not wake up during surgery or have any recollection of the procedure. We use a general anesthetic that provides the patient a relaxing experience with reduced stress levels and allows Dr. Gross to perform the surgery with the best possible result. When you arrive in the recovery room, the effects of the sedatives and anesthetics will wear off gently with most patients ready for discharge in about an hour.

Is the surgery center licensed and accredited?

Yes. Primera Surgery Center is licensed and registered in the state of Florida and is accredited and inspected by the American Association of Accredited Ambulatory Surgical Facilities (AAAASF).

Is it safe to be under anesthesia?

Yes, modern anesthesia techniques are extremely safe, and we use up-to-date and advanced monitoring equipment during surgery. Our anesthetist is with the patient at all times. As part of our commitment to patient care, we require a medical clearance by your primary care doctor for patients older than 40. An experienced and thoughtful surgeon, continuous quality improvement, and outside risk management ensure that best practices are incorporated for all patients.

Is there an anesthetist or anesthesiologist on staff?

Yes. At Primera Surgery Center, we have a certified registered nurse anesthetist on staff with more than 20 years of experience who is with the patient at all times. To learn more about the qualifications of our anesthetist, please view our staff page.

Does Dr. Gross perform the entire surgery?

Yes. Dr. Gross performs all the surgery in its entirety. There are no assistants.

Is an overnight stay required after surgery?

No. All procedures are done on an outpatient basis at Primera Surgery Center, and an overnight stay is not required. Patients are generally released home after about an hour in the recovery room (a driver is required). For out-of-town patients (traveling more than 2 hours), we recommend staying at the Westin Hotel, which is 5 minutes from Primera.

How much pain is there with surgery?

Pain is minimal with facial cosmetic procedures performed by Dr. Gross. The majority of our patients rate their pain as a 1 on a scale of 1 to 10.

Will I be given pain medications after surgery?

Yes. All patients receive narcotic pain relievers and sleep aids following surgery. Most patients do not find the need for prolonged use of pain medication as facial procedures are generally not associated with much pain.

Do you recommend any homeopathic medicines to help with healing?

We recommend Arnica 30x® to reduce bruising and swelling. We have found this homeopathic remedy to speed healing even after minor treatments such as injections of BOTOX® Cosmetic and JUVÉDERM, but also after surgery. This medication is available at our office.

Who will see me after surgery?

Our dedicated team of professionals will assist you after surgery. An initial postoperative visit is with our nurse or PA. Dr. Gross oversees all post-op care and will also see you at regular intervals and at any time deemed necessary. Dr. Gross calls patients the night of surgery to monitor progress, and all surgical patients are provided with Dr. Gross' cellphone number. Good communication is key, and a staff member is always available to assist you.

When can I return to work?

Most patients can return to work after 1 week for surgical procedures. When combining facial procedures, recovery may be 10 days. Ask Dr. Gross for details during your consultation.

Do you have a patient reference list so I can speak to other patients who have gone through this process?

Yes. We provide an extensive and detailed patient reference list for patients who consult with Dr. Gross. We will be happy to provide you with this valuable resource, so you can hear what other patients have to say about their experience at Primera.

Is there a PA or Registered Nurse on staff?

Yes, Eileen Swenson, PA‐C is our board‐certified physician assistant and Sara Schaefer, RN is our operating room nurse. Together they work closely with Dr. Gross assisting in pre‐ and post‐op care, as well as seeing patients for aesthetic needs. To learn more about our Certified Physician Assistants and the rest of our staff, view our staff page.

What is included in the cost of the surgery?

The consultation fee is applied toward the cost of surgery. All pre- and postoperative skin care, VISIA™ skin analysis, follow-up visits for 1 year, photographs, and garments, as well as Primera Salon and Spa treatments, are included in the cost of surgery.

How do I use concierge services at Primera?

Please contact our office and speak to a Primera representative for more information about this option.

What hotel do you recommend for out-of-town guests? Do you have a special rate with the hotel?

We refer patients to the Westin Hotel in Lake Mary, and a special discounted rate is offered to our patients. The hotel is less than 10 minutes from the office. View our area information page for more details.

Do you have a day spa and hair salon? Are these services available before or after surgery?

Yes. Primera Salon and Spa services are available and incorporated into our treatment plans for convenience and elevated results. We have all services under 1 roof, overseen by a licensed physician, Dr. Gross.

Does Dr. Gross treat different ethnic groups?

Yes. We treat different ethnic groups both with surgery and with non-surgical therapies. Dr. Gross has 19 years of experience and has treated people of many different skin types, ethnicities, and races during his career. Some common needs are for African-American rhinoplasty or Asian eyelid surgery.

How often is revision surgery needed?

Revision surgery is not commonly required. Our revision rate is less than 2%, which is far below the national average. This is based on Dr. Gross' experience, training, and true specialization in facial plastic surgery. That being said, there are inherent uncertainties in plastic surgery. Barring any unforeseen problems, revision surgery is generally not expected.

Are there any risks with surgery?

Yes. Although all surgery carries some degree of risk, it is limited in nature due to Dr. Gross' specialized training, experience, and attention to detail. During your consultation, ask Dr. Gross or a staff member about specific side effects and risks that may be associated with your treatment. At Primera, patient safety (and education) is our No. 1 goal.

Is there a hospital nearby for emergencies?

Yes. Dr. Gross is on staff at Orlando Regional Medical Center, and ORHS-South Seminole Hospital is less than 15 minutes from our office. Although emergencies are extremely rare, protocol would require transfer to a local hospital should the situation call for it.

Do you guarantee results after surgery or laser treatments?

No. Although we do our best to achieve satisfactory results for all our patients, we cannot offer guarantees.

Whom can I call after hours in case of an emergency or problem?

Dr. Gross and our PA's handle all after-hours calls for emergencies. For surgical patients, Dr. Gross' direct cell number is provided. Call (407) 333-3040 after hours for assistance.

How often do you have events, seminars, and specials?

We host educational seminars and events at Primera about 4 times per year. These are great opportunities to meet Dr. Gross and our staff and tour the facilities. Teaching demonstrations, as well as door prizes, gift giveaways, and special offers, make these evenings fun, educational, and highly anticipated.

What charitable organizations does the practice participate with?

Over the years, Dr. Gross has supported the Orlando community with pro-bono involvement in Safe House, Harbor House, Pathways to Home, the Arnold Palmer Hospital for Children, Harvest Time International, Face to Face, Faces of Honor, and the Ovarian Cancer Foundation. Our practice believes in giving back to the local community that has supported us through the years.

Is there a referral program at Primera?

Yes, we offer a VIP referral program with incentives for those who refer to our practice. Please inquire with a team member to learn more about the benefits of becoming a VIP.

How many times has Dr. Gross been voted a top plastic surgeon in Orlando?

Dr. Gross has been named Best Plastic Surgeon by Orlando Magazine in 2006, 2007, 2011, and 2012.

Does Primera work with any general plastic surgeons for body or breast work?

Yes, Dr. Gross teams with several plastic surgeons in Orlando to offer body and breast enhancement. Dr. Armando Soto and Dr. George Papanicolaou are board certified and well respected doctors in the community.

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