Frequently Asked Questions

What is the difference between reconstructive and cosmetic surgery?
Cosmetic surgery involves aesthetically enhancing normal structures of the body in order to improve one’s appearance. Cosmetic surgery is elective in nature and not covered by health insurance.

Reconstructive surgery is typically performed to restore function, shape, and appearance to structures of the body that have been affected by congenital or acquired conditions (i.e. breast reconstruction or skin cancer removal). Reconstructive surgery is oftentimes covered by most health insurance policies, although coverage varies amongst specific procedures and plans.

Am I a good candidate for cosmetic surgery?
Healthy, non-smoking individuals with realistic expectations are appropriate candidates for cosmetic procedures.

Where will my procedure be performed?
Dr. Belz operates at several facilities in San Antonio, including: CHRISTUS Santa Rosa Hospital Alamo Heights, North Central Baptist Hospital, St. Luke’s Hospital, and Methodist Hospital.

Is surgery performed under general or local anesthesia?
Most cases are performed under general anesthesia at the ambulatory surgery center or hospital, however, some minor procedures may be performed in the office setting under local anesthesia. Dr. Belz will clarify your specific needs at your personalized initial consultation.

Is cosmetic surgery covered by my insurance?
Deciding to have plastic surgery is a very personal decision and an investment in oneself. Because it is considered an elective surgery, it is typically not covered by insurance. Some reconstructive procedures may be partially or fully covered by health insurance.

Are financing options available?
Yes, Dr. Belz is pleased to offer her patients CareCredit as an alternative financing option.

What are the most common plastic surgery procedures for men?
The most common plastic surgery procedures for men include blepharoplasty (eyelid rejuvenation), liposuction, gynecomastia (male breast reduction), and neck lifts.

What are some non-surgical options to enhance my natural look?
Dr. Belz is pleased to offer several non-surgical options for facial rejuvenation. Injectable fillers including, JUVÉDERM® XC, JUVÉDERM® Ultra XC, and JUVÉDERM VOLUMA® XC, are used to smoothen facial lines, augment lips, and contour cheeks, respectively. Dr. Belz offers KYBELLA® to improve the appearance of submental fullness, more commonly known as the “double chin.” BOTOX® Cosmetic is used to improve the appearance of crow’s feet and frown lines.

Am I a good candidate for breast augmentation surgery?
You may be a good candidate for a breast augmentation if you are a healthy individual whose breasts are fully developed, if you are dissatisfied with your breast size or lack of upper pole fullness, or if you dislike the shape of your breasts after childbirth, weight loss, or aging.

What are the differences between saline and silicone implants?
Saline implants have a silicone shell and are filled with a sterile salt-water solution. Silicone implants are made of a cohesive silicone gel. Saline implants are less expensive and may be inserted with a shorter incision. Visible wrinkles (rippling) may be possible with the use of saline implants.

Silicone implants are felt to have a more ‘natural’ feel. Silicone implants are more expensive and require a slightly longer incision for insertion, however, rippling is less common. Unlike saline implants which collapse if deflated, there is a risk of silent rupture with silicone implants.

The decision to select saline or silicone implants is a personal one; regardless, one should monitor their implants and follow-up with their plastic surgeon.

What types of incisions are used to place breast implants?
There are several different incisions that are used for placement of breast implants, including one underneath your breast (inframammary) and one below your nipple (periareolar.) Dr. Belz will discuss your specific needs and expectations during your personalized consultation.

Are breast implants placed above or below the muscle?
Both. Breast implants can be placed above the pectoralis major muscle or below the muscle, depending on the patient and her body type. Dr. Belz will discuss your surgical options and the reasons behind them during your consultation.