PHOENIXVILLE - The Phoenixville Hospital's plastic surgery department is poised on the cutting edge of new technology advances for patient care.

New technology, such as a physicians use of injectable fluids including botox injections, advances in laser technology and use of radio frequencies for thermage treatments are making patients happy.

The advances allow less invasive procedures, which correlates to fewer visits to the hospital for surgery, less down time and more in-office work.

Dennis Monteiro, MD, chief of the division of plastic surgery at Phoenixville Hospital and chief of the medical staff said that he performs most treatments at his Trappe and Route 23 office locations.

While 500 plastic surgery treatments are performed at the Phoenixville Hospital each year, office procedures outnumber hospital visits two to one with 1,000 office procedures yearly.

Monteiro said that the most requested surgical procedure at his practice is liposuction, with breast augmentation the second most popular choice.

Botox injections are the preferred in-office procedure.

Monteiro and staff perform cosmetic and reconstructive surgeries, and what the doctor referred to as a "gray area" type of procedures.

Cosmetic surgery is designed to enhance the body's appearance while reconstructive surgery is used to address a trauma or birth defect and restore its appearance to normal.

Monteiro considers the surgeries that fall into the gray area as neither completely reconstructive or cosmetic.

Such procedures as breast reduction to reduce a woman's back, neck or shoulder pain or reconstruction after a breast is removed because of cancer fall into that gray area of procedures.

Partially owing to the new technology advances, Monteiro is treating younger patients and more men.

He said that patients are more body conscious than they had been in the past and more concerned with watching their weight.

Monteiro spoke about some of the most popular procedures which he performs.

Thermage is radio frequency based and similar to laser treatment. By heating the skin, shrinkage or tightness along with formative collegian that helps to shape. Collagen is a building block.

Lasers can be used as a non-invasive procedure and micro-surgery is an option not specific to any particular body area.

Transplanting tissue to establish new circulation, while connecting 1-mm vessels is satisfying work, according to Monteiro, as is treating severe trauma, including severe facial injuries and burns.

Monteiro talked about some significant advances for reconstructive treatments.

Bio-engineering skin substitutes or laboratory grown tissue are on the horizon for burn victims. Monteiro envisions sheets of skin grown in the laboratory.

He also said that with genetic engineering, scientists might be able to modulate the body's healing potential - to speed it up or control growth.

Monteiro said that prospective patients for elective procedures at his offices will at first consider options and goals.

All patients will make a second visit to review and consider risks and complication possibilities. Office visits will use local anesthesia only, and be limited to non-surgical procedures.

Monteiro may be contacted at (610) 935-5600 at his office, 1288 Valley Forge Rd. in the Valley Forge Commons or at Penn Medicine at Limerick, 420 Linfield-Trappe Road (610) 495-2190. Or go to

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