Our team at aFresh Med Spa & Plastic Surgery is dedicated to excellence in patient care. We pride ourselves in being innovative and patient-focused and will provide you with comprehensive care in a comfortable environment - one where you are treated like family. We look forward to meeting you and helping you achieve your desired results!
Top procedures performed by Karol Gutowski, MD, FACS
Rhinoplasty
Laser-Assisted Liposuction
Sensitive Content
Breast Augmentation (Augmentation Mammaplasty)
Tummy Tuck (Abdominoplasty)
Blepharoplasty
Restylane®
Chin Augmentation
Radiesse®
Otoplasty
Testimonials
Having entrusted Dr. Gutowski with helping me on a couple of occasions with great success, I have nothing but high praise. You will find Dr. Gutowski is very personable, knowledgeable, skillful, and always takes the time to listen to his patients. —James K.,Earlobe Surgery
I can't speak highly enough of Dr. Gutowski and the whole staff! I’m very grateful I have found him to do my eyelid surgery because I couldn’t be happier with my results. Ellen always greets you with a big warm smile, and the entire office always make me feel like I’m their most important patient. —Vilma G.,Upper Eyelid Blepharoplasty
I’m very pleased with the outcome. I would highly recommend Dr. Gutowski. If you are looking for an honest talented surgeon who follows up with you he is your man! —Brannon S.,Rhinoplasty
Dr. Gutowski always stands out for his humility, kindness, and overall compassion towards his patients. He is an excellent surgeon with impeccable credentials and experience, I'm so glad I went to him because my result is even better than I expected. —Daniel Z.,Liposuction
Dr Gutowski is fantastic. He and his entire office staff are very professional! His surgical skills are top-notch! —Maria M.,Breast Augmentation
Is natural Breast Augmentation better or artificial Breast Augmentation?
This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. Generally, patients who have low breast tissue will benefit from silicone implants; otherwise, saline implants are recommended. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However, the results do not last long compared to artificial implants as fat can be reabsorbed by the body.
Is there a risk for silicone in Breast Augmentation?
Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been proven so by the FDA. Today, in fact, silicone is more preferred than saline since they last longer and feel more natural. The rates of reported complications have significantly decreased in the last decade.
What is the difference between Breast Lift and Breast Augmentation?
Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.
Will the nipples be respositioned during Breast Augmentation?
It is common in a breast lift procedure that the nipple is repositioned so that it looks proportional to the newly shaped breast. When excess skin is trimmed away, a portion of an overly stretched areola (the colored skin around the nipple) is simultaneously trimmed away. The goal is for the nipple and areola to be within a normal size and position.
What is the difference between Tummy Tuck and Liposuction?
Tummy tucks are reserved for patients who have stretched, loose skin in the lower abdomen as a result of pregnancy or obesity. Liposuction, on the other hand, is for those who want to remove excess fat in the abdomen but still have a healthy skin tone. During the initial consultation, we will provide a thorough assessment and determine if liposuction alone is all that is needed, or if a tummy tuck will provide the best results.
Are the results of Liposuction permanent?
The results of liposuction can be seen for many years following surgery if the patient follows a healthy diet and exercise program. Removed fat cells do not come back, but patients can still gain weight if their remaining fat cells grow.
Does blepharoplasty show evident scars?
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Can blepharoplasty treat wrinkles and crows feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Location
Credentials
PROFESSIONAL MEMBERSHIPS
American Society of Plastic Surgeons
American Society for Aesthetic Plastic Surgery
American College of Surgeons
American Association of Plastic Surgeons
Illinois Society of Plastic Surgeons
Wangensteen Surgical Society
AWARDS & RECOGNITIONS
Alpha Omega Alpha Medical Honor Society
Resident Teacher of the Year Award, University of Minnesota
Excellence in Teaching Award, University of Texas Southwestern
Top Doctors in Madison
First Place Presentation, Midwest Association of Plastic Surgeons
America’s Top Doctors, Castle Connolly
America’s Top Plastic Surgeons, Consumer’s Research Council of America
Top Doctors, US News & World Report
Golden Apple Teaching Award, University of Chicago
Best Reconstructive Paper, Plastic and Reconstructive Surgery Journal