Q-A from clee's blog

Q: I had rhinoplasty on April 1st 2016. I am wondering how long I have to wait until getting my nose pierced?

Submitted by Q-A from clee on Mon, 09/05/2016 - 22:11

A: Many factors to consider when timing subsequent intervention after rhinoplasty

Thank you for the question. Rhinoplasty is a unique series of technical steps performed different for each individual. Desired outcomes are achieved by varying the magnitude of dissection, precise placement of cartilage grafts, and choosing incisions specific for each patient. Your surgeon knows these details best and can guide you on when it might be safe to pierce your nose. If for some reason your surgeon is not accessible, then waiting until tissues are soft and swelling is fully resolved (usually 6-12 months) is wise.

Q: I'm considering the rhinoplasty procedure. Would it be possible to just cut my overhanging thick and flaring alar?

Submitted by Q-A from clee on Mon, 09/05/2016 - 21:40

A: Thick flaring alar regions are difficult to manage

Thank you for the photos and question. Your photos show thick skin and tip without a lot of definition. Rhinoplasty primarily aims to alter the structural framework of the nose to achieve the desired physical changes. Thick skin obscures the best of structural work. While there are described techniques to thin the alar rim by thinning the skin, these techniques entail significant risks and yield limited results. I recommend you meet with a reputable and experienced rhinoplasty surgeon to discuss your desired endpoints and the limitations imposed by the unique characteristics of your nasal tissues.

Q: Can a nose really collapse? If breathing is obstructed or difficult, is this irreversible?

Submitted by Q-A from clee on Mon, 09/05/2016 - 21:21

After lots of trauma, pressure, or drugs, can a nose collapse? If the breathing is obstructed or difficult, or the nostrils close/passageways swell up during inspiration, is this irreversible? I can't imagine a surgery would help such a damaged nose

A: Nasal collapse is a real entity

Nasal collapse is a real entity. Obtaining a thorough medical history and performing a complete nasal examination will delineate the anatomy that predisposes to post surgical collapse and nasal airway problems.Many effective surgical techniques exist to manage both entities that are of concern to you. I suggest you meet with a reputable nasal surgeon to have a consultation specific to your needs.

Q: Upper pain on right breast when using muscle, 2 months post op is it normal?

Submitted by Q-A from clee on Mon, 09/05/2016 - 21:00

The top of my right breast is painful whenever I use my right arm. Ive had BA 2 months ago, under the muscles. My breast seem to Have dropped nicely but I can feel a hard spot on my muscle/ top of my breast. Whenever I lift something, open soirs etc its painful. Should I worry? Ive only started to sleep on my side few days ago. Also I Have upper pole fulness, can it still Go down after 2 months?

A: Your are still very early with spontaneous improvements still expected

Thank you for your photos and questions. The symptoms you describe are very common 2 months after submuscular breast augmentation. The breasts will continue to soften and the upper pole fullness improve. Be patient as these final changes may take another 4-6 months. Keep your surgeon posted on your concerns.

Q: Breast augmentation corrective surgery. Any suggestions?

Submitted by Q-A from clee on Mon, 09/05/2016 - 20:18

I had breast implants 420g. 14 months ago placed in front of the muscle, in the last 6 months they have flipped 3 times, my left one once and my right one twice. My surgeon has booked me in for surgery in 2 weeks to remove and replace my implants behind the muscle. Will this correct the problem? Will it change the appearance/ placement of my breasts? Thanks in advance.... Xxx

A: Details provided suggest you have had an anatomical shaped implant

Thank you for your question. The details provided suggest that you have had subglandular placement of textured anatomical shaped silicone implants. These implants are not round and result in abnormal shaped breasts when they rotate. Anatomical shaped implants are manufactured with textured surfaces to encourage tissue adherence to reduce likelihood of displacement.

If these assumptions are correct then many options that can be exercises to remedy the problem. In my opinion, replacing the implant with a round implant will essentially eliminate the problem abnormal breast shape since rotation of a round implant does not change the shape. Since rotation of a round implant is not problematic, it is my preference to use a smooth surface implant.

Site change of the implant to a submuscular position is especially important if you wish to downsize or replace with an anatomical shaped implant.

Q: Bleeding from incision in breast fold one week 2 days post op. How worried should I be?

Submitted by Q-A from clee on Mon, 09/05/2016 - 20:09

I've been bleeding small amounts for days from my incision. I can see a small yellow spot could that be the stitches showing through or more likely to be infection? I sent a photo to my PS but they have yet to get back to me. How worried should I be?

A: Spotting and discoloration of steri-strips is common

Light spotting with either red or clear yellow fluid under the steri-strips is common early after surgery. You should be fine waiting on your surgeon to reply if dressings are not saturated and there are no other unusual findings.

Q: Which sex act is denied after breast augmentation?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:50

hi i m a post-op transwoman.suppose my partner press by boobs, and take my boobs on mouth can it be break.if my partner press my boobs hard.so my breast break or not

A: When fully healed all activities of normal life including intimate acts are tolerated

Regardless of whether the breast augmentation is for a female or transgender person, an uncomplicated fully healed breast implant will tolerate all activities of normal life including that of intimate acts.

Q: Blisters under my steri strips! 2 peanut M&M size ones; what should I do?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:35

Had BA 4 days post. Placed through the nipple. Steri stops all around the nipple area and 2 big ones have formed. Called my doc and he said if they rupture just clean with water and keep area dry. But they seem to be growing. What should I do?

A: Many acceptable methods of managing blisters

Blisters near incisions following surgery may from tension, reaction to adhesives, and swelling. There are many acceptable methods of managing the superficial wounds. I would recommend you follow your surgeon's advice as he/she is most familiar with your particular situation.

Q: Constant scaly, dry nipples 3 months post BA?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:16

Hi, I had breast augmentation 3 months ago in Thailand and everything went smoothly. However for the past month and a bit my nipples won't stop peeling and are constantly dry. I've tried baby lotion, oil, paw paw and lanolin but nothing seems to work. Is this normal? And when will it go a way? a month and a half now is quite long

A: Worthwhile to have a proper medical opinion to eliminate assumptions

Thank you for your photo and question. The image provided does not suggest anything unusual. However, I recommend you have a proper medical opinion with a reputable doctor in your home location. A proper history and physical examination is wise considering you had your surgery abroad and more details about your personal medical history and details of the surgical procedure should be reviewed.

Q: I want to know if it's normal to feel extreme soreness 3 weeks post op and when I should expect it to go away?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:05

It's been three weeks since my breast augmentation procedure. I am worried that there is something wrong with my right implant because the inner part of my right breast feels very sore when I massage it and when I take deep breaths my right boob hurts. Also, right breast is very painful when I squeeze them together. My doctor 2 weeks post op said the right breast hurt more because I use my right hand more often then my left. My left breast doesn't hurt at all.

A: Submuscular breast augmentation can have extended periods of soreness

Submuscular breast augmentation necessitates division of the pectoral muscle along the inner lower portion of the each breast. This is often associated with post operative pain that varies in each patient and often differs even with right versus left breast. Most plastic surgeons manage symptomatic patients with regular examinations. In the absence of other findings symptoms usually subside spontaneously 3-6 weeks after surgery.