Q-A from clee's blog

Q: On What Grounds, Can a Tummy Tuck and a Male Breast Reduction Be Classified As Medical Procedures?

Submitted by Q-A from clee on Fri, 06/17/2011 - 00:45

A: Different criteria for different insurance carriers

There is a high degree of variability among insurance carriers. I have seen young maies with severe gyencomastia covered and abdomens with heavy pannuses covered. Best to contact your carrier with a good letter detailing your medical issues and a supporting set of standardized photos illustrating your problems.

Q: 5 Months Post Op Tummy Tuck Pulled Muscle on Side.

Submitted by Q-A from clee on Fri, 06/17/2011 - 00:38

I'm 5months post op from an extended tt. I've had two occasions where I've had a quick movement and I felt something "pop" in the lower rib area towards the right side of my body, followed by immediate pain, then muscle pain for days when I take a deep breath, or lay in bed, or stand up, just basic movement. It's especially sore at night in bed. Hurts to touch the area as well. Any suggestions? Thanks!

A: Localized pain this late after tummy tuck is unusual

Localized pain this late after tummy tuck is unusual. The focal pain with its commencement so tightly associated with a distinct movement suggests a localized physical phenomenon. A visit with your surgeon is warranted. With knowledge of your history and an examination of your tender site, he/she will have a good idea as to its cause and whether further radiographic imaging is necessary.

Q: Scar Tissue After a Breast Lift. I want to know is there is anything that I can do to make my breast soft?

Submitted by Q-A from clee on Fri, 06/17/2011 - 00:21

Hi,it's been a month after my implants removal and breastlift surgery. It has been a very rocky road with my right breast. I had necrosis of the nipple but thank God I did not loose my nipple. I don't smoke however, the poor circulation could've been from a biopsy that was done above my nipple before my breast lift surgery. I have develop a lot of scar tissue surrounding my areola and the incision line that's going down. I wanted to know is there is anything that I can do to make my breast soft?

A: Massage, time, maybe silicone for scar appearance

If your wounds have all healed, I would recommend commencement of gentle deep massage of the scarred areas. Massage helps guide your body to soften scars and aids in normalizing the differential stretch and glide of skin, fat, breast, deep muscles. Time plays a huge factor in the healing process requiring duration up to a year for the breast to soften. If the external scars are immature and unpleasant, silicone gel application may aid in its maturation. Might be worthwhile having a frank discussion with your surgeon. Good luck.

Q: When is Lipo Used with Tummy Tuck

Submitted by Q-A from clee on Fri, 06/17/2011 - 00:07

When is lipo used with a tummy tuck?

A: Answer is not so simple

In most plastic surgical practices (mine included), liposuction is used to contour areas adjacent to the undermined tissues of the abdominoplasty. If the undermined abdominal flap requires thinning, I perform this at another surgical setting to preserve the vascularity of the skin.

However, there is an emerging technique called lipoabdominoplasty developed by a Brazilian plastic surgeon that uses aggressive superficial liposuction at the same time as a modified abdominoplasty. While this technique has been reported as having a low risk of healing problems by the originating Brazilian surgeon, this technique has yet to be critically appraised in most North American plastic surgery practices. It will take some time before we know its safety and degree of general acceptance.

Q: How Many CC Will Make These Sad Boobs Happy with out a Lift?

Submitted by Q-A from clee on Thu, 06/16/2011 - 23:50

I know immediate answer is Lift them , But if I was to just want to go large and get the lift in say 5-10 years what size CC would fill them up? I am going to get the nipple reduced either way, Thank you

A: For a desirable outcome refocus on the breast lift

For a desirable outcome, refocus on the breast lift. An augmentation will not correct ptosis and may actually accentuate problems with continued sagging of breasts.

Q: My Breasts Are Still Huge Post Surgery.

Submitted by Q-A from clee on Thu, 06/16/2011 - 23:39

I'm 26, 5'4'' and 112 pounds and I was a 32DD, and wanted a reduction. I had surgery 6 days ago; my doctor called it a 'lift,' and said he removed a lot of skin and 100 mgs of tissue. They are still HUGE. I would have traded all these scars, recovery time, and pain, for the small breasts that I've wanted for a decade, but not for nothing! Is it possible that this is just swelling, or is 100 mgs per breast really nothing and did he decide himself that I only needed a lift? After reading about grams, this seems like nothing. I'm devastated. I'm one week post-op and still feel lots of weight there. It it possible he's right and the skin was to blame? I'm about to lose my mind with that fear.

A: 100gm is not a reduction

100gm of tissue removal does not qualify as a reduction but is often the volume of tissue removed to shape a breast with a mastopexy (breast lift). There appears to be a communication gap resulting in disparity with your desired outcome and the intervention objectives. You should discuss this with your surgeon.

Q: Bulge Above Belly Button - 2.5 Months Post Full Tummy Tuck, Muscle Repair & Lipo

Submitted by Q-A from clee on Wed, 06/15/2011 - 13:50

Since the bandages came off I noticed upper abdomen bulge, mostly just above my BB. Lower abdomen has gone down over the last couple of weeks but no change on the top. I dont wake up flat since I have not been wearing my CG. I know when I swell (this area gets even bigger, which is at the end of the day. I know this is normal. The upper part feels like muscles but lower feels different, much softer. PS said muscles looked fine & did not feel ultrasound was needed. Would appreciate ur opinions.

A: Radiographic imaging would better clarify the problem

Radiographic imaging with ultrasound or CT scan would better clarify the problem. If this is causing you distress, it might be worthwhile discussing it with your surgeon.

Q: Had Full TT 3 Months Ago. Tummy Bulging W/hard Blood, How Do I Liquify This?

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:46

A: Might require imaging

To have an abdomen bulging with blood 3 months after abdominoplasty is most unusual. Radiographic imaging by way of ultrasound or CT scan may clarify the underlying problem. Best to see your surgeon for a reassessment.

Q: Mesh vs. Tummy Tuck Method for Laparoscopic Repair of Diastasis Recti, Which Would Be Best?

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:39

I have to make a decision to have Laparoscopic repair of diastasis recti with mesh v/s tummy tuck method. My diastasis recti is not so big (2.5cm) but I have symptoms. I have a 32 inch waist now. I am 145 lbs, 5ft 5inches, male. What are the pros and cons of both methods? Does anyone have before and after photos of laparoscopic repair of diastasis recti patients? Thank you.

A: Depends on whether you have excess skin and fat

If you do not have excess of abdominal skin (pannus) - a laparoscopic mesh repair from the internal abdomen (peritoneal) side of the abdominal wall should yield excellent results. However, if you do have an abdominal pannus, a traditional abdominoplasty with rectus plication will yield excellent results.

Q: If You Are Suppose to Walk As Much As Possible After Tummy Tuck Surgery. What About During the Night.

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:27

If you are suppose to walk as much as possible after surgery. What about during the night. Should you get up every hour or two and walk. If so, how long should you do that.

A: Walking is encouraged to prevent phlebitis and DVT

Walking is encouraged to prevent phlebitis and DVT. It does not take more than a light stroll several times in a day. Strenuous activity is to be discouraged as this may bring on wound healing problems. Waking yourself from a night’s restful sleep to walk is also not necessary as your daytime activities will be sufficient in preventing complications.