Q-A from clee's blog

Q: Why is This Belly Button So Dark and with a Buldge?

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:10

Hello All, I am 10 weeks post op of TT with muscle repair and Lipo to the flanks and I am very displeased with the appearance of my BB. I have posted picture of what my BB looked like before surgery and after. I have a weird buldge in the upper portion the belly and the whole area inside and out looks very dark. I'm wondering if this is normal or needs a revision or can't be fixed? Thank you so much in advance for your answers! :)

A: Preoperative photos suggest that your bb is darker

Your preoperative photos suggest that your belly button skin is slightly darker than your abdominal skin. Since the new periumbilical area is really from your upper abdomen (lighter skin) it gives greater contrast with the darker umbilical area. Furthermore, the increased size of the new umbilicus opening gives it greater visibility. I believe your bulge as well as the light skin / dark umbilicus can be improved by revising the scar around the belly button to a smaller dimension. It would be worthwhile to discuss this with your surgeon.

Q: Alternative Approach to Correcting Male Gynecomastia Deformities?

Submitted by Q-A from clee on Wed, 06/15/2011 - 07:06

I would really appreciate any advice anybody could offer. Last year I received gynecomastia surgery. The results are not sightly and I'm looking into corrective surgery. One of my nipples is very inverted (the nipple itself), while the other side seems to have experienced an aerola contour deformity (looks weird as I move around). Many MDs on this site recommend fat grafting, but another doctor I spoke to swears by a one time, fat flap sculpture, dynamic technique to permanently resolve.

A: Revision must be judged from risk/benefit standpoint

Revision must be judged from risk/benefit standpoint. You provide a good photo but an examination is necessary to determine maturity and mobility of the tissue planes deep to your areolae before a surgical plan of correction can be proposed. Visit a reputable experienced board certified plastic surgeon for another opinion.

Q: I Am Having a Tummy Tuck, Should I Also Have Lipo?

Submitted by Q-A from clee on Wed, 06/15/2011 - 04:55

i am 5'4, 122 lbs. i have some love handles on my back and would like to have a smaller waist. i am also having a hysterectomy and pubovaginal sling by two other surgeons.

A: Liposuction of the flanks would yield an enhanced result

Liposuction of the flanks at the same time as abdominoplasty would yield an enhanced result and is safe if confined to this region. If the remaining abdominal procedures are uncomplicated, adding this localized region of liposuction to your procedure should be safe.

Q: I Had a Tummy Tuck and my Doctor Did Not Stitch my Muscles, Is That Normal?

Submitted by Q-A from clee on Wed, 06/15/2011 - 04:45

A: Separation of the muscle (diastasis) is treated by suturing the muscles

Separation of the muscle (diastasis) is treated by suturing the muscles during abdominoplasty. However not all patients have this problem. If you are dissatisfied with your results you might consider discussing this with your treating surgeon or seeking the opinion of another a board certified plastic surgeon.

Q: How Do I Tell The Difference Between Scar Tissue Or Left Over Fat After Gynecomastia Correction?

Submitted by Q-A from clee on Wed, 06/15/2011 - 03:19

I had gynecomastia corrction (lipo + excision) 7 weeks ago and am still very puffy. Is this scar tissue or left over glandular/fat the PS dodn't remove, as I'm far from flat by the pics.

A: It is still too early to tell if revision will be necessary.

It is still too early to tell if a revision will be necessary. Your photos are not labelled as to pre and post op. Assuming the photo on the left is preoperative, it appears as though you started with excess skin. It often takes several months following glandular resection for the skin envelope to contract. Unfortunately, not all patients will achieve a smooth pleasing contour and may require a secondary revision for the excess skin. Give it more time.

Q: Puffy Nipples, Not Gynecomastia

Submitted by Q-A from clee on Wed, 06/15/2011 - 03:08

i had a consult with a plastic surgeon yesterday and he said that the gland under my nipples is very small. And that evey man has a little bit of gland and its not gynecomastia. You cant feel it unless i contract my muscles. And its about the size of the peanut. But its still the cause for my puffy nipples, because i have no fat. So i dont know what to do. Isit still gynecomastia but just a very mild case. and i need to only have a very small amount removed. Ive had it for 6 years now.

A: You are describing a very mild form of gynecomastia

You are describing a very mild form of gynecomastia. When confined to the areola, a reduction in the size of the areola and resection of the tissues just deep to its surface is usually sufficient to remedy the situation.

Q: What Breast Lift is Recommended if You Already Have an Augmentation?

Submitted by Q-A from clee on Wed, 06/15/2011 - 03:02

i am 26 years old, 136 pounds, and 5'2" with a 450cc breast augment. my breasts just seem too saggy and i am unhappy with them. i want a lift to perk them up and would like to know what lift would be recommended.

A: Nipple position is not improved by breast augmentation

Sagging with low nipple position on the breast mound is not improved with breast augmentation. Depending on the degree of descent of your nipple a breast lift may offer improvement to your breast appearance.

Q: 6 Weeks Post Op from Breast Lift with Implants- Rash on Nipples & Breasts

Submitted by Q-A from clee on Wed, 06/15/2011 - 02:57

real scaley. the skin around my nipples is a red rash. my incision goes around my nipples, down my breasts, and across the bottom. this appeared about 2 weeks post op

A: Most likely cause is contact dermatitis

It is difficult to be precise with the diagnosis without more information (i.e. photos). The possible causes include low grade skin infection, skin maceration and irritation, allergic contact dermatitis. Based on your description contact dermatitis is highly probable. A return visit to your surgeon is advised.

Q: Sagging Breasts: How to Perk Things Up

Submitted by Q-A from clee on Wed, 06/15/2011 - 02:48

after babies and i guess aging :( my breasts sag more than i'd like. is breast lift or plastic surgery my only option for getting them perked up again?

A: Surgery is the only effective method

Surgery is the only effective method to lift sagging breasts. If your nipple position is low, then correction will require some method of breast lift. When combined with a breast implant and augmentation, the technique of breast lift can usually be adjusted to yield a reasonably well concealed scar.

Q: Age 22. Best Breast Lift Technique w/ Minimal Scars?

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:52

nipples are above 1 1.5 cm above the crease breast nadir(the lowest part of breast) is 1.5 cm below the creast rib cage size 85 cm and the measurement around the nipple 102 cm sternal notch to nipple 21,5 and 22,5 and one breast is samller than other anh they are apart from each other

A: Your photos suggest a mild form of tubular breasts

Your photos suggest a mild form of tubular breasts. As such there is mild contraction of the breast base, ptosis, enlarged areolae. My best results have been with areolar reduction, augmentation mammoplasty with submammary silicone implants with base expansion with mammary tissue radial incisions.