Cosmetic Surgery Blog

Q: My Gynecomastia Surgery Was Not Completed on my Right Hand Side.

Submitted by Q-A from clee on Tue, 06/21/2011 - 23:30

When I asked the Dr. at pre-op the amount of removal he said, "A lean guy like yourself, we can get pretty much get all of it" Area 1: Lipo was done on the very lower chest area of the left side. Skipped on the right. Area 2: Glandular tissue excised on the left side of the right areola. Skipped on the right. Area 3: Skipped and not as important to me. The surgery has made me more a-symmetrical. There is still irritation and tenderness just as before. What are my options?

A: More details and examination needed to advise

More details and physical examination necessary before useful advice can be offered. Specifically, preoperative photos, volume of tissue removed (by lipo and excision), duration of time since surgery would be helpful. Going on your photo alone without details as above would lead me to think that you have a good result.

Q: How long after "Popping" the Implant with Needle Should You Wait to Get Explant?

Submitted by Q-A from clee on Tue, 06/21/2011 - 23:20

I want to get my D cup size 10 year old implants removed as soon as possible. I was unhappy from day one but have been afraid to do it. I'm now psychologically prepared for the surgery and for what I'm going to look like after and it's well worth it to me. My question is - I plan to have them "popped" in a couple weeks in-office. After they are deflated with the needle, how long should I wait to get the actual implants removed? I don't know if I want a lift or not.

A: Popping them before surgery brings on more risk

Popping them before surgery brings on more risk. Proceeding straight to surgery for removal is preferable. If there is a desire to minimize the scar, the implant can be deflated under direct vision at the time of explanation.

Q: Took Aspirin Week Before Tummy Tuck. Do I Need to Cancel Surgery?

Submitted by Q-A from clee on Tue, 06/21/2011 - 23:14

A: Decision to be taken with your surgeon

If you are otherwise healthy and did not take other medications, the cessation of aspirin one week prior to surgery is likely sufficient. However, this is a decision you should take together with your surgeon.

Q: Is It Safe To Put Implants In After Radiation?

Submitted by Q-A from clee on Tue, 06/21/2011 - 23:01

I was diagnosed with breast cancer in May 2010 at the age of 33. I since have undergone a bi-lateral mastectomy...chemo and radiation. I am scheduled to begin reconstruction in Sept 2011. Due to the radiation on my right side would it be safer to do a DIEP procedure which is what my surgeon wants to do or can I just go with implants which is what I would like to do? Ive been checking up on it and have found alot of sights which say not to put implants in radiated skin

A: Bilateral DIEP is a good choice

So sorry for what you are going through. Radiated tissue generally reduces the quality of the soft tissues and increases the complication rate of implant reconstruction. An experienced surgeon in microsurgery and DIEP flap is recommended. There are substantial risks with DIEP's. However, preserving the abdominal muscularity in patients with bilateral breasts to reconstruct is worthwhile to reduce the risk with abdominal wall weakness. Wishing you the best of outcomes.

Q: Nipple Surviving After Necrosis, How Long Does It Take For The Nipple To Return To Its Normal Color?

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:50

Hi, after a breast lift my nipple turned black on the outer part of it. Eventually the black scab came off leaving my nipple pink. I have some color coming back in different areas I was just wondering how long does it take for the nipple to get some color. It has been five weeks since my surgery.

A: Nipple and areolae color dependent on pigment producing cells

Nipple and alveolar color are dependent on normal number and function of pigment producing cells residing deep in the skin. Pigment production from these cells can temporarily cease to function after being stressed by a loss of circulation. A deep injury might reduce the number of these cells and permanently affect your ability to produce pigment. Waiting for more than 6 months or until scars soften and mature is appropriate. If discoloration persists, treatment by tattoo might be warranted.

Q: Do I Need a Lift with a Breast Augmentation

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:34

For several reasons I really do not want a lift and I just had my first consultation and the surgeon recommended a lift for me and really didn't give me any other options. I am small framed so I don't want to go extremely big. I would prefer to go under the muscle as well. Besides the sagging the skin is thinner as well. Thanks for any information.

A: Breast lift is the better aesthetic choice

A breast lift is the better aesthetic choice. If you do proceed with an augmentation (with or without lift), I would recommend you have silicone implants placed in a subglandular plane to minimize risk of the deformity that arises from progressive descent of your native breast over a high riding submuscular implant.

Q: How Much Does Earlobe Repair Cost on the East Coast?

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:23

If not split all the way, how much would it cost to have earlobe repair surgery in the East Coast (NJ, NY, Philly)?

A: Earlobe repair cost highly variable

Earlobe repair cost is highly variable. Since most ear lobe procedures are simple and can be performed under local anesthesia with a minimal of materials, the cost should be relatively low compared to other cosmetic procedures.

Q: I Have No Deep Lines,can Botox Prevent when I Get It Twice a Year from Getting Deeper Line

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:18

iam 50 years of age,with no deep lines nor crincels around the eyes and mid forehead.i recieved over a period of 2 years 2 botox only 22 units on forhead/eyebrows,and a little bit side eye bone to raise my brow.i was very satisfied with the results.can i prevent from getting deeper lines now since iam 50 in the long run by using botox regular?also iam an athlete,does botox wear off faster when i train everyday? hope to hear from you,silvie

A: Botox to keep frown muscles paralyzed should help

Botox to keep frown muscles paralyzed should help prevent progression to deep frown lines. This typically requires more than 22 units over two years. I would suggest a routine of 4-6 months "touch ups" to keep the frown muscles from getting strong again. Physical activity should not affect the outcome.

Q: Will Botox Treat my Forehead for Sweating During the Summer?

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:08

A: Yes, it should help with sweating

Botox will likely help with excessive sweating where ever it is injected. The results may last up to 6 months. Some discretion must be used in injecting your facial region as your underlying facial expression muscles will be affected. Fortunately, this is often a desirable aesthetic effect in the forehead.

Q: What Areas of the Face Can Botox Be Injected?

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:02

Where would Botox be best suited/safe/effective for a person who has wrinkles all over their face?

A: Botox and wrinkles

Botox acts to paralyzed the underlying facial muscles leading to improvement of wrinkles. Hence, not all skin wrinkles can be treated by Botox. For example, jowls and skin damaged skin will not respond to Botox. Furthermore, one must be cautious to use Botox for the perioral wrinkled skin as the treatment may temporarily produce an irregular smile and asymmetric lip movement.