Cosmetic Surgery Blog

Q: Should I Go See a Plastic Surgeon or a Dermatologist for my Botox Injection?

Submitted by Q-A from clee on Fri, 06/17/2011 - 01:08

I decided to go for my first botox injection. I have decided to stay away from botox party or med spas. I am going to the best plastic surgeon or dermatologist. I wonder which one is better. The surgeon or the dermatologist. thank you in advance. I am in southern california. But I don't mind traveling!

A: Botox Injections

An experienced aesthetically minded doctor who readily recognizes the limitations of injectable would be preferred. The advantage a plastic surgeon has over a non-surgeon, is the experience to know when surgical correction is the best treatment in his armaments of aesthetic tools.

Q: 3 Important Rules After a Breast Augmentation?

Submitted by Q-A from clee on Fri, 06/17/2011 - 00:59

While recovering from breast surgery, what are the top 3 things rules that patients need to follow.

A: Breast Augmentation Recovery and Healing

There are many extrinsic factors/rules that may influence your outcome following a breast augmentation. However, prioritizing it to the 3 most important "rules" necessitates it to be specific to your personal situation.

Q: My Tissue Expander Which is Still Getting Expanded is Very Hard. How Can I Make It Softer?

Submitted by Q-A from clee on Fri, 06/17/2011 - 00:52

I had my Mastectomy on 4/20. I am thin, about 114 I have about 420 cc so far in the expander and I had a single. I don't need chemo or radiation. My other breast isn't even an A cup so I am not a happy camper right now. The expander is rock hard. I tried to talk to the Dr. about it he fills it each week and he told me that I need to move it which I do and that as he fills it its going to get harder. Any advice? It keeps me up at night. Thanks!

A: Necessary and unpleasant interval to a final implant

Tissue expansion is a means of generating sufficient skin by stretch to eventually cover an implant. Unfortunately, the discomfort and firmness is a necessary and unpleasant preparatory step to make a sufficient pocket to ultimately hold the final implant.

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.