Q-A from clee's blog

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.

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.