About Experts Sitemap - Group 43 - Page 44 2016-08-23

Plastic Surgery: Nerve Tangled in Sutures - OUCH!, cant cough, local anesthetics
cant cough, local anesthetics, belly buttom: from Dr. Alan Engler www.bodysculpture.com Hi Laura, I am so sorry for the problems you re having. Unfortunately, I do not know of a simple way to address pain of this type after a tummy tuck. The nerves involved are very small - probably just the...

Plastic Surgery: neck lipo, Neck contractures after liposuction
Neck contractures after liposuction: The pulling sensation that you describe is mostly likely secondary to scar contracture. Cortisone injection may help but have the potential for producing tissue atrophy and this may cause unsightly appearance of the underlying neck muscles. I do not wish to...

Plastic Surgery: needing help about completes on having a tummy tuck, board certified plastic surgeons, staying in shape
board certified plastic surgeons, staying in shape, great health: You may call me also at 951 686 2224. This is my office number and I will be there today 8:30 am Pacific Standard time till about 2:30 pm. It is going to be a busy day being New Years Eve. If I am not able to take your call please leave a number and I will...

Plastic Surgery: Plastic surgery for hand trauma - results, Hand surgery, blood flow
Hand surgery, blood flow, white: from Dr. Alan Engler www.bodysculpture.com Hi Linda, That s great that the PS could reattach his finger and that it s functioning; these stories often do not have such a happy ending. However, I am concerned about the suboptimal vascular supply....

Plastic Surgery: Pronounced wrinkles under the eyes, wrinkles, eye wrinkles
wrinkles, eye wrinkles, blepharoplasty: Hello Melvin, In answer to your questions: 1. It is unlikely that cataract surgery had a causal affect on your wrinkles. 2. The products you are using are not causing any harm, but they may not be the most effective remedy. 3. Potential treatment...

Plastic Surgery: Pubic Liposuction, Pubic mound lipo, liposuction
Pubic mound lipo, liposuction, mons: from Dr. Alan Engler www.bodysculpture.com Hi Katherine, Liposuction of the Pubic Mound, which is also referred to as the mons (mound) or, more completely, the mons veneris (mound of Venus - enough said!), is often performed as part of a larger...

Plastic Surgery: pixie dust, scaffolding structure, google search
scaffolding structure, google search, hindustan times: Loosing important digits in the dominant hand of a male/person who is going to need the digits for his livelihood is tragic. Sorry to hear this. I typed a long response last night and probably went to sleep without completing it and my computer restarted automatically...

Plastic Surgery: push up bra, Breast Implants, Enlargment
Breast Implants, Enlargment, Lift: from Dr. Alan Engler www.bodysculpture.com Hi Joelle, It should be okay but the general principle is to try things gently and make sure they feel allright before proceeding all out. In other words, try the bra, preferably without such tight constraints...

Plastic Surgery: rectus diastasis, scar revision, bodysculpture
scar revision, bodysculpture, functional component: Hi Nancy, The only thing that matters is that you have competent people working on you, and having a plastic surgeon and general surgeon work together, regardless of who s holding which instrument at which time, sounds like tbe best of all worlds. Good...

Plastic Surgery: rhinoplasty, rhinoplasty, dear sir
rhinoplasty, dear sir, significant improvement: It takes about 6 months before a lot of the swelling subsides, but at 3 months you should have a good idea what your nose will look like. The stitch should be taken out by your physician. Going to the gym should not be an issue, but you will experience...

Plastic Surgery: rhinoplasty, rhinoplasty, nose job
rhinoplasty, nose job, swelling: Hello Emilia, Very good questions you have asked. For starters you are correct in stating that three months is still early for evaluating final rhinoplasty results. I tell my patients that at 6 months out we are 75% healed and that at one year we are...

Plastic Surgery: Scar removal, scars, fillers
scars, fillers, scar removal: Hello Alex, Based on the information you have provided a possible option for you would be to use an injectable filler to help raise or camouflage the scar. There are various options for fillers ranging from collagen to hyaluronic acid to permanent fillers....

Plastic Surgery: Seroma and necrosis, tummy tuck, necrosis
tummy tuck, necrosis, seroma: from Dr. Alan Engler www.bodysculpture.com Hi Ann, I m sorry for the problems you re having. There are two problems: the fluid, and the necrosis. If you didn t have the necrosis, I would say that you simply need to have drains reinserted, and let...

Plastic Surgery: sleepin, Breast lift, implants
Breast lift, implants, augmentation: Hi Joelle, Each surgeon has his or her own protocols, both before and after surgery, so you should certainly check with your doctor. In my opinion, though, you can do whatever is comfortable at this point. Most of my patients, as far as I know, actually...

Plastic Surgery: suture removal, sutures, stitches
sutures, stitches: Hi Randy, Well that is a very good question but should be answered by the Physician or other Health Care Personnel who put them in for you. Sutures are made of different types of materials and have different care needs based on where, why and how they...

Plastic Surgery: swelling after facelift-19mos post-op, bodysculpture, engler
bodysculpture, engler, benita: from Dr. Alan Engler www.bodysculpture.com Hi Benita, At 19 months post-op I would think that, in general, all swelling related to the surgery would be resolved. However, you should not have redness - I think you need to contact your PS and go over...

Plastic Surgery: Tummy Tuck Questions, Tummy Tuck, Umbilicus
Tummy Tuck, Umbilicus, Belly Button: from Dr. Alan Engler www.bodysculpture.com Hi Chris, I think you ll need to see another PS or two to get appropriately specific answers to your questions; ie, someone who can examine you, but here goes: 1) The repair of dogears normally, in my experience,...

Plastic Surgery: Tummy Tuck Suture Problem, Tummy Tuck, Abdominoplasty
Tummy Tuck, Abdominoplasty, Sutures: from Dr. Alan Engler www.bodysculpture.com Hi Jamie, There are two types of sutures that can be used: permanent (or non-absorbable) or dissolving (or absorbable). In general, the sutures used to plicate (tighten) the diastasis are permanent, but I...

Plastic Surgery: Is ti ok to have blepharoplasty before rhinoplasty?, blepharoplasty, rhinoplasty
blepharoplasty, rhinoplasty, eyelid surgery: from Dr. Alan Engler www.bodysculpture.com Hi Pretty, I don t think that the order in which these procedures are done matters as much as being careful of all structures regardless of what and when they re happening. You could even argue that it s better...

Plastic Surgery: tummy tuck spasms, Tummy Tuck, muscle spasms
Tummy Tuck, muscle spasms, Engler: from Dr. Alan Engler www.bodysculpture.com Hi Laura, I m sorry for the problems you re having. I am not familiar with this as a consequence of a tummy tuck but I suppose it s possible that you have scar tissue or something like that in the muscles...

Plastic Surgery: Unbalanced Asymmetrical Gynecomastia Surgery, poor spelling, hi tommy
poor spelling, hi tommy, point hope: Hi Tommy, 2 weeks post op is very early to comment on how things will shape. But that is one of the risks with this surgery. You have to wait and see how things shape out. There is the possibility that you may need further revision surgery down the line,...

Plastic Surgery: umbilical hernia or diastasis?, Diastasis, Hernia
Diastasis, Hernia, pregnancies: from Dr. Alan Engler www.bodysculpture.com Hi Flora, An umbilical hernia is when abdominal contents, eg, intestines, are pushed through a defect in the umbilicus (belly button) so it sounds like you have a lot more than that. What you re describing...

Plastic Surgery: wound after inplant, Breast implants, hematoma
Breast implants, hematoma, scar: from Dr. Alan Engler www.bodysculpture.com Hi Jamie, As long as the implant itself is not exposed, I would agree with trying to let it heal on its own. That may or may not be successful, but it s better than having to remove the implant and then replace...

Plastic Surgery: 6 weeks post of Tummy Tuck today, fever chills, left drain
fever chills, left drain, hematoma: Hi Jenny, There s more at www.bodysculpture.com. In general, if you only have some discomofort but no fever, chills, sweats, etc., and the symptoms are relatively stable, then it sounds like you can wait until Monday when your surgeon will be back. ...

Plastic Surgery: ABDOMINAL SEROMA, abdominal seroma, scar tissue
abdominal seroma, scar tissue, bodysculpture: Hi Beatriz, I m sorry but there is no way to know how much surgeons would charge for this. That is true for nearly every procedure - you really have to contact surgeons in your area (you can find surgeons listed at surgery.org) and then ask them. In...

Plastic Surgery: Age? Breast Reduction, breast implants, tyra banks show
breast implants, tyra banks show, breast reduction: Hi Michelle, There s no absolute answer to what you re asking, though I am completely sympathetic to it. For breast implants, the minimum age is 18. But most people recognize the reconstructive nature of a breast reduction as compared with a breast...

Plastic Surgery: abdominoplasty, gauze sponges, bodysculpture
gauze sponges, bodysculpture, suture scissors: Hi Marie, There s a wide range of instruments that are commonly used for this surgery, and there is no specific set or group of instruments. Each surgeon chooses the instruments he or she wants. In general, though, these include scalpel handles and...

Plastic Surgery: abdominoplasty, nonfunctioning gallbladder, abdominoplasty
nonfunctioning gallbladder, abdominoplasty, muscle repair: Hi Deb, There s more info at www.bodysculpture.com. I have never heard of this happening and do not think that it is likely or even possible, short of a signficant intraoperative complication. In other words, if the recovery from the abdominoplasty...

Plastic Surgery: Breast Augmentation, auto immune diseases, breast implants
auto immune diseases, breast implants, saline implants: If I may say so, the pathologist is describing, cellular events in a graphic scary way. The information may have been written by the pathologist before the results of many studies were published. He may not have been aware of the research data. It is always...

Plastic Surgery: Breast Filler Injections, breast implants, filler injections
breast implants, filler injections, breast size: Hi Ann, There s more at my site, www.bodysculpture.com. To my knowledge Macrolane - based on hyaluronic acid and similar to Restylane (both are manufactured by QMed) - has approved for testing or use only in Europe but not in the United States. From...

Plastic Surgery: breast augmentation, silicone gel implants, saline implants
silicone gel implants, saline implants, marcia angell: Hi Lisa, There s more about plastic surgery at my site, www.bodysculpture.com. You can read more in the Surgical Procedures/Breast Augmentation/Read More about Breast augmentation, and the updates section. Briefly, though, silicone has been shown very...

Plastic Surgery: breast augmentation, lift and implants, breast lift with implants, breast surgeries
breast lift with implants, breast surgeries, breast implants: Hi Priscilla, Ah, an easy question. An augmentation is simply another name for breast implants (also called a breast enlargement). A small incision is made and the implant is inserted; no other things are done to the breasts. A breast lift, which...

Plastic Surgery: Cheek Implants, cheek implants, cheek bones
cheek implants, cheek bones, recovery time: Submalar implants can work for submalar hollowing . The recovery is typically 7-10 days, but the swelling can last longer in some. Risks include (but are not limited necessarily to) infection, migration, asymmetry and numbess or paralysis of the midface...

Plastic Surgery: Combining surgery with another operation, breast implant surgery, breast enlargement surgery
breast implant surgery, breast enlargement surgery, absolute answer: Hi Sarah, There s more at my site, www.bodysculpture.com. There s no absolute answer to that, but I would think that you could have a breast enlargement a few weeks after your knee surgery (let s say, 3-4 weeks). You need to make sure that the knee...

Plastic Surgery: Deviated Septum, nasal airway, q tip
nasal airway, q tip, first 48 hours: Nasal packing is the preferred form of intranasal splinting by many physicians performing this type of surgery and most people keep the packs in for 2 days. It was considered that a longer period of packing such a 7 days was necessary but the current consensus...

Plastic Surgery: Diep flap breast reconstruction after removal of silicone breast implants, silicone breast implant removal, breast cancer reconstruction
silicone breast implant removal, breast cancer reconstruction, flap reconstruction: Dear Mary, It is possible to have DIEP flap breast reconstruction following silicone breast implant removal as long as you are a candidate for the surgery (have enough abdominal tissue, are medically stable, etc). We typically try to perform both procedures...

Plastic Surgery: divot in cartilage after rhinoplasty, divot, splint
divot, splint, tweezer: Hi Lori, This is a very difficult situation. I ll share a few thoughts, but you cannot take anything I say as absolute or the only way to do things. You may need to see a few different plastic surgeons to get ideas for what can and should be done surgically...

Plastic Surgery: Eye lift, bodysculpture, eyelid surgery
bodysculpture, eyelid surgery, plastic surgeon: Hi Debbie, Yes, this is a fairly safe operation, and I do not know of any statistics relating to postoperative bleeding with this procedure but in my experience it is relatively rare. You should, of course, ask these questions of your plastic surgeon...

Plastic Surgery: Face fat, craniofacial center, bodysculpture
craniofacial center, bodysculpture, cheekbones: Hi Andrew, There are procedures, but I don t know if you can reasonably expect as much change of your features as to make them worthwhile. Basically, it is possible to remove small amounts of subcutaneous fat from certain parts of the face. However,...

Plastic Surgery: Fleur-de-lis abdominoplasty, compression garment, abdominplasty
compression garment, abdominplasty, upper abdomen: Hi Jennifer, There s more about plastic surgery at my site, www.bodysculpture.com. Reinserting drains after procedures such as you had done (congrats, by the way, on losing all that weight - which I assumed was the case when I heard what you d had done)...

Plastic Surgery: Large hard mound on my lower abdomen after smartlipo, size holes, double chin
Plastic Surgery: Large hard mound on my lower abdomen after smartlipo, size holes, double chin, jaw line

Plastic Surgery: Upper Lip reduction surgery, fountain valley ca, dr tran
Plastic Surgery: Upper Lip reduction surgery, fountain valley ca, dr tran, andrew mark

Plastic Surgery: face surgery, scar revision, bodysculpture
scar revision, bodysculpture, change colors: Hi Mohsan, Well - yes and no. In general, you cannot remove a scar and leave someone with perfect, unblemished skin. Once a scar is there then that, or something like that, will always be there. It may fade, change colors over time etc., but it will...

Plastic Surgery: Gram Negative Infection after Abdominoplasty, gram negative bacteria, fever chills
gram negative bacteria, fever chills, button area: Hi Debbie, I m obviously sorry for the problems you re having. I m going to assume that you don t have any systemic problems (such as fever, chills, sweats, nausea, vomiting), that you remain under the care of one or more physicians who can actually examine...

Plastic Surgery: Large hard mound on my lower abdomen after smartlipo, lower abdomen, definite solution
lower abdomen, definite solution, lipo: Hi Dan, There s more about plastic surgery at my site, www.bodysculpture.com. I m sorry for the problem you re having. I don t know that I can offer a definite solution, but here are a few thoughts. Also, I do not have extensive experience with smartlipo...

Plastic Surgery: meso therapy, lazer clinic, fat necrosis
lazer clinic, fat necrosis, optimum result: I have no personal and hands on experience with mesotherapy but I have studied it and have enough knowledge about the science that I can say that the technology has applications and can help some people with some conditions. Individual results may vary is...

Plastic Surgery: nose and face filler, nasolabial folds, nasal tip
nasolabial folds, nasal tip, muscle movement: Thank you for your questions. Question 1: Reduction of the nasal tip usually requires tip rhinoplasty. There is no lipsuction procedure of the nose, as far as I know. A tip rhinoplasty can be done in relatively simple fashion, but you should be evaluated...

Plastic Surgery: Plastic Surgery Question, large breasts, broad shoulders
large breasts, broad shoulders, breast size: Hi Brison, There s more at my site, www.bodysculpture.com. To answer your question specifically: 1) Breasts can be lifted and enlarged at the same time if you insert an implant during the lift procedure. 2) Although the implants will make them...

Plastic Surgery: PROBLEMS WITH TRAM FLAP BREAST RECONSTRUCTION, tram flap breast reconstruction, breast cancer reconstruction
tram flap breast reconstruction, breast cancer reconstruction, abdominal: Ellen, I wouldn t say it is normal because not all TRAM flap patients have these symptoms following reconstruction but it can certainly happen. Abdominal bulging (or hernia) can happen after a TRAM flap even if the mesh remains intact. This can be a...

Plastic Surgery: Restalyne, restalyne injections, filler injections
restalyne injections, filler injections, juvederm: Dear Maria, There s more about plastic surgery at my site, www.bodysculpture.com. The good thing about the hyaluronic acid fillers, such as Restylane and Juvederm, is that they last about 6-9 months on average (sometimes longer, depending on the exact...

Plastic Surgery: Rhinoplasty, thick skin, rhinoplasty
thick skin, rhinoplasty, grafts: Sometimes thick nasal skin will limit the amount of definition the nose will get after rhinoplasty. Sometimes we can improve nasal shape, even in revision cases with thick skin, by placing cartilage grafts or other techniques. It would really be best to...

Plastic Surgery: Rhinoplasty, doctor patient relationship, rhinoplasty surgery
doctor patient relationship, rhinoplasty surgery, anatomy of the nose: Rhinoplasty surgery requires the unique set of talents: •An understanding of aesthetics and beauty •Understanding the complex three dimensional anatomy of the nose (both inside and out) •Technical skill •Understanding of nasal physiology •Experience,...

Plastic Surgery: Rippling, silicone gel implants, saline implants
silicone gel implants, saline implants, silicone implant: Mary, In a word - no. Rippling is generally associated with saline implants in thin women, and appears most commonly on the lower and outer third, though it can appear anywhere (particularly if the implants were placed above the muscle, though this is...

Plastic Surgery: Seroma, medial thigh, seromas
medial thigh, seromas, dead space: Hi Marni, There s more at my site, www.bodysculpture.com. Seromas are more common after procedures in which tissue has been elevated and repositioned, such as a tummy tuck or medial thigh lift, than with procedures that have less dead space (open areas...

Plastic Surgery: Surgery., head and neck surgery, oral surgeon
head and neck surgery, oral surgeon, plastic surgeon: Yes. There are ways to correct conditions that may be restricting the tongue from being able to be fully protruded. To have your condition analyzed I would recommend evaluation by a physician who specializes in head; and neck surgery such as an oral surgeon....

Plastic Surgery: second surgery, augmentation mammoplasty, local anesthetic
augmentation mammoplasty, local anesthetic, breast implants: On a totally different are of the body if you have fully recovered from the anesthesia effects, you should be able to have a second surgery as early as after one week. After your augmentation mammoplasty in November of 2007, you are certainly recovered more...

Plastic Surgery: Tummy Tuck, Abdomnoplasty, upper abdomen, lower abdomen
upper abdomen, lower abdomen, breast lift: Hi Patty, There s more at my site, www.bodysculpture.com. I, too, am having a hard time explaining what s happening, except that it s a little early to make a final decision. The most important thing is that your weight is down; many patients who complain...

Plastic Surgery: Tummy tuck & Liposuction, scar tissues, anatomical changes
scar tissues, anatomical changes, invasive tests: Hi Pamela, There s more about plastic surgery at my site, www.bodysculpture.com. It is unusual to have this degree of symptoms at this late stage, and it is difficult for me to explain it. I cannot, of course, do this justice over the Internet. You...

Plastic Surgery: tummy tuck, muscles of the abdomen, upper abdomen
muscles of the abdomen, upper abdomen, lower abdomen: Hi Becca, There s more info at my site, www.bodysculpture.com. At six months I think that you are basically healed and that you are beyond the timeframe for normal swelling to have diminished on its own. In that regard you may well benefit from another...

Plastic Surgery: Undereye wrinkles, Elos/Refirme, bleph, dark circles
bleph, dark circles, refirme laser: Hi Ellen, Ever is strong word. I would say that, in general, a blepharoplasty is much more effective for puffiness (excess fat) and redundant skin (excess skin) than it is for wrinkles. So if wrinkles are the only reason that the surgery is being done,...

Plastic Surgery: Uneven Breasts?, uneven breasts, breast surgery
uneven breasts, breast surgery, breast augmentation: Hi Jessica, There s more at my site, www.bodysculpture.com. The word encourage is, of course (as you noted), a euphemism. In fact, a lot depends on what it looks like (ie, how sever the asymmetry is), how long after the surgery and, finally, how sure...

Plastic Surgery: Upper Lip reduction surgery, lip reduction surgery, facial harmony
lip reduction surgery, facial harmony, dramatic cases: Hi Vernon, There s more at www.bodysculpture.com. Interestingly, I was unable to find a gallery of before and after photos online, even though I thought I would be able to. The point may be that it is performed relatively rarely, or the results are...

Plastic Surgery: undoing a brow lift, breast implants, midface lift
breast implants, midface lift, hair specialist: Hi Joe, It is, in general, not possible to undo plastic surgery. In some situations you can return nearly to the way you were if you move fast enought - such as removing breast implants shortly after they re inserted, although there s no guarantee, and...

Plastic Surgery: 1 year post bilateral breast reduction, seromas, breast reductions
seromas, breast reductions, scar tissue: Rebecca, I can t say it s common, since things are usually pretty well healed within a few months. But it s not unheard of to have something like this a year later. It depends, though, on how extensive a problem it is (doesn t sound that extensive)...

Plastic Surgery: Abdominoplasty, drainage tube, seromas
drainage tube, seromas, scar tissue: Hi Jill, There s more at www.bodysculpture.com. A seroma is a collection of fluid that occurs after procedures suchh as a TT, liposuction, other procedures that have open spaces that have to heal, etc. A few things: There s LOTS about seromas already...

Plastic Surgery: aftercare for a scalp laceration, sun avoidance, scalp laceration
sun avoidance, scalp laceration, hair line: The following does not consitute medical advice--you should consult your surgeon directly. However, it is usually best to keep these wounds dressed with an antibiotic-type ointment at all times. Keep dry if possible for the first week. Sun avoidance for...

Plastic Surgery: Breast Implant size, breast implant size, breast augmentation surgery
breast implant size, breast augmentation surgery, breast implants: Hi Jennifer, There s more at my site, www.bodysculpture.com. You will almost certainly be smaller, once you re healed, than you are now. That process takes several weeks (for most of the swelling to go down) to several months (for all of the swelling,...

Plastic Surgery: Breast Implants-lifting, breast augmentation, breast implants
breast augmentation, breast implants, large breast: Hi Kim, There s more at www.bodysculpture.com. First of all, at ten days post-surgery, you need to contact your plastic surgeon to discuss the tightness that you re having. Though somewhat unlikely at this stage, it is certainly possible, due to the...

Plastic Surgery: breast augmentation, crease incision, white blood count
crease incision, white blood count, silicone implant: Most likely you have an infection within the breast tissue. A mastitis. You should consider seeing an allergist and see if any specific tests can be performed to determine silicone allergy. The latter is very rare. Infection is more likely. If silicone allegory...

Plastic Surgery: breast enlargement, parachute jump, breast enlargement
parachute jump, breast enlargement, breasts: Please ask your surgeon if 6 weeks after surgery is safe for you to go Parachute Jumping? Please do not hurt your surgeons feelings by replacing him/her with AllExpert. We can only give you an opinion or general advice but your surgeon has the knowledge to...

Plastic Surgery: breast implants and liposuction, breast implants, tight clothes
breast implants, tight clothes, operating surgeon: There is no absolutely certain way to say at this stage whether liposuction was not done.I suggest that you keep in touch with your operating surgeon and open and frankly but politely share your concerns and ask for help. Ask him/her the same questions you...

Plastic Surgery: breast reduction - JUST SIZE!, pleasing shape, breast reductions
pleasing shape, breast reductions, shape size: Hi Emma, There s more at www.bodysculpture.com. It s obvious that you ve done lots of research, and I have sympathy for your concerns. While most women who have breast reductions are extremely happy with them, it is certainly true that the shape does...

Plastic Surgery: bridge build-up in asians, ear cartilage, silicone implant
ear cartilage, silicone implant, gore tex: Thanks for your question. The most common materials used are synthetic. I do not like to use injectable silicone, as it is very hard to remove if there is a problem. Silastic implants (preformed) are often used by doctors, or gore-tex (ePTFE). Any implant...

Plastic Surgery: chest tube scar, scar tissue, breast tissue
scar tissue, breast tissue, left breast: Hi Kayt, There s more at www.bodysculpture.com. I don t know that I have a great answer for you and I m not that surprised that you re having trouble finding an answer. It is, in general, difficult to reconstruct parts of the breast (ironically, it...

Plastic Surgery: childbearing after tummy tuck/breast aug, plastic surgery procedures, breast aug
plastic surgery procedures, breast aug, fertility specialist: Hi Cheryl, There s lots more at www.bodysculpture.com. Lots of questions here. First, can it even be done? You d have to speak to a fertility specialist about the feasibility of reversing the tubes situation. From a plastic surgery standpoint,...

Plastic Surgery: Dog Ears, breast reduction, dog ear
breast reduction, dog ear, scar: Hi Tiffany, There s more at www.bodysculpture.com. In general, plastic surgery is a trade - you re trading a scar (or something comparable) for what is, presumably and hopefully, a better appearance, thereby making it a good trade. And that s certainly...

Plastic Surgery: endotine cheek lift, cheek lift, scar tissue
cheek lift, scar tissue, left cheek: Hi Bonny, I would think that that would certainly be one of the more likely possibilities, based on what you say. But you have to discuss this with your PS to find out what was done specifically in that region; he or she will know far more than anyone...

Plastic Surgery: Fat depsoits under the eye, orbital rims, cortisone shots
orbital rims, cortisone shots, cortisone injections: Hi Nicole, There s more at www.bodysculpture.com. I assume that you mean the fat pockets that are on the cheekbones, just below the orbital rims of the lower eyelids (lower eyelid fat is, of course, easily removed - you can see photos on my site). ...

Plastic Surgery: chest tube scar, breast tissue, chest tube
Plastic Surgery: chest tube scar, breast tissue, chest tube, padded bra

Plastic Surgery: Redo of Tummy Tuck vs Exercise for Diastasis Recti
Plastic Surgery: Redo of Tummy Tuck vs Exercise for Diastasis Recti

Plastic Surgery: Tram flap surgery mesh broke, mesh
Plastic Surgery: Tram flap surgery mesh broke, mesh

Plastic Surgery: tram flap nightmare, diep flap, mastecomy
Plastic Surgery: tram flap nightmare, diep flap, mastecomy, stomach problems

Plastic Surgery: Implant shifting, silicone implant, chin augmentation
silicone implant, chin augmentation, bench press: Hi Justin, There s more at www.bodysculpture.com. Once implants are set (which takes a few weeks to months at the most) it becomes relatively difficult to dislodge or move them with gentle to mild force. Strong enough force is more likely to damage...

Plastic Surgery: Lipo & IUD, oblique muscles, prophylactic antibiotics
oblique muscles, prophylactic antibiotics, antibiotic coverage: Hi Michelle, There s more at www.bodysculpture.com. Although I have not (knowingly) faced this issue before, I cannot think of a reason why you d need to have the IUD removed before your surgery; there really shouldn t be any overlap there. The only...

Plastic Surgery: lip lift, gull wing, stiched
gull wing, stiched, stiches: Hi Adrianna, There s more at www.bodysculpture.com. It is completely normal to have tightness at three weeks post-op; in can take many months for all of that to go away. The bump should go away over time. But at this early stage you need to contact...

Plastic Surgery: lip lift, period 2, final result
period 2, final result, weight lifting: Hi Adriana, There s more at www.bodysculpture.com. You obviously need to ask these questions of the surgeon who performed the surgery but I would say the following: 1) No exercise for three weeks after surgery. If everything s okay at that point,...

Plastic Surgery: mass, invasive diagnostic tests, fever chills
invasive diagnostic tests, fever chills, scar tissue: Hi Maggie, There s more at www.bodysculpture.com. This does sound a little unusual to me. It could, in fact, be a pseudobursa, or a hernia, or some scar tissue, etc. You should probably see a general surgeon, just to make sure it s not a hernia, and...

Plastic Surgery: muscle repair with tummy tuck, muscle repair, tummy tuck
muscle repair, tummy tuck, belly button: At two weeks you should definitely be examined by your surgeon to make sure that the little pop you heard is insignificant. Hard for me to tell by just seeing the word Pop on the screen, I need an actual examination and even then I may not be able to...

Plastic Surgery: Preventive Scarring Treatment, cocoa butter cream, total abdominal hysterectomy
cocoa butter cream, total abdominal hysterectomy, scar prevention: Hi Elizabeth, There s more at my site, www.bodysculpture.com. Despite widepread publicity, I cannot honestly recommend any specific treatment for prevention of scars as I do not have adequate, quantitative experience with that. I am aware of Scarguard...

Plastic Surgery: Redo of Tummy Tuck vs Exercise for Diastasis Recti, pound weight loss, linda shapiro
pound weight loss, linda shapiro, aesthetic standpoint: Linda, You re most welcome. But - since you asked me - I feel strongly that the doctors you obtain second opinions from include a general surgeon. Your call, of course. Good luck, and I d be interested to hear what their advice is. Dr. ...

Plastic Surgery: silikon lip injections, lip injections, nasolabial folds
lip injections, nasolabial folds, excess skin: Hi Jennifer, There s more at my site, www.bodysculpture.com. In general, the tighter the tissue is, the less well a filler will work. In fact, many fillers are used primarily because there is some excess skin (such as the nasolabial folds - the folds...

Plastic Surgery: Tram flap surgery mesh broke, flap surgery, cancer doctor
flap surgery, cancer doctor, bodysculpture: Hi Laura, This is somewhat outside my area of expertise but I would think that you should start by seeing a plastic surgeon but that you may also need a general surgeon to help with redoing the mesh. A lot depends on who you see, and what that surgeon...

Plastic Surgery: Tummy Tuck Seroma, compression garment, exact scenario
compression garment, exact scenario, bodysculpture: Hi Kim, I m sorry for the problem you re having. This sounds like the exact scenario that would benefit from the reinsertion of drains, as you ve guessed from my previous answers. I don t hesitate to try an aspiration or two, depending on how much fluid...

Plastic Surgery: Tummy tuck after umbelical hernia repair., functional repair, hernia repair
functional repair, hernia repair, surgey: Hi Lisa, There s more at www.bodysculpture.com. It is certainly true that it becomes more complicated to do a tummy tuck if you already have mesh in there. The fact that you have mesh is an indication of the extent of damage that you had and it is understandable...

Plastic Surgery: tram flap nightmare, tram flap, abdominal problems
tram flap, abdominal problems, abdominal pain: Linda, I m sorry you ve had so many abdominal problems after your tram flap breast reconstruction. While some abdominal issues (like bulging and even abdominal hernia) are not uncommon, the problems you are describing are certainly rare. Abdominal CT...

Plastic Surgery: tummy tuck and inner thigh surgery, thigh area, skin infection
thigh area, skin infection, inner thigh: Hi Ina, I m very sorry for the problems you ve had since your surgery, including the ongoing ones. It is not possible for me to make an assessment and offer suggestions based on your description as it is a complicated situation and problem. What...

Plastic Surgery: tummy tuck with vertical c-section scar, horizontal incision, c section scar
horizontal incision, c section scar, lower abdomen: Hi Jane, There s lots more at my site, www.bodysculpture.com. In a standard tummy tuck, all of the skin between the belly button and the lower abdominal crease (horizontal) is removed, and the skin that s above the belly button gets stretched down to...

Plastic Surgery: wound not healing, skin graft, foot bone
skin graft, foot bone, bone infection: Sure a wound can have a channel. What do you mean by a channel? I suggest that your husband should see his doctor about this to make sure that there no deeper infection such as foot bone infection, osteomyelitis, which can prevent a wound from healing completely...

Plastic Surgery: Abdominal Plasty & back pain relief, back pain relief, panniculectomy
back pain relief, panniculectomy, symptomatic improvement: Hi Victoria, There s more at www.bodysculpture.com. The answers to your questions, in my opinion, are No and Yes. No - back pain is not usually alleviated by a tummy tuck (although, in all fairness, that depends on how extensive the abdominal...

Plastic Surgery: Age, silicone gel implants, implants saline implants
silicone gel implants, implants saline implants, breast augmentation: It is not too young so long as you are of sound mind and can communicate well any surgery, with a very few exceptions such as breast augmentation with Silicone Gel implants (Saline Implants are allowed), can be discussed and then if everything else is appropriate,...

Plastic Surgery: abdominalplasty, abdominal musculature, abdominal muscles
abdominal musculature, abdominal muscles, buldge: Hi Lisa, There s more at www.bodysculpture.com. It is difficult for me to state for sure what the problem is, since I didn t see you before, don t know precisely what was done, etc. In general, though, (1) there is a limit to what can reasonably be...

Plastic Surgery: abscessed Seroma, 7th month of pregnancy, adequate drainage
7th month of pregnancy, adequate drainage, upper abdomen: Hi Melinda, There s more at www.bodysculpture.com. I m sorry for the problems you ve been having. The hallmark of treating excess fluid is adequate drainage as early as possible. The more fluid, the more the drainage becomes critical. For a collection...

Plastic Surgery: Blood clot and breast surgery, breast reduction surgery, sequential compression devices
breast reduction surgery, sequential compression devices, breast surgery: Hi Christina, There s more at my site, www.bodysculpture.com. It s a little unusual to have a clot in the thigh (more commonly, the problematic ones originate in the calves) but as long as it s been worked up completely, it should be okay to do the surgery...

Plastic Surgery: Breast Augmentation, fever chills, silicone implant
fever chills, silicone implant, blood cell count: Hi Lisa, I m really not sure what to say, but if you d like you can email me some photos at alan.engler@gmail.com. Take them from about 4 feet away, against a plain background (if you can) and you can send a few; eg., front, both sides, both angles (45...

Plastic Surgery: Breast lift question, large areola, breat lift
large areola, breat lift, breast lifts: Hi Roe, 1) Yes, all breast lifts involves scars around the areolas; many also require a vertical limb (then called a lollipop scar ) and even underneath (the anchor-shaped scar). 2) An implant can provide the illusion of a slight lift, but it doesn...

Plastic Surgery: Breast surgery and BMI, collagen vascular diseases, absolute criteria
collagen vascular diseases, absolute criteria, breast reduction: Dear Christina, There s more at www.bodysculpture.com. I am not aware of absolute criteria of rejection such as what you are describing. In a general sense, though, there is an increased risk of complications associated with immobility, thicker tissues...

Plastic Surgery: botox, botulinum toxin type, botox treatments
botulinum toxin type, botox treatments, crows feet: Thank you for your question. You are not alone, this is a common issue in women (and men) in your age group. Botulinum toxin type A (or Botox) is effective at reducing wrinkles that are due to *muscle movement*, such as between the eyebrows, or crows feet....

Plastic Surgery: breast implants, breast implants, breast augementation
breast implants, breast augementation, pain medications: Hi Kelly, It s often hard to know what any particular event or complication has occurred. However, bleeding is certainly a known complication of this surgery and I m glad that, in the end, it was addressed apprpriately, which appears to be the case....

Plastic Surgery: Cheek Implants, cheek implants, cheek implant
cheek implants, cheek implant, cheekbone: Dear Cheeky, There s more at www.bodysculpture.com. Most plastic surgeons will do what is appropriate, so if you have a significant asymmetry, they might put one cheek implant in or, more likely, two different sizes. However, if the discrepancy is...

Plastic Surgery: c section scar, c section scar, flanks
c section scar, flanks, possible solution: Hello Frances, It s difficult to solve your problem without actually seeing it, but such linear scars(of c section) tend to contract as they are linear scar( any scar in straight line has a tendency to contract)and thereby they give sucked-in appearance....

Plastic Surgery: Eyelids, upper eyelids, cosmetic options
upper eyelids, cosmetic options, excess skin: Dear Ken, There s more at my site, www.bodysculpture.com. There are many surgical options for the upper eyelids but they can generally be divided into relatively straight-forward, and relatively complicated (these groups are, of course, debatable). ...

Plastic Surgery: eyebrow scar, absolute answer, hi lee
absolute answer, hi lee, eyebrow: Hi Lee, There s more at my site, www.bodysculpture.com. Although permanent tattoo is an excellent option in general I don t think it s a good idea for a 3 1/2 year old. There are too many questions about how any pigment could react with her etc. However,...

Plastic Surgery: how do I find a great doctor?, breast reductions, breast reduction
breast reductions, breast reduction, 32ff: Hi Melanie, There s more about breast reduction at www.bodysculpture.com. Your concerns are understandable and there is, in fact, no way that I know of to guarantee that you will have the result you want. But you can start by going to a good surgeon....

Plastic Surgery: Which to do first?, apartment in new york, waiting period
apartment in new york, waiting period, rhinoplasty: Does it matter which I have done first? - No. How far in advance does one typically book such procedures? -Depends on how busy the surgeon is. Are all procedures ever done together? -Yes, I have done this. Is it best to have a long waiting period between...

Plastic Surgery: incisional herniax2 tummy tuck, abdominal tissue, hernia repair
abdominal tissue, hernia repair, hernia surgery: Hi Lisa, There s more at www.bodysculpture.com. The answer is - maybe! It depends on how big the defects ( holes ) are and on exactly what has to be done. If extensive surgery, such as the insertion of mesh, etc., is indicated, then the surgeons involved...

Plastic Surgery: laser lipo (smart lipo), compression garment, doctors orders
compression garment, doctors orders, asymmetry: Hi Darla, There s lots more at my site, www.bodysculpture.com. You should, of course, be talking to your PS and getting the answers to these questions from him or her. However, I can make some general points. First, it is very common to have some...

Plastic Surgery: Mini Tummy Tuck/Full Tummy tuck, lower abdomen, excess skin
lower abdomen, excess skin, window shade: Hi Roe, There s more info at my site, www.bodysculpture.com. 1) In general, a full tummy tuck refers to a procedure in which the skin is elevated (lifted up) from the lower abdomen to the level of approximately the ribs and then pulled down like a window...

Plastic Surgery: mini tummy tuck, tummy tuck, final result
tummy tuck, final result, right direction: Hi Theresa, There s more about this at www.bodysculpture.com. It can easily take several weeks to months both to see the final result, and to feel more normal. As long as it s flat, it sounds like it s proceeding in the right direction Hang in...

Plastic Surgery: Persistent swelling after a mini tummy-tuck, mini tummy tuck, fluid accumulation
mini tummy tuck, fluid accumulation, scar tissue: Hi T & J, There s more at my site, www.bodysculpture.com. It is, of course, hard for me to offer much of a specific assessment but I ll offer a few thoughts. It s not unheard of to have persistent swelling after a seroma, or any other postoperative...

Plastic Surgery: Plastic Surgery after ilizarov surgery, red scar, list of surgeons
red scar, list of surgeons, plasticsurgery: Hi Nick, There s lots more at www.bodysculpture.com. Despite the widespread belief/hope that plastic surgery can remove scars, what it generally does is replace one scar with another; presumably a better one. So if a scar is wide, thick, deep, etc.,...

Plastic Surgery: post breast reduction, gauze dressings, breast reductions
gauze dressings, breast reductions, left breast: Hi Rickey, There s more about breast reductions at www.bodysculpture.com. You should, of course, be talking to your PS about these issues during this early postoperative period. However, in my experience, it is not unheard of to have what you seem...

Plastic Surgery: Rhinoplasty, frontal views, vertical length
frontal views, vertical length, rhinoplasty: Thanks for the question. The short answer is yes, there are some techniques. The long answer is that it is not possible (or desirable) in all situations, and it would depend on the specific examination of your nose and its relationship to the rest of your...

Plastic Surgery: Sculpting Waist, narrow hips, abdominal cavity
narrow hips, abdominal cavity, smaller waist: Hi Susan, There s lots more at www.bodysculpture.com. A lot depends on what makes up the features that you want to change. If you are muscular in that region, or bony, then not that much can be done. If, on the other hand, there is enough fat there...

Plastic Surgery: scar revision, scar revision, bowel function
scar revision, bowel function, weight gain: Hi Elaine, There s more at www.bodysculpture.com. There is typcially a transient weight gain after surgery due to any and all of the following: increased fluids given during the surgery, decreased mobility afterwards, diminished bowel function leading...

Plastic Surgery: scars, inch scar, knee surgery
inch scar, knee surgery, dermatologist: Hi Danielle, There s more at www.bodysculpture.com. If you wait it should just happen on its own. It can take up to two years for scars to mature completely, including the change in color. There are also some laser-like treatments that can diminish...

Plastic Surgery: seroma, scar line, inner knees
scar line, inner knees, skin flap: Hi Kristina, There s lots more at www.bodysculpture.com. Even though it s called liposuction - suggesting that only fat is removed - the procedure is actually quite effective at removing other tissues to a limited degree, including any of the scar...

Plastic Surgery: seroma, pressure garment, inner knees
pressure garment, inner knees, scar line: Hi Kristina, Seroma formation is a known complication after a tummy tuck, especially if there is remaining fat over rectus fascia. Removing the seroma may need removal of earlier fascia tightening sutures, complete fat clearance over the rectus fascia, removal...

Plastic Surgery: another seroma question, penrose drains, bodysculpture
penrose drains, bodysculpture, wrong answer: Hi Kim, I really don t know what to say. There is not necessarily a right or wrong answer but I would think that after eight aspirations, and with it still filling, it would be time to try something else. You may have to seek a second opinion, although...

Plastic Surgery: seromas, breast implant surgery, crease incision
breast implant surgery, crease incision, fever chills: Hi Darlene, There s more at my site, www.bodysculpture.com. I m sorry for the problem you re having. It is unusual and worrisome to have fluid leak out after breast implant surgery, and even more so if you are a diabetic, since there is a greater risk...

Plastic Surgery: Thermal Treatment, facial rejuvenation, laser procedures
facial rejuvenation, laser procedures, invasive surgery: Hi Lisa, There s more at www.bodysculpture.com. Despite many claims of effectiveness for these procedures, I have not been impressed by either the results or the longevity of what has been achieved. There seems to be a new procedure every few months,...

Plastic Surgery: Thread Lift vs Traditional Face Lift, traditional facelift, long periods of time
traditional facelift, long periods of time, local anesthesia: Thanks for your question. Generally speaking, surgery is much more effective and remains the gold standard. Most of the leaders in facial plastic surgery are somewhat skeptical of the ability of a thread to lift and hold tissue for long periods of time....

Plastic Surgery: Tummy Tuck pain, removing scar, scar tissue
removing scar, scar tissue, skin edges: Hi Mary, There s more at my site, www.bodysculpture.com. It s unusual to have this degree of symptoms at this relatively late stage of your recovery, but since it s occurring in the exact region where you had delayed wound healing it makes sense that...

Plastic Surgery: how young is to young, age barrier, health factors
age barrier, health factors, plastic surgery: There is no age barrier. Every person s condition has to be considered in the context of their overall history. What they want, why they want and what other health factors exists; these are the type of questions that I want to have the answers to when deciding...

Plastic Surgery: Breast Implant removal, breast implant removal, c size
breast implant removal, c size, recoil: If you are not happy with the results then the sooner you have them removed the less the effect on the stretching of the tissues will have taken place and some of the stretching may recoil back therefore you may not very significant or bad sagging.. It all...

Plastic Surgery: Breast Implants, breast implants, silicone gel
breast implants, silicone gel, Engler: Hi Emeka, There s lots more about breast implants at my site, www.bodysculpture.com. That s a GREAT question - but it doesn t have a yes-or-no answer. In general, the larger the implant, relative to the size of the breast, the more likely that someone...

Plastic Surgery: breast implant problem, Breast implants, plastic surgery
Breast implants, plastic surgery, Engler: Hi Jennifer, There s lots more about breast implant at my site, www.bodysculpture.com. The positioning of implants depends on many factors. This includes how they were placed originally but also what someone s skin is like (ie, how tight or loose),...

Plastic Surgery: choosing a surgeon, cheek augmentation, chin reduction
cheek augmentation, chin reduction, facial procedures: In choosing a surgeon, you should look for someone with experience in the area you re interested in. In this case, you d probably want someone with a lot of experience in facial plastic surgery. Of the procedures you list, rhinoplasty is arguably the most...

Plastic Surgery: Explantation, bodysculpture, engler
bodysculpture, engler, implants: Hi Lisa, I did respond to you but it apparently did not get to you. It depends on how thick the capsule is. If it s very thin it may be fine just to remove the implants, but, if it s present to any significant degree, it may be advisable to remove at...

Plastic Surgery: Fat-away, liposuction, similar products
liposuction, similar products, knives: Hi Carol, There s more at www.bodysculpture.com. Lipodissolve and similar products are not considered appropriate methods of fat removal, as far as I understand, and I believe that it has been removed from the market in the United States. The only...

Plastic Surgery: Breast Implant removal, c cup
Plastic Surgery: Breast Implant removal, c cup

Plastic Surgery: Pseudobursa treatment, major surgery, radiologist
Plastic Surgery: Pseudobursa treatment, major surgery, radiologist, engler

Plastic Surgery: back pain after TRAM flap breast reconstruction, tram flap, plastic surgeon
Plastic Surgery: back pain after TRAM flap breast reconstruction, tram flap, plastic surgeon, barb

Plastic Surgery: tummy tuck gone wrong, wound vac, miracle worker
Plastic Surgery: tummy tuck gone wrong, wound vac, miracle worker, scar tissue

Plastic Surgery: Horrible results from liposuction, Liposuction, complication
Liposuction, complication, plastic surgery: Hi Peter, I cannot really comment on the specifics of your situation via this format. I would probably try to drain that larger collection. But if that s the only one that shows up, then, clearly, most of what you re concerned about is not one, large,...

Plastic Surgery: Implants, breast implants, breast tissue
breast implants, breast tissue, double bubble: Hello Leanne, Double-Bubble an unusual complication of breast implants because of breast tissue visible separate from the implant, can be due to various causes and the treatment too depend on the underlying cause. Most commonly seen after retromammary...

Plastic Surgery: Large cyst on forehead, cyst
cyst: I think you should have the cyst surgically excised. It is minor surgery that can be performed under local anesthesia. Why have you been hiding it rather than getting rid of it since the latter is so easy to do? Please let me know if I can be of any help?...

Plastic Surgery: lip lift, Plastic Surgery, Recovery
Plastic Surgery, Recovery, Swelling: Hi Grace, It can take many months to heal completely from surgery, and that includes for all of the swelling to go down. It sounds like this is a somewhat prolonged but otherwise normal time-period. You should, of course, be in touch with your plastic...

Plastic Surgery: lipodissolvemltj7, Lipodissolve, Engler
Lipodissolve, Engler, Bodysculpture: Dear Jo, I am not familiar with it personally, but I found a summary, as of May, 2008, that is generally consistent with what I understand. As far as I know this is not an FDA approved treatment, and has largely been taken off the market. The reference...

Plastic Surgery: Otoplasty, suture techniques, scar tissue
suture techniques, scar tissue, suture technique: Hi Three months is generally what I would call the early recovery period. But it can take up to two years or longer for all of the scar tissue to form that will form, so I would still try to be careful for at least another three months or so. Be sure...

Plastic Surgery: Pseudobursa treatment, pseudobursa, fluid collection
pseudobursa, fluid collection, seroma: Hi Sandy, I m sorry for the problems you re having. I do not have extensive experience treating pseudobursas, and none following a DIEP, so you ll have to keep my answer in that perspective. You may well require another procedure to get rid of this...

Plastic Surgery: back pain after TRAM flap breast reconstruction, breast reconstruction, tram flap
breast reconstruction, tram flap, abdominal complications following tram flap: Barb, You are correct, this is certainly an issue that has been identified in patients who have had TRAM flap breast reconstruction following mastectomy for breast cancer. The advice your plastic surgeons gave you prior to the reconstruction was not incorrect....

Plastic Surgery: post-operative fibrosis, Liposuction, SmartLipo
Liposuction, SmartLipo, plastic surgery: Hi Laura, There s more about lipo at my site, www.bodysculpture.com. In general, fibrosis is the process that ultimately turns to scar tissue. It is part of the normal healing process, which starts with swelling and some inflammation, then evolves into...

Plastic Surgery: pseudobursa, Pseudobursa, abdominoplasty
Pseudobursa, abdominoplasty, Engler: Hi Treva, I m sorry about the problems you re having. I don t have any magic words of wisdom, but I want to mention a few things: 1) A pseudobursa is scat tissue that forms around fluid and thereby prevents normal healing, including allowing the...

Plastic Surgery: Rhinoplasty Question, Rhinoplasty, Engler
Rhinoplasty, Engler, New York: There s more about rhinoplasty at my site, www.bodysculpture.com. I cannot, of course, speak for all plastic surgeons. But I usually meet with and/or talk to the patient several times, including right before the surgery, to discuss what the patient wants....

Plastic Surgery: scars from lip augmentation??, scars, steroid injections
scars, steroid injections, lips: Hi Marcia, There s more about plastic surgery at www.bodysculpture.com. I m sorry for the problems you re having. The lips are notoriously sensitive regions of the body which is, of course, a double-edged sword. Surgery in this area can result in more...

Plastic Surgery: Tummy Tuck, complications after tummy tuck
complications after tummy tuck: Hi Elizabeth, There s more at www.bodysculpture.com. I m sorry to hear about the problem you re having. This is, of course, one of the reasons to have surgery with a surgeon you can go back to, if necessary, if questions arise in any point in the healing...

Plastic Surgery: Tummy Tuck, Seromas, tummy tucks
Seromas, tummy tucks, Engler: Hi Kimberly, There s more about tummy tucks at my site, www.bodysculpture.com. I m sorry about the problems you re having, but if there is still fluid there, then it s important that drains be inserted (in my opinion). Simply draining the fluid may not...

Plastic Surgery: Tummy tuck, gastrointestinal problems, scar tissue
gastrointestinal problems, scar tissue, abdominal discomfort: Hi Carol, It depends - mostly on things that I cannot reasonably assess via this format. However, if the discomfort is localized to that region then it may make sense to do the surgery sooner rather than later, even if it will be hard to be sure that...

Plastic Surgery: tummy tuck gone wrong, small vessel disease, inadequate blood flow
small vessel disease, inadequate blood flow, open wounds: Hi Susan, There s more about tummy tucks at my site, www.bodysculpture.com. It is not unheard of to have the sort of problem you re having, particularly with tummy tucks. It can result from two general types of problems: inadequate wound healing with...

Plastic Surgery: vaser lipo, Hematoma, Seroma
Hematoma, Seroma, Vaser: Hi Amy, I m sorry for the problems you re having. It is, of course, difficult for me to address specific issues during the early recovery period via this format, but I would think that inserting drains would be an important part of your care at this...

Plastic Surgery: ABDOMINOPLASTY, Seroma, Tummy Tuck
Seroma, Tummy Tuck, Ultrasound: Hi Anitra, I m sorry for the problems you re having. I have had much better experience treating fluid accumulations with the reinsertion of drains than with periodic aspirations. I have actually written a lot about this for allexperts: if you do a...

Plastic Surgery: abdominal pain/swelling after tram flap surgery, abdominal complications, tram flap
abdominal complications, tram flap, tram flap surgery: Mary, I m sorry to hear your mother is also having such significant abdominal complications after her tram flap breast reconstruction. To be honest, I have no idea what helped Linda since we rarely get any feedback. Abdominal CT scans and ultrasounds...

Plastic Surgery: Beast Augmentation post-op, Breast Implants, Asymmetry
Breast Implants, Asymmetry, Early Recovery Period: Hi Melissa, There s more about breast implants at my site, www.bodysculpture.com. It is not at all uncommon to have asymmetry with breast implants, and with breasts in general. It is even more common to have degrees of asymmetry early on - ie, in the...

Plastic Surgery: Belly button, piercing scars, umbilicus
piercing scars, umbilicus, belly button: Hi Lisa, There s more about plastic surgery at my site, www.bodysculpture.com. This is a problem that will become more and more common as the navel-piercers become pregnant and, in fact, I just took care of a patient who had that exact problem. Specifically,...

Plastic Surgery: Breast Reconstruction, Breast Asymmetry, Weight Loss before surgery
Breast Asymmetry, Weight Loss before surgery, Engler: Hi Jessica, There s more about breast surgery at my site, www.bodysculpture.com. You raise an important question. It is, in fact, very difficult to perform plastic surgery that anticipates future weight gains or losses. You actually may not even...

Plastic Surgery: Breast Reduction/ fluid buildup, breast reductions, body contouring surgery
breast reductions, body contouring surgery, left breast: Hi Karen, There s more about breast reductions at www.bodysculpture.com. It s actually not unheard of to have fluid accumulate and then drain out after lots of procedures, particularly certain body contouring surgery such as breast reductions, tummy...

Plastic Surgery: breast fillers, Breast implants, fillers
Breast implants, fillers, silicone: Hi Linda, There s more about breast surgery at www.bodysculpture.com. This can actually be a very tricky situation. First of all, despite silicone having been injected, many different substances have been used around the world, from medical grade...

Plastic Surgery: Chest tube scars, Scar Revision, Chest
Scar Revision, Chest, plastic surgery: Hi Kim, There is a procedure called a scar revision and it is used, as the name suggests, to change the appearance and/or the function of a scar. Changing the appearance is self-explanatory, but sometimes scars pull across creases and joints, eyelids,...

Plastic Surgery: c-section scar removal, Scar Revision, Plastic Surgery
Scar Revision, Plastic Surgery, Engler: Hi Nicole, Well, yes and no. There is, actually, no way that a scar can be removed completely, but it may be possible to trade it for one that is much less noticeable. That procedure, referred to as a Scar Revision, involves removing the existing...

Plastic Surgery: Diastasis Recti suture tear after 3 years, ultrasound imaging, burning sensation
ultrasound imaging, burning sensation, operating surgeon: Hello, The problem you have mentioned does not imply that you have a break in recti suture. Suture break will not cause such kind of symptoms.I will be glad if you could explain your problem much more clearly. Irritable bowel does not corrrelate with rectus...

Plastic Surgery: Diastasis Recti, Diastasis recti, tummy tuck
Diastasis recti, tummy tuck, hernia: Hi Theresa, There s more about tummy tucks at www.bodysculpture.com. A diastasis recti is a separation of the paired abdominal muscles (the abs ). It is usually caused by pregnancy (congrats, by the way) but can also be associated with weight gain...

Plastic Surgery: ding130@comcast.net, Eyelid surgery, stitches
Eyelid surgery, stitches, blepharoplasty: Hi Debbie, There s more about eyelid surgery at my site, www.bodysculpture.com. First of all, you absolutely need to speak to your PS about this. Often, though, stitches are not used for procedures done on the inside of the eyelid, and typically for...

Plastic Surgery: "dog ear" and "puffy" pubic area after tummy tuck, Tummy Tuck, Revision
Tummy Tuck, Revision, Dog Ear: Hi Jenna, There s lots more about tummy tucks at my site, www.bodysculpture.com. It s actually not unheard to have the some irregularities in the areas you describe following a tummy tuck. The surgeon always tries to limit the length of the scar (ie,...

Plastic Surgery: ear lobes, earlobes, surgery for large earlobes
earlobes, surgery for large earlobes: Disproportionately large earlobes can be reduced. Please go to plasticsurgery.org and click on Find a physician When you insert you Zipcode, the site will give you names and contact information for the plastic surgeons in your area. Where do you live? Have...

Plastic Surgery: exchange vs removal of implant, Ptosis, remove and replace
Ptosis, remove and replace, breast implant removal: When breast volume is reduced ptosis or sagging of the breasts is likely to occur. How bad the drooping is going to be will depend on skin elasticity. I think you should first choose to do whatever that will help you to have a healthy and comfortable life....

Plastic Surgery: Fever after Tummy Tuck, tummy tuck, fever
tummy tuck, fever, drains: Hi Julie, There s more about tummy tucks at www.bodysculpture.com. In the absence of other symptoms it s unlikely to be something very serious. It may be as simple as you not breathing deeply enough, or some blood left withinn the tissues (which can...

Plastic Surgery: abdominal pain/swelling after tram flap surgery, prolene mesh, flap reconstruction
Plastic Surgery: abdominal pain/swelling after tram flap surgery, prolene mesh, flap reconstruction, mayo clinic hospital

Plastic Surgery: Diastasis Recti, muscels, diastasis
Plastic Surgery: Diastasis Recti, muscels, diastasis, two doctors

Plastic Surgery: Nipples after reduction, dark purple, healing process
Plastic Surgery: Nipples after reduction, dark purple, healing process, shed

Plastic Surgery: Gynecomastia Fibrosis, Gynecomastia, swelling
Gynecomastia, swelling, fluid: Hi Tony, There s more about gynecomastia at my site, www.bodysculpture.com. I m very sorry for the problems you re having. I don t know that I can give you an absolute answer and explanation for what s going on, but here are a few thoughts. The...

Plastic Surgery: Gynecomastia - Referred to General Surgeon... Should Be Plastic Surgeon?, Gynecomastia, Engler
Gynecomastia, Engler, New York: Hi Jim, There s more about gynecomastia at my site, www.bodysculpture.com. There are three issues here: 1) As far as I know, hypertrophy of the breast in a young man is the same thing as gynecomastia 2) It s not necessarily a matter of which doctor...

Plastic Surgery: Heeling of scars, Breast Reduction, Wound Care
Breast Reduction, Wound Care, Open areas: Hi Paula, There s more about breast reductions at my site, www.bodysculpture.com. You should, of course, speak with your PS about this. I suspect that you DID have a stitch - or more - at that site, but that it tore through, ripped open, or something...

Plastic Surgery: Implant removal, Breast Implants, Replacement
Breast Implants, Replacement, Removal: Hi Megan, There s lots more about breast implants at www.bodysculpture.com. I don t think that is such a great idea. Dropping 250 cc s is the equivalent of about 8 ounces (you can put 8 ounces of rice in a bag to see the volume we re talking about)....

Plastic Surgery: liposuction- tumescent/ultrasound, Liposuction, tumescent
Liposuction, tumescent, ultrasonic: Hi Terry, There s more about lipo at my site, www.bodysculpture.com. This is such an involved question that, rather than reinvent the wheel, I decided to look at some other sources. And, in fact, the wikipedia entry is a very good overview of the subject...

Plastic Surgery: Nipples after reduction, Breast Reduction, Scars
Breast Reduction, Scars, Nipples: Hi Kris, There s more about breast reductions at www.bodysculpture.com. It s hard for me to tell what s going on and I have to admit that it does not sound completely normal to me. First of all, it is unusual not to have an incision connecting the...

Plastic Surgery: nose surgery, bodysculpture, committing suicide
bodysculpture, committing suicide, nose job: Hi Jabeen, First of all, this is not the appropriate forum for a psychiatric - or any other - emergency, but I felt compelled to write to you. You need to have your son seen IMMEDIATELY by a psychiatrist to assess him, and make sure he does not do harm...

Plastic Surgery: plastic,weight loss, natural elasticity, effective diet
natural elasticity, effective diet, massive body: Age related changes on face( & other parts of body) depend on the age.If you are young the natural elasticity helps in better remodeling & minimal laxity of tissues. As the age advances the lack of elasticity & effect of gravity on skin causes it loosely hang....

Plastic Surgery: post op abdominoplasty pain, light weights, burning sensation
light weights, burning sensation, muscle pull: Hi Debbie, There s more about TT s at my site, www.bodysculpture.com. There is, of course, no way for me to know for sure, but it s very common to have all sorts of pains such as these during the recovery from surgery. And a TT is, after all, a relatively...

Plastic Surgery: premature baby's uneven ears, mechanical signals, c shape
mechanical signals, c shape, premature baby: The theory behind orthodontics and any other method that involves splintage works on the principle that tissue growth responds to local remodeling mechanical signals and also the local tissue receives signals from the adjacent to help it grow into a shape...

Plastic Surgery: Rhinoplasty Changes - When IsToo Late?, nose, rhinoplasty
nose, rhinoplasty, consultation: I would think that the more time you can give your surgeon the better. Last minute changes often raise the question of how serious they are, and whether or not there would be another last-minute change back to the original plan. Once you ve made your decision...

Plastic Surgery: Rhinoplasty recovery&side-effects, facial movements, rhinoplasty
facial movements, rhinoplasty, pout: I cannot, of course, make any judgements on patients who are not mine. Swelling around the nose can cause some difficulty with motion around the mouth/face. However, I suggest you discuss this with your surgeon immediately to make sure there not any unusual...

Plastic Surgery: Rhinoplasy Changes- When is it to late, plastic surgeon, consultation
plastic surgeon, consultation: I cannot tell you how your surgeon should practice; he/she may have his/her own rules. However, I can tell you that I am open to discuss such changes (within reason) up to the day of surgery. Of course, it is preferable to have a solid plan at your last...

Plastic Surgery: radiesse, Radiesse, Fillers
Radiesse, Fillers, Restylane: Hi Michelle, There s more about fillers at my site, www.bodysculpture.com. Bruises are basically a small amount of bleeding beneath the skin that has come to the surface. But where that blood comes to the surface is not necessarily where it originated....

Plastic Surgery: reducing/removing old scars, cigarette burns, ugly scars
cigarette burns, ugly scars, old scars: I do not know of anybody who specialize in this as fortunately there is not a lot of work of this type that needs to be done. Also as someone said, The results are not spectacular . Please go to www.plasticsurgery.org and locate surgeons in your geographic...

Plastic Surgery: seroma, wound healing, seroma
wound healing, seroma, nutrition: Hi S, There s more about tummy tucks (if that s what you had) at www.bodysculpture.com. It can take a while for these things to heal up - like several weeks to months, depending on how big and deep they are. But they almost always do heal up on...

Plastic Surgery: stretchmarks, plastic surgery procedure, leaving scars
plastic surgery procedure, leaving scars, bodysculpture: Hi Tamika, The only way I know of to permanently address stretch marks is to remove them surgically. That would be a tummy tuck, for those that are on the abdomen, and there are other procedures for other areas (though they risk leaving scars that are...

Plastic Surgery: Tummy Tuck, Tummy Tuck, Hiatal Hernia
Tummy Tuck, Hiatal Hernia, Gastritis: Hi Christina, There s more about tummy tucks at my site, www.bodysculpture.com. It is certainly possible that a tummy tuck could affect some of the issues you ve mentioned, but a lot depends on how severe the problems are, how extensive a procedure you...

Plastic Surgery: Tummy Tuck, tummy tuck, blood clot
tummy tuck, blood clot, swelling: Hi Christine, I m very concerned about the two main issues and, in particular, the fact that your right leg is twice the size of the left. If true, this is not normal. I understand that your Doppler was negative but, if there is a blood clot, it could...

Plastic Surgery: Tummy Tuck too tight, Tummy Tuck, Scar Tissue
Tummy Tuck, Scar Tissue, Tightness: Hi Collette, There s more about tummy tucks at www.bodysculpture.com. This is an unusual complaint after a tummy tuck; if anything, it s usually that things are not tight enough. So I would need to ask you if your body has changed since your TT? ...

Plastic Surgery: Tummy tuck, Tummy tuck, recovery
Tummy tuck, recovery, muscle tightening: Hi Joanna, There s lots more about tummy tucks at my site, www.bodysculpture.com. The vast majority of tummy tucks proceed with no, or only minimal, problems of any kind, and most patients are very happy with them. The procedure, as with any other,...

Plastic Surgery: Tummy tuck, prolene, ethibond
prolene, ethibond, diastasis: In my experience, the repair is done as a part of most tummy tucks, either because it s clearly indicated on its own, or because, even if not, it will often enhance the final result. There are cases, however, where it is not done; particularly if there...

Plastic Surgery: tummy tuck, Tummy Tuck, Bloating
Tummy Tuck, Bloating, plastic surgery: Hi Janet, There s more about tummy tucks at my site, www.bodysculpture.com. I m assuming that these symptoms are new; ie, you never had them before the tummy tuck. But I m a little surprised to hear of such significant problems. Many things can occur...

Plastic Surgery: tummy tuck complications, shape patch, seroma
shape patch, seroma, big bulge: Hi Cindy, I m not sure what else I can say...if it s a small amount of fluid, the body will just absorb it. But if it s a large amoutn - and it sounds like it might be from what you describe - then it really needs to come out. Hopefully your PS will...

Plastic Surgery: Not wearing a compression garment after tummy tuck surgery, Tummy Tuck, Compression Garment
Tummy Tuck, Compression Garment, Engler: Hi Cristy, There s more about tummy tucks at my site, www.bodysculpture.com. This is obviously a matter of personal preference on the part of the surgeon. I normally recommend gentle compression for up to six weeks, as I find that it is much more comfortable...

Plastic Surgery: Ab etching, Abdominal etching, Liposuction
Abdominal etching, Liposuction: Abdominal etching is a procedure to perform liposuction to create the appearance of the six pack of the abdominal muscles. I do not know the fees in Canada but in the US the range of fees is $ 2500 to $ 5500 for the surgeon; anesthesia and facility fees...

Plastic Surgery: Breast Reconstruction, Breast Implant, Capsule
Breast Implant, Capsule, Cohesive Gel: Hi Deborah, I m obviously sorry for the problems you re having. It sounds like this is a capsular contracture and when this occurs it can typically be exactly like you describe - painful, distorted, etc. There are two general approaches, but neither...

Plastic Surgery: Breast Reduction Concern, breast tissue, breast reduction
breast tissue, breast reduction, incision: Hi Katelyn, I feel that it really does not make that much difference when the tape is taken off. The breast tissue bubbling out is probably not normal and I would have your surgeon take a look at it and see what they rec. Thanks for your question....

Plastic Surgery: Breast reduction, Breast Reduction, Breast Weight
Breast Reduction, Breast Weight, volume: Hi Shannon, There s more about breast reduction at www.bodysculpture.com. Depending on one s body size it s about 200-250 grams of tissue per bra cup size. But it s less for women who are petite and more for women who are large and, anyway, the weight...

Plastic Surgery: Breast reduction, Breast Reduction, Insurance requirements
Breast Reduction, Insurance requirements, Engler: Hi Tina, There s more about breast reductions at www.bodysculpture.com. Each insurance company is different so you would have to have your plastic surgeon contact your insurance company and see what their criteria are. I have worked with companies that...

Plastic Surgery: breast augmentation after breastfeeding, breast augmentation, breast implants
breast augmentation, breast implants, milk duct: You say, I can barely get any milk out . I would like to hear, I can not get any milk out . With the TUBA procedure the need to cut across milk ducts is zero. With the Trans-Axillary procedure, which I believe to be even a much better procedure, the risk...

Plastic Surgery: breast reduction and insurance, Weight of breast tissue removed as condition of insurance coverage
Weight of breast tissue removed as condition of insurance coverage: If surgery had been pre-authorized and a certain minimum amount of breast tissue had been specified to be removed as a condition of coverage then it is very likely that the hospital and all the other providers will be paid. The insurance company is probably...

Plastic Surgery: breast reductions, Breast Reduction, Nipple
Breast Reduction, Nipple, Areola: Hi Katherine, There s more about breast reductions at www.bodysculpture.com. If you mean the areola, which is actually the darker-pigmented area AROUND the nipple itself, then that is almost always reduced, or can be, during a breast reduction. You...

Plastic Surgery: breat pain, Breast Implants, Pain
Breast Implants, Pain, Boob job: Hi Alex, There s more about breast implants at www.bodysculpture.com. You should, of course, speak with your plastic surgeon or someone who can see you in person to discuss these problems. Rippling is caused, in general, by any and all of the following:...

Plastic Surgery: Cheek implants,,side effects?, cheek implants, eye spasms
cheek implants, eye spasms, bodysculpture: Hi Michael, I cannot, of course, say for sure what is causing your symptoms; you d need to see your PS for a checkup. But it does not sound like either of the things you talk about are necessarily related to the implants. Implants can become infected,...

Plastic Surgery: Chin Implant, Chin Implants, tissue ingrowth
Chin Implants, tissue ingrowth, Engler: Hi Nate, I ve enclosed below some information about Medpor Implants below, but you can see that one of the benefits of this implant is that it allows tissue ingrowth. This, however, is a double-edged sword and that level of tissue ingrowth is likely to...

Plastic Surgery: Clotting after a tummy tuck, Tummy Tuck, Drainage
Tummy Tuck, Drainage, Scar: Hi Nadine, There s more about tummy tucks at www.bodysculpture.com. It is not unheard of to have some delayed drainage of blood and/or serous fluid after this, or many other, surgical procedures. The first issue is to get the fluid out, which is sounds...

Plastic Surgery: c-section, Scar, Tummy Tuck
Scar, Tummy Tuck, Revision: Hi Val, There s more about tummy tucks, etc., at www.bodysculpture.com. This does make sense and I have heard of it. That s the good news. The bad news is that it can be more difficult to accomplish this than it is to describe it. More specifically,...

Plastic Surgery: c-section, flat stomach, extra skin
flat stomach, extra skin, invasive procedure: Hello, Either this procedure can help you which has been suggested to you or another less invasive procedure will be subcision ( closed cutting of subcutaneous fibrous strands under the scar using 18 FG needle) and Fat injection should help you. Best of...

Plastic Surgery: Deep puncture wound..scarring, soft tissue coverage, motorcycle accident
soft tissue coverage, motorcycle accident, substantial manner: Hi Evan, It s hard for me to tell but you may have to wait several months for it to heal, at which point things can often be done to improve the appearance of a defect such as you re describing. A lot, of course, depends on exactly how bad it is once it...

Plastic Surgery: dissolvable stiches after plastic surgery, sutures, stitiches
sutures, stitiches, dissolvable: Hi Becky, There s more about plastic surgery at www.bodysculpture.com. There are many different types of dissolvable sutures. Most of the ones that are placed deep under the skin taken many weeks or months to dissolve; those that are placed more superficially...

Plastic Surgery: double chin, buccal fat pad, lipodissolve
buccal fat pad, lipodissolve, double chin: The best way to reduce the double chin is Liposuction. The results are wonderful, procedure is single sitting, finishes within 30-45 minutes & is done under local anesthesia. Other procedure like mesotherapy for lipodissolve takes multiple sittings ( upto...

Plastic Surgery: EYELID SURGERY PROBLEMS, conjunctiva, steriod
conjunctiva, steriod, eyelid surgery: I cannot give you an opinion on your individual situation without an exam. There are many reasons for irritation of the conjunctiva after blepharoplasty. Most of the time these issues resolve. If you are still having trouble, ask your doctor for an ophthalmologist...

Plastic Surgery: Facial cyst, term cyst, left cheek
term cyst, left cheek, maxillofacial surgeon: The term cyst is somewhat ambiguous. The approach to use depends on the depth of the cyst, its location, and the type of cyst. Without examining you, I cannot comment on this. Regarding who is best to do this, the most important issue is experience...

Plastic Surgery: Lowering the eyebrows and nose job limitations, brow bone, sex changes
Plastic Surgery: Lowering the eyebrows and nose job limitations, brow bone, sex changes, prescription medicine

Plastic Surgery: Pregnancy after a tummy tuck, tummy tucks, tummy tuck
Plastic Surgery: Pregnancy after a tummy tuck, tummy tucks, tummy tuck, mesh

Plastic Surgery: face, diamond wire, farbod
diamond wire, farbod, plastic surgeon: Hi there Jeannie, I am assuming that you have perioral (around the mouth) dermabrasion. Correct me if I am incorrect, but 3 weeks is still fairly early for this type of surgery. There may at times be some irregularities that will smooth out over time....

Plastic Surgery: feel bloated few years after the tommy tuck, Tummy tuck, weight gain
Tummy tuck, weight gain, bloated: Hi Sedi, There s more about tummy tucks at www.bodysculpture.com. As you ve probably been able to tell from my previous answers, I would guess that the feeling is due more to the weight you ve gained since your surgery than to the scar tissue, though...

Plastic Surgery: fiber optic shards in my skin, glass fibers, vital structures
glass fibers, vital structures, foreign bodies: You are right silica, silicone are the least bio-reactive materials available. Encapsulation of foreign bodies is the rule. Or Migration along the lines of least resistance. Most such foreign bodies become encapsulated or migrate to the surface and the abraded...

Plastic Surgery: fluid build-up post breast reduction surgery, breast reduction surgery, breast reductions
breast reduction surgery, breast reductions, breast reduction: Hi Janet, There s more about breast reductions at www.bodysculpture.com. It depends on what s causing your discomfort. If you still have fluid in there (meaning with the surgical spaces, rather than spread diffusely throughout the tissues) then it should...

Plastic Surgery: gynocomastia, Gynecomastic, Breast Reduction
Gynecomastic, Breast Reduction, Liposuction: Hi Mike, There s more about lipo at www.bodysculpture.com. Gynecomastia can be treated very effectively with liposuction. In general, there more fat there is (versus firmer, breast tissue) and the tighter the skin is, the better the result is likely...

Plastic Surgery: health issues, medical clearance for plastic surgery, Engler
medical clearance for plastic surgery, Engler, new york: Hi Jasmine, In general, a patient should be in a medical condition that is appropriate for the proposed procedure. That means that the more significant the procedure is (duration, blood loss fluid shifts, etc) the greater the preoperative scrutiny should...

Plastic Surgery: Ibuprofen five days prior to surgery?, bodysculpture, tonsillectomy
bodysculpture, tonsillectomy, advil: Hi Chris, I advise patients not to take ibuprofen (or similar medications) for at least two weeks before surgery and we recommend three. I am not comfortable with increasing, however slightly or hypothetically, the risk of bleeding in such a case. You...

Plastic Surgery: implant revision, desirable results, dr laurence
desirable results, dr laurence, gsk: You have seen the New England s Best. Sometimes surgery does produce not desirable results. It more agonizing to figure out wheat could have been done differently but it is much more peaceful to move on focus on to the solution. Please send me your photos...

Plastic Surgery: LOWER LID BLEPH, farbod, brusing
farbod, brusing, lid surgery: I am not sure exactly where the wrinkling is, but I would listen to your surgeon. It is way to early to make any comments as to what your final outcome will be. I would sit tight at this point and wait it out to see what happens in and around 6 weeks...

Plastic Surgery: Lowering the eyebrows and nose job limitations, brow bone, hair transplants
brow bone, hair transplants, farbod: I have not heard of that but I would assume that a surgeon would be able to build up the brow ridge. Now you have to find someone who is willing to do this. You may want to try a Craniofacial Plastic Surgeon. That is all I can think about. Good luck....

Plastic Surgery: Menstruation after mommy make-over, urine pregnancy test, menstrual cycles
urine pregnancy test, menstrual cycles, last period: Hi Vikki, There s more about these procedures at www.bodysculpture.com. Yes, it s very common for the menstrual cycles to be thrown off their usual time frames, both before and after surgery. I would not necessarily worry about that. On the other...

Plastic Surgery: Nose job limitations, bodysculpture, nose job
bodysculpture, nose job, subtle changes: Alex, I have seen many different results of rhinoplasty and I would not say that only subtle changes can be made; in fact, I ve seen some unbelievably dramatic changes made. Some parts of the nose can typically be changed more easily than others (the upper...

Plastic Surgery: Porex Chin Implant, porous nature, chin implant
porous nature, chin implant, distension: It is easy to remove Porex implants. Some tissue in growth takes place because of the porous nature of the implant but usually it can be dissected out and removed. You should consult your surgeon soon if you wish to have the implant removed as earlier the...

Plastic Surgery: Pregnancy after a tummy tuck, tummy tuck, flatness
tummy tuck, flatness, shay: Thanks for the questions Shay. In general, there is not any mesh placed during a tummy tuck. The layer over the muscles called the fascia is plicated (sutured together) to provide the flatness to the abdomen. If you have a tummy tuck and later get pregnant...

Plastic Surgery: RESTYLANE INJECTIONS, bags under my eyes, dark circles
bags under my eyes, dark circles, restylane injections: It sounds like you had a large amount of restylane injected under each eye....I am not making a judgement on the volume, as it may have been appropriate, but rather that it may indeed cause the swelling to last longer. The other possibility is that it is...

Plastic Surgery: Rhinoplasty with a local and sedation, local anaesthetic with sedation, general anaesthetic
local anaesthetic with sedation, general anaesthetic, general anesthesia: Hi Spiros, There s more about rhinoplasty at www.bodysculpture.com. The type of anesthesia used is generally a matter of the surgeon s preference, and what is most practical/usual/normal for him or her but should not, in my opinion, affect the outcome....

Plastic Surgery: serious problems after rhinoplasty, farbod, plastic surgeon
farbod, plastic surgeon, rhinoplasty: Bogdan, I assume the swelling you are talking about is external. It usually takes about 1 year before the healing is complete. You may have swelling that comes and goes. It all depends on how much swelling you are talking about. It should not be as...

Plastic Surgery: smart lipo and liposuction, Liposuction, lumps
Liposuction, lumps, irregularities: Hi Chris, Lipo is a huge topic that I cannot adequately address in a short email response, so I ve attached below the information that is on my site, www.bodysculpture.com. You can go there to see photos. Lumpiness is a possibility after lipo but is probably...

Plastic Surgery: surgery, scar revision, healing properties
scar revision, healing properties, final result: The scar can be improved by scar revision, but the final result of the procedure depends on the direction of scar, it s position & your healing properties. Even after scar revision there may be swelling for few months & your doctor may give you scar modulating...

Plastic Surgery: Tummt Tuck, drain holes, lypo
drain holes, lypo, bodysculpture: Hi Chris, 1) I m not sure what this incision is with respect to a tummy tuck, but it is common for edges to be irregular at this point. You ll need to wait several weeks to months to see its final result 2) I m a fan of drains. They should stay in...

Plastic Surgery: Tummy Tuck Procedure, Tummy Tuck, Scar Tissue
Tummy Tuck, Scar Tissue, Lumps: Hi Diane, There s more about tummy tucks at www.bodysculpture.com. Numbness can persist for up to two years and, in some cases, can even be permanent. Fortunately, the areas involved tend to be relatively less important from a sensation standpoint than...

Plastic Surgery: Tummy Tuck Results, lypo, hi chris
lypo, hi chris, bandaid: Hi Chris, There s more about tummy tucks and lipo at www.bodysculpture.com. You will obviously need to talk to your PS about these issues but it is actually pretty common in my experience for one side (of anything!) to heal slightly differently from...

Plastic Surgery: Tummy tuck incision opening up, tummy tuck, incision
tummy tuck, incision, open: Hi Natalie, There s more about tummy tucks at www.bodysculpture.com. It s a little late for this to be happening but it s not at all uncommon for areas of the incision from a tummy tuck (as well as some other procedurers) to open up and for some fluid...

Plastic Surgery: upper back, base of the neck fat, liposuction, skin
liposuction, skin, Engler: Hi Emily, There s more about lipo at www.bodysculpture.com. In general, the success of lipo depends on both the amount of fat in the region in question, and the ability of the skin that s left behind to contract (shrink) down to an acceptable position....

Plastic Surgery: Vasectomy and sinus infection, sinus infection, theoretical risk
sinus infection, theoretical risk, elective procedure: Hi Liz, I cannot, of course, speak for his surgeon (whom you should contact to discuss this) but, in general, an elective procedure should not be done in the face of more than the most minor medical issue. A lot will depend on how sick he is, how long...

Plastic Surgery: Vaser Liposelection Woes, honest opinion, bulges
honest opinion, bulges, redone: Hi Loni, This is a difficult situation and I don t know that I can advise you fairly via this medium. First of all, though, revision policies vary widely from office to office. Most surgeons want their patients to be happy and to get the results everyone...

Plastic Surgery: abdominoplasty, brachioplasty, brachioplasty, surgical risk
brachioplasty, surgical risk, bodysculpture: Hi Cheri, First of all, congrats on the weight loss. That is very impressive, and you can and should be proud of that. I would generally prefer to split these into two procedures. Doing a full abdominoplasty and bilateral brachioplasties is a lot of...

Plastic Surgery: Bodylift, weight loss, skin
weight loss, skin, rubbing: Hi Robin, There s more at www.bodysculpture.com. First of all, congrats on the weight loss. This is truly wonderful, and I give you a lot of credit for accomplishing what you have so far. Nicely done. Unfortunately, I don t know of a way to address...

Plastic Surgery: Breast augmentation, alan m engler, breast augmentation surgery
alan m engler, breast augmentation surgery, breast implants: Hi Racheal, There s more about breast implants at www.bodysculpture.com. I generally prefer smooth, round implants as I feel that they are the softest and look most natural in all positions. The concern with the anatomicals shifting their position is...

Plastic Surgery: Breast Implants, Ethics in medicine.
Ethics in medicine.: Nothing that you do not wish has to happen to you in this scenario. There are adequate number of female plastic surgeons, nurses etc that exposure of your covered body parts to any other male can be avoided. What you need to do is to select a female plastic...

Plastic Surgery: Breast Implants, best plastic surgeon, breast implants
best plastic surgeon, breast implants, male doctor: That will be difficult order as there are nurses, scrub tech, and anesthesiologis in the room. So it is possible that one of those may be a male even if your doctor is a female. What I rec. you focus on is finding the best plastic surgeon, whether male or...

Plastic Surgery: Breast Implants & Full Tummy tuck, abdominal binder, scar healing
abdominal binder, scar healing, breast implants: Hi there Margaret, Most doctors that I know of in the U.S. apply an abdominal binder to the area for the first 6 weeks to help with the swelling. The swelling using doesnt get very bad in the cases that I have done. the patients have some swelling at 6...

Plastic Surgery: Breast lift, e mail address, fat necrosis
e mail address, fat necrosis, allexperts: Your doctor most probably is right because he has seen you regularly since the day of surgery and his/her follow up is very important. He is a great doctor and you should see him fore frequently to make sure it is treated correctly. Sometime fat necrosis may...

Plastic Surgery: Breast Reconstruction Revision, latissimus dorsi flap, diep flap
latissimus dorsi flap, diep flap, flap procedure: Hi Gerri, This is, in fact, a hard situation for me to make a suggestion, but would you consider an abdominal flap rather than the LD and implant? There are several different types, most recently a DIEP flap, that can provide bulk. You may or may not...

Plastic Surgery: breast augmentation, silicone gel breast implants, saline implants
silicone gel breast implants, saline implants, autoimmune: Hi Jacque, To the extent that this occurs, which is somewhat debatable and, at any rate, rare, it is felt to be due to silicone. However, saline implants have silicone shells, so in severe cases even those would not be advisable. This phenomenon was,...

Plastic Surgery: breast augmention, breast implants, reoperation
breast implants, reoperation, revision: Hi Lorraine, There s more about breast implants at www.bodysculpture.com. There s no absolute answer to what you re asking but I would, in general, defer an elective reoperation for breast implants until AT LEAST 3 months postoperatively and probably...

Plastic Surgery: Left breast higher than right, Breast implants, asymmetry
Breast implants, asymmetry, Engler: Hi Cyn, There s more about breast implants at www.bodysculpture.com. Each case is different, of course, but, in general, it depends on how large the implant is and how tight your skin was. In other words, the tighter the skin is, the longer you need...

Plastic Surgery: breast implant revision, saline implants, breast implants
saline implants, breast implants, breast implant: Hi Kristina, You could go down a bit on the size, but in general since you have breast fed and had 3 children the likelyhood is that you will prob need a lift to get the optimal result. When you do go smaller there is a tendency for the skin to droop more...

Plastic Surgery: breast reduction, breast implant removal, sagging breasts
breast implant removal, sagging breasts, breast lift: Cost factor differs from country to country. You can check the charges for the procedure in your country on net. You need a breast implant removal & breast lift(mastopexy) for sagging breasts & the average charges in US for them would be around USD 8500(including...

Plastic Surgery: breasts, breast implants, glandular tissue
breast implants, glandular tissue, breast feeding: Hi there Ashleigh. That is a very good question. One I get asked all the time by my patients. It really depends how much weight we are talking about. The breast is roughly 50 percent fat and 50 percent glandular tissue. The fat would be what you would...

Plastic Surgery: bumpy nose, surgical option, nose surgery
surgical option, nose surgery, bump: My question would be did you have any nose surgery before? Also, did you break your nose. I dont know if it is broken, you have to tell me if you have been hit in the nose before or had any trauma. But in general, in order to straighten your nose or to...

Plastic Surgery: chin sugery, sliding genioplasty, vertical length
sliding genioplasty, vertical length, vertical direction: A sliding genioplasty simply moves the chin forward and will give a stronger chin. By longer, I am not sure exactly what you mean. If you mean does it give you length in the vertical direction, just sliding forward it will not. Only if you do it at an angle...

Plastic Surgery: complications tummy tuck, stomach area, bodysculpture
stomach area, bodysculpture, kerby: Hi Kerby, I m sorry about the problems you re having. You first need to make sure that everything s okay from the standpoint of the tummy tuck. I m assuming you ve talked to your PS; you may want to get another opinion (you can find a surgeon at surgery.org)....

Plastic Surgery: DOG EARS, Dog ears after breast reduction or abdominoplasty
Dog ears after breast reduction or abdominoplasty: These are areas of fullness on the sides of the chest. They can result after breast reduction surgery. Once the breasts have been reduced these areas dog ears need to be reduced by excision or liposuction or a combination of the two techniques. Depending...

Plastic Surgery: Feedback for your reply, answer homework questions, homework question
answer homework questions, homework question, kind stranger: I certainly did not mean to insult or upset you. But the intent of this site, as I understand it, is to address specific plastic surgery questions, as you can see from previous questions. Patients, for example, who are having problems after procedures,...

Plastic Surgery: Back fat vs. extra tissue, poor posture, bodysculpture
poor posture, bodysculpture, extra skin: Hi Larissa, Unfortunately, I do not know of any way to get rid of excess skin from the back aside from actually removing it surgically (ie, cutting it out/off) which would, of course, leave a scar. It s true that there are advances all the time, but I...

Plastic Surgery: hardness? Seroma?, Fat necrosis abdominoplasty
Fat necrosis abdominoplasty: Thank you for writing to me. Your surgeon is right. It is not a big deal. It is an area of sterile fat necrosis, where some fat has died and the body has converted this into a hard mass. It is not cancer and it is truly not a growth. It was not there before...

Plastic Surgery: IMG Trouble, plastic surgery program, miami jackson memorial
plastic surgery program, miami jackson memorial, usmle steps: Alberto, Thanks for the email. The first thing is to ace USMLE Step 1 and Step 2. Then place your self into a general surgery program in the U.S. It will be very difficult to get into a 3+3 plastic surgery program as they are very tough to get into....

Plastic Surgery: Lipo suction lumps, Liposuction, lumps
Liposuction, lumps, irregularities: Hi Karen, There s more about lipo at www.bodysculpture.com. It is hard for me to assess you specifically without seeing you in person, of course, but lumps and irregularities can be an unfortunate consequence of liposuction. A lot depends on what your...

Plastic Surgery: large seroma 8 mo po, Pseudobursa, scar tissue
Pseudobursa, scar tissue, seroma: Hi Rachel, Needless to say, I am so sorry for everything you ve had to go through, to put it mildly. I don t have extensive experience with this particular issue as it is a little outside my area of expertise. However, as far as I understand, the last...

Plastic Surgery: lower bleph surgery, juvederm, lower bleph
juvederm, lower bleph, conservative approaches: In general, at least in my hands, fat injections are temporary. I feel that fat injection in the tear trough is a bit risky because the skin is very thin and you may get areas that a lumpy. Other surgeons may feel that they can accomplish a longer lasting...

Plastic Surgery: lower eyelid surgery, lower eyelid surgery, creppy
lower eyelid surgery, creppy, bodysculpture: Hi Chi, We recommend two products: Renova, which is a preparation that contains a version of Retin-A, and Revaleskin, a line of products that contain, among other things, coffeeberry, which is a strong anti-oxidant. Renova requires a prescription, and...

Plastic Surgery: massage after breast reduction, student massage, breast reductions
student massage, breast reductions, breast reduction: Hi Robin There s more about breast reductions at www.bodysculpture.com. Assuming you are not going to be massaging directly on the surgical site(s), I would think that a general massage should be okay once the patient feels well enough to tolerate the...

Plastic Surgery: Naval piercing scar, navel piercings, noticeable one
navel piercings, noticeable one, bodysculpture: Hi Anna, At the risk of sounding prudish, this is one of those situations that makes me warn people against getting navel piercings unless they think they ll always want it - which is hard to be sure of. It is actually very difficult to get rid of...

Plastic Surgery: NEW PROCEDURES - FILLERS, Scar Revision, Laser
Scar Revision, Laser, Fillers: Hi Ken, There s more about these procedures at www.bodysculpture.com. Almost by definition, and old deep scar will probably need to undergo traditional surgery - rather than the modalities you mentioned - in order to get any significant degree of improvement....

Plastic Surgery: Post Tummy Tuck Questions, tummy tuck, scars
tummy tuck, scars, dogears: Hi Chris, There s more about tummy tucks at www.bodysculpture.com. Those are, in fact, the famous dog ears, and they can still go away. I usually wait at least 3 months, and preferably more like 6, before trying to do anything about them. That, though,...

Plastic Surgery: post surgery - eyes, tummy, scar tissue/ fibrosis/ fluid, plastic surgery service, yucca valley california
plastic surgery service, yucca valley california, tissue fibrosis: Hi Angela, A lot of that depends on exactly what has to be done. I m obviously concerned that you re having these problems at such an early stage, and you should, of course, be discussing this with your surgeon. However, once you re back in this country...

Plastic Surgery: pubic liposuction issues, Lipo, Laser-lipo
Lipo, Laser-lipo, pubic: Hi Jen, I m sorry for the problems you re having. I think there are two issues here: (1) Swelling post-liposuction and (2) Skin loss with a scab. I ll start with the swelling because it s a little simpler. In general, swelling post-liposuction can...

Plastic Surgery: Rhinoplasty and post-nasal drip, post nasal drip, conjestion
post nasal drip, conjestion, nasal airway: You have a good surgeon and you trust him. Three weeks too early to become concerned. Yes normally at three weeks even though it would not be fully healed on the inside most people experience significant improvement in their nasal airway. Please give it time....

Plastic Surgery: Rhinoplasty recovery symptom, nose, rhinoplasty
nose, rhinoplasty, swelling: Hi Linda, The firmness at the tip is swelling; it will go away as the swelling dissipates. It is unlikely that you will damage your nose by hugging. However, you will have to wait several months - sometimes up to a year or more - for all of the swelling...

Plastic Surgery: Seroma Tummy Tuck, seroma, fluid
seroma, fluid, tummy tuck: Hi Mo, There s more about tummy tucks at www.bodysculpture.com. I advise my patients not to start exercise for 3 weeks after any surgery so I think you started too soon, and should certainly not have walked 1.6 miles, even though it was for a noble cause....

Plastic Surgery: scar, flat warts, scab
flat warts, scab, deep hole: hi Eugene, Unfortunately it is difficult to predict wound healing since everyone is very different and everyone heals differently. The wounds do tend to fill in over time and become fairly level. But I can not speculate to how deep your wound in particular...

Plastic Surgery: smart lipo and/or tumescent liposuction, deep vein thrombosis, mild chest discomfort
deep vein thrombosis, mild chest discomfort, smart lipo: Hi Chris, There s lots more about lipo at www.bodysculpture.com. 1) I am unaware of any long-term side effects related to lipo. By that I assume you mean that once you re recovered from the surgery itself (let s say 6-12 months), you want to know if...

Plastic Surgery: staining, Birthmark, Hemangioma
Birthmark, Hemangioma, vascular malformation: Please go to www.plasticsurgery.org and click on find a doctor . From your description it appears that your daughter has a vascular birthmark, also called a hemangioma. Many of these regress by themselves. The web site I have referred you to is that of The...

Plastic Surgery: stitch in the face, crush injury, bodysculpture
crush injury, bodysculpture, sutures: HI Dr. Salah, The hallmarks of minimal scarring include: 1) an atraumatic wound - if it is the result of a crush injury, you should try to debride the edges sharply 2) minimal tension on the skin - this means the surrounding tissue may nee to be undermined...

Plastic Surgery: Tummy tuck wounds, pubic area, umbilicus
pubic area, umbilicus, tummy tuck: Hi Deborah, Sorry to hear about your unfortunate complication. My questions would be: Is the doctor not seeing you any more (I figure you dont live in Santo Domingo)?, are you a smoker, are you leaking fluid from the umbilicus or the incision or both,...

Plastic Surgery: tear troughs, lower eyelid surgery, minimal surgery
lower eyelid surgery, minimal surgery, photographic results: Erin, Exactly what needs to be done depends on the specific anatomy but, in general, it would require lifting up a pretty good amount of the skin of the upper face (from the hairline to just under the eyes) and elevating it. Once there, the tissues are...

Plastic Surgery: tummy tuck complications, Wound healing, abdominoplasty
Wound healing, abdominoplasty, tummy tuck: Hi Stacy, I m sorry for the problems you re having. Wound healing complications are, fortunately, rare, but they can occur, and when they do, they can be disabling and discouraging. The good news is that most of them heal pretty well eventually....

Plastic Surgery: Uneven breast after surgery, uneven breast, breast implants
uneven breast, breast implants, breast surgery: Hi Tisha, Given that you are couple of weeks out, you are very early. I generally wait until about 4 months before I can comment on any breast surgery I have done. It takes that long for everything to settle and you would be surprised at how much things...

Plastic Surgery: White Mole attached to lip, facial reconstruction, clint eastwood
facial reconstruction, clint eastwood, exact place: Can you please mention the size of the mole & the exact place on the lip where it is situated. Go for excision only if it is rapidly increasing in size or it looks really bad(Remember the mole on upper lip of clint eastwood adds to his charm). Scar will always...

Plastic Surgery: wrinkles from the corners of my mouth, collagen injections, nip tuck
collagen injections, nip tuck, bodysculpture: Hi Tia, Unfortunately, it s very hard to get rid of these lines permanently, regardless of what you do. They form as a result of years of muscle use (eating, talking, etc) and sun exposure. It requires a relatively deep peel or other resurfacing procedure...

Plastic Surgery: 3 months post Tummy Tuck, excess skin, tummy tuck
excess skin, tummy tuck, incision: Dog ears happen because there is excess skin left over. We sometimes leave them because they may settle which means that the shorter your incision is going to be. But other times we have to excise them postoperatively. Not going to change things much other...

Plastic Surgery: 3rd Tummy Tuck, Seroma, drains
Seroma, drains, tummy tuck: Hi Diana, There s more about tummy tucks at www.bodysculpture.com. There is often more than one way to do things, but I have become a firm believer in the use of drains once fluid reaccumulates after any of a variety of procedures, including liposuction...

Plastic Surgery: ab workout vs tummy tuck, Tummy tuck, abdominoplasty
Tummy tuck, abdominoplasty, loose stretched skin: With exercises such as ab workouts only the muscles will tone up. To get rid of the stretched skin that has not returned to normal after 6 months to a year after delivery is very unlikely to resolve by itself. It is only with a tummy tuck that you will be...

Plastic Surgery: abdominal seroma, upper abdomen, antibiotic solution
upper abdomen, antibiotic solution, scar tissue: Hi: Yes, I know if case in which it has worked. And, yes, I would give it longer before doing the surgery. I would think that 3 months might be a better time, since it takes a while for these things to settle down. That being said, it is very difficut...

Plastic Surgery: Breast implants, Breast implants, capsules
Breast implants, capsules, hard breasts: Hi Emma, There s lots more about breast implants at www.bodysculpture.com. I m obviously sorry for the problems you re having. It sounds like you ve developed some scar tissue around the implant, which is referred to as a capsule or hard breast....

Plastic Surgery: Breast Lift with implant exchange, breast lift with implant, breast tissue
breast lift with implant, breast tissue, 4 months: You are rather earlier in the process. I generally say you have to wait about 4 months to be able to tell, as you have swelling and things need to settle. Having said that, going from a 325 to a 267 is not a big drop. I generally instruct my patient to...

Plastic Surgery: breast implant/lift complications, saline breast implants, saline implants
saline breast implants, saline implants, dr appt: Hi Amy, I m sorry for the problems you ve been having. It s hard to know for sure what will happen but the persistent presence of fluid, including blood and serous fluid (the yellow fluid) is believed to increase the likelihood that a hard capsule will...

Plastic Surgery: breast implants, saline implants, breast implants
saline implants, breast implants, breast lift: It takes about 4 months for the breasts to settle. Massage is very important during this time. The nipple not being circular may be the type of lift you had, but yes it can always be adjusted after everything as settled. Good luck, hope that helps...

Plastic Surgery: breast lift implant placement, aerobics instructor, breast lift
aerobics instructor, breast lift, risky operation: I dont think there is any reason. It is just a risky operation to do now. The surgeon has to be aware and careful as you have an increased risk for complications such as nipple necrosis. I would take caution and have little undermining. At this point with...

Plastic Surgery: breast reduction issue, breast reduction surgery, yellow mucus
breast reduction surgery, yellow mucus, left breast: Stacey, Thanks for the picture as it helps out a lot. You have some skin loss which is unfortunate. You just have to hold tight and have dressing changes and allow the wound to heal in by it self. I feel that allowing wounds like this to heal in by...

Plastic Surgery: breast reduction scars revision, Breast Reduction, Lift
Breast Reduction, Lift, Scars: Hi Diana, If only it were that simple! No one wants to have bad scars, and every plastic surgeon I know goes out of his/her way to make the final results as beautiful as possible. There s lots more about breast reductions at www.bodysculpture.com. ...

Plastic Surgery: butt implant rejection, Seroma, Butt implants
Seroma, Butt implants, Gluteal implants: At this stage cold is not going to help but it may not do harm, so if it feels comfortable continue to use the cold packs but if they are a nuisance and this factor is higher than the comfort then you may discontinue the cold packs. Compression does help...

Plastic Surgery: Consultation money, consultation fee, time interview
consultation fee, time interview, realistic expectations: It is very normal and reasonable that one pays for a service that one desires. You should visit as many plastic surgeons as you desire and if they wish to charge for their time and service, it is fair that they should tell you in advance that there would be...

Plastic Surgery: Consultation money, consultation fee, time interview
consultation fee, time interview, better hope: Our office does not charge for a consultation, but I do know there are offices that do. The consultation, no matter what you are asking is a consultation, so the doctors would charge you. You can look around and find an office that doesnt charge (we are...

Plastic Surgery: Crooked bottom lip, craniofacial center, triangular shape
craniofacial center, triangular shape, bodysculpture: Hi SAC, It is actually pretty common to have varying degrees of asymmetry and unless it is fairly extreme, it is not usually worth it to try to address it. That, of course, is a matter of personal opinion, and there s no right answer as to when or what...

Plastic Surgery: crunches after tummy tuck, wight lifting, heavy weights
wight lifting, heavy weights, scar tissue: As your doctor has thoroghly checked & found you out to be fit, there may be pain due to excessive strain on the muscles which have been tightened. After 6 months she can excercise but not heavy wight-lifting types. Just to be sure that there has been no breakdown...

Plastic Surgery: Dramatic nose changes, natalie portman, gabrielle union
natalie portman, gabrielle union, nose surgery: There is only so much that can be done. You should not imagine it being like some one else because that is unrealistic and you will be disappointed. You should have nose surgery only if you are unhappy enought with what you have that a change is not. Not...

Plastic Surgery: dramatic changes on the nose, Rhinoplasty, unrealistic expectations.
Rhinoplasty, unrealistic expectations.: I do not know who Gabrielle Union is and therefore do not know what her nose look like. Sorry for the ignorance. Generally it is unrealistic that when dramatic changes are planned and performed that either the patient is unrealistic and two that the surgeon...

Plastic Surgery: breast reduction issue, left breast, foul odor
Plastic Surgery: breast reduction issue, left breast, foul odor, young lady

Plastic Surgery: Crooked bottom lip, bottom lip, concealer
Plastic Surgery: Crooked bottom lip, bottom lip, concealer, knott

Plastic Surgery: fat deposit, outer thighs, bodysculpture
outer thighs, bodysculpture, sacrum: Hi Gayle, The bunny pad!! If I m correct, you re talking about an area of fat over the sacrum, which is the bone of the lower back just at the top of the rear end crack. If so, this is an area that I almost always SUGGEST that patients have reduced if...

Plastic Surgery: gynecosmastia surgery, Gynecomastia, Pneumonitis
Gynecomastia, Pneumonitis: Thank you for writing to me. You should mention this history or past condition to your surgeon much in advance of the surgery and also see your primary care physician or a pulmonologist for medical clearance. I always urge and err on the side of safety...

Plastic Surgery: Head Shape, Plagiocephaly
Plagiocephaly: Yes, surgical correction of such conditions is very routine at most medical centers, but most of the times we get these conditions refereed to us when the patient is still an infant. Please contact a major medical center in the area where you live and and...

Plastic Surgery: Hormones and Plastic Surgery, breast augmentation, steroid injections
breast augmentation, steroid injections, endocrinologist: Thank you for writing to me. I do not think that your surgery in any way is related to the hormonal condition. The latter has come to surface coincidently at around the same time. Nor do I think that the steroid injections are related as generally the amount...

Plastic Surgery: implant rippling, silicone gel, breast aug
silicone gel, breast aug, question thanks: Since the rippling occurs as a result of the thinness of the tissues and not as a result of surgeon error, correction is usually an additional expense for the patient. However, every surgeon has a different method of dealing with patients. If the patient is...

Plastic Surgery: Liposuction back and foreheadslift, skin elasticity, eyelid correction
skin elasticity, eyelid correction, liposculpting: You are correct, liposuction in patients that are older and already have loose skin is not always gratifying. It could result in more loose skin. As far as the forhead lift or browlift, it all depends how high your hairline is. If it is normal or low then...

Plastic Surgery: Lower face lift, co2 laser, face lifts
co2 laser, face lifts, incisions: Hi Leia, There s more about facelifts at www.bodysculpture.com. I have not heard of this procedure. Several years ago there were discussions of procedures performed via a small incision under the chin (including liposuction and internal CO2 laser, which...

Plastic Surgery: leg lengthening, stainless steel rings, taylor spatial frame
stainless steel rings, taylor spatial frame, specialised technique: The quick answer is yes. but it is a very disabling and also expensive procedure as health insurance does not cover it unless they can be persuaded that there is a medical necessity for the procedure. However, here is some information about the procedure....

Plastic Surgery: Mini Tuck and Hematoma/Seroma that won't drain, Hematoma, seroma
Hematoma, seroma, drains: Hi Courtney, I m sorry for the problems you re having. I can t say for sure but it sounds to me like you had some excess bleeding around the time of surgery. It s hard to say when that occurred, since you describe the swelling as having gotten worse...

Plastic Surgery: Mini-Tummy Tuck Hematoma/Possibly IUD Related?, birth controll pills, mirena iud
birth controll pills, mirena iud, birth control pills: I dont know much about Mirena IUD but my guess would be not it doesnt thin your blood, and birth controll pills do cause bleeding either. Things like aspirin, motrin and alieve are stuff to stay away from to decrease chances of bleeding after surgery. ...

Plastic Surgery: Orbital Dermoid Cyst, Dermoid cyst, surgical treatment
Dermoid cyst, surgical treatment, intracranial connections: Massage is helpful with some effects showing immediately but are transient and other effects of softening up of scar tissue are long term and much elbow grease.Other than what you are doing at this time I can not think of any other non invasive procedures....

Plastic Surgery: Post Drainage Hematoma Left Breast, seromas, pencil eraser
seromas, pencil eraser, left breast: It will take a few weeks for the swelling to subside, a bit longer than it would have originally. I am not sure what you mean by the seroma popping. Seromas dont usually pop. Do you mean a blister on the skin or are you talking about fluid inside the...

Plastic Surgery: paralysed lip, cheek implants, chin reduction
cheek implants, chin reduction, farbod: Not sure exactly what is going. You are pretty early in the recovery therefore swelling could be the reason what is going on, but it could also be that you may have had a nerve damaged. Again it is all too early to say what it is and if it will return. ...

Plastic Surgery: plastic surgery on a ladys chest, disfigurement, skin type
disfigurement, skin type, excision: Thank you for writing to me. It is most likely that an excision and revision of the scar will help reduce the disfigurement secondary to the scar. There a few other factors that I need to be considered such as skin type, heredity, previous experience with...

Plastic Surgery: problem, cystic lesions, burning sensation
cystic lesions, burning sensation, weeks of pregnancy: Hi Anna, I m sorry for the problems you re having. At six weeks of pregnancy you will, most likely, not find anyone who wants to do much of anything to you from an elective, plastic surgery standpoint. I suspect that you ll have to wait until after...

Plastic Surgery: propofol, reassurance, google
reassurance, google, new drug: Profol as you can google it is not a new drug. Has been around for some time. It will basically put you pretty much asleep. And it wears off quickly. I generally dont think it is a good idea to drink or eat anything 8 hours prior to being sedated. I dont...

Plastic Surgery: Recontruction and tummy tuck problems, pathology report, recontruction
pathology report, recontruction, dr tomorrow: You basically had scarring which is part of any surgery. Some people have more others less. Not really allergic to the sutures though. There is really not much that can be done, it is just that some scar in one way and others in a different way. Sorry...

Plastic Surgery: Rippling, Rippling, implants
Rippling, implants, silicone gel: Hi Jeannette, There s lots more about breast implants at www.bodysculpture.com. Rippling can occur with all types of implants. It is generally due to relatively thin skin and subcutaneous tissue over the implants, and so is more common over the lower...

Plastic Surgery: Septoplasty / Rhinoplasty, nose tip, splint
nose tip, splint, rhinoplasty: Pain is normal part of the surgery. Not exactly sure what the pain you are having is precisely from what. Once the splints are removed you will have a lot of relief and the old dried blood will be cleaned out, your surgeon will show you. Hope that helps...

Plastic Surgery: seroma, transverse diameter, clinical correlation
transverse diameter, clinical correlation, caucasian woman: Unlikely that the sarcoidosis is a result of the tummy tuck or the seroma, very very unlikely. If it was would triggered a foreign body reaction it would have been local. sarcoid is a systemic disease and that local seroma would not cause the Sarcoidosis....

Plastic Surgery: seroma after tummy tuck, Seroma, fat necrosis
Seroma, fat necrosis, weight gain after abdominoplasty: I am sorry to hear of your history and particularly the loss of your mother. Really without examining you or at least having the benefit of a photo it is very hard for me to answer your questions. I can make a few guesses but you want real answers. If possible...

Plastic Surgery: silicone, controversial topic, silicone
controversial topic, silicone, plastic surgery: Hi Sara, There s more about plastic surgery at www.bodysculpture.com. This is a somewhat controversial topic and I don t know that I can cite specific sources, but the answers to all three of your questions are yes. Silicone (liquid injectable silicone,...

Plastic Surgery: skin healing after tummy tuck, tummy tuck, open wound
tummy tuck, open wound, VAC: Hi Cindy, There s more about tummy tucks at www.bodysculpture.com. This is not completely unheard-of. It sounds like, in fact, that skin is not doing well and will probably turn into a scab and then open up. However, I would treat it conservatively...

Plastic Surgery: slow healing/open wound after breast reduction surgery, breast reduction surgery, teflon pads
breast reduction surgery, teflon pads, silver nitrate: The wound has to take time to heal. The healing process is a lot slower in patients who have smoked or smoke. If you are still smoking you should stop to help things progress. As long as there is an open wound, things will continue to drain until it closes,...

Plastic Surgery: smart lipo post proceedure, high fevers, oral antibiotic
high fevers, oral antibiotic, high fever: I am not sure why you are having fever that high. Hematoma alone does not give fever, unless it is infected. Have you informed your doctor of the high fever? If not I would bring it to his attention immediately. As for a hematoma becoming liquid it takes...

Plastic Surgery: stuborn seroma- drain re-inserted-fluid blackish?, red blood cells, doxicycline
red blood cells, doxicycline, blackish brown: Ivy, I don t really know - it sounds like it s some breakdown products of red blood cells, which would be expected with doxicycline since it is an irritant. I would have thought that the drain should be reinserted at the same time that the doxicycline...

Plastic Surgery: Tummy tuck swelling, little bulge, compression garment
little bulge, compression garment, sit ups: Hi Justina, I m sorry for the problems you re having. It is, of course, very difficult for me to try assess what s going on, and offer advice, without being able to examine you. However, my first question would be if it was clear what was causing that...

Plastic Surgery: 4 weeks post-op Tummy Tuck and still draining?, jackson pratt, farbod
jackson pratt, farbod, unfortunate thing: Hi Nicole, It is an unfortunate thing that can happen, but it really has nothing to do with your healing potential. What you can do is to limit your daily activity and wear a tight garment. Those are the two most helpful things you can do. Hope that...

Plastic Surgery: Abdominoplasty after surgery black skin, skin necrosis, taking pills
skin necrosis, taking pills, black skin: I would assume the black skin is at the bottom of your abdomen in the midline. You have skin necrosis, or the dead skin has died. I would be very careful as that dead skin can become infected if not already. You need a doctor to be taking care of you. ...

Plastic Surgery: Alloderm and breast implant revision for rippling, saline breast implants, saline implants
saline breast implants, saline implants, alloderm: Hi and thank you for your question. I would use alloderm as a last resort for revision surgery. As it is a foreign substance and is very expensive. You do have other options available and they are as such: replacing your saline implants with silicone,...

Plastic Surgery: Arm scar removal, scar revisions, scar removal
scar revisions, scar removal, wise idea: Greetings Christina, Though I specialize in facial plastic surgery, I can speak generally about scar revisions. If these were on the face, I would suggest excising the wider scars and suturing them. Then, I think either dermabrasion or laser resurfacing would...

Plastic Surgery: BREAST IMPLANTS, Breast Implants, LIft
Breast Implants, LIft, Scars: from Dr. Alan Engler www.bodysculpture.com Hi Lisa, It s a good question but it depends on a lot of things I can t discern via this forum. In general, if you nipples are high enough and your skin is tight enough, you may be able to go down to a smaller...

Plastic Surgery: Breast implant size, Breast implant, cup size
Breast implant, cup size, chest: from Dr. Alan Engler www.bodysculpture.com Hi Ariel, Good observation: breast implant surgery changes the cup size to a much greater degree than the number before the cup size. That makes sense, since that number has largely to do with the rib cage...

Plastic Surgery: Breast Lift w/ implants, silicone implants, scar tissue
silicone implants, scar tissue, maximum tension: Hi DJ, 1) At 7 weeks you clearly still have some swelling so the areolas are may still be changing a bit. Again, it takes months for things to settle down. And I don t think it s from the bra - although I generally advise my patients to stay away from...

Plastic Surgery: Breast Reduction Justification, cigna ppo, breast reduction
cigna ppo, breast reduction, plastic surgeon: Hi, You will have to see a plastic surgeon and take it from there. The plastic surgeon will put in a request for authorization. The insurance company at that point may want to have a peer conference with the plastic surgeon. Hope that helps you out...

Plastic Surgery: Breast reduction pain 6 years after, nerve block, cardiac exam
nerve block, cardiac exam, breast reduction: I am sorry to hear that Nona. Unfortunately as you have explained here, it sounds to me that all and any kind of workup there is has been done. I have to say that your case is very unique, because I have not heard of such issues after breast reduction....

Plastic Surgery: Breat pain, relief medications, scar tissue
relief medications, scar tissue, large breast: from Dr. Alan Engler www.bodysculpture.com Hi Loretta, I suspect that it is, in fact, most likely related to some scar tissue - but I am a little concerned about a change in appearance now after no change for all that time. You should contact your...

Plastic Surgery: Buccal fat extraction, scar tissue, visible differences
scar tissue, visible differences, filler material: It would not be more difficult to fix if you waited a year or two. In fact the little scar tissue that forms as result of the extracts softens even further and correction should be even easier. I do not know of anybody in this this situation but I am familiar...

Plastic Surgery: Buccal fat extraction, plastic reconstructive surgery, reconstructive surgery
plastic reconstructive surgery, reconstructive surgery, consultations: Greetings Jay and thank you for your inquiry. Unfortunately without examining you I cannot speak to your concern. I would suggest getting at least two consultations from either facial plastic surgeons or plastic surgeons before proceeding with any other procedures....

Plastic Surgery: breast augmentation, left breast, bodysculpture
left breast, bodysculpture, breast augmentation: from Dr. Alan Engler www.bodysculpture.com Hi Wendy, It is, of course, impossible to predict the course in any specific situation but, based on the way it sounds so far, I think you have a good chance of having them settle down and be nearly the same,...

Plastic Surgery: breast reduction, Breast Reduction, Fluid
Breast Reduction, Fluid, Postoperative: from Dr. Alan Engler www.bodysculpture.com Hi Jenae, First of all, as a matter of principle, you have to get appropriate medical advice from your PS at this early post-operative stage. That being said, the use of drains is to a large extent a matter...

Plastic Surgery: buccal fat extraction, farbod, haste
farbod, haste, 4 months: Jay I would recommend just holding off on any further procedures. Take your time in making a decision as you are only 3 1/2 months out from a surgery. It takes time adjusting and the surgery it self needs time. Dont start making decision in haste. See...

Plastic Surgery: cheekbone contouring and cheek assymmetry, cheek muscles, symmetrical curve
cheek muscles, symmetrical curve, crows feet: Greetings Qasim, I am sorry to hear that you had a bad experience. Unfortunately without examining your face, I cannot give a recommendation on the best procedure to undergo to address your concerns. I would suggest getting at least two separate opinions...

Plastic Surgery: chin implant & liposuction, pressure garment, neck liposuction
pressure garment, neck liposuction, supplemnts: 1) Generally the elasticity of skin is good upto 30 yrs , so the hardness of neck skin will improve with time. If pressure garment has been restricted then you can start gentle massage of neck skin using a skin mosturiser, which will soften-up your skin between...

Plastic Surgery: correction bulbous nose, rhinoplasty, bulbous tip
rhinoplasty, bulbous tip, flared nostrils: from Dr. Alan Engler www.bodysculpture.com Hi Jade, It s actually not that simple...the combination of a bulbous tip and wide or flared nostrils is actually pretty common, but figuring out what to do, and how to do it with the most natural result, is...

Plastic Surgery: what exactly does "limited activity" mean (have a seroma), bilateral mastectomy, adequate drainage
bilateral mastectomy, adequate drainage, absolute answers: from Dr. Alan Engler www.bodysculpture.com Hi BN, These are excellent questions - that do not have absolute answers. Limited can mean almost anything. I would think that, in your case, a gentle walk is okay but an exercise bike is less good (since...

Plastic Surgery: Flesh & skin replacement, thumb injury, skin grafts
thumb injury, skin grafts, Engler: from Dr. Alan Engler www.bodysculpture.com Hi Dan, This is somewhat outside my area of current expertise but I wanted to get back to you anyway. There are a number of techniques that may be helpful but some of them should be done NOW - so you should...

Plastic Surgery: Abdominoplasty after surgery black skin, dead tissue, scabs
Plastic Surgery: Abdominoplasty after surgery black skin, dead tissue, scabs, tummy tuck

Plastic Surgery: Breast reduction pain 6 years after, breast reduction, dull pain
Plastic Surgery: Breast reduction pain 6 years after, breast reduction, dull pain, nerve damage

Plastic Surgery: Keloid scar removal, recurrence rate, keloids
Plastic Surgery: Keloid scar removal, recurrence rate, keloids, plastic surgeon

Plastic Surgery: Tummy Tuck Complication?, staff infection, vocal cords
Plastic Surgery: Tummy Tuck Complication?, staff infection, vocal cords, tummy tuck

Plastic Surgery: tummy tuck/belly button, hydrocortisone, belly button
Plastic Surgery: tummy tuck/belly button, hydrocortisone, belly button, tummy tuck

Plastic Surgery: YAG laser use cause facial burns/scarring?, yag, scar
Plastic Surgery: YAG laser use cause facial burns/scarring?, yag, scar

Plastic Surgery: facial skin graft, Skin Cancer, Skin Graft
Skin Cancer, Skin Graft, Mohs surgery: from Dr. Alan Engler www.bodysculpture.com Hi Debi, Although it is most likely fine, you always have to consider the possiblility that the skin cancer has recurred. This can happen even if you had Mohs surgery to remove the cancer the first time around...

Plastic Surgery: head (cranial) size, normal head circumference, medical textbooks
normal head circumference, medical textbooks, medical journals: Greetings Bruce, In my training I have never come across a range of measurements for normal head circumference in an adult. So I did not research in both medical textbooks and medical journals I have access to and have been unable to find a normal range....

Plastic Surgery: heel pain, silicone injections, skin graft
silicone injections, skin graft, vain attempt: Hi David, Thanks for your question. I dont think silicone would work. It is a very difficult problem. Recently I treated a patient with my orthopedic colleague with similar problem as yours. The treatment involved surgery and placement of Alloderm....

Plastic Surgery: Justification For A Breast Reduction Cirgery, Breast Reduction, Authorization
Breast Reduction, Authorization, Insurance Coverage: from Dr. Alan Engler www.bodysculpture.com Hi Hector, In my experience, the plastic surgeon who is proposing that the surgery be done contacts the insurance company, on the patient s behalf, and makes sure that the surgery is authorized. This typically...

Plastic Surgery: jaw implants, jaw implants, bodysculpture
jaw implants, bodysculpture, chin implant: from Dr. Alan Engler www.bodysculpture.com Hi Jason, I don t know of anyone offhand. But the best thing to do, aside from the Internet, is to contact some of the medical centers near you to see if they have a recommendation. Also, the American Society...

Plastic Surgery: Keloid scar removal, scar removal, hypertrophic scar
scar removal, hypertrophic scar, plastic surgeon: Keloid are very difficult to improve & are notorious for recurrence. If you are developing one , make sure to see a plastic surgeon as early as possible. Also sometimes differentiating between hypertrophic scar & keloid is also difficult. Hypertrophic scar...

Plastic Surgery: Lipo, Liposuction, Hips
Liposuction, Hips, Flanks: from Dr. Alan Engler www.bodysculpture.com Hi Christine, A lot depends on precisly what needs to be done and, in that regard, the best thing is to come in for a consultation. If you re interested, just call my office at 212-308-7000, tell them that...

Plastic Surgery: Long chin, chin reduction, implant
chin reduction, implant, face: from Dr. Alan Engler www.bodysculpture.com Hi Andrew, Yes, and no. There is actually quite a lot that can be done to a chin, but it may require a lot more than just a chin implant. What you would need to do is undergo cephalometric analysis, in...

Plastic Surgery: medpor implants, Chin implants, Bone resorption
Chin implants, Bone resorption, Porous implant: I don t know of any statistics about the resorption rates with Medpor implants. Most people s experience with Silicone rubber implants shows a degree of resorption in 100% of the patients. It increases with time. I have been using Medpor implants in facial...

Plastic Surgery: medpor implants, chin implants, bone resorption
chin implants, bone resorption: Hi Tom, Bone resorption occurrs from two basic mechanisms: 1. Pressure from the implant overlying the bone 2. Inflammtory response of the blodd vessels in the bone and surrounding tissues as the implant is integrated by the body Bone resorption still...

Plastic Surgery: medpor implants, bone resorption, plastic reconstructive surgery
bone resorption, plastic reconstructive surgery, chin implants: Greetings Tom, I performed a quick pubmed search for an answer to your question but was unsuccessful. As far as I know, there are no studies to indicate the exact bone resorption rates for any of the chin implant materials. What has been found though is that...

Plastic Surgery: Nasolabial Folds men, mid face lift, nasolabial folds
mid face lift, nasolabial folds, farbod: Hi there Ernest, What you may have read is called a mid-face lift. It lifts the fat pad that sits above the nasolabial fold. Surgical attempts at correcting the nasolabial fold usually fall short of perfection. Fillers tend to be the procedure of choice...

Plastic Surgery: nasolabial folds, Nasolabial folds, movie stars
Nasolabial folds, movie stars, Engler: from Dr. Alan Engler www.bodysculpture.com Hi David, Comparing oneself to a movie star is a good way to feel inadequate from the standpoint of beauty and appearance! Part of the reason these people are as successful as they are is because they often...

Plastic Surgery: nose job, Rhinoplasty, Deviated Septum
Rhinoplasty, Deviated Septum, Breaking Bones: from Dr. Alan Engler www.bodysculpture.com Hi Christina, It s hard to advise specifically what needs to be done without being able to examine you. In general, though, you need to have the bones broken when you re removing a bump from the nose. It...

Plastic Surgery: nose surgery, nasal tip, thick skin
nasal tip, thick skin, nose surgery: Greetings and thank you for your inquiry about tip rhinoplasty. Without being able to examine your nose, I cannot comment about your nose in particular. Having said that, bulbous or fleshy tips can be a real problem. There are ways to narrow a nose and ways...

Plastic Surgery: Pain in the face..., facial bones, pain meds
facial bones, pain meds, antibacterial soap: I hope that you have been able to find somebody with the minimum ability to examine the inside of your Dad s nose. He needs to be made comfortable while all this is being done. Can you have somebody in India have who can prescribe here prescribe a reasonably...

Plastic Surgery: Puffy nipple, puffy nipple, exact technique
puffy nipple, exact technique, newport beach: Yes there is a simple procedure but the exact technique would vary according to the patient condition. Before I ask you to send me pictures of the condition I would like to know if live near enough to be able to use my services. My offices are i Newport Beach,...

Plastic Surgery: Puffy nipple, puffy nipple, chandra
puffy nipple, chandra, liposuction: Hi Chandra, You mostly likely are talking about gynecomastia. The solutions are to perform liposuction of the surrounding area and in certain cases to remove or excise the disc like tissue that is just under the nipple. Hope that makes sense. Farbod...

Plastic Surgery: post operation infection, allan engler, scar tissues
allan engler, scar tissues, scar tissue: Hi Sally, Send me an email at amemd@aol.com and I ll tell you what we would need to do in order to try to improve your results. I ll need some medical information, some date (height, weight, etc) and some photos, and then we ll be able to talk about some...

Plastic Surgery: Reconstructive surgery after breast cancer, west orange nj, st barnabas new jersey
west orange nj, st barnabas new jersey, millburn ave: I m really sorry, but I do not know any of these surgeons and do not, therefore, feel comfortable enough to make recommendations. What I would advise, though, is to read about this online so that you know the vocabulary and what the most likely options...

Plastic Surgery: Reconstructive surgery in U.S, Facial reconstruction, Engler
Facial reconstruction, Engler, plastic surgery: from Dr. Alan Engler www.bodysculpture.com Hi Maziar, I m very sorry for the problems you ve been having. There are many excellent surgeons in the United States, and elsewhere (of course) but I cannot speak specifically in terms of what they could...

Plastic Surgery: rhinoplasty, rhinoplasty, recovery
rhinoplasty, recovery, nose swelling: Hello Valdimer, Final results after a rhinoplasty are not seen until at least 6 months to a year after the surgery has been done. This is because the tissues and skin of the nose take that long to fully heal and have the swelling go away. Since it has only...

Plastic Surgery: rippling, Breast Implants, Rippling
Breast Implants, Rippling, Breast Lift: from Dr. Alan Engler www.bodysculpture.com Dear Lama, It probably can. Rippling is, in general, caused when you have relatively little tissue - breast, muscle, fat, etc - over an implant. It is even more likely with saline implants versus silicone,...

Plastic Surgery: Seroma post tummy tuck, Seroma, tummy tuck
Seroma, tummy tuck, fluid: from Dr. Alan Engler www.bodysculpture.com Hi Patricia, I m sorry for the problems you re having. It s hard to address your concerns specifically without being able to know the exact degree of the fluid accumulation. Removing the fluid was clearly...

Plastic Surgery: Seroma after Tummytuck and Liposuction, exercise c, seroma
exercise c, seroma, tummytuck: Yes that does sound feasible and is usually the last resort, because it involves a surgery. Medically logical and feasible, but I would use it as a last resort. Given that you are from out of town and there for a limited time, that may come into affect as...

Plastic Surgery: Stretching Out A Muscle Repair, Tummy Tuck, Pain
Tummy Tuck, Pain, Tightness: from Dr. Alan Engler www.bodysculpture.com Dear Hollis, I m very sorry for the problems you re having. Those sutures are, as you indicated, dissolvable, so it s not a question of simply cutting them and releasing the muscles. If anything, muscles...

Plastic Surgery: Swelling of the belly, Tummy Tuck, Seroma
Tummy Tuck, Seroma, Fluid: from Dr. Alan Engler www.bodysculpture.com Hi Dianna, Well, it s too early to be overly concerned about a seroma leading to a pseudobursa, but it s not too early to worry that a little fluid has reaccumulated. You should contact your PS and explain...

Plastic Surgery: spider veins on nose, spider veins, nose
spider veins, nose, laser: Hi Greg, Sorry for delay in answering your question but just got back into the office today. Spider veins on you nose can be best managed by using one of various lasers to help reduce their appearance. The effectiveness of the treatment will depend...

Plastic Surgery: spider veins on nose, spider veins, incomplete removal
spider veins, incomplete removal, bodysculpture: Hi Greg, This is a little outside my primary areas of expertise but it s usually a combination of IPL (Intense Pulsed Light, which is somewhat similar conceptually to a laser) and, if they are particularly large, some form of sclerotherapy (though that...

Plastic Surgery: TUMMY TUCK PAIN 8 MONTHS LATER, scar revisions, surgical debridement
scar revisions, surgical debridement, scar tissue: from Dr. Alan Engler www.bodysculpture.com Hi Jennifer, I m sorry to hear about the problems you re having. Based on what you say, though, I do think that it s unusual to have anywhere near this degree of pain, even despite the complications you...

Plastic Surgery: Tummy Tuck Complication?, laryngopharyngeal reflux, hiatal hernia
laryngopharyngeal reflux, hiatal hernia, swollen stomach: Lisa, You can t really tell on your own, which is why you need some help from other specialists. But I don t think it s swelling within the tissues; it s late for that and your symptoms sound more like bloating and intestinal issues than post-surgical...

Plastic Surgery: What it takes to be a plastic surgeon, obtaining a bachelors degree, maryland usa
obtaining a bachelors degree, maryland usa, plastic surgeon: Hi there Zack. I dont know where you are in the process of your education but it is outlined here. You will have 4 years of medical school training after finishing college and obtaining a bachelors degree. Then there is residency which can be anywhere...

Plastic Surgery: tummy tuck/belly button, tummy tuck, belly button
tummy tuck, belly button, emergency room: Thank you for writing to me. Please do not be scared by other peoples experiences. Please have yourself examined by your doctor and I assure he will be able to find out what the condition is and how to treat it. Your tummy tuck was hardly two week ago, to...

Plastic Surgery: tummy tuck incisions, Tummy Tuck, Scars
Tummy Tuck, Scars, Vertical incision: from Dr. Alan Engler www.bodysculpture.com Dear Brenda, I m sorry for the surprise and disappointment that you have right now. This is called an inverted T incision (since that s what it looks like) and it typically needs to be done when there...

Plastic Surgery: Uneven Breast Size, uneven breast size, saline implants
uneven breast size, saline implants, left breast: If the breast size was the same before surgery then adding the same volume should eventually give you a reasonably symmetrical result. Just ask you doctor for the Breast Implant ID card from the manufacturer and on it would state the final volume in each implant....

Plastic Surgery: YAG laser use cause facial burns/scarring?, broken blood vessels, plastic reconstructive surgery
broken blood vessels, plastic reconstructive surgery, facial burns: You may have improvement over time. What can happen is swelling around an area so in reality the depressed area is the normal area and the area around it is swollen creating what appears to be a depression. Again - I m not sure if this is the case for you....

Plastic Surgery: Asymmetrical Face, Facial asymmetry, hemifacial microsomia
Facial asymmetry, hemifacial microsomia: Thank you for writing to me. As you need a face to face consultation for diagnosis and treatment, I would recommend that you go to www.plastisurgery.org and click on find a plastic surgeon. Then by giving your zip code you will be given a list of board certified...

Plastic Surgery: augmentation and lift doesnt look right, Breast implants, lift
Breast implants, lift, position: from Dr. Alan Engler www.bodysculpture.com Hi Laura, I m sorry for the problem you re having, even though it s relatively early. You should, of course, be talking to your PS throughout this process, and particularly if something else needs to be done....

Plastic Surgery: Bump After Septorhinoplasty, frontal view, hump
frontal view, hump, septum: You need to wait a year from the time of surgery to do revision. Revision cost has to be determined with your surgeon as every surgeon has their own policy. Most will charge you OR fees and anesthesia at the least. Good luck. Farbod Esmailian MD www.feplasticsurgery.co...

Plastic Surgery: breast augmentation surgery, Mastitis, capsular contrature
Mastitis, capsular contrature, Breast pain: Thank you for writing to me. Pain at this stage is not common at all. Pain may be an indicator of low grade mastitis i.e. inflammation of the breast tissue. It may be due to a low grade infection or secondary to hormonal changes that your body may be going...

Plastic Surgery: breast reduction, large breasts, breast reduction
large breasts, breast reduction, cosmetic purposes: Thank you for writing to me. I understand your concern. If the MD is your regular doctor, he may not be able to do anything to help with your problem but perhaps document how the condition is affecting you. Your plastic surgeon is an MD and I am sure he has...

Plastic Surgery: breast reduction - new info, back and neck pain, breast tissue
back and neck pain, breast tissue, orthopedic doctor: Ok Jesse, I remember now. Yes, they wanted more conservative or medical treatment before allowing for the surgery. I will take a closer look at your paperwork. In the meantime, keep in touch with us through this email: consultant@feplasticsurgery.com...

Plastic Surgery: chin reduction, chin reduction, chin surgery
chin reduction, chin surgery: Hello Emilia, If you are still having pain one year after your chin reduction surgery you should meet with your Surgeon so they can examine you. If your chin reduction involved removing or shaping the chin bone then some discomfort one year out could be...

Plastic Surgery: cranium reduction, eye brows, facial skeleton
eye brows, facial skeleton, anatomical details: Hi Steven, It is difficult to give an average because it really will vary from patient to patient. In each case it needs to be determined how lateral the frontal sinus extends, how much support to the lateral brow will be lost if bone is drilled down, the...

Plastic Surgery: Diastasis Recti, md facs, ovarian tumor
md facs, ovarian tumor, second pregnancy: From Peter A Aldea,MD, FACS www.TheBeautyDoctors.com Dear Wendy, I am sorry to hear about your condition. I think a CT scan and more (MRI) is needed ASAP because you gained too much weight, have abdominal discomfort and your tummy is hard. Normally,...

Plastic Surgery: deep abcess wound care, Wound VAC
Wound VAC: My experience tends to agree with you. Iodoform kills bacteria but it is also toxic to issues in immediate contact. so I use it for infected cavities but for clean wound that needs to be debrided gently to allow spontaneous healing to to take place then...

Plastic Surgery: eye lid and brow surgery, skin crease, scar line
skin crease, scar line, eye lid: Hi Twila, Eyelid surgery either done with or witout laser doesn t leave a bad scar. Generally the scar line is hidden in natural skin crease. Laser is much more precise so leaves even finer scar. Scarless surgery is a myth. www.cosmeticsurgeryagra.co...

Plastic Surgery: eyes, sinus surgeries, bodysculpture
sinus surgeries, bodysculpture, bags under my eyes: from Dr. Alan Engler www.bodysculpture.com Hi Michele, Fees range widely for this sort of procedure, depending on exactly what has to be done (ie, remove excess fat, excess skin, etc). But it s generally $2500-4000 for the surgery, plus about $1000...

Plastic Surgery: breast augmentation surgery, low grade fever, apollo hospitals
Plastic Surgery: breast augmentation surgery, low grade fever, apollo hospitals, ayyappan

Plastic Surgery: breast reduction, apollo hospitals, breast reduction
Plastic Surgery: breast reduction, apollo hospitals, breast reduction, ayyappan

Plastic Surgery: hyperpigmentation, PIH, acne blemishes
PIH, acne blemishes, intradermal botox: Hello Erin, The problem you are experiencing is a common one and is a condition that is clinically referred to as PIH or post inflammatory hyperpigmentation . If they have been there for more than six months than most likely they are not going to go...

Plastic Surgery: internal scar tissue causing puckering in infant, scar massage, scar tissue
scar massage, scar tissue: John, Scar massage is the ideal way to go at this point to try and break down the scar tissue. The problem is that the massage needs to be fairly firm and I m not sure your little girl would tolerate it. Still, do it as firmly as she ll allow and make it...

Plastic Surgery: Jackson-Pratt drain, pratt drain, jackson pratt
pratt drain, jackson pratt, compression garment: Hi Connie, Sometimes the drains stay in longer than we would like, specially in bigger and combined cases. If you are wearing a compression garment, then continue with this. Also decrease your activity, as the more you do the more you drain. The risk...

Plastic Surgery: lipo of the pubic mound, mons pubis, md facs
mons pubis, md facs, pubic mound: From Peter A Aldea, MD, FACS www.TheBeautyDoctors.com Dear Jose, Sounds like you have three issues: 1. OBESITY 2. LARGE MONS PUBIS 3. BURIED PENIS I would recommend you lose all the weight you can to reach a BMI below 30. Once there see a plastic...

Plastic Surgery: liposuction, stomach muscles, upper stomach
stomach muscles, upper stomach, abdominal muscles: from Dr. Alan Engler www.bodysculpture.com Hi Shehla, I m obviously sorry for the disappointment you have at this point. I doubt that lipo will be the solution. Liposuction, while extremely effective, removes excess fat and depends on the innate...

Plastic Surgery: liposuction, liposuction, weight loss surgery
liposuction, weight loss surgery, Dr.Ayyappan: liposuction is essentially removal of fat from any area of the body through key hole incisions.it is safe,sure and effective remedy for localized fat.it is a form correction surgery rather than weight loss surgery.Mega liposuction involves removal of large...

Plastic Surgery: majoring, medical school curriculum, chemistry and biology
medical school curriculum, chemistry and biology, few hurdles: It is nice to have ones mind made up about ones goals. It is never too early. You build your strengths by taking courses in Physics, Chemistry and Biology. Mathematics as a high school course would also be very helpful. Keep working towards your goals. You...

Plastic Surgery: nipple graft, pink flesh, nearby skin
pink flesh, nearby skin, bodysculpture: Hi Connie, Unfortunately, it is, in my experience, very hard to correct the appearance of the nipples after a procedure such as this. The good news is that as the remaining breast tissue drops and comes forward, the nipples may be pushed out a bit since...

Plastic Surgery: nipples after breast lift, skin graft, breast lift
skin graft, breast lift, bulva: Ok. So you have a breast reduction not a lift. Completely different procedures. Yes you do get a lift with a reduction, but what you really had is a lift. I assume your breasts were large and very low so the surgeon decided to do a free nipple graft. ...

Plastic Surgery: nurse has a question about after care, breast reduction surgery, breast augmentation surgery
breast reduction surgery, breast augmentation surgery, breast massage: There is NO clinical or scientific evidence supporting the value of breast massage for reduction of swelling after Breast Reduction Surgery. However, there is some evidence, not well documented, that after Breast Augmentation surgery massage may play part...

Plastic Surgery: Permanence of Facial Implants., facial implants, chin implant
facial implants, chin implant: Hi Joe, Both are correct. Newer implants are better countoured and shaped to provide a more natural fit with the surrounding anatomy (both under and above the implant). Also techniques of placement have changed to provide a stable implant position without...

Plastic Surgery: Plastic surgery: breast reduction insurance inquiry, amerigroup insurance, plastic surgery breast
amerigroup insurance, plastic surgery breast, daily basis: from Dr. Alan Engler www.bodysculpture.com Hi Tiffany, In general, you have to find out what the requirements are of your own insurance company with regards to this, or any other, procedure. It may be covered under certain conditions, with certain...

Plastic Surgery: Post-Ototplasty, otoplasty, ear pinning
otoplasty, ear pinning, large ears: Hello Mark, Sorry for the delay in response but was in San Diego at our annual Facial Plastic Surgery Academy Meeting and am just now getting to my questions. I agree that more time is needed to let the ear heal before the final results can be determined....

Plastic Surgery: pain after breast reduction, breast reduction surgery, scar tissue
breast reduction surgery, scar tissue, left breast: from Dr. Alan Engler www.bodysculpture.com Hi Andrea, Sometimes when a wound has healed secondarily - which means that the tissues separated (can occur for many reasons) and then healed more slowly on its own - the resultant scars are less good than...

Plastic Surgery: plastic surgeon, rhinoplasty, revision rhinoplasty
rhinoplasty, revision rhinoplasty: Hi Jim, Thank you for being specific as to what you are looking for - revision rhinoplasty. As time has gone on and we as Surgeons continue to develop more techniques and anatomical knowledge of specific facial areas, the super-specialist is becoming...

Plastic Surgery: reduction of scars from mastopexy, mastopexy, paper tape
mastopexy, paper tape, sandi: Hi Sandi, I have found that plain paper tape you can buy from the pharmacy is the best thing for scars. There are many things out there but I really like the paper tape and have all my patients use that. Good luck. Farbod Esmailian MD www.feplasticsurgery.co...

Plastic Surgery: Scar Revision on Head, scar revision, hair transplants
scar revision, hair transplants, jafri: Hi Michael, Yes, there are indeed many ways to address the scarring you have. The simplest would be a scar revision wherein the scar would be removed and the skin closed in a way to minimize the appearance of the new scar. Depending on the degree of scarring...

Plastic Surgery: Sliding Genioplasty Revision, oral maxillofacial surgeon, bone graft
oral maxillofacial surgeon, bone graft, scar tissue: Hello Doug, If the notching is your only concern then indeed a bone graft could be placed or a medpor implant could be used to improve the appearance of the notching. Bone grafting is more involved than the medpor but the bone graft could be shaped to ...

Plastic Surgery: Small Persistent Hump After Septorhinoplasty, md facs, scar tissue
md facs, scar tissue, nose surgery: from Peter A Aldea, MD, FACS www.TheBeautyDoctors.com Dear Qureshi, The healing process with nose surgery can last up to 8-12 months. Although it is not likely to go away, it is too soon to throw the towel in and operate at this point. I would re visit...

Plastic Surgery: Surgery after Basal Cell Carcinoma op, skin graft, basal cell carcinoma
skin graft, basal cell carcinoma: Hello Linda, It is difficult for me to give you specific advice since I would need to see the graft / wound myself to determine what is going on. However, here are my thoughts based on what you are telling me. First, it is very important that you see...

Plastic Surgery: seroma,8 years after surgery, flap reconstruction, mastectomy
flap reconstruction, mastectomy, recurrence: Thank you for writing to me? Please ask the surgeon who diagnosed the seroma if drainage of the seroma would be helpful. I hope the possibility of recurrence of the cancer has been excluded. Have you seen surgeon. If you have not yet, you need to see a surgeon...

Plastic Surgery: swollen and hard abdomen after tt, arobic exercise, scar tissue
arobic exercise, scar tissue, nutritious diet: June, I dont know what scar tissue you are talking about. I would assume the scar on the incision. At two years out, the scar is going to be what it is. There is not much you can do about it short of having it revised. Good luck. Farbod Esmailian...

Plastic Surgery: TRAM surgery, tram surgery, complications
tram surgery, complications, tram flap: Jamie, I m sorry you ve had such a nightmare experience. Just to make sure I understand.... you had a bilateral free TRAM flap procedure, correct? And what surgery are you going back in for now? Dr C http://www.prma-Enhance.com http://www.InviCiblescars.com...

Plastic Surgery: top cosmetic surgery countries, professional doctors, medical tourism
professional doctors, medical tourism, cosmetic surgery: Thank you for writing to me. Obviously, I would be last person to be researching or advocating what we call Medical Tourism . My only exposure has been to patients who had travelled to Mexico for lower-price, cheap plastic surgery and turned out to be...

Plastic Surgery: tummy tuck, surgical debridement, gallbladder surgery
surgical debridement, gallbladder surgery, wound vac: If necrosis develops it is not painful as the dead skin has no sensation. The risk of developing blood clots is the same as that with pre-existing factors such as obesity, previous history of DVT, varicose veins, hyper-coagulapathy etc.. The necrotic tissue...

Plastic Surgery: tummy tuck, gallbladder surgery, lower abdomen
gallbladder surgery, lower abdomen, bodysculpture: from Dr. Alan Engler www.bodysculpture.com HI Terry, Actually, that scar can cause a problem in terms of the healing with that surgery. In a tummy tuck, the skin and fat are lifted up starting at the lower abdomen all the way up to the ribs (this...

Plastic Surgery: tummy tuck, brent moelleken, c section scar
brent moelleken, c section scar, assessing the abdomen: Hi - Even that equipment has been described before, though it does solve the issue of tightening the muscles above the BB. But what if there is some extra skin after that? I can t argue with anyone else s success, but my understanding is that the endoscopic...

Plastic Surgery: tummy tuck skin problems, excess tension, breast reductions
excess tension, breast reductions, bodysculpture: Hi Vivian, Some people feel that extensive liposuction can increase the risk of this occurring but there is plenty of evidence that lipo is safe to do at the same time, so that s not that clear. I have seen things like this; usually, though, in association...

Plastic Surgery: WLS surgery scar looks like 2nd belly button, weight loss surgery, surgery scar
weight loss surgery, surgery scar, scar revision: from Dr. Alan Engler www.bodysculpture.com Hi Lee, You should see a plastic surgeon. There are all sorts of things that can be done, but not that much that you can do on your own. No one, of course, can guarantee that you can get rid of it. In...

Plastic Surgery: wound closure, wound healing
wound healing: Melissa, To be honest infections don t always make wounds look infected . These subclinical infections can still prevent wound healing. Micro-organisms can also attach to sutures and create areas of infection. I d recommend a wound culture of the area...

Plastic Surgery: 3rd degree burn during breast augmentation, pain sensations, electrical impulses
pain sensations, electrical impulses, left breast: from Dr. Alan Engler www.bodysculpture.com Hi Sarah, I m obviously very sorry for the problem you re having. I have not seen this with this surgery but it can occur with any procedure. The main issue right now is whether or not the skin will...

Plastic Surgery: Bi-lateral Breast Reduction, breast reduction surgery, dense breast
breast reduction surgery, dense breast, breast reduction: from Dr. Alan Engler www.bodysculpture.com Hi Dianna, It seems strange that your bra size didn t change; I would think that a pound of breast tissue removed from each side would have reduced your cup size to about a D. One possibility, then, is that...

Plastic Surgery: Botox for glabella region, forehead wrinkles, many different ways
forehead wrinkles, many different ways, absolute answer: from Dr. Alan Engler www.bodysculpture.com Hi Christine, An excellent question. I don t know that there is an absolute answer, however, as there are many different ways of getting good results, both in general and very specifically with Botox. In...

Plastic Surgery: Breast implant, breast implant doctor, colombia south america
breast implant doctor, colombia south america, breast augmentation: Lynn, This may be a problem. You may have developed a hematoma at the 2 week mark and now you have fluid that has built up like a seroma. Difficult to say what is going on but this is not normal. You need to see your surgeon. Farbod Esmailian MD www.feplasticsurgery...

Plastic Surgery: body lift, gluteal, tummy tuck
gluteal, tummy tuck, anesthetic: Hi Vanessa, An extended tummy tuck is not interchangeable with a lower body lift. They do different things. I would have to see you to tell you which is the better surgery for you. But yes a body lift address the gluteal, lateral thighs and abdomen...

Plastic Surgery: breast reduction, breast reduction, vertical reduction
breast reduction, vertical reduction, bodysculpture: from Dr. Alan Engler www.bodysculpture.com Hi Kathleen, It s hard to give you an absolute answer because a lot depends on how much extra skin you have and other things that I can t assess online. However, in general, you would probably need to redo...

Plastic Surgery: Choosing size of breast implants., cohesive silicone implants, breast implants
cohesive silicone implants, breast implants, subjective issue: from Dr. Alan Engler www.bodysculpture.com Hi Racheal, I m sorry for the disappointment at this stage but there are two quick things that I d want to mention: 1) Bra size is a somewhat subjective issue DEPENDING on the type of bra that you get....

Plastic Surgery: Cosmetic surgery, piercing, belly button
piercing, belly button, correction: From Peter A Aldea, MD www.TheBeautyDoctors.com Hi Sal, It is fixable but the scar, like all scars is permanent. When we want to make sure a piercing does not close up (= heal), a temporary stud or place holder is worn continuously. This prevents...

Plastic Surgery: donor site, basal cell tumor, incision line
basal cell tumor, incision line, doctors clinic: No pressure please as this may cause the wound edges to separate. It is going to be fine. Please just be patient. Did the nurse put any steri-strips (tapes across the incision line)? It is natural for a patient to worry when he/she sees something that was...

Plastic Surgery: eyebags, eye bags, tired eyes
eye bags, tired eyes, lasers: Hello Mary, There are many ways both surgical and non-surgical to address the appearance of the lower eyes. In cases where the bags are very heavy and pronounced surgery is typically the best option since the non-surgical techniques may not provide...

Plastic Surgery: Facial Hypertrophy, facial muscle hypertrophy
facial muscle hypertrophy: Hello Larry, The main reasons for facial muscular hypertophy are congenital (born with it) or due to a condition where one may chew predominantly on one side over the other (not very common or typical situation). If there is a cosmetic concern about...

Plastic Surgery: 3rd degree burn during breast augmentation, apollo hospitals, ayyappan
Plastic Surgery: 3rd degree burn during breast augmentation, apollo hospitals, ayyappan, sr consultant

Plastic Surgery: Botox for glabella region, apollo hospitals, ayyappan
Plastic Surgery: Botox for glabella region, apollo hospitals, ayyappan, sr consultant

Plastic Surgery: lip incontenance, genioplasty, boston area
Plastic Surgery: lip incontenance, genioplasty, boston area, mentalis muscle

Plastic Surgery: financing needful tt, yeast infection, bodysculpture
yeast infection, bodysculpture, teaching hospitals: Hi Polllie, The best thing is probably exactly that - contact any medical centers near you to see if there are reduced-rate programs for procedures such as these. Depending on where you live, you ll need to figure out which large hospitals nearby have...

Plastic Surgery: forehead, chidbirth, jafri
chidbirth, jafri, kamran: Hello James, There are procedures that can be done to make a forehead appear wider and more harmonious with the rest of the facial anatomy. First it is important to determine why the forehead appears narrow - is it due to anatomical issues with the forehead...

Plastic Surgery: HGH & Rhinoplasty, surgical changes, growth hormones
surgical changes, growth hormones, excess growth: HI Justin I do not have any experience either with HGH, but medically speaking I would wait until you are done with the HGH before doing a rhinoplasty. I would think it can affect your final outcome. Good luck. Farbod Esmailian MD www.feplasticsurgery.co...

Plastic Surgery: lip incontenance, genioplasty
genioplasty: Hello Vinnie, Sorry to hear about your difficulties following your previous surgery. My overall feeling is that a corrective genioplasty be done first in order to re-establish the underlying framework of the soft tissues. once this has healed a procedure...

Plastic Surgery: medications after surgery?, post surgical antibiotics
post surgical antibiotics: you are right aspirin causes problems with homeostasis,naproxen is not that problematic ,so if your doctor feels control of inflammation is required then you need to take it,if it is prescribed for pain control then you have an option,i principally dont believe...

Plastic Surgery: Pro-phylactic bilateral mastectomy and reconstruction, saline breast implant, bilateral mastectomy
saline breast implant, bilateral mastectomy, saline implant: Hi Suzanne, A Becker implant is an expandable saline breast implant (ie, they leave in a valve for a few weeks so that you can have the size adjusted somewhat). However, there are many issues that you ll need to think about - such as whether you should...

Plastic Surgery: Scar Tissue, breast augmentation, scar tissue
breast augmentation, scar tissue, capsulectomy: Sounds like you may have developed capsular contracture. This is certainly a risk with repeat and multiple operations. Depends on how severe it is, massage may help if that is the problem, but unlikely that it will work. You may need a capsulectomy at...

Plastic Surgery: Stretch marks from childbirth, tummy, stretch marks
tummy, stretch marks, mommy make over: From Peter A Aldea, MD www.TheBeautyDoctors.com Hi Carl, A stretch mark is NOT a mark it is a full thickness skin crack filled with scar tissue. Under direct distention skin literally cracks to allow the stretching and it fills with scar tissue which...

Plastic Surgery: Surgery and Air Travel, blood clot formation, stereotactic breast biopsy
blood clot formation, stereotactic breast biopsy, pulmonary embolus: From Peter A Aldea, MD www.TheBeautyDoctors.com Hi Maxine, Restrictions on air travel are related to a higher incidence of blood clot formation (DVT) and a resulting some of these clots getting to the longs - Pulmonary Embolus (PE). That is why you...

Plastic Surgery: scars, scar creams, bodysculpture
scar creams, bodysculpture, breast lift: from Dr. Alan Engler www.bodysculpture.com Hi Jil, I don t think that the creams would do much at this point. There is, of course, some question as to how much they would do even from the outset, but that s moot right now. You may, however, want...

Plastic Surgery: scars, scar creams, silicone sheeting
scar creams, silicone sheeting, scar revision: From Dr. Peter A Aldea www.TheBeautyDoctors.com At one year after surgery, you are probably looking at the mature final version of the scar. No topical creams are likely to materially change its appearance. The question should be - isd a scar revision...

Plastic Surgery: surgeries for minors, neck liposuction, hi aaron
neck liposuction, hi aaron, nosejob: Hi Aaron, If you are a male, you should not be having rhinoplasty at this age. If you are female, it is border line whether you should also be having rhinoplasty. You will need a parental or guardian to sign off on your papers and consent. Good luck....

Plastic Surgery: BB post TT with hernia and muscle repair, incision line, hernia repair
incision line, hernia repair, shape change: Hi Susan, I m sure that you re not completely healed yet, so you ll need to give it some more time. I can t really answer that question on the BB but, in general, they tend to settle down pretty well on their own BUT there s not always a lot that can...

Plastic Surgery: t.t./hernia repair , recurring hernia
from Dr. Alan Engler www.bodysculpture.com Hi Karen, It is, of course, hard for me to answer that question without being able to see exactly what you look like, but if you re saying that the bulge has recurred in your right upper quadrant then it may...

Plastic Surgery: Abdominoplasty 8 Weeks Post- Op Swelling, right abdomen, first few days
right abdomen, first few days, loose skin: Very difficult to predict what is going on without examining you. But in general I would say you have to wait until about 4-5 months post your surgery to see what you are left with. There is a possiblity that the plication may need to be done, but again...

Plastic Surgery: accumulation of fluid after breast reduction, fluid accumulation, breast reductions
fluid accumulation, breast reductions, breast reduction: Hi Brenda, What you are experiencing is a seroma. It is a known complication, but I can not say that it is common. I have not had these issue with the breast reductions I have done. But, yes aspirating it over and over again is one way to treat it,...

Plastic Surgery: bottoming out, silicone gel implants, breast tissue
silicone gel implants, breast tissue, seasons greetings: Thank you for writing to me. The commonest cause of 񢯴toming out򠡲e breast tissue atrophy and implant size. Bottoming out is a fixable condition. If you live near Zip Codes 92560 or 92530 or 92760 I will be glad to see you and evaluate your...

Plastic Surgery: breast scars, silicone gel, dear madam
silicone gel, dear madam, gel sheets: Hi Jil, Silicone gel is liquid which needs to be massaged with moderate pressure of finger tips at the scar site for a period of two minutes twice daily, it thus forms a layer which maintains it s action for 12 hours. Silicone gel sheets need to be stuck...

Plastic Surgery: chicken pox scars, chicken pox scars, zip code search
chicken pox scars, zip code search, plastic surgeon: Thank you for writing to me. Please go to www.plsticsurgery.org. This site will help you locate a Board Certified Plastic Surgeon near you. The searches are either by name or by Zip Code. In your case a Zip code search putting the criteria of a reasonable...

Plastic Surgery: crooked mouth, person consultation, crooked mouth
person consultation, crooked mouth, quote of the day: Thank you for writing to me. The asymmetry is correctable but before I can suggest a treatment plan I need information about age, past history, medications you are on and a photograph if possible. There is no substitute for an in person consultation. I will...

Plastic Surgery: Deviated Nasal Septum, nasal septum, karate tournament
nasal septum, karate tournament, crooked nose: Jo, What you are describing by breaking your nose is surgery and a rhinoplasty. No, there is no way to do this without incisions. If you were to break your nose again, you would require surgery, minor, to realign them. It is called closed reduction....

Plastic Surgery: Double Bubble, breast lift, breast expanders
breast lift, breast expanders, augmentation: Dear belle, Iam sorry to know you are unhappy with the surgery.i do not understand your remark My nipple was not below the fold usually nipples are normally there ,above the fold. if your nipples were below the fold,then they may need a lift,either...

Plastic Surgery: facial scar, loma linda university, loma linda university medical
loma linda university, loma linda university medical, linda university medical center: Where are you at school? I would love to take care of you if you are anywhere within traveling distance of Loma Linda University Medical Center in Southern California. Please do not waste any more of your money on laser or surgery. Let me look at your scar...

Plastic Surgery: Gender Change Surgery, gender change, pubic region
gender change, pubic region, physical appearance: You have enough evidence there is something called intuition or gut feeling,go by it.The point is does he/she evoke feelings of love and trust her/him?Are you comfortable with what you have share...... physical appearance matters but not as much as love...

Plastic Surgery: Head circumfrence, head circumfrence, testosterone injections
head circumfrence, testosterone injections, ayyappan: i suggest that you take an opinion from an endocrinologist and a nuerophysician /surgeon. you may need a CT/MRI. on whose advise and how long have you been taking these medications? write to me your whole medical history Dr.Ayyappan www.plasticsurgeryindia.ne...

Plastic Surgery: Head circumfrence, head circumfrence, hello doctor
head circumfrence, hello doctor, craniofacial: Colin This is more a craniofacial question. There are things that came be done but you would have to be examined to see if there is an underlying craniofacial abnormality and take it from there. You need to consult with a craniofacial plastic surgeon....

Plastic Surgery: Head sze, Dr.Ayyappan plasticsurgeryindia
Dr.Ayyappan plasticsurgeryindia: Dear David, first things first,a big head is a minor problem compared to more severe deformities like mental retardation or paraplegia.please do not feel depressed.count the blessings you have been graced by GOD. Everyone has some problem he does not like,some...

Plastic Surgery: Hidradenitis Suppurativa, Aldea, Plastic Surgery
Aldea, Plastic Surgery, Cosmetic Surgery: Peter A Aldea, MD http://www.TheBeautyDoctors.com Amanda, I am sorry to hear about your condition. The problem with Hidradenitis is that it is often under-treated because the treatment is so radical. For lack of another analogy, it is the human analog...

Plastic Surgery: The human head, craniofacial surgeons, facial skeleton
craniofacial surgeons, facial skeleton, hello doctor: from Dr. Peter A Aldea www.TheBeautyDoctors.com Dear Colin, Both testosterone and Growth Hormone can result is a coarsening of the facial skeleton. The surgery you are requesting is NOT commonly done due to its complexity and is best handled by Craniofacial...

Plastic Surgery: JP drains lost suction, jackson pratt, clogged drains
jackson pratt, clogged drains, air leak: From Peter A Aldea, MD www.TheBeautyDoctors.com Dear Ed, I am not too good with Twitterese but it is my understanding that you are an RN and after a revision Tummy Tuck fdor reasons unspecified your wife s deains cannot hold suction. That being the...

Plastic Surgery: lipoabdominoplasty, plastic sergury, flat abdomen
plastic sergury, flat abdomen, upper abdomen: Lipoabdominoplasty is when liposuction is done at the same time as abdominoplasty. This liposuctioning is refering to the upper abdomen. If your upper abdomen does not have much fat then a straight abdominoplasty can be done. Liposuction of the upper abdomen...

Plastic Surgery: muscle contractions after breast surgery and scar healing, breast augmentation, incomplete muscle release
breast augmentation, incomplete muscle release, low riding implants: From Peter A Aldea, MD www.TheBeautyDoctors.com Kathy, I a TRULY sorry to hear this. I would still like to look at your photographs to give you better advice but will go ahead and answer the question based on this latest information. First, I am disappointed...

Plastic Surgery: Nose-forehead connection, hello doctor, size shape
hello doctor, size shape, society of plastic surgeons: For gaining general information about Rhinoplasty please go to www.plasticsurgery.org and click on procedures. This is the official website of the American Society of Plastic Surgeons and has very useful but general information. For specific advice it is best...

Plastic Surgery: nose, desperate house wives, pointed nose
desperate house wives, pointed nose, people magazine: Please look in the People Magazine and you will find a few names with sharp pointed noses Mr. Michael Jackson had a sharp pointed nose but his was surgically created and perhaps not fitting his face. It is a good example of a sharp pointed nose . I wish...

Plastic Surgery: Patient Volunteer Clinics, plastic surgery training, surgery residency programs
plastic surgery training, surgery residency programs, volunteer clinics: At this time I am not aware of any such clinic but most plastic surgery residency Programs have a post graduate teaching program where patients at at discounted fees are able have surgeries under the superbision of qualified attendings. Please contact the...

Plastic Surgery: Re: Cost of a Touch-up Surgery, scar tissue, kamran
scar tissue, kamran, hump: Hello Bilal, This is a question that you need to ask the surgeon who did your original surgery. Different Surgeons have different policies on this and more importantly it depends on what needs to be done and why. In most cases regardless of type of touch-up...

Plastic Surgery: Scar Revision first or Rhinoplasty?, scar revision, puzzle piece
scar revision, puzzle piece, broken nose: John, Scar revision on the nose is not often possible as the skin is short and there is usually not any excess. It all depends on where the scar. You should not be making the decision in what order to do this, that is up to your surgeon. So you need...