Steve Vu, MD, FACS
Steve Vu, MD, FACS, is an ASPS Member plastic surgeon who is board certified by The American Board of Plastic Surgery® and trained specifically in plastic surgery. ASPS members operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing medical education requirements in plastic surgery, including training in patient safety techniques. As your medical partner, Dr. Vu is dedicated to working with you to achieve your goals.
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Meet Dr. Steve Vu
Breast Implant Removal
Buttock Lift with Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Laser Hair Removal
Laser Skin Resurfacing
Lip Augmentation / Enhancement
Male Breast Reduction
Post Burn Reconstruction
Skin Cancer Removal
Spider Vein Treatment
Ask a Surgeon
Dr. Steve Vu participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Male Breast ReductionBreast Reduction
The amount of breast tissue that can be removed will depend on the amount of excess fat, breast gland and breast skin that a patient has. Usually a lot of tissue can be removed. Often times I remove a majority of the breast gland except a small thin amount of tissue under the nipple(s).
Gallbladder surgeryTummy Tuck
The right subcostal incision may reduce blood supply to the abdominal skin but it does not mean that you are not a candidate for abdominoplasty. I have done it on previous patients and have not had any problems. Your surgeon will need to be more cautious and conservative during the the procedure and vigilante for ischemia after surgery. Good luck.
Breast Reduction at 18Breast Reduction
It sounds like you are a good candidate for breast reduction surgery. In the past, women were not aware of this procedure or were afraid of complications so they suffer through 20 - 30 years of shoulder/neck/back pain, skin rash, shoulder strap grooving, embarrassment, etc. As techniques and information about the procedure has improved, women are choosing to have this procedure earlier. A trained board certified plastic surgeon should be able to discuss how much tissue can be safely removed, placement and pattern of the scar and types of risks involved. Most insurance should be able to help you cover for this procedure. Ask a lot of questions of your surgeon and from women whom have had this surgery. Good luck in your decision.
Is it possible to add the nose bridge?Rhinoplasty
Nasal bridge augmentation has been around for quite sometime. In fact, it's been a pretty popular procedure for my Asian patient population. There are many options available to build the bridge as mentioned by other colleagues on this post. I've gotten nice temporary result with Radiesse injection. For permanent solution, I prefer silicone implant. Subtlety in this area wins the day in my opinion.
Why do I need to stay in the Dominican Republic 2 to 3 weeks after a vaginoplasty? I cant do that.Body Contouring
The word "vaginaplasty" has evolved to incorporate a lot of different procedures around and in the vagina. If you are having a labiaplasty procedure, 2 - 3 weeks of recovery does seem excessive. However, if you are having extensive vaginaplasty with mesh reconstruction then your surgeon will want to keep you for close healing benefit and follow up. The reasonable alternative is to stay local. I'm sure you'll be able to find a well trained board certified surgeon in your state to do the procedure.
Fat transfer resultsBreast Augmentation
You have a very legitimate question as new medical techniques advance, patients are offered more treatment options. With regards to fat transfer and stem cell injections to the breasts, I think that the science has not caught up to the procedure yet. It's an exciting possibility but we are not able to achieve the consistency of breast implants at this time. Also, if you want to reduce your areola size and lift the breasts, you will still need skin resection procedure (mastopexy). Fat graft and stem cell will not help with that problem. An in person consultation with a trained plastic surgeon will allow the surgeon to assess the amount of skin laxity and provide you with the best treatment options. Good luck.
I agree with the opinion of the other experts regarding this question. For women with extremely large breasts, I will mention the possibility of a free nipple graft during my consultation but the reality is that my only nipple graft was over 15 years ago. I also agree that you should wait until you've had your children if breast feeding is really important. An uncomplicated breast reduction procedure may still reduce your ability to breast feed.
Too small after Breast ReductionBreast Augmentation
I would definitely wait to allow your breasts to completely heal and settle (approximately 6 months). If you still feel that the breasts are too small then you have the option of breast augmentation with implants and/or autologous fat grafting. Waiting will also allow time to see if there are any other issues that may also need to be corrected: dog-ears, hypertrophic scars, asymmetry, pseudoptosis among other things.
Do tummy tuck scars go away?Tummy Tuck
So technically all skin scars are permanent. But practically speaking, if you are light skinned and your scar is a thin, soft, flat and light colored, your scar will most likely fade and become less visible. (There are numerous cases where I can barely see or feel the scar after several years). There are many and various techniques that your plastic surgeon can use to ensure a well healed scar.
How much pain can you expect after a breast augmentation surgery?Breast Augmentation
Very fair question to ask. "How much pain am I willing to endure to improve my looks?" The emotional component to the answer is dependent on your motivation level, your ability to handle anxiety/stress and your innate ability to handle physical pain/discomfort. Those are things that only you would know. As far as the real physical sensation, pain level will likely range between 4 - 8/10. Opioids and muscle relaxers are commonly used post-operatively. I would be concerned about using NSAID's because of the anti-coagulation effect of some medicine. There are alternatives to opioids but they may not be as effective. Nerve blocks would help in the first several hours after surgery. I'm not too concerned about addiction complication since my patients aren't taking high enough doses and aren't taken them long enough to build dependency or tolerance, assuming that they are not chronically taking narcotics already. Most patients are able to wean themselves off pain meds in 1 -2 weeks