Ellis Tavin, MD

Member Response:

You are correct. Sutures on the face are usually removed in 4-7 days.

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Stinging pain under breast when lift arm over head

Member Response:

Most likely you tore the capsule (scar around the implant). It should heal by itself in a couple of weeks. If you are concerned make an appointment to see a local plastic surgeon.

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Lower Blepharoplasty mistake?

Eyelid Surgery

Member Response:

You are looking at the fold created by tacking the orbicularis muscle to the bow to tighten the muscle. Your surgeon is correct. It will settle down. Follow his instructions.

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Partial breast reconstruction after lumpectomy with radiation

Member Response:

There are a number of options for partial breast reconstruction that do not require a total mastectomy., including oncoplastic reduction, perforator flaps, and partial latissimus flaps. You should seek a second opinion from a plastic surgeon with experience in partial breast reconstruction. And if after the second opinion you do pursue a full mastectomy with reconstruction, there are a number of options there as well. Good luck.

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Ear hole enlarged

Ear Surgery

Member Response:

Recommend coring out the hole, sewing it closed, and repiercing two months later. Ear piercing and any issues related to it is cosmetic and not covered by insurance. Call a board certified plastic surgeon in your area for the cost.

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Nail surgery

Hand Surgery

Member Response:

Fingernails and toe nails grow from specialized tissue located under the cuticle called germinal matrix. You need to see a doctor with experience treating nail issues to determine if your germinal matrix has been damaged or the cuticle (eponycheal fold) has scarred to the mail bed.

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Needing a bit of advice I just want my skin tightened after the repair and causing pain

Panniculectomy

Member Response:

Hernia repairs are covered by insurance. Diastasis recti repair on the other hand is considered cosmetic and not covered by int.

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minimal scar

Arm Lift

Member Response:

The answer to your question requires an in person consultation with a board certified plastic surgeon.

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Type 1 diabetic

Member Response:

Diabetics are at higher risk of infection and delay in healing. Getting your A1C below 7 decreases , but does not complement eliminate the risk.

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Age Requirement

Member Response:

Please check with your insurance company as Cigna and perhaps others mandate a minimum age of 18.

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Double Mastectomy with Breast Implants

Member Response:

I recommend you seek a second opinion as a woman with C cup breasts should be able to get larger implants than those resulting in an A cup. Whether you get tissue expanders vs.. direct to implant will require an in person consultation with a board certified plastic surgeon

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Would you as a doctor allow me to get a breast reduction

Member Response:

You should speak with your doctor who prescribed the warfarin if you can safely stop it for several days before and after surgery. Otherwise no plastic surgeon would do a breast reduction as your risk of bleeding would make it too dangerous.

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lifetime risk of breast cancer and prophylactic mastectomy

Member Response:

You should contact a breast surgeon as they perform mastectomies.

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What can I do

Member Response:

I agree with Dr. Gutowski. There is dead fat visible in one photo meaning the wound very likely extends to the implant. You need to be under a plastic surgeon’s care urgently.

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Under boob skin sticking

Member Response:

As far as what you are calling “sticking skin”, it appears that you have glue in your incisions. Confirm that with your surgeon and follow his instructions for removal. The nipple/areolas will change as swelling goes away.

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Am I botched?

Member Response:

I see what you are saying, however swelling of the pectoralis muscle can give the impression that implants are sitting too high. I agree with your surgeon that you should give things more time. It can take 3 months for muscle swelling to go away.

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Can ruptured implant be left alone

Member Response:

I must disagree with my colleague. How is the presence of a deflated saline implant any different than one that contains saline? This is different than the situation with a ruptured silicone implant which can certainly trigger a capsular contracture. My suggestion is if you are not bothered by the appearance, you may leave things as they are.

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What is the best treatment to fix my alar scar from rhinoplasty?

Member Response:

Your scars are visible because your body enalrged thread -like vessels called telangiectasias. There are vascular lasers that target the red color and shut down the blood vessels.

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Bad Glue Job

Member Response:

Contact a local plastic surgeon. The wound edges are not aligned under the glue. Glue can be removed by the plastic surgeon and sutures inserted.

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Are Silicone implants at 19 possible?!

Skin rejuvenation and resurfacing

Member Response:

If you find a plastic surgeon who is willing to place silicone implants “off label” in someone younger than 22, ask them to check if the manufacturer will warranty the. Implant if there is a problem. They may not want to get on the wrong side of the FDA.

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Enriched Fat Grafting to Nose

Member Response:

Your question can not be answered by email. Please, please, please stop going overseas and see a board certified plastic surgeon for an in-person consultation.

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Enriched Fat Grafting to Nose

Skin rejuvenation and resurfacing

Member Response:

Your question can not be answered by email. Please, please, please stop going overseas and see a board certified plastic surgeon for an in-person consultation.

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Academic setting or private practice?

Member Response:

Physicians at academic medical centers are training residents and fellows who will perform part of your surgery under supervision of the attending physician. All fully trained plastic surgeons were trainees at one time. Most private practice physicians will do your entire surgery themselves with the aide of an assistant. Nowadays most DIEP flaps are being performed in academic medical centers. As you are less than 30 miles from Boston, you should be able to find surgeons there who perform DIEP flaps.

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Breast lift and implant incision healing

Member Response:

You should return to your plastic surgeon and have them scrape away the yellow film at the T junction to make sure the implant is not exposed at the base of the wound.

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Breast lift and implant incision healing

Member Response:

You should return to your plastic surgeon and have them scrape away the yellow film at the T junction to make sure the implant is not exposed at the base of the wound.

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Moving placement of implants

Lip Augmentation/Enhancement

Member Response:

You may want to consider highly cohesive silicone implants which are less likely to ripple whether placed above or below the muscle. Avoiding large implants in women with very little breast tissue also decreases the chance of having visible rippling.

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Lip healing

Member Response:

The answer to both of your questions is, probably yes. Apply pressure to the firm area 5 minutes a day using your fingers. It should soften and flatten in 2-3 months. The color may take a year to come back.

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Young Revision- Help

Member Response:

I have personally stopped using textured implants 5 years ago to eliminate the very small, but real risk of Anaplastic Large Cell Lymphoma. The most important factors in avoiding displacement of implants is limiting the width of the pocket dissection towards the arm pit and making sure the base diameter of the implant is no more than one centimeter more than your pre-implantation breast base diameter. In your case you should also consider insertion of an absorbable mesh to reinforce the tightening up/repair of the capsule. Good luck.

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Age and insurance

Member Response:

You should call your insurance company as different companies have different coverage rules. Good luck.

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Finger nail replacement

Hand Surgery

Member Response:

Unfortunately as the nail bed (the pink tissue under the fingernail) is very thin, a skin cancer of the nail bed may involve the underlying bone. Your first concern should be complete removal of the melanoma in situ.

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Capsulectomy necessary with rupture?

Member Response:

If the capsule is not thickened or otherwise abnormal and you do not have textured implants with a late seroma, there is no reason to remove the capsule. Removal of the capsule may distort the breast and increases the risk of bleeding after surgery. Sounds like the advice you received from your plastic surgeon is correct.

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Back Pain due to congenital issue

Member Response:

I am sorry that you have these problems. You must understand that liposuction is not a weight loss procedure. Most patients who undergo liposuction have no change in their weight. Insurance companies consider liposuction cosmetic and not a covered procedure.

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Failed implant or not?

Member Response:

An infection that grew bacteria in contact with an implant is unlikely to be cured without replacing the implant. You need to talk to your plastic surgeon or their coverage if the surgeon is not available.

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Uneven Areolas / too big Areola after reduction?

Member Response:

Ask your plastic surgeon to reduce the larger areola. The nipple position may still be slightly different.

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Tummy Tuck after Epigastric Hernia Repair

Member Response:

In the event of staging the surgeries, if the hernia repair is done laparoscopically, I would recommend waiting 2 months to allow the nitrogen gas used during that surgery to be absorbed and the bloating resolved.

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Before or after childbearing

Member Response:

Studies show that 60% of women who have undergone breast reduction can successfully breast feed. A similar percentage of women with large breasts who had not had surgery successfully breast fed. I have certainly done reductions on women who were in their early 20’s who had not had children.

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Septal Hematoma

Member Response:

In addition to everything my colleagues have said, another possibility is that you may have nasal valve collapse. I see a number of patients who are referred for persistent nasal obstruction in spite of septoplasty (without hematoma), who have this problem. This condition can be diagnosed on examination by your doctor.

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20 year saline implant deflation & removal question

Member Response:

It is reasonable to deflate saline implants before deciding on a lift. There is no reason to remove thin capsules. Breast tissue would have to be removed as well increasing the risk for bleeding.

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Hernia

Member Response:

No. Repair of a hernia is medically necessary. Repair of a diastasis recti is cosmetic.

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Hernia

Member Response:

No. Repair of a hernia is medically necessary. Repair of a diastasis recti is cosmetic.

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Breast augmentation 4 weeks ago

Member Response:

The FDA does not recommend replacement of textured implants in asymptomatic women as the risk of developing ALCL is very low. The macro textured implants that were most commonly present in woman with ALCL were withdrawn from the market by the manufacturer several years ago. That said, if replacing the your implants is needed to permit you to sleep at night, you can have them removed at any time.

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Young, confused, and stressed!

Member Response:

Short answer-NO. Contact your surgeon. Mentor will provide replacements.

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Circumferential Tummy Tuck After tummy tuck

Member Response:

Everyone is different, but among my patients recovery from the back skin removal or lower body lift is usually shorter than a tummy tuck with muscle repair. Since these surgeries can be done at the same time as a tummy tuck, there is not any reason to wait between the surgeries.

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Where can I find a explant/BII surgeon

Member Response:

As a general rule insurance companies do not pay for surgery related to prior cosmetic surgery.

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Strattice Mesh removal with Explantation

Member Response:

The Strattice can be removed or left in place. The decision should depend on whether it is involved by the capsule cotracture.

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Ruptured implant UNDER 1 year

Member Response:

All three American implant manufacturers warranty their implants. Your surgeon can notify the manufacturer and they will give you a new set for free. This early after implantation they will also very likely give you money to at least partially pay for the surgery to take out the ruptured implants and insert new ones. The ruptured implants can be returned to the manufacturer to be analyzed.

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Member Response:

Dr. Kpaduwa and your surgeon are correct. However there are bras with a stretchy cup that will accommodate up to a D cup. I recommend my patients choose one band size up (44 for you) to allow for dressings and swelling). Buy one or two. They should not be expensive (Clear Point Medical makes a good one for $34- no financial interest in the company).

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I’ve been sleeping on my back after bbl

Male Breast Reduction

Member Response:

I have never restricted my patients from sleeping on their backs as pressure is dispersed over many surfaces. Sitting, however should be limited to use of a pillow that transfers weight to the thighs for the first 3 weeks.

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Still puffy nipples 3 days after gyno surgery?

Member Response:

Swelling reaches it maximum 48-72 hours after surgery. It will take a few weeks or possibly longer for the swelling to resolve. What is visible in the photos appears normal for this stage in recovery. Patience.

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T junction breakdown not healing

Member Response:

The photos show clean, healthy appearing tissue just below the skin level. Repeated use of antiseptics such as betadine can actually prevent a wound from healing. Talk to your plastic surgeon. You may want to consider a hydrocoloid dressing or something as simple as Vaseline.

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successful outcome

Body Contouring

Member Response:

PCOS is a relatively common condition and Metformin a commonly prescribed drug. You should not need an MRI prior to liposuction and fat transfer. Schedule a consultation with a board certified plastic surgeon who is experienced in the procedure and ask to see their before and after photos.

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Steri strips did not close the wound

Member Response:

Usually after two weeks the skin edges have begun moving down into the wound. It may not heal as a narrow scar unless the edges are surgically freshened. You should see a plastic surgeon for in person evaluation.

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Breast Lift and implants OTM vs UTM

Member Response:

I am not aware of any study that demonstrates an earlier recurrence of sagging with one plane of implant placement vs. another. There are several factors to consider in choosing to go above or below the muscle. One consideration is what is called animation deformity which is when the pectoralis muscle contracts causing the breast to jump. If you regularly flex your pecs during exercise, you may want to go above the muscle to avoid this.

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What’s more suitable?

Member Response:

Liposuction is not a weight loss technique. Please talk with your pediatrician about a consultation with a dietician and a gym membership. In your photographs you do not appear so overweight as to warrant Bariatric Surgery.

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Reduced cost Pro Baño

Member Response:

Most people with a BMI of 46 need to lose a significant amount of weight before they are a candidate for a tummy tuck. If you are not able to lose weight through diet and exercise, you may want to consult a Bariatric Surgeon..

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Incision glued puckered - will it flatten, options if not

Member Response:

That is a perfectly normal closure. Plastic surgeons create this pucker as all scars flatten as they mature. If they scars starts out flat, it may end up depressed.

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Searching for Best Dr. for the job

Member Response:

Deflating saline implants about 6 weeks prior to removal will make the lift easier to perform as your tissues will tighten up to a degree on their own. Unfortunately if your nipples lost sensation at the time of implant placement, there is no way to restore sensation. Good luck.

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Gallbladder removal and abdominoplasty

Member Response:

Short answer is you can not do them together. Gall bladders are removed laparoscopically which requires pumping nitrogen into the abdominal cavity. This makes it difficult if not impossible to tighten the abdomen at the same time. You should wait 1-2 months after the hall bladder removal before the tummy tuck.

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Breast lift

Member Response:

This is a very common procedure-just did one today. It is possible to redistribute breast tissue from the lower part of the breast to the central portion or to do the fat grafting that Dr. Donati describes.

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Breastfeeding

Member Response:

Studies show 60% of women can successfully breast feed after breast reduction surgery as long as the surgery did not involve cutting off and reattaching the nipple.

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can a leaking saline implant cause bilateral pleural effusions

Member Response:

The brief answer is, “No”. There is no connection between your breasts and your lungs. Seek care from a lung specialist. Good luck m

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Question about modified buttock lift after weight loss proceedure-cannot find before/after pics

Member Response:

If you can pull up on the area just above your buttocks and the excess folds disappear, then an excisipnal buttocks lift would likely help. You would have full wing scars above your buttocks, but these would be covered by your underwear.

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Abdominoplasty with hernia repair

Member Response:

I agree with the two previous responses that umbilical hernia repair does not require an abdominoplasty. You should consult a general surgeon as they perform most umbilical hernia repairs.

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can i do a rhinoplasty at 15?

Member Response:

You should pursue rhinoplasty when you have stopped growing. An X-ray of your hand can demonstrate that you have reached bone growth maturity. It is also important that you can describe to your plastic surgeon the particular features of your nose that you don’t like. One or both or your parents need to accompany you to the consultation.

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Neck Liposuction

General Reconstruction

Member Response:

You should have an in person consultation with a board certified plastic surgeon to determine whether liposuction plus radio frequency or an open neck lift would give you the best results.

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Mentorship/shadowing for high school student

Member Response:

If you enter your zip code in the find a surgeon function on the ASPS website, you will get a list of plastic surgeons in your area. Try contacting them to see if they accept high school students as shadows.

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Wound dehiscence with exposed tragus

Facelift

Member Response:

Now

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Will Implant Drop after 6 weeks

Member Response:

Very often a radiated breast will be firmer and tighter. You should discuss your options with your plastic surgeon.

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Facial plastic surgery

Member Response:

When evaluating chin projection you drop an imaginary line from the lower lip to the chin. In your case your chin aligns with your lower lip so it is your nose that is overprojected.

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Which is the most preferred Hair Transplant

Hair Transplant

Member Response:

Follicular Unit Extraction leaves multiple spaced out 1 millimeter scars which are essentially invisible. A strip harvest leaves a potentially visible scar if you wear your hair short. The hair follicles harvested from the back of your head should last your whole life. If you are still losing hair from the front, that process may continue, but the transplanted hairs are safe. The harvested hair follicles need to be placed in a cold preservative solution during the couple of hours between harvest and implantation. Good luck.

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Old Saline Implant Deflated

Member Response:

There a certainty no rush in removing your deflated saline implant especially since your plan is to have them removed. Good luck with your hip surgery.

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Post Bil mastectomy ruptured implant

Member Response:

It is certainly an option to change from sub pectoral to the pre-pectoral plane. You should discuss the surgery with a plastic surgeon in your area who does breast reconstruction.

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Surgery Markings

Member Response:

Either one is reasonable. It depends on the schedule.

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Lipo360 before TT

Male Breast Reduction

Member Response:

It is perfectly reasonable and in fact preferable to undergo lipo 360 BBL at a surgery prior to a tummy tuck or without ever having a tummy tuck. You should consult a board certified plastic surgeon who performs these surgeries on a regular basis

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Male Breast Reduction

Member Response:

Since 50% of teenage boys develop some degree of gynecomastia during puberty and the vast majority resolves spontaneously, I recommend waiting until age 18. That way we avoid operating on boys who would get better on their own.

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Pathology report

Member Response:

Different surgeons may have different practices. I routinely send breast tissue removed to pathology. I do not send normal appearing skin. I may send capsules if there is something suspicious about them or if the old implants were textured and there was a seroma (fluid collection present). In that case the fluid needs to be tested as well. Hopefully this information was helpful. Please discuss your pathology report with your surgeon who can explain the findings to you.

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Is this an okay option?

Member Response:

You should make an appointment for a consultation with a board certified plastic surgeon to discuss your options.

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Lipo and inches

DIEP Flap Breast Reconstruction

Member Response:

No one can predict what size you will be after liposuction. You should make an appointment with a board certified plastic surgeon and review before and after photos of liposuction patients who are of similar height and weight to you.

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Double Mastectomy

Member Response:

You should schedule a consultation with a board certified plastic surgeon who does breast reconstruction. The options could include revision of the mastectomy closure, fat transfer to fill in the indentations, to the various forms of breast reconstruction.

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When should you get new implants

Member Response:

No implant lasts forever. The FDA advises ultrasound or MRI surveillance of silicone implants after 5 years and every 2-3 years afterwards. If implants are intact and there are no issues, there is no reason to replace them. A few years back I asked a Vice President of Allergan (one of 3 US implant manufacturers) where the myth of replacing implants every 10 years originated. He said although they would love to sell women new implants every ten years, there is no evidence to support that. He guessed that since the FDA required the manufacturers to follow their implants for 10 years, some people misinterpreted that to mean they were only good for 10 years.

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Symmastia after breast lift with augmentation

Member Response:

The are certainly issues with your breasts as you described. You should consult with a plastic surgeon in whom you trust to discuss your options. Removal with a lift would be one of those.

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How Long To Wait Before Another Plastic Surgery?

Chin Surgery

Member Response:

People get chin implants at the same time as rhinoplasty so it is certainly safe to have it done this summer. Make sure your surgeon discusses the risks and benefits of chin implants. Good luck.

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Left is significantly larger

Member Response:

You should go back to your surgeon as you make have a seroma (fluid collection) in your left breast that is making it larger.

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Breast Augmentation and Radiation post 7 years

Member Response:

Placement of breast implants in a radiated breast, even years later, puts you at higher risk of developing a hard, thick scar around the implant. You may want to consider fat transfer to your breasts presuming you have fat to spare. Unless you have an obvious deformity of your breast after your cancer treatment, your insurance company may consider breast enlargement cosmetic and not a covered procedure.

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Going from saline to silicone

Member Response:

The only thing I would like to add to what my colleagues have said is that if you want more upper pole fullness, the cohesive silicone implants maintain upper pole fullness more than the less cohesive silicone implants. This factor is more important than the implant profile. You need to find a doctor who addresses your concerns and shows you the different types of implants that are available.

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Going from saline to silicone

Member Response:

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How long waiting period

Member Response:

The general recommendation is to wait 6 months, but you should consult with your plastic surgeon to try to understand why the healing problem developed in the first place and what can be done to avoid issues in the future. Good luck.

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Do I need Gynocamastia surgery

Member Response:

It is certainly possible that you have residual tissue that was not removed by liposuction alone. You should be examined in-person. If you are uncomfortable with your original surgeon, seek a second opinion from a board certified plastic surgeon.

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i had a septorhinoplasty and i see no changes

Member Response:

I absolutely agree with Dr. Glassman. There is a muscle that overlies the hump the has to be lifted up to approach the hump. This muscle remains swollen for months masking the results. Please be patient. Improvement is already visible in your post-op photo.

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Weight loss surgery after Brazilian butt lift

Member Response:

Obviously everyone is different, but if you lose 50 lbs your buttocks will likely get smaller and may sag.

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Nose shifting after rhinoplasty?

Member Response:

In a rhinoplasty where the bones need to be broken, they will usually be healed in 3 weeks and will not move afterwards. If the cartilage of the septum is crooked, it can sometimes deviate again even after healing is complete. Your surgeon can tell when healing is complete.

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Help

Member Response:

You should seek an in person consultation with a board certified plastic surgeon familiar with your local insurance companies.

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Fat Redistribution

Member Response:

Obviously without a consultation a definitive answer can not be given, but in general terms, fat grafting is one of several options for partial breast reconstruction. You should schedule a consultation with a board certified plastic surgeon to discuss your options.

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Questions about Chin augmentation removal

Chin Surgery

Member Response:

In order to find out if your symptoms are related to your chin implant you will need an in person consultation with a board certified plastic surgeon. A chin implant can be removed if necessary.

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22 year old dissatisfied with breast reduction results

Member Response:

In order to find out your options for revision surgery, you should have an in person consultation with a board certified plastic surgeon. Based on the fact that your breasts are no longer large, it is unlikely that your surgery would be covered by insurance.

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Abdominoplasty and Belt Lipectomy

Member Response:

Abdominoplasty treats stretched apart rectus abdominus muscles and loose skin above the umbilicus. As these issues do not cause skin infections in the fold under the pannus, they are always considered cosmetic and not covered by insurance. The same applies for loose skin of the flanks (belt lipectomy).

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Advice on breast reduction

Member Response:

You should be seen for a second opinion from a board certified plastic surgeon. It is unusual to have a two cup size difference after breast reduction surgery.

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Fix diastasis recti and umbilical hernia in one operation please?

Member Response:

Just to add to Dr. Culbertson’s response-hernia repair can be done at the same time as a tummy tuck. In my group we often coordinate with a hernia surgeon who is able to get insurance coverage for his part of the surgery.

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Breast Augmentation vs Implants which is Beat & Longlasting

Member Response:

Most women choose to get breast implants as they can get a larger increase in volume than with fat transfer. Only 50-80% of fat that is transferred persists long term so the procedure may need to be repeated.

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Would Columellaplasty work here?

Member Response:

Drooping of the nasal tip when smiling is usually the result of the action of the depressor septi muscle. This can be addressed by a limited incision in the nasal aspect of the columella. It is not alway successful as the muscle may reattach and renew its action.

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I need help/pro Bono work needed

Member Response:

Congratulations on your achievement. You may want to contact the residents’ clinic at your nearest plastic surgery residency program. Residents perform highly discounted cosmetic surgery under the supervision of their professors. They are interested in doing cosmetic surgery cases.

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Repair

Arm Lift

Member Response:

Constricting bands can usually be corrected by a technique called Z-plasty. Any board certified plastic surgeon should be able to do the procedure.

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Scar

Member Response:

That appears to be an area of inflammation related to an absorbable suture. Please return to your surgeon.

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2004/2005 Breast Implant (Inserted due to Cancer) in Virginia

Member Response:

If you have a saline implant, it may have sprung a leak. It happens. You should see a board certified plastic surgeon in your area to discuss your options. Breast reconstruction and revision is covered by insurance companies as required by Federal law.

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Implant After Fat Transfer

Member Response:

You certainly can get get breast implants at a later date after fat grafting to the breasts. You can also do both at the same time. Good luck.

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Hair transplant

Hair Transplant

Member Response:

What is your question? How many grafts were harvested? It appears that more were harvested than we usually do, so that now your donor area is thin.

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Does any Surgeon take Insurance for prodedure?

Member Response:

You should look on your insurance company’s website to see a list of plastic surgeons in your network. Those doctors offices will know what criteria you must meet for your insurance to cover your breast reduction.

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Pain and tightening when getting up

Member Response:

Please contact your surgeon. By the way, it take 6-8 weeks to form a capsule around an implant.

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Pain and tightening when getting up

Member Response:

Please contact your surgeon. By the way, it take 6-8 weeks to form a capsule around an implant.

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Forehead Modification?

Cosmetic Surgery

Member Response:

You could probably benefit for transferring fat to blend the “dents” which appear to be the edge of your temporalis muscles

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Open septorhinoplasty

Member Response:

I would recommend you get clearance from your neurologist before surgery. Not every septorhinoplasty needs to have the nasal bones broken. When they are broken, this can be done with narrow osteotomes;chisels) thereby minimizing trauma to bone and soft tissue.

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What is the updated mortality rate for Butt Augmentation via fat transfer

Member Response:

I attended the ASPS Spring Meeting (Virtual) March 20-21, 2021. J. Peter Rubin, MD, co-chair of the multi-society committee to study fat augmentation to the buttocks quoted the 1/15,000 figure for 2019 that Dr. Wallach references. That is the same risk as tummy tuck.

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Smoking before surgery

Lip Augmentation/Enhancement

Member Response:

Studies in animals show that the risk of wound healing complications related to any form of nicotine is eliminated by stopping smoking 2 months before surgery. You need to stop now.

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30-year-old neck options

Neck Lift

Member Response:

Another option to consider would be micro fat injection into the lines.

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Prp injections after bbl

Cosmetic Surgery

Member Response:

I am not aware of any controlled studies that show there is a benefit to getting PRP injections with or after fat grafting.

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Lip lift

Member Response:

You may not have had enough skin removed along the base of the ala (wings of the nose). I recommend you bring this to the attention of your surgeon for consideration of revision.

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Tummy tuck recovery

Member Response:

Although everyone experiences pain differently, many patients benefit from injection of long lasting (3 days) local anesthetic called Exparel at the time of surgery. Look for a surgeon who offers this. Also muscle relaxant pills (cyclobemzaprine) are helpful. Most of the discomfort from a tummy tuck is related to tightening the abdominal muscles. The above two measures address the resulting discomfort. Good luck.

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ICD

Member Response:

No. Patients with an ICD need clearance from a cardiologist to have the defibrillator temporarily turned off during surgery.

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Scar on left cheek

Cosmetic Surgery

Member Response:

The scars are thicker than normal scars. Before recommending revising the scars, it would be useful to know if they were originally sutured or allowed to heal on their own. Also do you have other scars, perhaps from surgery and are they thickened or flat?

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Keloid scaring any advice? PS suggests another surgery

Member Response:

You do not have keloid scarring. I do not know why you were told you do. Your breasts appear flat. This may be because the implants have flipped back to front. Since fat grafting was not successful, you may want to consider have the implants re-oriented and the spaces made narrower to prevent them from flipping again.

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Keloid scaring any advice? PS suggests another surgery

Member Response:

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Is nail bed reconstruction surgery possible?

Hand Surgery

Member Response:

Yes, the appearance of your finger nail can be improved. You appear to be missing a portion of the nail growth center (germinal matrix) and the nail bed, the pink tissue to which the nail adheres. The only place where these tissues can be obtained is from one of your toes. In effect you would sacrifice the appearance of a toe nail to improve the appearance of your finger nail. Look for a plastic surgeon who does hand surgery.

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Should I have another surgery to remove the capsules? 3 months post op, no symptoms or seroma

Member Response:

To strictly answer your question, I can not say that you have absolutely no risk. Your risk, however is very very small. Only about 15% of Anaplastic Lymphoma cases were seen in women who had Siltex implants as opposed to the macro-textured Biocell implants. The average time to development of ALCL is 7 years after implantation Therefore, since you had your implants for only 6 months and they were the micro-textured Siltex implants, your risk is very very low. In the US, the FDA does not even recommend removing even macrotextured implants in women with no symptoms.

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Hair Transplant and Age

Hair Transplant

Member Response:

As long as you are healthy and have enough hair at the donor site, you are not too old.

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Unevenness in height of breasts after double mastectomy with tissue expanders

Member Response:

Please bring the asymmetry to the attention of your surgeon. In my experience what you describe may be a result of rotation of the tissue expander. This is usually not a long term problem. Expansion can proceed in most cases without affecting the final results.

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multiple procedures