Karol A. Gutowski, MD, FACS
Dr Karol Gutowski is a Board Certified Plastic Surgeon specializing in noninvasive treatments, minimally invasive, and advanced surgical procedures to help you look and feel your best. As a leading educator of other plastic surgeons, he is affiliated with the University of Chicago and the University of Illinois, and has over 100 medical publications and over 200 invited lectures to his credit. With over 20 years of experience, Dr Gutowski is recognized nationally and locally as a Top Doctor.
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Meet Dr. Karol Gutowski
Breast Implant Removal
Breast Implant Removal
Buttock Lift with Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Free-Flap Breast Reconstruction
Laser Hair Removal
Laser Skin Resurfacing
Lip Augmentation / Enhancement
Male Breast Reduction
Male Chest Implants
Skin Cancer Removal
Spider Vein Treatment
Tram Flap Breast Reconstruction
Ask a Surgeon
Dr. Karol Gutowski participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Congenital symmastia pinellas countyCosmetic Surgery
I have fixed these cases and it can be done as an out patient procedure. Please contact me if interested.
Assuming you are otherwise healthy, liposuction is possible for transplant patients. There are many good Board Certified plastic surgeons in your area.
How long will they be swollen?Breast Augmentation
Some swelling and discomfort is common after breast augmentation. However, if you are experiencing significant pain and swelling, you should contact your surgeon right away.
Implant typeButtock Implants
Buttock implants are made of a similar material to breast implants but they are not the same. A breast implant should never be used for buttock augmentation.
Need belly button fixed :-(Cosmetic Surgery
Based on your picture, you may need to have the scar removed, then a new belly button created a few months later.
Can I get a breast reduction if my breasts keep growing?Breast Reduction
This is a good question to discuss with a plastic surgeon and determine why your breasts are growing. An in person evaluation is the best way to start. If your symptoms are severe, it may be appropriate to do a reduction now.
Bra Line Back LiftBody Lift
A bra line and back lift are both doable on selected patients and can give great results. An in person assessment is the best way to find out.
Non-Surgical or Mini Lift?Arm Lift
The best option is an arm lift which removes the loose skin. See examples here: https://drgutowski.com/before-after-photos/body/arm-lift/
what to do in the futureBreast Reduction
It sounds like you may want a breast reduction in the future. However, there are times when a breast reduction can be done at your age. I've treated a few cases like yours just to make the pain improve. In some cases, it can be done with liposuction to avoid obvious scars. Learn more here: https://drgutowski.com/before-after-photos/breast/breast-reduction/
Saline implant deflation and wait several months?Breast Implant Revision
Very reasonable. I would do the same.
This is a serious problem. Contact your surgeon immediately or seek urgent medical consultation.
Healing after Iraq along with major weight lossTummy Tuck
Looks like a great result! And thanks for your service to our country.
Insurance Red FlagMale Breast Reduction
There is nothing wrong with accepting insurance. If a doctor accepts an insurance plan, then they have to accept it for all procedures. However, most insurance plans don't cover it so just because a surgeon accepts insurance, it doesn't mean that insurance will pay for it.
Most surgeons have a revision policy that you would have seen before the procedure. As Dr Johnson pointed out, many surgeons will not charge their fee to revise this, but there are other expenses that surgeons can't absorb.
Scar in chin/neckCosmetic Surgery
It is possible that the scar could be improved but you need an in-person evaluation for a proper assessment.
Fat and unshapely legsLiposuction
You may have lipedema.
Tummy tuck needed?Tummy Tuck
Liposuction may help but will not give you a flat tummy. You have a lot of extra skin that is best treated with a combination of liposuction and tummy tuck. We offer a Rapid Recovery No Drain Tummy Tuck (see results here: https://drgutowski.com/before-after-photos/body/tummy-tuck/) which may be appropriate for you. An consultation can help you learn more.
Sutures won’t dissolveBreast Augmentation
Something doesn't sound right. Consider a second opinion.
Congenital symmastiaBreast Augmentation
I've treated a few cases of this with good results. When you are ready, please contact me.
Length of timePanniculectomy
At this point, a hernia repair will not affect you panniculectomy results.