Active Member
Kristopher M. Day, MD, FACS
Kristopher M. Day, 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. Day is dedicated to working with you to achieve your goals.
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Meet Dr. Kristopher Day
Procedures Performed
Aesthetic Genital Plastic Surgery
Arm Lift
Body Contouring
Body Lift
Botulinum Toxin
Breast Augmentation
Breast Implant Removal
Breast Implant Removal
Breast Implant Revision
Breast Lift
Breast Reconstruction
Breast Reduction
Breast Reduction
Brow Lift
Burn Reconstruction
Buttock Lift with Augmentation
Cheek Augmentation
Cheek Reduction
Chin Augmentation
Chin Surgery
Cleft Lip and Palate Repair
Craniosynostosis
Dermal Fillers
Deviated Septum Correction
Ear Reconstruction Surgery
Ear Surgery
Eyelid Ptosis Repair
Eyelid Surgery
Facelift
Facial Implants
Free Flap Breast Reconstruction
Gender Affirmation Surgery
General Reconstruction
Giant Nevi Removal
Hand Surgery
Hand Surgery for Congenital Differences
Head and Neck Cancer Reconstruction
Head and Neck Skin Cancer Reconstruction
Injectable Fillers
Laser Skin Resurfacing
Lip Augmentation/Enhancement
Liposuction
Male Breast Reduction
Microdermabrasion
Microsurgery
Migraine Surgery
Mommy Makeover
Neck Lift
Neural Regeneration
Orthognathic Surgery
Panniculectomy
Post Burn Reconstruction
Rhinoplasty
Scar Revision
Skin Cancer Removal
Skull/Facial Bone Reconstruction
Surgery for Genitourinary Diseases
Thigh Lift
TRAM Flap Breast Reconstruction
Tummy Tuck
Vascular Malformations
Wound Care
Ask a Surgeon
Dr. Kristopher Day participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Facial mole removal on infants
Giant Nevi RemovalMember Response:
Good questions. For more "routine" procedures that do not present a significant risk for delay, often 6 months or older are milestones that pediatric patients need to be, at least in the opinion of many anesthesiologists. Obviously, this is just a snapshot, but if this lesion is followed by your pediatrician and doesn't change, then there is likely time to wait with no impetus to proceed as soon as possible to the operating room. There are non-operative or less invasive approaches, though they do not provide as much tissue information (pathology). I would recommend you discuss options and timeline in a consultation with a board-certified plastic surgeon.
Any pro bono surgeons near Portland Oregon?
RhinoplastyMember Response:
I agree with Dr. Gerzenshtein. It may not be what you want to hear, but as much as we generally enjoy helping people, there are significant costs to surgeons to perform operations, not to mention the time and effort spent to develop the skill to have to offer patients, such as yourself. So I would encourage you to either see a resident aesthetic surgery clinic at a nearby university, as was suggested, or explore financing options such as Care Credit to navigate the costs associated with quality plastic surgery. Hope you find what you are seeking.
Liposuction on Outer Thighs
LiposuctionMember Response:
Agree with the other surgeons. This is quite soon after surgery to judge. There are things you can do, such as following your compression garment recommendations, home massage, lymphatic massage, and arnica gel. But time will likely beget improvement. Stay in touch with your surgeon if you do not see improvement, but allow weeks to months.
Replace Implants
Breast Implant RevisionMember Response:
No reason to do capsulectomy based on what you convey. Also, there are multiple options (including site change to under muscle) to address the rippling problem. Size change with form-stable cohesive implants, fat grafting, and mesh/biomaterials can all be used in some fashion, depending on the specifics of your situation. You'll want to flesh these options out in a consult with a board-certified plastic surgeon.
Insurance Coverage for Capsular Contracture/Breast Implant Illness
Breast Implant RevisionMember Response:
Both doctors are giving you good advice. It's not what most patients want to hear with capsular contracture after previous breast augmentation (assuming that is the case here), but it requires an out-of-pocket revision surgery, usually with sub-total capsulectomy and implant removal, to treat this. Best wishes, and hope you find the care you are looking for.
Scarring caused by breast uplift - can surgery remove it?
Breast ReconstructionMember Response:
If you had a significant reduction, then that tissue could likely be removed during that procedure, possibly even during a revision breast lift. You would want to have a complete consultation with a board-certified plastic surgeon to ensure your goals are achievable. Best wishes.
Consultation
Male Breast ReductionMember Response:
You simply search for one in your area on this website! Good luck.
Ruptured Silicone Implant
Breast Implant RevisionMember Response:
I think both replies share a lot of good information. There was actually a recent study in which a surgeon simulated the force from a car crash and showed that silicone breast implants hold up even under that degree of force. So I would echo being cautious about using the word "caused." There are ways to get revision cosmetic breast implant financial assistance with what are effectively credit cards for this purpose, or, as mentioned, exploring options under the implant's warranty. Your next step would be to speak with a board-certified plastic surgeon. Hope that helps.
Deoxycholic acid for gynecomastia
Male Breast ReductionMember Response:
Kybella is FDA-approved for dissolving fat of the neck, where this effect is perhaps most noticeable. Despite this, it is known for often requiring repeat treatment. So the use of Kybella for this purpose would likely not be effective (and off-label). I recommend a consultation with a board-certified plastic surgeon.
Should I Seek Wound Care
Breast ReductionMember Response:
Conservative therapy with wound care heals this in most cases. There are some topicals your surgeon may recommend. You should follow up with them closely, and you will likely heal with time.
How small can I go?
Breast ReductionMember Response:
Great question and probably one of the most common ones that we receive. As I tell patients in my practice, the boundaries for a breast reduction are (at most) leaving enough tissue behind to preserve blood flow to the nipple-areolar complex and skin flaps and (at least) whatever is necessary to remove to either optimally position the nipple-areolar complex or satisfy an insurance (if applicable) for the minimal removal amount to qualify as a reduction. So hopefully that gives you a framework to think about and from which to pose your questions to a board certified plastic surgeon in consultation.
Gynecomastia revision vs nipple reduction
Male Breast ReductionMember Response:
Good questions. Although not having the benefit of seeing before photos, this looks like a very nice result. That being said, if you separately wanted to reduce nipple projection that is doable with removal of either a portion of the nipple and then closing it to a smaller size or (my preference) removing a kind of "donut" of the base of the nipple to "telescope" it down, if you will. It sounds like that might help you achieve your goal. In my opinion, I would not consider this a revision, because it likely differs from the gynecomastia surgery that you had, which is good news because nipple reduction is not usually associated with "crater deformity." Of course, ask your surgeon or another board certified plastic surgeon for their advice. Best wishes.
Certification
FaceliftMember Response:
The important elements is that your surgeon is board certified by a board that is recognized by the American Board of Medical Specialties (which both plastic and reconstructive surgery and ophthalmology are), that your surgeon has training and experience with your procedure, and that you communicate well in regards to your expectations, risks, benefits, and alternatives. If you do this, then you are likely on the right path. Best wishes.
Diastasis Recti Repair
General ReconstructionMember Response:
Yeah...I think you should go see a board certified plastic surgeon and have a face-to-face conversation. There are some clarifications to be made here (per others' comments) to help steer you in the right direction.
Does chin implant cause loss of cheek volume?
Chin SurgeryMember Response:
I agree with Dr. Torabi. Chin implants do not cause loss of cheek volume. However, the "harmony" of the face is a subtle and nuanced concept where a change in one aspect can give the impression of a change in another element of the face. This might be what you're interpreting. Best to talk to your surgeon or another board-certified plastic surgeon about your best options, whether that is another chin procedure, other intervention, or no intervention.
Stretch mark removal
General ReconstructionMember Response:
This is a challenging situation, because stretch marks are often resistant to non-invasive treatments. There are some topical and laser-based therapies, but they are not likely to completely remove stretch marks. If there is adjacent ptotic or "lax" tissue in your thighs, then a thigh lift, alternatively, may be a way to improve excess tissue and make regions with stretch marks more taut so that they are less noticeable. Best to consult with a board certified plastic surgeon to discuss options.
MOHS repair on nose
Skin Cancer RemovalMember Response:
This appears to be a full-thickness defect of the lower third nasal sidewall encroaching onto the nasal tip and nasal ala. I would assume it is over 1.5-2 cm in greatest dimension, which would make it too large for a bilobed or other "geometric" (borrow from adjacent tissue) flap. Therefore, while one could consider a nasolabial (borrow from the "smile line") flap, in my hands this would likely be best reconstructed with a so-called "paramedian forehead flap," which would be performed in two surgical stages. It would be good to speak with a board-certified plastic surgeon that performs facial reconstruction.
Deviated septum
RhinoplastyMember Response:
Great question. You can actually have a "functional rhinoplasty," or "nose job" with goals directed towards breathing primarily. Often form and function overlap, but there are more limited incisions and dissection approaches that can be targeted specifically at the septum, the outcroppings of the inner nose that can obstruct breathing called the turbinates, and other elements that mainly improve breathing. It is important to have a conversation about the goals of surgery with your surgeon to define these expectations about what result you can expect, and there is a conversation to be had about the best age to undergo surgery, surgery consent with your parents, and other details. But your intuition overall seems appropriate, and I encourage to speak with a board certified plastic surgeon that performs rhinoplasty procedures.
Breast Reduction Effects on Breast Feeding.
Breast ReductionMember Response:
Agree with other posts that most patients should not be prevented from breast feeding based on having a reduction. What many patients do not realize is that historically in the US only 25% of infants are breastfed exclusively for at least 6 months and 35% are breastfed to any extent for at least 1 year. So, while you can breastfeed after a reduction, the rate of breast-feeding for the duration of infancy with or without a reduction is only about 1 in 4 to 1 in 3. Something to put the question in context.
Better get fat or lose weight before the procedure?
Breast AugmentationMember Response:
The safest perspective would be to maintain a normal, healthy weight. In some cases, with a very thin patient, however, I advise that they eat liberally to gain some weight before fat transfer. I advise patients that optimal fat graft survival could be encourage by avoiding pressure on the recipient area, healthy nutrition and hydration post-operatively, and time for observation of the amount of fat retention. But this is an important procedure to discuss reasonable expectations and the possibility of the need to even conduct repeat procedures, as needed. Good conversation points to have with your surgeon.
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