Susan Buenaventura, MD
Susan Buenaventura, MD, 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. Buenaventura is dedicated to working with you to achieve your goals.
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Meet Dr. Susan Buenaventura
Dr. Buenaventura is a board certified plastic surgeon in private practice since 1995 with a fully accredited surgical facility in her office. She meets with you personally and will give you the time and attention you need to discuss what areas you would like to improve. She and her staff take care of you every step of the way, from the first consultation to the day of surgery and through the recovery period. Our goal is a well informed and well cared for patient. Our practice thrives because of referrals from happy patients and continued relationships with happy patients. We want you to be one of them!
Dr. Buenaventura personally meets with each patient for surgical consultation. You will receive an expert opinion on the best treatment for you including surgical or non surgical approaches. She will discuss the risks and benefits of the procedure. The staff will review where the surgery will be performed and what cost is involved, including surgery, anesthesia and post-operative care. By the time you leave our office, you will feel very knowledeable about the procedure and comfortable with our staff. We will meet with you again prior to the surgery to review instructions, write prescriptions and discuss details.
Breast Implant Removal
Breast Implant Removal
Breast Implant Revision
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Laser Skin Resurfacing
Lip Augmentation / Enhancement
Male Breast Reduction
Nonsurgical Fat Reduction
Nonsurgical Vaginal Rejuvenation
Skin Cancer Removal
Tram Flap Breast Reconstruction
Ask a Surgeon
Dr. Susan Buenaventura participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Recovery timeBreast Reduction
Breast reduction is a wonderful and life changing procedure! It is also major surgery and though it is outpatient surgery, you must allow sufficient recovery time. I would recommend two weeks off of work as a minimum. If your job is more physical you may require additional time. Patients do not have much pain but still need to take it easy to avoid risks of bleeding. Good luck!
How soon safe it is.Liposuction
This is a question that is best addressed by your surgeon, who knows how extensive the liposuction was, if you are fully recovered and how long the breast lift surgery will be. It's good to give your body time to recover before undergoing a second major surgery, especially when it is elective. If you have already had the liposuction, I would recommend waiting 6 weeks or more, to minimize the risk of complications.
Cost will vary widely by region. In the Washington DC area, surgical fee is around $6000 and anesthesia and facility fee may be another $4000. This would be reduced hospital fees when patients are paying out of pocket. With regard to insurance, only your insurance company can tell you what your cost would be. It’s worth it, and a life changing surgery.
Scar tissue or more GynecomastiaBreast Reduction
Hello, gynecomastia does change and soften over time. Massage that you can do daily in the shower or at bedtime helps. It is good advice to wait because some firm areas will soften and flatten as they may be some fat necrosis. If after 6 months (you're halfway there) the nipple area is still puffy or feels like there is some glandular tissue there, a revision may benefit you to remove additional tissue. One of the worst problems can be over resecting the glandular tissue behind the nipple, so most surgeons try not to over do it. Hope that helps. Keep in close touch with your surgeon and keep massaging.
Age limitationTummy Tuck
Age is not a limitation, your general health is the most important issue. If you are a candidate for anesthesia, you are a candidate for tummy tuck or facelift ( not the same day). It's best to be in a healthy weight range, absolutely no smoking, heart must be healthy and blood pressure well controlled. If you are a diabetic, your A1C level will be important. Work with your i trrbest and plastic surgeon as a team and you will do well. Hope that helps.
Breast Reduction CorrectionBreast Reduction
You should consult in person with your breast reduction surgeon. It's unusual to shrink from a D to an A just from swelling. It's also very difficult to predict an exact cup size. If you feel you are too small now then your best option would be to consider implants. Unfortunately insurance does not cover elective breast implants. Your surgeon may be able to help reduce your out of pocket cost. The important thing is that you are happy with your breast size in the end!
Most surgeons would one year before a revision surgery. But it would make sense to start consultations sooner if you are looking for a second opinion. Depending on the issue, one might intervene sooner. Good luck!
Average cost of reduction and liftBreast Reduction
If the implants are causing her pain, she may be very happy with removal. Replacement is also possible but if she wants smaller breasts, be sure to replace with smaller implants. If implants are ruptured and capsules are also involved, surgery may take more time and be more costly. Reduction or lift is sometimes done the same day and sometimes done as a separate procedure, once the breasts have healed from the implant removal. A breast reduction will remove skin and breast tissue, to make the breasts smaller an d lifted. The breast lift will remove skin only and lift the breasts while maintaining the breast size. It is wise to see an in person consultation to get firm numbers about cost. In Charlotte, NC, I can highly recommend the Charlotte Plastic Surgery group.
Autoimmune disorderTummy Tuck
Yes you can still be a good candidate for a tummy tuck if your rheumatologist agrees and they work closely with your plastic surgeon to prepare you. Medications like Naproxen (NSAID) need to be stopped temporarily as they are blood thinners. Other medications that treat your autoimmune disorder may interfere with your wound healing ability and need to be stopped temporarily as well. I would encourage you to speak to your rheumatologist, then find a plastic surgeon you have confidence in. Lots of pre planning will result in a smooth post operative course. Good luck to you.
Health ConcernTummy Tuck
Hello, it's still possible to have the tummy tuck done safely if your internist and plastic surgeon work together. Hypertension should be well controlled with medication. Thyroid should also be well controlled with medication. This will help you through the anesthesia safely. As your RA cannot be cured, it's more a question of what medications you are on (like steroids or chemotherapy) and whether they will need to be stopped temporarily to allow proper wound healing. With proper preparation, you can have your tummy tuck done. I would recommend a hospital setting and an overnight stay. Hope this is helpful!
Congratulations on your decision to have breast reduction surgery. Not clear if you had the surgery already or not. I tell my patients to avoid alcohol for two weeks after surgery as it is a blood thinner, it's dangerous to combine with narcotic pain medication and they need to be very careful in general the first couple weeks. Healing begins the day of surgery but exercise, etc will have to wait about 6 weeks. Going back to work is feasible at 3 weeks, depending on your job. Hope that is helpful!
Restore my breastsBreast Augmentation
After 30 years, the skin has stretched and a secondary "tightening" of skin, or a breast lift will help reshape the breasts. If you want to be a larger cup size (you have lost weight or breasts got smaller) then you will also need to add volume with implants. Fat grafting also an option for more conservative volume addition). Be sure to see a surgeon very experienced in breast reduction as the second surgery requires additional expertise.
Derma Fillers for midforeheadDermal Fillers
Be careful with fillers in forehead, as there are a lot of blood vessels and one of the dangers of any injection is intrvascular injection. It is rare but you should be aware of this risk. I would recommend using hyaluronic acid fillers if you do decide to proceed, as there is a medication to dissolve it if you have a problem or don't like the result. Be sure to find a very experienced BC plastic surgeon from ASPS and understand that this is an "off label" treatment. Having said that, fillers are a good way to improve contour in the face.
One frown line between my eyes! And an Indentation in the bone underneath....I can feel it!Dermal Fillers
The indentation is from years of frowning with the corrugator muscles and if you have a bony defect there as well, it can be treated with fillers. You need Botox to weaken the corrugator muscles causing your frown lines. Secondly you would benefit from some fillers injected into that area to fill in the "dent". My preference is Botox and some Restylane into the indentation.
life of implants/breastfeedingBreast Augmentation
Hello Alex, there is no need to replace breast implants every 10 years. It is wise however to see your plastic surgeon every couple years for a check and keep your records current. Indications to replace or remove an implant would be a leakage, pain or a desire to change the size or remove them. You can breast feed with implants. It is best if they are placed under the muscle to keep the breast healthy. Milk supply should be fine with reasonably sized implants. I would recommend smooth round implants filled with saline or silicone. I am in Alexandria VA if you desire an in person consultation.
Rupture removalBreast Augmentation
Hi Terry, I do many of these cases and would agree that due to the age of the implants it's wise to remove both. I have often found the opposite side to be ruptured even when the MRI didn't read that way. You can find a skilled surgeon first on this site, then ask questions! Removing the capsule does require experience and skill to preserve all your breast tissue. I hope this is helpful.
I would anticipate your needing surgery to reduce the gynecomastia. As other surgeons have said, it is absolutely life changing at any age, teenage to seniors. It's wise to go ahead and find an ASPS surgeon you like and get all the information you need. Scheduling the surgery is up to you but I would get a consultation now to help you make your decision.
smooth implantsBreast Augmentation
Both smooth and textured implants may appear to move if they are placed under the muscle, (which is recommended) with intense pectoral exercise. If you are a serious body builder, sometimes above the muscle is an option. The smooth implant has been more popular over the years, and many patients and surgeons are shifting toward smooth implants due to the concerns about ALCL. Implants greatly improve self esteem and are still one of the most frequently requested and performed surgeries. Smooth implants do feel a little softer than textured. Good luck!
28 yr old female seeking medical advise for tummy tuck with lipo to flanks. I lost 86 pounds.Tummy Tuck
Congratulations on your weight loss and educating yourself about VTE. Two important factors within your control are body mass index (BMI) and not smoking. BMI if 30 or less is ideal; BMI of 32 is acceptable.. Risks for VTE appear higher in the outpatient/ambulatory setting. Adequate hydration, pain management and patient experience is optimized with an overnight stay. Use of Ted stacking, sequential compression boots, proper positioning ( hips flexed, knees bent) and sometimes lovenox injections post operatively all help. If I have a patient whom I consider high risk I will obtain help from a hematologist. Early ambulatory is critical, and the fact that you have gotten through a previous major procedure without difficulty is a good sign. Make sure you Have a board certified anesthesiologist caring for you. I hope that is helpful!
Once you know the implant is ruptured, removal is recommended, especially if they are 32 years old. If you haven't had a mammogram in a year, you should get one before surgery. Removal if the implant and capsule definitely require expertise. Start your search on this site to ensure a board certified plastic surgeon.