Karol A. Gutowski, MD, FACS
Active Member
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
Contact
Locations
Glenview Office
Suite 100, 2300 Chestnut Avenue
Glenview,
IL
60026
Languages
- English
- Polish
More Links
Procedures Performed
Arm Lift
Body Contouring
Body Lift
Botulinum Toxin
Breast Augmentation
Breast Implant Removal
Breast Implant Removal
Breast Lift
Breast Reconstruction
Breast Reduction
Brow Lift
Buttock Implants
Buttock Lift with Augmentation
Calf Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Chin Augmentation
Chin Surgery
Dermabrasion
Dermal Fillers
Ear Surgery
Endoscopic Technique
Eyelid Surgery
Facelift
Facial Implants
Free Flap Breast Reconstruction
Hair Transplant
Injectable Fillers
Laser Hair Removal
Laser Skin Resurfacing
Lip Augmentation/Enhancement
Liposuction
Male Breast Reduction
Male Chest Implants
Microdermabrasion
Retin-A Treatments
Rhinoplasty
Scar Revision
Skin Cancer Removal
Spider Vein Treatment
Tattoo Removal
Thigh Lift
TRAM Flap Breast Reconstruction
Tummy Tuck
Specialty
Body
- Arm Lift
- Body Contouring
- Body Lift
- Buttock Implants
- Buttock Fat Transfer (BBL)
- Calf Augmentation
- Lipedema Treatment
- Liposuction
- Liposculpture
- Tattoo Removal
- Thigh Lift
- Tummy Tuck (No Drains)
- Fat Transfer
Breast
- Breast Augmentation with Implants
- Breast Augmentation with Fat Transfer
- Breast Implant Removal
- Breast Implant Revision
- Breast Lift
- Breast Reduction
- Male Breast Correction & Reduction (Gynecomastia)
- Male Chest Implants
- Nipple Reduction
Face (Surgical)
- Brow Lift
- Chin Augmentation & Implants
- Ear Surgery
- Ear Lobe Repair
- Eyelid Surgery
- Face Lift
- Facial Implants
- Lip Augmentation / Enhancement
- Neck Lift
- Neck Liposuction
- Rhinoplasty (Nose Reshaping)
Face (Non-Surgical)
- Botox, Dysport, Xeomin, Jeuveau
- Injectable Fillers
- Juvederm Products
- Restylane Products
- Bellafill
- Belotero
- Radiesse
- Sculptra
- Versa
- Chemical Peels
- IPL Treatments
- Microneedling
- Radio Frequency Microneedling
- Spider Vein Treatment
- Laser Hair Removal
- Laser Skin Resurfacing (CO2 Laser)
- Retin-A Treatments
Other Treatments
- Scar Revision
- Mole Removal
- Skin Tag Removal
Ask a Surgeon
Dr. Karol Gutowski participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Procedure
Breast Implant RemovalMember Response:
I usually deflate the implants in the office to let patients see what they would look like with an implant. Then, they can be removed through a small incision as an awake procedure.
Procedure
Question:
I want to know if it is always necessary to have the large incisions to remove saline implants. Is it possible to deflate the implant than remove it through an incision around the areola.
Karol A. Gutowski, MD, FACS's Response:
I usually deflate the implants in the office to let patients see what they would look like with an implant. Then, they can be removed through a small incision as an awake procedure.
Full or mini TT or other options?
Tummy TuckMember Response:
Since you have loose skin above your belly button, a fully tummy tuck may be better for you. With so much weight loss, a body lift is also an option. An in person assessment is best.
Full or mini TT or other options?
Question:
46 years old and recently lost 70 pounds over 10 months. I’m 5’6, 135 lbs now., and do resistance training 3 x a week. I was hopeful my skin would tighten, but the sagging isn’t pleasant. What is the least invasive procedure that will give me results that I can live with? In the final photo, I’m extending my belly to lessen the effect and would be happy with final results that look like that.
Karol A. Gutowski, MD, FACS's Response:
Since you have loose skin above your belly button, a fully tummy tuck may be better for you. With so much weight loss, a body lift is also an option. An in person assessment is best.
Consultation
Male Breast ReductionMember Response:
I have availability for a consultation and in most cases can do gynecomastia surgery as an awake procedure with a local anesthetic.
Consultation
Question:
I'm trying to schedule a consultation for Male Breast Reduction (Gynecomastia). The recommended Board-Certified Plastic Surgeon, who is also a member of the American Society of Plastic Surgeons (ASPS), doesn't have consultation openings until May 2025. How can I find a surgeon - in my area with the same qualifications who may be available much sooner?
Karol A. Gutowski, MD, FACS's Response:
I have availability for a consultation and in most cases can do gynecomastia surgery as an awake procedure with a local anesthetic.
Age Requirement
Breast ReductionMember Response:
Age alone will not exclude her from having a breast reduction. However, a discussion with a plastic surgeon and the pros and cons of surgery is the first step. I have treated a few patients in their teens and all were happy to have it done for symptom improvement.
Age Requirement
Question:
I have questions about age requirement, my daughter is 16 years old and weights about 100lbs, she’s 5ft. she’s petite! & the issue is she suffers a lot with back pain, rashes in between her breasts & insecurities she can not control. She’s a 32DD, i have records of the chiropractor, doctor visits for rash cream & she’s been going to therapy for her mental health,im searching for the ideal surgeon
Karol A. Gutowski, MD, FACS's Response:
Age alone will not exclude her from having a breast reduction. However, a discussion with a plastic surgeon and the pros and cons of surgery is the first step. I have treated a few patients in their teens and all were happy to have it done for symptom improvement.
Open wound, wet scab?
Breast LiftMember Response:
If the dressing is sticking to the wound, apply a thin layer of antibiotic ointment or Vaseline to the wound first. Or, use a nonstick dressing like the inside of a Band-Aid.
Open wound, wet scab?
Question:
I had a mommy makeover on July 8th and I'm concerned about how this incision is healing. My plastic surgeon is on vacation and I have been messaging her through text. She suggested that I change a dry dressing three times a day but every time I go to change the dressing it is sticking to the area. This morning I used sterile gauze and saline solution to blot the area. Any suggestions? Thank you
Karol A. Gutowski, MD, FACS's Response:
If the dressing is sticking to the wound, apply a thin layer of antibiotic ointment or Vaseline to the wound first. Or, use a nonstick dressing like the inside of a Band-Aid.
Vermilion Border Scar
Cleft Lip and Palate RepairMember Response:
Based on the picture, it healed well. If it bothers him when he is older and can make a decision on treatment, it can be revised.
Vermilion Border Scar
Question:
Hello, my 1 year old was injured about 3.5 months ago and this is the scar (top left side) that has formed on his lip, crossing his vermilion border. Does anyone have experience with a similar scar in young patients and how did it eventually end up healing? I am worried it will show this wide gap in the border forever.
Karol A. Gutowski, MD, FACS's Response:
Based on the picture, it healed well. If it bothers him when he is older and can make a decision on treatment, it can be revised.
Best Facial Procedures
RhinoplastyMember Response:
Without knowing your goals, I wouldn't trust anyone to give you advice on what to do. "Crowd sourcing" recommendations for surgery is not a substitute for a comprehensive evaluation and individualized treatment plan. Spend some time discussing this with a board certified plastic surgeon.
Best Facial Procedures
Question:
Hello, I would like to the most minimal amount of work with the biggest impact. I'm looking to do simple changes to both keep a natural look and for financial reasons. I've had advice to do rhinoplasty and perhaps a procedure to decrease jowels. However, others have suggested lip augmentation and fillers to achieve the best results. Not really sure what I should prioritize to achieve my goals.
Karol A. Gutowski, MD, FACS's Response:
Without knowing your goals, I wouldn't trust anyone to give you advice on what to do. "Crowd sourcing" recommendations for surgery is not a substitute for a comprehensive evaluation and individualized treatment plan. Spend some time discussing this with a board certified plastic surgeon.
What can I do
Breast AugmentationMember Response:
You need to see a local plastic surgeon as soon as possible.
What can I do
Question:
I am about 16 days out from getting my breast augmentation with implants and a lift. Recently I had a lot of drainage and now my incisions have started to open. I have contacted my surgeon but due to him being in a different country it takes awhile for him to respond. Is this normal or is there anything I can do to help it close? I change my gauze 3-4 times a day and clean everything.
Karol A. Gutowski, MD, FACS's Response:
You need to see a local plastic surgeon as soon as possible.
Buried Penis next steps
PanniculectomyMember Response:
Dr Sam Poore at the University of Wisconsin is an expert in this
Buried Penis next steps
Question:
Due to the limitations of 400 characters, this will be greatly reduced in length. I'm an adult male with an infant botched circumcision, I've lost 300 lbs (now 5'11 178) and undergone panniculectomy and two monsplasty procedures. The penis remains fully buried, and I can insert three inches of my finger into the hole that exists. What can be done for me? I need penile reconstruction asap.
Karol A. Gutowski, MD, FACS's Response:
Dr Sam Poore at the University of Wisconsin is an expert in this
Is there help for Lipedema
Thigh LiftMember Response:
I've had a few patients with lipedema from Colorado come to see me in Chicago.
Is there help for Lipedema
Question:
am in CO and I have pretty severe Lipedema in my legs to the point I am having trouble walking. I am a SPED Paraeducator and I have 4 kids so I am on my feet a lot. I desperately need help. Is there any doctor willing to help me, I am truly scared about losing the use of my legs?
Karol A. Gutowski, MD, FACS's Response:
I've had a few patients with lipedema from Colorado come to see me in Chicago.
MOHS repair on nose
Skin Cancer RemovalMember Response:
Maybe a forehead flap or bilobed flap.
MOHS repair on nose
Question:
I'm wondering what the most likely method of repair would be after this MOHS surgery? As you can see the surgery was extensive and I'm wondering what the best course of action would be.
Karol A. Gutowski, MD, FACS's Response:
Maybe a forehead flap or bilobed flap.
Explant over muscle uneven natural breasts
Breast ReconstructionMember Response:
In most cases, saline implants can be deflated as an office procedure (or removed) and then you can wait 3 months to see how they will look. After that, fat grafting, breast lifts, or other treatments can be considered.
Explant over muscle uneven natural breasts
Question:
had breast implants for almost 24 years. Over the muscle, saline. Before One breast a cone shape size A with a puffy nipple and the second a droopy but 'normal' barely B with a large areola. They never looked right. Now after pregnancy, and years going by they look and feel horrible on both sides. I want them out, not replaced. What will the best procedure be after explant as symmetrical as can
Karol A. Gutowski, MD, FACS's Response:
In most cases, saline implants can be deflated as an office procedure (or removed) and then you can wait 3 months to see how they will look. After that, fat grafting, breast lifts, or other treatments can be considered.
Can ruptured implant be left alone
Breast Implant RevisionMember Response:
Unless you are having a problem with them, there is no medical reason to remove a ruptured SALINE implant. Its no different than a non-ruptured implants, its just empty with a small hole in it. The is no evidence that it will lead to capsular contracture. For patient who want them removed, I usually do it awake with just a local anesthetic.
Can ruptured implant be left alone
Question:
I have 30 year old saline implants & the right implant deflated. They are small implants so it’s not really noticeable. I am terrified of surgery & wondered is it medically necessary to have it? What risk is there in leaving as is? I should note I have an occasional jarring pain in the right side (under breast toward the armpit) over the last few years which my obgyn doesn’t think is a concern
Karol A. Gutowski, MD, FACS's Response:
Unless you are having a problem with them, there is no medical reason to remove a ruptured SALINE implant. Its no different than a non-ruptured implants, its just empty with a small hole in it. The is no evidence that it will lead to capsular contracture. For patient who want them removed, I usually do it awake with just a local anesthetic.
Breast explant and lift
Breast LiftMember Response:
It is best that you contact your surgeon today about this and share your concerns to get appropriate care.
Breast explant and lift
Question:
I was told not to remove tape so I can't see my incisions well. I have 3 concerns 1. The color of my nipples (the first pic is 5 days post op) has gotten drastically darker (2nd & 3rd pic, 10 dpo) 2 . Concerned with the extra skin visible on the vertical incision that seems to be bugling and it seems the incision is not straight 3. Concave nipples post surgery, nipples were not concave preop
Karol A. Gutowski, MD, FACS's Response:
It is best that you contact your surgeon today about this and share your concerns to get appropriate care.
Necrotic tummy tuck
Tummy TuckMember Response:
Not all wounds are pain free, some pain early on is common. Discuss this with your plastic surgeon.
Necrotic tummy tuck
Question:
I had a TT&ended up with necrosis/open wound.It is healing slowly&I am putting gaze soaked in water& cleaning it in the shower as instructed.I am having pain in any position besides laying down.The bottom region from the incision&below burns.The corners have tunnels,discharge&hurt.I’m told I shouldn’t have pain&should be able to go back to work.I don’t foresee being able to.Is pain atypical&work e
Karol A. Gutowski, MD, FACS's Response:
Not all wounds are pain free, some pain early on is common. Discuss this with your plastic surgeon.
Explant procedure without capsule removal
Breast Implant RemovalMember Response:
Since you are not having any problems, unless they are ruptured, there is no need to remove the capsule. However, it is best to have a discussion with an experienced plastic surgeon. If you have textured Allergan implants, it may be worth discussing capsule removal.
Explant procedure without capsule removal
Question:
I want to remove my silicone implants after having them for 13 years. Never had any problems with them doesn’t feel like they rupture everything fine. I want an explant procedure without capsule removal. Is it harmful/dangerous if I leave capsule?
Karol A. Gutowski, MD, FACS's Response:
Since you are not having any problems, unless they are ruptured, there is no need to remove the capsule. However, it is best to have a discussion with an experienced plastic surgeon. If you have textured Allergan implants, it may be worth discussing capsule removal.
Where to go for Congenital Symmastia?
Breast ReconstructionMember Response:
I am in Chicago and have experience correcting congenital symmastia. I may be able to do it without hospital fees.
Where to go for Congenital Symmastia?
Question:
I have congenital symmastia, and was wondering if there would be surgeons and/or university residents who would be interested in taking on my case for a reduced fee/trying to finagle with insurance? I know it’s rare, so what an opportunity for some up and coming surgeons! Almost like participating in new research. Located in Michigan, USA (can’t find surgeons in the area, period).
Karol A. Gutowski, MD, FACS's Response:
I am in Chicago and have experience correcting congenital symmastia. I may be able to do it without hospital fees.
Realistic lift goals?
Breast LiftMember Response:
From what you describe, your goals are appropriate, but an in-person assessment is the only way to find out. Fortunately, Dallas is home to many great plastic surgeons who can help you.
Realistic lift goals?
Question:
I'm 36 & 5'6. When I was 19 I gained 50 lbs, got to 175 lbs & wore a size 32J bra. I then lost 50 lbs in my late 20s due to hormonal changes (weight has has stayed at 125 for 7 years). I now wear a 30E bra size. I have healthy breast tissue & not much fat. I'm considering a lift (no implants or reduction) to improve appearance & clothing fit and reduce strain on my back. Are my goals realistic?
Karol A. Gutowski, MD, FACS's Response:
From what you describe, your goals are appropriate, but an in-person assessment is the only way to find out. Fortunately, Dallas is home to many great plastic surgeons who can help you.
Regarding consent
FaceliftMember Response:
This may be better to discuss with the doctor who uses the form as its hard to comment washout knowing the full context of the situation.
Regarding consent
Question:
ASpS offers a consent form labeled Shorter version. When and why would a physician offer this consent to his or her patient? Can you explain the disclose at the very bottom of this consent?
Karol A. Gutowski, MD, FACS's Response:
This may be better to discuss with the doctor who uses the form as its hard to comment washout knowing the full context of the situation.
tummy tuck and lift
Body ContouringMember Response:
In most cases, a lower body lift ( a continuation of the tummy tuck) is done at the same time. Perhaps there is a misunderstanding in what you are having done?
tummy tuck and lift
Question:
Does separating lower body lift from TT give better results? I was told to have extended tummy tuck and then have lower body lift in a second surgery. It was explained there is vertical pull down for a TT and then opposite side for hip/butt/thigh lift and results in stomach not being as flat. Its hard to navigate when consults are so different.
Karol A. Gutowski, MD, FACS's Response:
In most cases, a lower body lift ( a continuation of the tummy tuck) is done at the same time. Perhaps there is a misunderstanding in what you are having done?
Complications after tummy tuck
Tummy TuckMember Response:
In most cases, a "dog ear" correction and liposuction of the flanks can be done awake with a local anesthetic which makes serious complications extremely rare.
Complications after tummy tuck
Question:
I had a tummy tuck in 4/2023. I developed a small blood clot in my lungs. I'm still on blood thinners for this and will be for the next few months. On my 6 week check up my surgeon asked if I was interested in dog ear revision with lipo to the flanks. I said no to the lipo because I'm scared to go under again. But are there any serious complications of dog ear removal if it's a minor procedure?
Karol A. Gutowski, MD, FACS's Response:
In most cases, a "dog ear" correction and liposuction of the flanks can be done awake with a local anesthetic which makes serious complications extremely rare.
Unsuccessful Search
Breast Implant RemovalMember Response:
This is something that I offer but of course it depends on how much fat you have available to transfer and if a crescent mastopexy is appropriate for you (it usually isn't after implant removal). Feel free to contact me,
Unsuccessful Search
Question:
I've been searching the internet for months looking for a surgeon who can remove my breast implants, perform a Crescent Mastopexy, and fat grafting to my breasts with minimal scarring. My breasts are beginning to sag, since I stopped my breastfeeding journey. I have also become increasingly paranoid about BII. Can anyone recommend a skilled surgeon or have experience with this procedure? Thank you
Karol A. Gutowski, MD, FACS's Response:
This is something that I offer but of course it depends on how much fat you have available to transfer and if a crescent mastopexy is appropriate for you (it usually isn't after implant removal). Feel free to contact me,
Malignant hyperthermia
Tummy TuckMember Response:
In addition to Dr Culbertson's advice, some surgeons do tummy tucks without the gas that can cause. I've done it with TIVA (Total Intravenous Anesthesia) + tumescent anesthesia which doesn't require any gas and the patient is breathing on their own. Happy to discuss further.
Malignant hyperthermia
Question:
I am very interested in having a tummy tuck but I do have MH. I am having difficulty finding a surgeon who will take me on. I live in Fauquier County but am willing to travel for the right surgeon. Any suggestions on how to find one?
Karol A. Gutowski, MD, FACS's Response:
In addition to Dr Culbertson's advice, some surgeons do tummy tucks without the gas that can cause. I've done it with TIVA (Total Intravenous Anesthesia) + tumescent anesthesia which doesn't require any gas and the patient is breathing on their own. Happy to discuss further.
Need help finding a doctor
Aesthetic Genital Plastic SurgeryMember Response:
Dr Sam Poore at the University of Wisconsin is an expert in fixing this. https://www.surgery.wisc.edu/staff/samuel-poore/ https://pubmed.ncbi.nlm.nih.gov/30544206/
Need help finding a doctor
Question:
My husband was diagnosed with adult acquired buried penis. It's very very painful when he tries to express his penis to urinate. He was given a referral to a urologist who wouldn't even see him. Urologist said he needed a plastic surgeon. We cannot find a plastic surgeon who has ever heard of this, let alone one who is willing to treat the medical side of vs. Just treating the cosmetic side
Karol A. Gutowski, MD, FACS's Response:
Dr Sam Poore at the University of Wisconsin is an expert in fixing this. https://www.surgery.wisc.edu/staff/samuel-poore/ https://pubmed.ncbi.nlm.nih.gov/30544206/
Lipadema Thigh Lift
Thigh LiftMember Response:
I have treated Tricare patients with lipedema as single case agreements. You may learn more at https://drgutowski.com/procedures/liposuction/lipedema/
Lipadema Thigh Lift
Question:
I am looking for a surgeon that accepts Tricare insurance and that specializes in lipadema. I need a thigh lift and lipo to my calves for lipadema. I have already had liposuction on my thighs once before, so they have been deflated and they look terribly deformed. My thigh skin hangs below my knees on the side of my legs. Wouldn't that be included in the thigh lift?
Karol A. Gutowski, MD, FACS's Response:
I have treated Tricare patients with lipedema as single case agreements. You may learn more at https://drgutowski.com/procedures/liposuction/lipedema/
local anesthesia
Breast Implant RemovalMember Response:
In most cases, they can be removed awake with just a local anesthetic. Ask the surgeon who put them in if that can be done for you.
local anesthesia
Question:
i would like to see if i can find a surgeons to removed my breast implants i got them January 2022 i just feel so ,tired drained and i don't like my self i want to find some one to help me removed them in the lowest cost possible please if there's anyone that could help
Karol A. Gutowski, MD, FACS's Response:
In most cases, they can be removed awake with just a local anesthetic. Ask the surgeon who put them in if that can be done for you.
Looking
Tummy TuckMember Response:
In most cases, a small hernia can be fixed at the same time. I do this as part of a No Drain Tummy Tuck in the Chicago area. Learn more at DrGutowski.com
Looking
Question:
I am looking for someone close to me willing to do a small hernia repair and a tummy tuck at the same time
Karol A. Gutowski, MD, FACS's Response:
In most cases, a small hernia can be fixed at the same time. I do this as part of a No Drain Tummy Tuck in the Chicago area. Learn more at DrGutowski.com
Symmastia repair
Breast ReconstructionMember Response:
I have fixed a few of these cases. If you are interested in coming to Chicago, please contact me.
Symmastia repair
Question:
when I was a baby I had 3 heart surgeries so I don't know if that's why I have symmastia or if I was born with congenital symmastia.. I need someone that knows how fix this located in FLORIDA. Please reply if you can assist or know a surgeon who can. Thank you.
Karol A. Gutowski, MD, FACS's Response:
I have fixed a few of these cases. If you are interested in coming to Chicago, please contact me.
SAFELipo vs SmartLipo re: anesthesia
LiposuctionMember Response:
I agree with the other surgeons. Its the surgeon not the machine that delivers results. If the same areas are treated and the same amount is removed, then the recovery is the same regardless of technique. I would even add that in most cases, anyone who claims that one technique is much better than another without showing well done studies to support the claims is not being honest. In certain cases, there may be an advantage to a specific technique. Don't be fooled into thinking that "SAFElipo" is safer or better than any other lipo (no evidence to support that) or that "SmartLipo" is any "smarter" (it isn't). All techniques can be done awake or with sedation or full anesthesia. Want to learn more, watch this video: https://www.youtube.com/watch?v=05IULCdxNyc
SAFELipo vs SmartLipo re: anesthesia
Question:
I’m a 45 yr old female in great physical health with a BMI of 23 trying to decide between SAFELipo (PAL) and SmartLipo. Cost difference is $28k vs $15k, recovery difference is 6-8 weeks vs 1-2 weeks & anesthesia difference is general vs local. I’d prefer not to go under general, but want the best result. Can anyone tell me why the huge differences? Are there reasons to choose one over the other?
Karol A. Gutowski, MD, FACS's Response:
I agree with the other surgeons. Its the surgeon not the machine that delivers results. If the same areas are treated and the same amount is removed, then the recovery is the same regardless of technique. I would even add that in most cases, anyone who claims that one technique is much better than another without showing well done studies to support the claims is not being honest. In certain cases, there may be an advantage to a specific technique. Don't be fooled into thinking that "SAFElipo" is safer or better than any other lipo (no evidence to support that) or that "SmartLipo" is any "smarter" (it isn't). All techniques can be done awake or with sedation or full anesthesia. Want to learn more, watch this video: https://www.youtube.com/watch?v=05IULCdxNyc
Operative Report Question
RhinoplastyMember Response:
It is possible that the surgeon made a dictation error. If a graft was used, there may be a record of the graft in the medical record to confirm that it was placed.
Operative Report Question
Question:
Can a Operative report be amended a month after surgery? (original report said “harvested septal cartilage was used” the new operative report says “MTF rib cartilage used” instead this got amended by the surgeon after I asked if he ended up using the rib cadaver I paid for upfront. It just seems strange he changed that word the day I asked the question.
Karol A. Gutowski, MD, FACS's Response:
It is possible that the surgeon made a dictation error. If a graft was used, there may be a record of the graft in the medical record to confirm that it was placed.
Cheek/Chin implants
Cheek AugmentationMember Response:
An in person assessment is the best way to find out but based on the pictures, some check enhancement may help. You can start with an injectable filler before having implants.
Cheek/Chin implants
Question:
I dislike the way that I look and would like to improve my appearance through surgery. I have a hard time pinning down exactly what would improve my appearance. I think I would benefit from cheek implants and chin or jaw implants. I’ve seen a surgeon and am not a good candidate for double chin lipo (it’s excess skin, no fat present). Do I look like I would benefit from these?
Karol A. Gutowski, MD, FACS's Response:
An in person assessment is the best way to find out but based on the pictures, some check enhancement may help. You can start with an injectable filler before having implants.
Is Liposuction dangerous with a lower body lift?
Body LiftMember Response:
Based on the information you provided, liposuction of your midsection would be appropriate during the body lift. Consider discussing this again with your surgeon or getting another in-person opinion.
Is Liposuction dangerous with a lower body lift?
Question:
Im having a lower body lift with Brazilian butt lift and breast lift/augmentation. My surgeon stated he will not lipo my waist with the lift because it will risk killing the healing skin... however it seems like they usually come hand in hand. Will I get the hourglass waist without lipo? Should I add lipo before or after the surgeries? Are my expectations too high?
Karol A. Gutowski, MD, FACS's Response:
Based on the information you provided, liposuction of your midsection would be appropriate during the body lift. Consider discussing this again with your surgeon or getting another in-person opinion.
Bbl by a board certified surgeon despite having lupus and kidney transplant
Body ContouringMember Response:
A kidney transplant and lupus alone may not mean that a tummy tuck, liposuction, or BBL cannot be done. There may be other issues. However, if your transplant doctors and lupus doctor don't have any concerns, then it may be possible.
Bbl by a board certified surgeon despite having lupus and kidney transplant
Question:
Been checking around and 3 out of town facilities wouldn't do a bbl on me. They all said due to lupus. It is well managed with no complications. I want to have a bbl . I hate the way my tummy looks after my kidney transplant 6 years ago. Is there anybody in this big country who is skilled and qualified to work on me????? Very frustrating
Karol A. Gutowski, MD, FACS's Response:
A kidney transplant and lupus alone may not mean that a tummy tuck, liposuction, or BBL cannot be done. There may be other issues. However, if your transplant doctors and lupus doctor don't have any concerns, then it may be possible.
Bbl by a board certified surgeon despite having lupus and kidney transplant
Body ContouringMember Response:
A kidney transplant and lupus alone may not mean that a tummy tuck, liposuction, or BBL cannot be done. There may be other issues. However, if your transplant doctors and lupus doctor don't have any concerns, then it may be possible.
Bbl by a board certified surgeon despite having lupus and kidney transplant
Question:
Been checking around and 3 out of town facilities wouldn't do a bbl on me. They all said due to lupus. It is well managed with no complications. I want to have a bbl . I hate the way my tummy looks after my kidney transplant 6 years ago. Is there anybody in this big country who is skilled and qualified to work on me????? Very frustrating
Karol A. Gutowski, MD, FACS's Response:
A kidney transplant and lupus alone may not mean that a tummy tuck, liposuction, or BBL cannot be done. There may be other issues. However, if your transplant doctors and lupus doctor don't have any concerns, then it may be possible.
SURGICAL SUBCISION Deep Acne Scar Removal
Cosmetic SurgeryMember Response:
I offer subcision with Bellafill injections under the subcised area. Learn more at DrGutowski.com
SURGICAL SUBCISION Deep Acne Scar Removal
Question:
I am looking for a Plastic Surgeon who offers treatments outside of lasers - for Acne deep pitted/rolling scars. I dont have issues with discolorations of the face but I do have deep pitted pock marks - I have dome some research and am looking for a surgeon whom does : surgical subcision, I am willing to travel, and I know that this treatment will need to be mixed with other treatments
Karol A. Gutowski, MD, FACS's Response:
I offer subcision with Bellafill injections under the subcised area. Learn more at DrGutowski.com
Congenital symmastia pinellas county
Cosmetic SurgeryMember Response:
I have fixed these cases and it can be done as an out patient procedure. Please contact me if interested.
Congenital symmastia pinellas county
Question:
when I was a baby I had 3 heart surgeries so I don't know if that's why I have symmastia or if I was born with congenital symmastia.. I need someone that knows how to do this located in FLORIDA. Please reply if you can assist or know a surgeon who can. Thank you.
Karol A. Gutowski, MD, FACS's Response:
I have fixed these cases and it can be done as an out patient procedure. Please contact me if interested.
Pancreas Transplant
LiposuctionMember Response:
Assuming you are otherwise healthy, liposuction is possible for transplant patients. There are many good Board Certified plastic surgeons in your area.
Pancreas Transplant
Question:
Can a person get liposuction if they have had an organ transplant 4 + years ago and are no longer on immune suppressants?
Karol A. Gutowski, MD, FACS's Response:
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 AugmentationMember Response:
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.
How long will they be swollen?
Question:
I’m day 6 and they feel extremely swollen and painful. Left arm is starting to get numb at times. What if something is wrong. How will I know?
Karol A. Gutowski, MD, FACS's Response:
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 type
Buttock ImplantsMember Response:
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.
Implant type
Question:
Hello ! have an upcoming appointment for buttock implants however I am a bit curious to first know what type of implant is commonly used for this procedure and is it safe for doctor to insert a breast implant in place of actual solid round silicone butt implant ? edit : the surgeon shared that the implant type he uses is by Allergan . Is that for buttock ? Thanks for your help
Karol A. Gutowski, MD, FACS's Response:
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 SurgeryMember Response:
Based on your picture, you may need to have the scar removed, then a new belly button created a few months later.
Need belly button fixed :-(
Question:
I need help. I have tried numerous searches and hopefully this will give me answers. I had a TT w/ umbilical hernia repair in 2018. My belly died and I have had a few belly button revisions but it still looks the same! Red circle. Im trying to find a surgeon who specializes in this or if I can redo the whole TT over again and just have a scar where the original button was. Pls HELP!
Karol A. Gutowski, MD, FACS's Response:
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 ReductionMember Response:
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.
Can I get a breast reduction if my breasts keep growing?
Question:
I am a 20 year old female and my breasts are currently at a size where I experience a lot of neck, shoulder, and back pain and I cannot find clothes that fit me. It also seems that my breasts keep growing regardless of weight gain or loss. I want to look into a breast reduction but am unsure if I should even start if my breasts seem to keep growing.
Karol A. Gutowski, MD, FACS's Response:
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 Lift
Body LiftMember Response:
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.
Bra Line Back Lift
Question:
Determined to get a lift for the back rolls that have always been a problem and more so after gaining 40 pounds and losing it. I called several plastic surgeons in Chicago and other states and was told that it's still a very uncommon procedure. I'm desperate to have a bra line back lift and would love to know if it's really a safe and effective procedure.
Karol A. Gutowski, MD, FACS's Response:
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 LiftMember Response:
The best option is an arm lift which removes the loose skin. See examples here: https://drgutowski.com/before-after-photos/body/arm-lift/
Non-Surgical or Mini Lift?
Question:
Is there a tightening procedure to treat batwings after a 40 pound weight loss back to my recommended weight? The elasticity is more of a concern than fat.
Karol A. Gutowski, MD, FACS's Response:
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 future
Breast ReductionMember Response:
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/
what to do in the future
Question:
I’m 16 years old and a 34J. i know i’m young and don’t plan on getting a reduction anytime soon because i know i’m still growing. However they really bother me and cause so much back pain and ive tried working out and the weight is just getting worse. i’ve always had big breasts. i was a triple D in 6th grade. i’ve always wanted smaller boobs they don’t fit my frame. any advise
Karol A. Gutowski, MD, FACS's Response:
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 RevisionMember Response:
Very reasonable. I would do the same.
Saline implant deflation and wait several months?
Question:
Hi, I've had saline implants for 10+ years and it's time to redo them (too big, uneven height). My surgeon suggests that we deflate and drain them now, let the skin heal/shrink back if possible then do the new breast augmentation in 3-4 months. The goal being that perhaps I'll need less of a breast lift and smaller implants placed if we give it more time to heal. Is this a realistic plan?
Karol A. Gutowski, MD, FACS's Response:
Very reasonable. I would do the same.
Hematoma
Breast ReductionMember Response:
This is a serious problem. Contact your surgeon immediately or seek urgent medical consultation.
Hematoma
Question:
I just had a breast reduction 12 days ago and my left breast seem to have a hematoma, what do I do to treat it
Karol A. Gutowski, MD, FACS's Response:
This is a serious problem. Contact your surgeon immediately or seek urgent medical consultation.
Healing after Iraq along with major weight loss
Tummy TuckMember Response:
Looks like a great result! And thanks for your service to our country.
Healing after Iraq along with major weight loss
Question:
After getting her in 2004 and Iraq, shattering the right side of my body. I gained almost 200 pounds. It was a never ending cycle depression and everything else. After losing 160 pounds this is my results
Karol A. Gutowski, MD, FACS's Response:
Looks like a great result! And thanks for your service to our country.
Insurance Red Flag
Male Breast ReductionMember Response:
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.
Insurance Red Flag
Question:
Is it a red flag for a plastic surgeon at a UAB (Birmingham, AL) clinic to accept insurance for gynecomastia surgery? Does it mean that the surgeon might be desperate for patients, etc.? Dr. Lebowitz said this to me and I saw it on Dr. Carini's website. Why do you think this is the case?
Karol A. Gutowski, MD, FACS's Response:
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.
Incision
Tummy TuckMember Response:
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.
Incision
Question:
I had a tummy tuck a year ago. My incision opened during recovery and did not heal properly. My doctor said he needed to cut it and restitch the incision. Today I went to my doctor and he said I can have the scar repaired and he wouldn’t charge his fee but I would be responsible for surgery center, $1200. Should I have to pay to have this incision repaired or should it be dr responsibility?
Karol A. Gutowski, MD, FACS's Response:
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/neck
Cosmetic SurgeryMember Response:
It is possible that the scar could be improved but you need an in-person evaluation for a proper assessment.
Scar in chin/neck
Question:
I have a scar on my neck/ chin area from when I was 5 years old and a dog bite. I have scars near my eye, nose, and side chin but these do not bother me. The surgeon did a wonderful job, but on my lower chin because the placement and how this skin does not drop with the rest of my face it makes me look like I have a double chin at any lower angle. Is there a way to reduce this scar?
Karol A. Gutowski, MD, FACS's Response:
It is possible that the scar could be improved but you need an in-person evaluation for a proper assessment.
Fat and unshapely legs
LiposuctionMember Response:
You may have lipedema.
Fat and unshapely legs
Question:
I’m not sure how to categorize this. So at my highest weight I was 315 pounds and at my lowest adult weight I was 165. I’m currently at about 200 but back on a weight loss regime. My legs have virtually never changed whether I was at 300 160 or even now. Is this something plastic surgery can fix, what is it called and what should I look for in a surgeon. Do I need to be closer to my goal weight?
Karol A. Gutowski, MD, FACS's Response:
You may have lipedema.
Tummy tuck needed?
Tummy TuckMember Response:
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.
Tummy tuck needed?
Question:
Hello! I’m a little nervous to go under the knife. I have had 3 C-Sections and 4 pregnancies which has left my midsection like the photo. I would like to have my flat curvy midsection back. Do I need a Tummy Tuck or will 360 lipo help me get this back? BMI 33. Thank you
Karol A. Gutowski, MD, FACS's Response:
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 dissolve
Breast AugmentationMember Response:
Something doesn't sound right. Consider a second opinion.
Sutures won’t dissolve
Question:
If my body is rejecting eternal sutures and they won’t dissolve keep accumulating fluids that thin out my skin and tears and have a open wound that does not want to heal and is causing me much pain theirs no infection but leaks yellow pinkish fluids no foul smell Dr says we need to remove everything implants to let breast heal meanwhile it’s sutures my body is rejecting help
Karol A. Gutowski, MD, FACS's Response:
Something doesn't sound right. Consider a second opinion.
Congenital symmastia
Breast AugmentationMember Response:
I've treated a few cases of this with good results. When you are ready, please contact me.
Congenital symmastia
Question:
when I was a baby I had 3 heart surgeries so I don't know if that's why I have symmastia or if I was born with congenital symmastia.. I need to know who can fix this so when I have the money I can go to someone that knows what they're doing I've been calling around and can't seem to find a surgeon that can help me..
Karol A. Gutowski, MD, FACS's Response:
I've treated a few cases of this with good results. When you are ready, please contact me.
Length of time
PanniculectomyMember Response:
At this point, a hernia repair will not affect you panniculectomy results.
Length of time
Question:
Hello I had panni surgery 6 months ago and have a hernia (not surgery related) in my stomach. My surgeon wants to remove it through my belly button but I’m worried it’s too soon to open that area back up. How long should I wait? I don’t want to risk loosening that skin.
Karol A. Gutowski, MD, FACS's Response:
At this point, a hernia repair will not affect you panniculectomy results.
Question
Breast ReconstructionMember Response:
It may be possible to fix this without implants. In some case, I've done this by doing a breast reduction or lift on the larger side. In other cases, moving some of your own fat to the smaller breast may do the job. An in-person evaluation is best. Learn more about my Chicago practice at DrGutowski.com
Question
Question:
Hi I am 24 years of age , and I have severe differences in my breast . My right breast is bigger than my left Nd I want surgery to fix it but my problem is that I do not want any implants . I just want it fixed naturally without any silicone or saline . . What is the best option for me?
Karol A. Gutowski, MD, FACS's Response:
It may be possible to fix this without implants. In some case, I've done this by doing a breast reduction or lift on the larger side. In other cases, moving some of your own fat to the smaller breast may do the job. An in-person evaluation is best. Learn more about my Chicago practice at DrGutowski.com
Surgery to eliminate “Doggy Ears” after my Tummy Tuck
Tummy TuckMember Response:
This is an easy fix which can be done in the office with just a local anesthetic. It should not cost too much. If you can, go back to your original plastic surgeon and find out.
Surgery to eliminate “Doggy Ears” after my Tummy Tuck
Question:
Hello Im a 33 year old male. 11 years ago I had an abdominoplasty (Tummy Tuck) to remove excess skin (from being overweight). My stomach is still tight but sadly after surgery I was left with these “doggy ears” (Im told its called) folds of skin on both sides of my hips that protrude. Is there a procedure to remove them? I also spent 11k on the tummy tuck & am hoping this would be much cheaper?
Karol A. Gutowski, MD, FACS's Response:
This is an easy fix which can be done in the office with just a local anesthetic. It should not cost too much. If you can, go back to your original plastic surgeon and find out.
Chest tubes
Wound CareMember Response:
Yes, these can be fixed. I typically fix them with just a local anesthetic and it can be done awake with minimal risk.
Chest tubes
Question:
My daughter had a surgery when she was 5 years old that required chest tubes. Now at 15, the areas where the tubes were is indented, almost as much as say a bellybutton. At 15, this bothers her, I was wondering if this can be corrected and if so the risks. Thanks
Karol A. Gutowski, MD, FACS's Response:
Yes, these can be fixed. I typically fix them with just a local anesthetic and it can be done awake with minimal risk.
Permanent Suture Removal
Tummy TuckMember Response:
These sutures can be removed without compromising your repair. At this point, the healing is done. I've done this for a few patients with just a local anesthetic.
Permanent Suture Removal
Question:
I had a TT 5 years ago to repair hernias and severe diastasis recti following 3 pregnancies (one with twins). The results are good and I have restored strength to my core. Over the past 2 years the permanent suture knots have started protruding below my belly button. I’m thin so you can see them and it’s also painful! How can this be corrected? Will removing them weaken my core again? Thanks!
Karol A. Gutowski, MD, FACS's Response:
These sutures can be removed without compromising your repair. At this point, the healing is done. I've done this for a few patients with just a local anesthetic.
Breast Lift/ Fat Graft/ Smart Lipo/ BBL safe at same time
Breast LiftMember Response:
These can be done at the same time in most patients. There are pillows that can provide support to the fat grafted areas and reduce the pressure.
Breast Lift/ Fat Graft/ Smart Lipo/ BBL safe at same time
Question:
So Im interested in having Breast Lift ....smart lipo to the back ...flanks and abdomen, and a natural looking bbl to add volume and fill hip dips. Are these procedures safe to do all at once? I hear you can't sit on your buttocks after bbl... But then how would I sleep if my breast are recovering too?
Karol A. Gutowski, MD, FACS's Response:
These can be done at the same time in most patients. There are pillows that can provide support to the fat grafted areas and reduce the pressure.
Male nipple problems
Male Breast ReductionMember Response:
If it is just the nipple and not the areola that is sticking forward, the nipples can be reduced but trimming them. This is an office procedure that is done with just a local anesthetic in less than a few minutes.
Male nipple problems
Question:
Can anything be done to reduce my nipples from sticking out so far
Karol A. Gutowski, MD, FACS's Response:
If it is just the nipple and not the areola that is sticking forward, the nipples can be reduced but trimming them. This is an office procedure that is done with just a local anesthetic in less than a few minutes.
Am I a good candidate for a rhinoplasty?
RhinoplastyMember Response:
Thanks for asking about rhinoplasty. Based on your pictures, you would be a good candidate but an in person evaluation is best. Your nose can be improved by reducing the hump and decreasing the projection. Please feel free to see us for a consultation. Dr Gutowski
Am I a good candidate for a rhinoplasty?
Question:
Hi! I am 20 years old and want a nose job. I love how it looks from the front, however from the side, it has a small bump. I am very concerned about the front maintaining it’s shape, and just changing how it looks from the side. Am I a good candidate, and will it remain natural? I’ve included pics from the side and front. https://ibb.co/54xdMWm Can you recommend a few surgeons in Chicago area?
Karol A. Gutowski, MD, FACS's Response:
Thanks for asking about rhinoplasty. Based on your pictures, you would be a good candidate but an in person evaluation is best. Your nose can be improved by reducing the hump and decreasing the projection. Please feel free to see us for a consultation. Dr Gutowski
Post Liver Transplant
Tummy TuckMember Response:
I've done tummy tucks on transplant patient and the issue is with the old scars. If you live in Columbus, there are good plastic surgeons at OSU who can give you a proper assessment in person.
Post Liver Transplant
Question:
Hello, I am curious about a tummy tuck post liver transplant. I am 3 years post transplant and I've already had my children. The anti rejection medication helped put 50 pounds on me. My stomach is a mess and I'm trying so hard to lose the weight. My question is, is it safe to have a tummy tuck after transplant?
Karol A. Gutowski, MD, FACS's Response:
I've done tummy tucks on transplant patient and the issue is with the old scars. If you live in Columbus, there are good plastic surgeons at OSU who can give you a proper assessment in person.
What would be the minimum age required to have a chin augmentation surgery?
Chin SurgeryMember Response:
There is no minimum age for a chin implant but the first thing to do is to find out if it is just your chin, or more of your facial bone structure that is out of proportion. This requires an in person evaluation to see if your jaw, teeth, and other facial structures developed properly. Of course, you need to have a discussion with your parents about how you feel. In some cases, nose and chin procedures can be done at age 15 or 16 with parental approval.
What would be the minimum age required to have a chin augmentation surgery?
Question:
I am only 15 years old, but recently learned about chin surgery. I am very interested in getting one, as I have a very receded chin. To make matters worse my profile looks less proportionate due to my large nose, hence I would very much be thankful if you can help me shine some light on such matter. Thank you!
Karol A. Gutowski, MD, FACS's Response:
There is no minimum age for a chin implant but the first thing to do is to find out if it is just your chin, or more of your facial bone structure that is out of proportion. This requires an in person evaluation to see if your jaw, teeth, and other facial structures developed properly. Of course, you need to have a discussion with your parents about how you feel. In some cases, nose and chin procedures can be done at age 15 or 16 with parental approval.
After deflation
Breast Implant RevisionMember Response:
Unless the deflated implants are causing you a problem, there is no reason to remove them. However, if you desire to remove them, then it often can be done awake with just a local anesthetic.
After deflation
Question:
If I have my saline breast implants deflated, must I have the implants removed?
Karol A. Gutowski, MD, FACS's Response:
Unless the deflated implants are causing you a problem, there is no reason to remove them. However, if you desire to remove them, then it often can be done awake with just a local anesthetic.
How long should I wait
Breast AugmentationMember Response:
There is no rule on how long to wait but it may be better to wait 3 to 6 months to allow your body to recover fully. Also, that would be a good time to address and touch-ups on the tummy tuck (if needed). While each surgeon may have a different view on this, in most cases, it is safe to do a breast augmentation and arm lift at the same time. Learn more at DrGutowski.com
How long should I wait
Question:
I am 40y in good health. I had a full tummy tuck without lipo 2 weeks ago. I am healing well without any complications. Returning to work in 1 week( extra week off due to physicality of my job). My question is how long should I wait to have subsequent surgeries that I am interested in( i.e. breast augmentation and/or brachialplasty).? My surgeon wouldn't due them all together.
Karol A. Gutowski, MD, FACS's Response:
There is no rule on how long to wait but it may be better to wait 3 to 6 months to allow your body to recover fully. Also, that would be a good time to address and touch-ups on the tummy tuck (if needed). While each surgeon may have a different view on this, in most cases, it is safe to do a breast augmentation and arm lift at the same time. Learn more at DrGutowski.com
Tummy Tuck With Hypothyroidism
Tummy TuckMember Response:
You should first have your thyroid function controlled and stable. A tummy tuck will not reduce that much weight so you would have to do it on your own. However, a tummy tuck can help reshape your midsection and reduce loose skin. An in person evaluation is the best way to start.
Tummy Tuck With Hypothyroidism
Question:
I gained 35 lbs. in a very short amount of time due to hypothyroidism. If I get a tummy tuck will that weight just come back?
Karol A. Gutowski, MD, FACS's Response:
You should first have your thyroid function controlled and stable. A tummy tuck will not reduce that much weight so you would have to do it on your own. However, a tummy tuck can help reshape your midsection and reduce loose skin. An in person evaluation is the best way to start.
how much will I be paying ?
Cosmetic SurgeryMember Response:
Without an in person evaluation, it is hard to offer a price estimate.
how much will I be paying ?
Question:
I want to transfer my stomach fat, back fat, and arm fat to my butt. I only weight 198 I’m not that big but my top is bigger than my bottom.
Karol A. Gutowski, MD, FACS's Response:
Without an in person evaluation, it is hard to offer a price estimate.
Transfer fat
LiposuctionMember Response:
Liposuction of the arms, back, and abdomen can be done and the removed fat can be transferred to other places like you buttocks.
Transfer fat
Question:
Is there any way I can transfer my arm fat, back fat, and stomach fat into my butt?
Karol A. Gutowski, MD, FACS's Response:
Liposuction of the arms, back, and abdomen can be done and the removed fat can be transferred to other places like you buttocks.
How risky is to have a second breast lift? (Third breast procedure)
Breast Implant RevisionMember Response:
A skin only breast lift is not likely to cause problems other than maybe minor healing issues.
How risky is to have a second breast lift? (Third breast procedure)
Question:
If I have a second breast lift (I had a breast augmentation over the muscle and then circumareolar breast lift with implants under the muscle 10 years ago) and the doctor uses the same pedicle, takes very little skin out and uses nitropaste, how risky is my surgery? Is there any other way to minimize risk?
Karol A. Gutowski, MD, FACS's Response:
A skin only breast lift is not likely to cause problems other than maybe minor healing issues.
Payments
LiposuctionMember Response:
Medicaid does not pay for liposuction. This is something you have to pay for yourself.
Payments
Question:
Do You Have Medicaid Approval For The Payment?
Karol A. Gutowski, MD, FACS's Response:
Medicaid does not pay for liposuction. This is something you have to pay for yourself.
labia minora torn during childbirth
Aesthetic Genital Plastic SurgeryMember Response:
Most plastic surgeons should be able to do this for you, and possible with just a local anesthetic done awake. Ask for surgeons who do labiaplasty. You can find plastic surgeons in TN on this website: https://find.plasticsurgery.org/
labia minora torn during childbirth
Question:
after childbirth I came out with a horizontal tear to my labia minora. At this point it is completely separated into two separate halves. I did have 1 stitch put in after birth that didn’t hold, and at a follow up appointment they placed another stitch, which also didn’t hold. Is this something that can be repaired, and if so, what procedure would I ask for?
Karol A. Gutowski, MD, FACS's Response:
Most plastic surgeons should be able to do this for you, and possible with just a local anesthetic done awake. Ask for surgeons who do labiaplasty. You can find plastic surgeons in TN on this website: https://find.plasticsurgery.org/
Financing
Breast Implant RevisionMember Response:
In house financing is not usually done. CareCredit or outer medical financing options may be a better option.
Financing
Question:
Looking for someone that does in-house financing or prepayments for procedures around Louisiana.
Karol A. Gutowski, MD, FACS's Response:
In house financing is not usually done. CareCredit or outer medical financing options may be a better option.
Have Implants, Can I have a lift and keep my implants
Breast LiftMember Response:
In most cases, you can still keep the implants if you are getting a lift, but an in person evaluation is the best way to find out.
Have Implants, Can I have a lift and keep my implants
Question:
I had a breast lift and six months later implants. This was in 2006. I thought I was done having kids, that wasn’t the case. Now I have my implants and I a lot of additional sagging skin. The mentor saline implants are still high and feel great. Is it possible to have a lift and keep the implants in? If so, what are breast lifts costing?
Karol A. Gutowski, MD, FACS's Response:
In most cases, you can still keep the implants if you are getting a lift, but an in person evaluation is the best way to find out.
Looking deformed after (medical) surgeries. 2
PanniculectomyMember Response:
These are difficult situations. Consider finding a new PCP who may be more sympathetic to your situation.
Looking deformed after (medical) surgeries. 2
Question:
According to my insurance, panniculectomy is covered, but my PCP won't ok it. It's depressing. I was in good shape before the surgeries. I look in the mirror and want to cry. There are both horizontal and vertical scars across my hanging abdomen. I explained to my pcp I don't want a tummy tuck, I need the excess skin removed. It Hurts, gets rashes. Sorry, but oes anyone do pro bono? Please help.
Karol A. Gutowski, MD, FACS's Response:
These are difficult situations. Consider finding a new PCP who may be more sympathetic to your situation.
Plasma pen
Neck LiftMember Response:
I had one plasma pen treatment on my eyelids and did not see a difference after 4 months. I'm hearing it may take 3 to 6 treatments. If you are looking to improve your neck, I doubt you will see much improvement.
Plasma pen
Question:
Does anyone know how reliable the results are from this procedure? Do plastic surgeon’s offices ever offer this type of server? What should I look for in my search for a good technician who gets good results? What questions should I ask?
Karol A. Gutowski, MD, FACS's Response:
I had one plasma pen treatment on my eyelids and did not see a difference after 4 months. I'm hearing it may take 3 to 6 treatments. If you are looking to improve your neck, I doubt you will see much improvement.
I'm a monster...
Breast Implant RevisionMember Response:
Without knowing more and seeing at least your before and after pictures, it is hard to give an opinion. Start by seeing your original surgeon or another surgeon in your area. If you feel comfortable sharing your pictures, others may be able to give you an opinion.
I'm a monster...
Question:
In Oct of 2018, I went back to the plastic surgeon that had done my (almost perfect) breast aug in 2003. I ended up having ER surgery within a week (NOT performed by him) at the U of M hospital. FINDINGS: 100ccs of hematoma and “punctuate bleeders on my cheat wall. I've waited a year. I'm hideous. Would you pay someone $7500 to do this to you https://photos.app.goo.gl/wbDYaVEyWfF5ucJT9
Karol A. Gutowski, MD, FACS's Response:
Without knowing more and seeing at least your before and after pictures, it is hard to give an opinion. Start by seeing your original surgeon or another surgeon in your area. If you feel comfortable sharing your pictures, others may be able to give you an opinion.
Inverted Breast Nipple
Breast ReductionMember Response:
Its hard to say without an in person evaluation of this problem, or at least seeing a picture. If you are concerned, you may want to get a second opinion.
Inverted Breast Nipple
Question:
Hello! I had breast reduction surgery with liposuction in May 2019. After first check up, it was obvious that the nipple on my left breast collapsed. After two weeks, my lady surgeon tried to recover the nipple in June 2019, procedure called debridement. This hasn't worked. I am still with inverted nipple, plus complications. Can debridement recover the inverted nipple? Thank you.
Karol A. Gutowski, MD, FACS's Response:
Its hard to say without an in person evaluation of this problem, or at least seeing a picture. If you are concerned, you may want to get a second opinion.
Is this true about surgical liposuction?
LiposuctionMember Response:
This is absolutely not true. The body has no way of knowing the number of fat cells it has. Liposuction does work - otherwise it would not have been one of the most popular plastic surgery procedures for the past 20 years.
Is this true about surgical liposuction?
Question:
A salon selling Strawberry Laser told me the following: Surgery completely removes the fat cells. When you do this, the body knows how many fat cells you’re supposed to have and simply replaces them and not necessarily in the same area. Meaning you will end up with random fat pockets. With our form of lipo, the fat cells are emptied but still remain there so the body doesn’t try to replace them.
Karol A. Gutowski, MD, FACS's Response:
This is absolutely not true. The body has no way of knowing the number of fat cells it has. Liposuction does work - otherwise it would not have been one of the most popular plastic surgery procedures for the past 20 years.
Does my belly button look okay
Tummy TuckMember Response:
Without a picture, it is hard to say but they are usually swollen for 3 to 6 months so give it some time and follow up with your plastic surgeon.
Does my belly button look okay
Question:
So I had a tummy tuck august 1st 2019 and not sure if my belly button is okay. Is it to soon to judge it.
Karol A. Gutowski, MD, FACS's Response:
Without a picture, it is hard to say but they are usually swollen for 3 to 6 months so give it some time and follow up with your plastic surgeon.
Cosmetic Face Surgery ?
Cosmetic SurgeryMember Response:
Depending on your age, it may be better to wait until you are older. However, neck liposuction and Kybella injections may be an option. An in person evaluation is the best way to learn more. See examples here: https://drgutowski.com/Before-After-Photos/Face/Neck-Liposuction
Cosmetic Face Surgery ?
Question:
Hello ! I want to have cosmetic face surgery and questions, help is much appreciated. (I’m a girl) , I wanted to have cosmetic surgery for my face specifically my jaw and chin/double chin area but do not know what it’s called or the cost. I wanted my jaw/chin to be more “out” or “sharp” , was wondering if I showed a surgeon a pic of someone else’s jawline, if it can work?
Karol A. Gutowski, MD, FACS's Response:
Depending on your age, it may be better to wait until you are older. However, neck liposuction and Kybella injections may be an option. An in person evaluation is the best way to learn more. See examples here: https://drgutowski.com/Before-After-Photos/Face/Neck-Liposuction
Vagina Less Fat
Aesthetic Genital Plastic SurgeryMember Response:
If by making the "vagina less fat" you mean making the pubic area thinner, then it may be possible with liposuction. Most ASPS plastic surgeons can do this.
Vagina Less Fat
Question:
Can you make a vagina less fat if so is getting a Vaginal Rejuvenation the way to go?
Karol A. Gutowski, MD, FACS's Response:
If by making the "vagina less fat" you mean making the pubic area thinner, then it may be possible with liposuction. Most ASPS plastic surgeons can do this.
Arm Lift AND Tummy Tuck
Arm LiftMember Response:
It really depends on you and your surgeon. They can be done at the same time or a week or months apart. Without knowing more about your case, its hard to give specific advice. Best to discuss with your surgeon and make a plan together.
Arm Lift AND Tummy Tuck
Question:
After losing over 100# on my own, my insurance is paying for an arm lift and a tummy tuck. My plastic surgeon wants to do them one week apart. Is that enough time in between? Also, which surgery is better to have first?
Karol A. Gutowski, MD, FACS's Response:
It really depends on you and your surgeon. They can be done at the same time or a week or months apart. Without knowing more about your case, its hard to give specific advice. Best to discuss with your surgeon and make a plan together.
Capsule contracture
Breast AugmentationMember Response:
Treatment of capsular contracture depends on how far along the contracture is (Grade 2, 3, or 4). Ask your surgeon if montelukast would help. Depending on which implant company warranty you have, some costs may be covered. Ultrasound treatment may help also.
Capsule contracture
Question:
I just had my implants done 8.5 months ago. My left implant has a capsule they told me to take vitamin e and massage. I noticed this first 3 months after surgery, it’s gotten a lot worse since then. I don’t have to pay for this to be fixed do I? Should be covered in the first year isn’t that right?
Karol A. Gutowski, MD, FACS's Response:
Treatment of capsular contracture depends on how far along the contracture is (Grade 2, 3, or 4). Ask your surgeon if montelukast would help. Depending on which implant company warranty you have, some costs may be covered. Ultrasound treatment may help also.
Aspen Technique as alternative to surgery
Breast Implant RevisionMember Response:
Aspen ultrasound may help but despite more than 10 years of making claims, there is no well designed independent study to confirm this. So while it seems to work in some cases, more advanced cases of contracture, are less likely to respond. Ask your surgeon if montelukast would be appropriate.
Aspen Technique as alternative to surgery
Question:
Do plastic surgeons recommend the Aspen Technique as an alternative to capsular contraction corrective surgery and are there any studies to show results. I cannot find any surgeons in the area that offer such technique.
Karol A. Gutowski, MD, FACS's Response:
Aspen ultrasound may help but despite more than 10 years of making claims, there is no well designed independent study to confirm this. So while it seems to work in some cases, more advanced cases of contracture, are less likely to respond. Ask your surgeon if montelukast would be appropriate.
Pro-bono reconstructive surgery for cancer patient
General ReconstructionMember Response:
A social worker at her hospital may be able to help. Parkland Hospital may be a place to start.
Pro-bono reconstructive surgery for cancer patient
Question:
A very good friend of mine of over 20 yrs is battling cancer for the second time. The first time she had cancer was in her nasal cavity and this time she has bone cancer in her face. She had surgery yesterday and today and a large portion of her face had to be removed. Are there any organizations that I could look into that would be able to assist with pro-bono reconstructive surgery?
Karol A. Gutowski, MD, FACS's Response:
A social worker at her hospital may be able to help. Parkland Hospital may be a place to start.
Age
Breast AugmentationMember Response:
It depends on what is going on with your body. The best thing to do is to see an ASPS plastic surgeon for an in person evaluation. For some women with uneven or asymmetric breasts, a procedure in the teen years may be appropriate.
Age
Question:
What is a good age to do breast augmentation? How do I know my body is fully developed and ready?
Karol A. Gutowski, MD, FACS's Response:
It depends on what is going on with your body. The best thing to do is to see an ASPS plastic surgeon for an in person evaluation. For some women with uneven or asymmetric breasts, a procedure in the teen years may be appropriate.
Lose skin vs excessive fat
Tummy TuckMember Response:
Without seeing pictures or an in-person evaluation, it is hard to give specific advice, but in many cases, it is loose skin that is the problem. This can be improved with skin removal. See examples. here: https://drgutowski.com/Before-After-Photos/Body
Lose skin vs excessive fat
Question:
Hello all, About 3 years ago I lost about 100 pounds. I have been training to compete in a fitness show. My question is how much am I doing with lose skin vs excessive fat? I feel like the more I push my body to change nothing ever really changes. It has been super frustrating . I live in a small town so my resources have been limited.
Karol A. Gutowski, MD, FACS's Response:
Without seeing pictures or an in-person evaluation, it is hard to give specific advice, but in many cases, it is loose skin that is the problem. This can be improved with skin removal. See examples. here: https://drgutowski.com/Before-After-Photos/Body
Boob job on one side?
Breast ReductionMember Response:
Yes, a lift/reduction can be done on one side, and would be less expensive than on both sides. See a local ASPS member plastic surgeon for an in person evaluation.
Boob job on one side?
Question:
Hello! I have a very odd issue. I'm 20 and I have two uneven breasts. One is a size B and the other is a large C/small D. I want to get something done about it but cannot find any info about just getting one breast done. I want them both to look like the smaller one. My question is, is it possible to get a reduction on just one boob? Would this be cheaper?
Karol A. Gutowski, MD, FACS's Response:
Yes, a lift/reduction can be done on one side, and would be less expensive than on both sides. See a local ASPS member plastic surgeon for an in person evaluation.
One bigger nostril
RhinoplastyMember Response:
Unless your nostril size interferes with breathing, it is not likely that insurance will cover it. Best to see a Board Certified Plastic Surgeon to evaluate and give an opinion in person.
One bigger nostril
Question:
My nose is perfect but one nostril is way bigger than the other one (I was born like this) and I would like to make it smaller like the left size. Is it possible? How much would it cost? Could the insurance cover it?
Karol A. Gutowski, MD, FACS's Response:
Unless your nostril size interferes with breathing, it is not likely that insurance will cover it. Best to see a Board Certified Plastic Surgeon to evaluate and give an opinion in person.
Fat Transfer + Breast Lift
Breast LiftMember Response:
Yes, fat can be taken from ore than one area at the same time. Depending on your breast size, skin laxity, and other factors, one cup size increase may be possible. It may take two procedures in some cases.
Fat Transfer + Breast Lift
Question:
I'm interested in a fat transfer to my breasts. I have 2 questions about this: 1) can fat be taken from multiple body parts for this procedure? (e.g. thighs, knees, and arms) 2) I've read breast fat transfers increase cup size by up to 1, but could this be increased by multiple fat transfer + breast lift procedures to keep adding volume while maintaining shape?
Karol A. Gutowski, MD, FACS's Response:
Yes, fat can be taken from ore than one area at the same time. Depending on your breast size, skin laxity, and other factors, one cup size increase may be possible. It may take two procedures in some cases.
Would I be a candidate?
Breast ReductionMember Response:
It sounds like breast reduction may be an option for you. See an ASPS plastic surgeon for an in -person evaluation.
Would I be a candidate?
Question:
I am a 19-year-old woman with 36 F breasts. Would I be a candidate for breast reduction surgery? It does affect my back, and how I can lay sometimes, it also hurts to sit straight.
Karol A. Gutowski, MD, FACS's Response:
It sounds like breast reduction may be an option for you. See an ASPS plastic surgeon for an in -person evaluation.
Surgical scars
General ReconstructionMember Response:
The best way to find out is to see a local Board Certified plastic surgeon for an in-person assessment. With limited information, it is hard to give specific advice.
Surgical scars
Question:
Hello, I had three massive surgeries when I was only two years old and now I am almost 30. Since than, the tiny scars have stretches forming oval-shaped scars all over my abdomen. I really want to have them removed. I know I will always have scars but I would like to minimize them. What kind of plastic surgeon should I consult also would there be any dangers of doing such a big plastic surgery?
Karol A. Gutowski, MD, FACS's Response:
The best way to find out is to see a local Board Certified plastic surgeon for an in-person assessment. With limited information, it is hard to give specific advice.
Fatty shins and calves
Body ContouringMember Response:
Calf liposuction may be an option and can be done awake in many cases in about 1 to 2 hours.
Fatty shins and calves
Question:
Hello, I was wondering how I could potentially decrease the size of my calves. My weight has fluctuated the last few years but even at my lowest weight, my calves are still fatty and my shins have pockets of fat in different areas. My research online shows it may be hereditary and this may be true since my mom has the same legs. What kind of plastic surgeon should I bee seeking?
Karol A. Gutowski, MD, FACS's Response:
Calf liposuction may be an option and can be done awake in many cases in about 1 to 2 hours.
Thick and round nose
RhinoplastyMember Response:
There are limitations to what surgery can do and thick skin makes it hard to have a thin nose. If a few surgeons advised you against more surgery, then you should accept what you have. More surgery may cause other problems.
Thick and round nose
Question:
My skin is very thick. I had a nose job with no results. I had some plastic surgeons tell me that my skin is too thick and I was not a candidate. I want my nose to be thin. I really do not want to spend more money if the outcome is not acceptable. To go deeper in this...the surgeon killed himself a month later (I do not know why) No one wants to help me. The staff just closed the office and left
Karol A. Gutowski, MD, FACS's Response:
There are limitations to what surgery can do and thick skin makes it hard to have a thin nose. If a few surgeons advised you against more surgery, then you should accept what you have. More surgery may cause other problems.
Pre-Surgery Prep
Cosmetic SurgeryMember Response:
In most cases, supplements are not needed before cosmetic surgery but this is best answered by your plastic surgeon who will be doing the surgery.
Pre-Surgery Prep
Question:
Is it recommended to take or use on my face any supplements before surgery? Are there recommended products or things to consider on what to use, if so?
Karol A. Gutowski, MD, FACS's Response:
In most cases, supplements are not needed before cosmetic surgery but this is best answered by your plastic surgeon who will be doing the surgery.
Overhanging Skin
PanniculectomyMember Response:
Best thing to do is see a local Board Certified plastic surgeon for an in-person assessment. You may want your primary care doctor to document these problems also.
Overhanging Skin
Question:
I had GBS 2.5 years ago. Steady weight past 9 months. Daily issues with fully emptying bladder—could be looked at as one of two requirements. Second is “ hangs below the level of pubis”. I’m not sure mentally how to picture that, nor can I come across pictures that would give me an example. Trying to determine if I meet that criteria. I am a man. Lost 210 lbs. BMI 25-ish. 41 years old.
Karol A. Gutowski, MD, FACS's Response:
Best thing to do is see a local Board Certified plastic surgeon for an in-person assessment. You may want your primary care doctor to document these problems also.
Black nipple
Breast ReductionMember Response:
It depends on how much of the black nipple was just a superficial scab versus a deeper issue. It is hard to say without a picture. Best to follow up with your plastic surgeon.
Black nipple
Question:
After my surgery I notes my nipple was black a week later the doctor remove, half of it, he keeps saying not to worry should I worry
Karol A. Gutowski, MD, FACS's Response:
It depends on how much of the black nipple was just a superficial scab versus a deeper issue. It is hard to say without a picture. Best to follow up with your plastic surgeon.
Second liposuction
LiposuctionMember Response:
Same opinion as Dr Wallach and Dr Dowbak. My experience with repeat liposuction in the same area as Laser Lipo (Smart Lipo) is that there is more scar tissue and it is harder to get good results. I tend to use Power Lipo in such cases but there is no evidence that one technique is better than another.
Second liposuction
Question:
I m a 40 years old woman. I underwent a laser lipo for 6 years ago. My weight is 56kilo and high 162 cm. I have a quite healthy lifestyle and do gym 3 times/ week. The last year I feel that I have get back some fat on my belly and lovehandel area. Now I m considering to undergo a second liposuction. My question is if vaser liposuction will be a good option for me? Is there more options? Tanks
Karol A. Gutowski, MD, FACS's Response:
Same opinion as Dr Wallach and Dr Dowbak. My experience with repeat liposuction in the same area as Laser Lipo (Smart Lipo) is that there is more scar tissue and it is harder to get good results. I tend to use Power Lipo in such cases but there is no evidence that one technique is better than another.
Debating if I Should Do It or Not
Breast ReductionMember Response:
Your insurance may say they cover it and may issue a "Prior Authorization" but the final determination of payment is usually made after the surgery. This is an issue between you and your insurance company.
Debating if I Should Do It or Not
Question:
Hi, I am 21 years old with bra size that is 38D. I am 5'2" and weighs 118 pound. I have messaged my insurance company and they said that breast reduction is covered through authorization from my providers. Will I be okay to do the reduction if my provider authorized it? And is it possible for my provider to decline authorization for me doing breast reduction? Thank you.
Karol A. Gutowski, MD, FACS's Response:
Your insurance may say they cover it and may issue a "Prior Authorization" but the final determination of payment is usually made after the surgery. This is an issue between you and your insurance company.
What are my options?
LiposuctionMember Response:
An in person evaluation is the best way to find out what can be done. Liposuction leaves minimal scars that fade quickly. CoolSculpting leaves no scars and works in selected patients.
What are my options?
Question:
I’m a 27 year old woman who has been fit and active for most of my life, however I’ve always had this stubborn “pooch” of fat on my lower belly. I’ve lost weight, gained weight, and lost weight again, and got very into fitness, but that area never really shedded fat like the rest of my body did. What are my options on minimal liposuction? I don’t want scars!!
Karol A. Gutowski, MD, FACS's Response:
An in person evaluation is the best way to find out what can be done. Liposuction leaves minimal scars that fade quickly. CoolSculpting leaves no scars and works in selected patients.
What’s included
Mommy MakeoverMember Response:
A Mommy Makeover can include a number of procedures. The best way to find out is an in person consultation with an ASPS Plastic Surgeon.
What’s included
Question:
Do you choose the procedures or are there set ones that are included?. Looking into breast lift, implants, tummy tuck , and liposuction. Also curious to ideal weight to be at before procedure.
Karol A. Gutowski, MD, FACS's Response:
A Mommy Makeover can include a number of procedures. The best way to find out is an in person consultation with an ASPS Plastic Surgeon.
Nonsurgical procedures
Thread LiftMember Response:
There is little time that is needed to recover from microdermabrasion so it is up to the person placing the PDO threads. However, before you do the threads, make sure you are well informed on the short duration of the results.
Nonsurgical procedures
Question:
How long after having microdermabrasion done, can I have a PDO threadlift?
Karol A. Gutowski, MD, FACS's Response:
There is little time that is needed to recover from microdermabrasion so it is up to the person placing the PDO threads. However, before you do the threads, make sure you are well informed on the short duration of the results.
Best Fat Removal Procedure
LiposuctionMember Response:
Good questions, but the answer depends on what his goals are and what is seen during an in person physical examination. We offer nonsurgical fat reduction, liposuction, and tummy tucks based on each persons individual expectations, body fat distribution, and skin quality. You may learn more here: https://drgutowski.com/Before-After-Photos
Best Fat Removal Procedure
Question:
I am researching the best fat removal procedure for my husband and want to know if lipo, tummy tuck or any of the noninvasive fat removal procedures will work/are best. He's a big guy (ex athlete) and has stomach fat he wants removed that has been hard to get rid of with just diet and exercise. What are the factors in determining which is the best option? Thank you.
Karol A. Gutowski, MD, FACS's Response:
Good questions, but the answer depends on what his goals are and what is seen during an in person physical examination. We offer nonsurgical fat reduction, liposuction, and tummy tucks based on each persons individual expectations, body fat distribution, and skin quality. You may learn more here: https://drgutowski.com/Before-After-Photos
So Many Questions
LiposuctionMember Response:
Liposuction is not a weight loss treatment. Based on your information, you should start with your primary care doctor to determine if there is a medical reason for your weight gain and then work on a medically supervised weight loss plan.
So Many Questions
Question:
I’m a young girl who has always been a little heavy weight. Over the past few years in particular I’ve been gaining a lot of weight I tried exercising dieting everything and nothing is working, so I was wondering for 200+ pound girl how would liposuction look how long it would take and how much would it cost?
Karol A. Gutowski, MD, FACS's Response:
Liposuction is not a weight loss treatment. Based on your information, you should start with your primary care doctor to determine if there is a medical reason for your weight gain and then work on a medically supervised weight loss plan.
Is there an age requirement and does it matter breast size?
Breast ReductionMember Response:
There is no ago limit for a breast reduction but you need to start with an in person evaluation with a board certified plastic surgeon for a proper assessment.
Is there an age requirement and does it matter breast size?
Question:
I'm a 38G Cup and I just recently turned 18. I was thinking by the time I'm 20 of going into get breast liposuction reduction surgery. They sag and make it hard for me to get clothes and bras that fit and have always caused back pain and I wouldn't participate in running and stopped doing my favorite sports a long time ago. What do you guys recommend?
Karol A. Gutowski, MD, FACS's Response:
There is no ago limit for a breast reduction but you need to start with an in person evaluation with a board certified plastic surgeon for a proper assessment.
Body contouring for Post-Op Gastric Sleeve Patient
Body ContouringMember Response:
While it is possible, it may not be a good idea. However, only an in person evaluation can help you answer that question,
Body contouring for Post-Op Gastric Sleeve Patient
Question:
I was 410 lb. and now I am at 180 lb and even though I have gone to the gym and got muscles, I still have a lot of loose skin. I want to know if it is possible to get Abdominoplasty, Gynecomastia Mastectomy and Inner Thighplasty all at once.
Karol A. Gutowski, MD, FACS's Response:
While it is possible, it may not be a good idea. However, only an in person evaluation can help you answer that question,
Can thread lift be removed?
Thread LiftMember Response:
Depending on the type of thread that was used, and how it was placed, may determine how easy or hard it is to remove. An in person evaluation is the only way to find out.
Can thread lift be removed?
Question:
Hi. I have recently had facial thread lift and my left side hasn’t worked / been positioned correctly. I am seeing a doctor on Friday who I have been referred to, but the lady who did the procedure is just telling me that it’s fine and will settle. The right side has settled fine and is just slightly sore. But the left side hasn’t. I can feel the thread cutting into my cheek gum and is swollen
Karol A. Gutowski, MD, FACS's Response:
Depending on the type of thread that was used, and how it was placed, may determine how easy or hard it is to remove. An in person evaluation is the only way to find out.
Is there a loss of nipple sensation if you get implants?
Breast AugmentationMember Response:
In most cases, breast augmentation with any type of implant may have temporary nipple numbness that gets better in a few weeks. It is rare for the numbness to be permanent. Once things are healed, you may do what ever you like with your nipples.
Is there a loss of nipple sensation if you get implants?
Question:
I’m wondering if there’s a loss of nipple sensation After you get implants and does that very on the type of implant you get? Is it dangerous to have your nipples bitten after you get implants?
Karol A. Gutowski, MD, FACS's Response:
In most cases, breast augmentation with any type of implant may have temporary nipple numbness that gets better in a few weeks. It is rare for the numbness to be permanent. Once things are healed, you may do what ever you like with your nipples.
Breast Reconstruction after double mastectomy
General ReconstructionMember Response:
This does not sound normal and you should notify your plastic surgeon right away for a proper assessment of the problem.
Breast Reconstruction after double mastectomy
Question:
I am 6 months out from exchange surgery, expanders to 800 cc implants. One breast is becoming painful again and seems to be larger than the other. This breast also has a dimple/ indentation which has been there for about 2-3 months now. I am worried something could be wrong but not sure if this is just still part of the healing process?
Karol A. Gutowski, MD, FACS's Response:
This does not sound normal and you should notify your plastic surgeon right away for a proper assessment of the problem.
Breast reduction for small breasts
Breast ReductionMember Response:
There are some limits as to how much breast tissue can be removed and factors such as your desire for breast feeding play a role. There is no way to promise a AA cup but a small reduction (with a lift if needed) is possible. An in person evaluation is the only way to find out.
Breast reduction for small breasts
Question:
Hi, I'm wondering if it's possible to get a breast reduction if I have 32 B breasts. Ideally I'd like to be an AA. I've heard that it's not always recommended because it can leave you with no shape, but I have a fairly petite frame (5'3, 108 lbs) so I don't know if that would be different or not. I also don't know if a breast lift is more advisable. Thank you for your help!
Karol A. Gutowski, MD, FACS's Response:
There are some limits as to how much breast tissue can be removed and factors such as your desire for breast feeding play a role. There is no way to promise a AA cup but a small reduction (with a lift if needed) is possible. An in person evaluation is the only way to find out.
Dermal fillers/ with breast implants
Dermal FillersMember Response:
Something does not sound right as off the shelf injectable fillers come in very small amounts and are not practical form correction of breast volume asymmetries. Fat grafting may be the better option.
Dermal fillers/ with breast implants
Question:
I had breast augmentation 11 months ago behind the muscle through auxiliary. All is well thank god. I have asymmetric breast. So now one implant is a bit smaller then the other. My surgeon recommended filler to fix it. Is this safe? Or good idea to do while having implants in? What are the pros and cons to this and how is the procedure done? Since i have breast implants?
Karol A. Gutowski, MD, FACS's Response:
Something does not sound right as off the shelf injectable fillers come in very small amounts and are not practical form correction of breast volume asymmetries. Fat grafting may be the better option.
Combining BBL with BA?
Breast AugmentationMember Response:
I have done this combination of procedures more than a few times in selected patients without any problems. The positioning issue can be overcome with with some creative pillows and pads at night. From a health perspective, either option is fine.
Combining BBL with BA?
Question:
Can and should I have my Brazilian butt lift done at the same time as my breast augmentation? I have been to two plastic surgeons for consultations. One has told me to do the Brazilian butt lift at the same time as the breast augmentation. The other surgeon said it has to be done at different times. Is there a right or wrong answer? What is best for my health?
Karol A. Gutowski, MD, FACS's Response:
I have done this combination of procedures more than a few times in selected patients without any problems. The positioning issue can be overcome with with some creative pillows and pads at night. From a health perspective, either option is fine.
Fat injections in cheeks
Cheek ReductionMember Response:
It depends on how long ago the procedure was done. It takes 2 to 3 months for the swelling to do down. Ask your plastic surgeon for guidance. If more than 3 months have gone by, in some cases, the fat can be removed with liposuction or Kybella injections.
Fat injections in cheeks
Question:
I had about 20 cc’s injected into my cheeks. Now I look like the joker. Is there a procedure that I can to reverse what I had done? What are my options? Thank you!
Karol A. Gutowski, MD, FACS's Response:
It depends on how long ago the procedure was done. It takes 2 to 3 months for the swelling to do down. Ask your plastic surgeon for guidance. If more than 3 months have gone by, in some cases, the fat can be removed with liposuction or Kybella injections.
Breast lift during explant
Breast LiftMember Response:
In most cases, it can be done but sometimes it is safer to stage the procedure. If you have large implants and thin breast tissue, it may be better to stage it. An in person evaluation is need to make the proper recommendation.
Breast lift during explant
Question:
Hello, I’ve had one plastic surgeon tell me she would perform a lift along with my en bloc explant and another tell me it’s too dangerous as it could compromise the blood supply to do a lift along with en bloc explant. I had an in-person consult with both and both did an examination. So is it ok to have a lift done along with an en bloc explant?
Karol A. Gutowski, MD, FACS's Response:
In most cases, it can be done but sometimes it is safer to stage the procedure. If you have large implants and thin breast tissue, it may be better to stage it. An in person evaluation is need to make the proper recommendation.
3 breast augmentation—still problems
Breast ReductionMember Response:
In most cases, implants can be removed in the office with local anesthetic for minimal cost. Ask your plastic surgeon if that is an option. For my patients this is a fast procedure with minimal recovery.
3 breast augmentation—still problems
Question:
I am a 33 year old who got my first breast augmentation at 21. I have had a total of three surgeries. My last surgery left the worst after product. Both breasts are uneven I have a bulge sticking out of my right breast and capillary contraction. Looking for somebody willing to help financially and remove the implants. Single mother of three and realize implants are not meant for me. Both brea
Karol A. Gutowski, MD, FACS's Response:
In most cases, implants can be removed in the office with local anesthetic for minimal cost. Ask your plastic surgeon if that is an option. For my patients this is a fast procedure with minimal recovery.
Scars
Breast AugmentationMember Response:
In most cases, your implants can be replaced through the same incision. However, each patient is different so there may be a reason why the surgeon can't do it. Consider a 2nd opinion.
Scars
Question:
I have to get my saline implants redone, as I have one that’s deflated. When I had them done I also had a lift and the dr went through my nipple so I have no scars. I want them replaced, my dr said they couldn’t go through the nipple 2nd time and is have scars even to just take them out. Is it possible to get them replaced and avoid the scars?
Karol A. Gutowski, MD, FACS's Response:
In most cases, your implants can be replaced through the same incision. However, each patient is different so there may be a reason why the surgeon can't do it. Consider a 2nd opinion.
Removal/replace?
Breast AugmentationMember Response:
Based on the information you provided, you seem to have a reasonable request to remove them. Feel free to contact me for a consultation if your surgeon will not address this issue.
Removal/replace?
Question:
Five months ago I learned that one of my 32-year old implants is ruptured and calcified. I’ve been told numerous times by my doc that I have very dense breast but had been instructed to have annual mammograms (even upon my concern for rupture). At this time all I want is a reputable board-certified surgeon that would at least remove them. He’s Sending me for another Mam to see if worse. Should I?
Karol A. Gutowski, MD, FACS's Response:
Based on the information you provided, you seem to have a reasonable request to remove them. Feel free to contact me for a consultation if your surgeon will not address this issue.
Need a few things
Body ContouringMember Response:
This sounds like a reasonable request but it is hard to give an estimate without seeing a patient in person. If you wish, I have an office in Oakbrook where you could get a proper evaluation and quote for a procedure. You may learn more at https://drgutowski.com/
Need a few things
Question:
I’d like to get my arms and thighs tucked. I had a gastric bypass several years ago and this is never going away. Also I see my genetic turkey jowl starting. And my augmented breast’s need to be replaced. Can I get an estimated cost for all?
Karol A. Gutowski, MD, FACS's Response:
This sounds like a reasonable request but it is hard to give an estimate without seeing a patient in person. If you wish, I have an office in Oakbrook where you could get a proper evaluation and quote for a procedure. You may learn more at https://drgutowski.com/
A Day In The Life Of A Plastic Surgeon
Lip Augmentation/EnhancementMember Response:
May be easier to do by email. Feel free to contact me at Karol@DrGutowski.com
A Day In The Life Of A Plastic Surgeon
Question:
I am currently a freshman in college and I have to write an essay on the day to day life of a plastic surgeon including both cosmetic and reconstructive. The question I have is very simple. What are the tasks of a plastic surgeon? What is your daily routine for your career? Lastly, what is underrated when it comes to your profession? (ex paperwork) Thank you so much!
Karol A. Gutowski, MD, FACS's Response:
May be easier to do by email. Feel free to contact me at Karol@DrGutowski.com
Excision
Tattoo RemovalMember Response:
I do tattoo excision for selected cases but not all tattoos are in an area that excision is appropriate. I'm nearby in Chicago and can see you in Oakbrook.
Excision
Question:
I am having a hard time finding a dr. who will do a tattoo excision. Is that not something that drs. are willing to do? The tattoo looks awful and I am more interested in a quick removal than the year it will take to remove it via laser.
Karol A. Gutowski, MD, FACS's Response:
I do tattoo excision for selected cases but not all tattoos are in an area that excision is appropriate. I'm nearby in Chicago and can see you in Oakbrook.
Potential malpractice
Breast AugmentationMember Response:
Since there are 100's of implant styles and sizes, most surgeons order the selected implants specifically for each patient. They may stock a few common shapes and sizes but no office or hospital can stock all of the possible combinations.
Potential malpractice
Question:
Hi! I consulted with a plastic surgeon & agreed on either 350 cc or 400 cc with the gummy bear type silicone- which the doctor recommended. I decided to do it & paid the full amount upfront. After asking questions to the office, I found out they didn’t have the size nor the implants I was assured I’d get. They are trying to keep the down payment. This is illegal, right? I never signed the papers
Karol A. Gutowski, MD, FACS's Response:
Since there are 100's of implant styles and sizes, most surgeons order the selected implants specifically for each patient. They may stock a few common shapes and sizes but no office or hospital can stock all of the possible combinations.
Is 45 a good age for my first procedure?
FaceliftMember Response:
45 may be an OK time for a face lift but for many patients, neck lipo with nonsurgical skin tightening may be a better option with lower cost and less downtime (and can be done awake). An in person evaluation is the best way to find out. The eye lids can be assessed also.
Is 45 a good age for my first procedure?
Question:
I’m a 45 yo female who was recently asked if I’ve ever considered lipo for my neck. I thought I was just fat but also age. I am thinking if a lower lift including a neck lift with lower/upper bleph would be an option that would offer results without a overdone appearance.
Karol A. Gutowski, MD, FACS's Response:
45 may be an OK time for a face lift but for many patients, neck lipo with nonsurgical skin tightening may be a better option with lower cost and less downtime (and can be done awake). An in person evaluation is the best way to find out. The eye lids can be assessed also.
SOS Please Help
Breast ReductionMember Response:
Sounds like you need an in person evaluation. I do see patients in Champaign once per a month.
SOS Please Help
Question:
I've been contemplating breast reduction for awhile now because my breasts are causing me so much back and shoulder pain. Everything hurts and is sore for days after any exercise. Its uncomfortable to even do it. I'm 5'2" and currently wear a 40H. I just got into that size and the bras are already starting to get too small. It's like they wont stop growing. Please help. I'm at my wits end.
Karol A. Gutowski, MD, FACS's Response:
Sounds like you need an in person evaluation. I do see patients in Champaign once per a month.
Sketchy Dr
LiposuctionMember Response:
While any doctor can do lipo in their office, it does not mean that they are properly trained or qualified to do it. If someone is offering a "promotion" because they are "just starting to do it" then that should raise a few red flags (no experience, not properly trained). Find a Board Certified Plastic Surgeon near you on this site: https://find.plasticsurgery.org/
Sketchy Dr
Question:
How do I check to see if a Dr. is certified to do a procedure? Are there any circumstances when a non certified plastic surgery can do lipo? This office is promoting general surgeon by offering specials because he's just starting to do lipo but I wanna check him out first. Can any Dr do lipo?
Karol A. Gutowski, MD, FACS's Response:
While any doctor can do lipo in their office, it does not mean that they are properly trained or qualified to do it. If someone is offering a "promotion" because they are "just starting to do it" then that should raise a few red flags (no experience, not properly trained). Find a Board Certified Plastic Surgeon near you on this site: https://find.plasticsurgery.org/
19 and Desperate
Breast ReductionMember Response:
May be better to go see a plastic surgeon directly for a consultation. In many cases, a breast reduction is appropriate at your age. Find a plastic surgeon here: https://find.plasticsurgery.org
19 and Desperate
Question:
I have asked my primary care doctor about breast reduction when I was in high school. He said it would be smarter to wait as I hit puberty later than average so I waited. My back, neck, and shoulder pain have only gotten much worse and I don’t like the wait I have gained because it is hard to excercise and painful. I haven’t owned a bathing suit in over two years and I just want a normal life.
Karol A. Gutowski, MD, FACS's Response:
May be better to go see a plastic surgeon directly for a consultation. In many cases, a breast reduction is appropriate at your age. Find a plastic surgeon here: https://find.plasticsurgery.org
Leg area
LiposuctionMember Response:
It sounds like you are a good candidate for liposuction, however, an in person evaluation is best.
Leg area
Question:
I am looking for the possibility of liposuction around the knee and upper leg area. I am in good shape but have a genetic feature of fat deposits around the knee and upper part of my leg. Also looking possible liposuction on the back part of my arms. I’m around 5’6” and weigh 130 pounds. I work out regularly. These areas of fat deposits are definitely genetic. Thanks!
Karol A. Gutowski, MD, FACS's Response:
It sounds like you are a good candidate for liposuction, however, an in person evaluation is best.
Dont know what to do!
Breast AugmentationMember Response:
The best way to find out your options and pick the one best for you is with an in person evaluation. I lift and reduction can be done together, but sometimes a small implant can help give more fullness. The technique depends on how much loose skin and breast tissue needs to be removed.
Dont know what to do!
Question:
Im 33 healthy-Size 34-36dd. Lost/gained 40+ lbs several times. Had sag but no extra skin. Now-can almost fit in 34c but w/ "overflow" & ALOT of extra skin-1.5-2 inches +/-. Read about both lift &reduction. Cost shouldn't be a main focus-but it's a factor. I want them lifted but still at a d "ish"...mostly care about lifting. Which is less expensive and with least amount of scarring?
Karol A. Gutowski, MD, FACS's Response:
The best way to find out your options and pick the one best for you is with an in person evaluation. I lift and reduction can be done together, but sometimes a small implant can help give more fullness. The technique depends on how much loose skin and breast tissue needs to be removed.
Follow up questiom
Breast AugmentationMember Response:
In most cases, the scars can be improved, but not completely eliminated. During an in person consultation, this can be discussed.
Follow up questiom
Question:
I don’t Know whinny surgeon was 28 yrs ago when I had original breast reduction. I was unable to breast-feed and had a consultation 2 yrs ago but felt that the surgeon was not thorough re: my previous scars and issues. My scars look like an upside down T and my right breast is perfect with the exception of the loss of top volume & size. My left, there is a pucker under it and nipple is weird
Karol A. Gutowski, MD, FACS's Response:
In most cases, the scars can be improved, but not completely eliminated. During an in person consultation, this can be discussed.
Previous reduction and need agsin
Breast AugmentationMember Response:
Yes, in most cases a breast enhancement with implants for upper breast fullness and a breast lift/reduction can be done years after a breast reduction. The best way to find out is with an in person evaluation.
Previous reduction and need agsin
Question:
Hi... I had a breast reduction at age 18 in 1990. I’ve been happy until recently in my mid 40’s. I want a reduction with a possible small implant to give me some fullness up top. Overall, my breasts aren’t bad... they’re just too big! 2 baby’s and gravity... HELP!
Karol A. Gutowski, MD, FACS's Response:
Yes, in most cases a breast enhancement with implants for upper breast fullness and a breast lift/reduction can be done years after a breast reduction. The best way to find out is with an in person evaluation.
Gallbladder surgery
Tummy TuckMember Response:
Yes, a tummy tuck can still be done but with some modification. Either a lipoabdominoplasty or a reverse abdominoplasty are possible options. An in person evaluation is the best way to find out.
Gallbladder surgery
Question:
I had ER surgery in 2003 and the Dr. made his incision on upper right side. I was told that because of the incision, I wouldn’t be a candidate for a tummy tuck, is this true? What r my options?
Karol A. Gutowski, MD, FACS's Response:
Yes, a tummy tuck can still be done but with some modification. Either a lipoabdominoplasty or a reverse abdominoplasty are possible options. An in person evaluation is the best way to find out.
Before and after patient photos from Dr. Karol Gutowski. Use the menu to filter by procedure.
Mommy Makeover
Liposuction
Eyelid Surgery
Breast Augmentation
Tummy Tuck
Mommy Makeover
Liposuction
Eyelid Surgery
Breast Augmentation
