Steven G. Wallach, MD
Active Member
Steven G. Wallach, MD
Steven G. Wallach, MD, is an ASPS Member plastic surgeon who is board certified by The American Board of Plastic Surgery® and trained specifically in plastic surgery. ASPS members operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing medical education requirements in plastic surgery, including training in patient safety techniques. As your medical partner, Dr. Wallach is dedicated to working with you to achieve your goals.
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Meet Dr. Steven Wallach
Steven Wallach, MD, FACS is a highly experienced and reputable plastic surgeon in New York City. He is a member of the American Society of Plastic Surgery (ASPS) and the American Society for Aesthetic Plastic Surgery(ASAPS) as well as a Fellow of the American College of Surgeons. As a member of ASPS, Dr. Wallach follows a strict code of ethics and shares the values of the organization when it comes to providing safe, honest, and effective plastic surgery care
Meet Dr. Steven Wallach
Dr. Steven Wallach is a board-certified plastic surgeon with over 20 years of experience performing procedures on the face, breasts, and body. Dr. Wallach practices in New York City where he is well known for providing exceptional cosmetic surgery care. In New York, he was a former president and a former member of the Board of Trustees of the New York Regional Society of Plastic Surgery.
Dr. Wallach received his undergraduate degree from the University of Pennsylvania before attending medical school at New York University School of Medicine. After medical school, he completed several residency programs in cosmetic and reconstructive surgery. He then received his certification from the American Board of Plastic Surgery, the final step to his education.
During his years of performing plastic surgery procedures, Dr. Steven Wallach, MD has gained a reputation for surgical excellence when it comes to safety, innovation, and satisfying results. He has been quoted in places such as New York Magazine, Newsweek, Vogue, O: The Oprah Magazine, InStyle, and more. He has also made television and radio talk show guest appearances discussing his cosmetic surgery experience and views. His talents have also led him to be featured in New York Magazine’s “Best Beauty Docs” issue.
Dr. Wallach continues to learn and research the latest techniques and technology in plastic surgery. He has published articles on procedures such as on Transabdominal breast augmentation (TABA), limited access surgery, rhinoplasty, post-bariatric surgery treatment, and breast reduction surgery. He also serves as Associate Editor for Plastic and Reconstructive Surgery for the ASPS official publication, and was the editor for the aesthetic section of the Plastic Surgery Education Network, an online education portal. He is also a former editor for the Aesthetic Surgery Journal. He has also held multiple positions in ASAPS and has been chairman of several committees. Dr. Wallachalso has a passion for teaching and sharing his experience with other medical professionals. He has been giving a teaching course at the ASAPS national meeting on vertical breast reduction to other plastic surgeons for several years. He is also an Associate Clinical Professor of plastic and reconstructive surgery at the Albert Einstein College of Medicine.
In New York City, Dr. Wallach provides care for patients seeking surgical and non-surgical procedures for the face such as facelift surgery, breasts, and body procedures like abdominoplasty, buttock augmentation, male breast reduction and liposuction surgery at his Fifth Avenue office-accredited surgical suite as well as various hospitals in Manhattan. More information on the procedures and services he provides such as plastic surgery for menare available on his website: www.stevenwallach.com. He can be contacted with questions or consultation scheduling at (212)861-6400. During the consultation, Dr. Wallach takes the time to listen to patient stories and concerns, developing a treatment plan that is unique to their needs and desired aesthetic outcomes. With the correct plastic surgery treatment and techniques, Dr. Steven G. Wallach MD strives to enhance the confidence and lives of his patients.
Contact
Phone 212-861-6400
Email info@stevenwallachmd.com
Locations
New York Office
14 East 90th St
Suite 1B
New York,
NY
10128
Languages
- English
More Links
Procedures Performed
Arm Lift
Body Contouring
Body Lift
Botulinum Toxin
Breast Augmentation
Breast Implant Removal
Breast Implant Removal
Breast Implant Revision
Breast Lift
Breast Reconstruction
Breast Reduction
Breast Reduction
Brow Lift
Buttock Implants
Buttock Lift with Augmentation
Cheek Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Chin Augmentation
Chin Surgery
Dermabrasion
Dermal Fillers
Ear Reconstruction Surgery
Ear Surgery
Endoscopic Technique
Eyelid Surgery
Facelift
Facial Implants
Free Flap Breast Reconstruction
General Reconstruction
Hand Surgery
Hand Surgery for Congenital Differences
Head and Neck Cancer Reconstruction
Injectable Fillers
Laser Hair Removal
Laser Skin Resurfacing
Lip Augmentation/Enhancement
Liposuction
Male Breast Reduction
Microdermabrasion
Microsurgery
Mommy Makeover
Neck Lift
Post Burn Reconstruction
Retin-A Treatments
Rhinoplasty
Scar Revision
Skin Cancer Removal
Skull/Facial Bone Reconstruction
Spider Vein Treatment
Tattoo Removal
Thigh Lift
TRAM Flap Breast Reconstruction
Tummy Tuck
Ask a Surgeon
Dr. Steven Wallach participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Breast Augmentation for MTF patients
Gender Affirmation SurgeryMember Response:
Inherently, it’s not very different. MTF usually have a wider chest and stronger muscle but it’s basically the same operation.
Breast Augmentation for MTF patients
Question:
Hello, I would like to ask if the breast augmentation process for MTF patients is radically different than that which is performed on cis-women? I am finding that a number of plastic surgeons are refusing to accept me as a patient and stating that it's a 'specialized' procedure. Nothing I have researched suggests this to be the case. I am interested in understanding what the real facts are.
Steven G. Wallach, MD's Response:
Inherently, it’s not very different. MTF usually have a wider chest and stronger muscle but it’s basically the same operation.
One procedure
Breast AugmentationMember Response:
It is quite possible to have breast surgery and a tummy tuck at the save time. It really depends upon your overall health and the extent of the surgery. Good luck
One procedure
Question:
Hello, I’m interested in looking into getting a breast and tummy tuck procedure, will this be done all in one session ? And I’m also looking to see about getting into payment plans but with a down payment. Does the first consultation cost , because I have not found a doctor just yet. Thank you
Steven G. Wallach, MD's Response:
It is quite possible to have breast surgery and a tummy tuck at the save time. It really depends upon your overall health and the extent of the surgery. Good luck
What is the updated mortality rate for Butt Augmentation via fat transfer
Buttock Lift with AugmentationMember Response:
The most recent rates that I’ve seen is closer to 1/30,000 which I believe is even less than tummy tucks. This is likely due to understanding of the anatomy and modifications in the technique to improve safety. After investigation, it is felt that placing fat in the subcutaneous fat layer and trying to avoid placing it into the muscle later seems the be safer. That’s actually how Ibakways performed it. Best of luck.
What is the updated mortality rate for Butt Augmentation via fat transfer
Question:
Is there an update to the 1/3k death rate published in the 2018 safety advisory by the Multi-Society Gluteal Fat Grafting Task Force? I have found new rates online (1/15k 2019, 1/20k 2020) but am unsure of which to trust. Is there an update with specifics to isolate augmentations via fat transfer only? What is the authoritative or a trusted source for mortality rates of cosmetic procedures?
Steven G. Wallach, MD's Response:
The most recent rates that I’ve seen is closer to 1/30,000 which I believe is even less than tummy tucks. This is likely due to understanding of the anatomy and modifications in the technique to improve safety. After investigation, it is felt that placing fat in the subcutaneous fat layer and trying to avoid placing it into the muscle later seems the be safer. That’s actually how Ibakways performed it. Best of luck.
What is the updated mortality rate for Butt Augmentation via fat transfer
Buttock Lift with AugmentationMember Response:
The most recent rates that I’ve seen is closer to 1/30,000 which I believe is even less than tummy tucks. This is likely due to understanding of the anatomy and modifications in the technique to improve safety. After investigation, it is felt that placing fat in the subcutaneous fat layer and trying to avoid placing it into the muscle later seems the be safer. That’s actually how Ibakways performed it. Best of luck.
What is the updated mortality rate for Butt Augmentation via fat transfer
Question:
Is there an update to the 1/3k death rate published in the 2018 safety advisory by the Multi-Society Gluteal Fat Grafting Task Force? I have found new rates online (1/15k 2019, 1/20k 2020) but am unsure of which to trust. Is there an update with specifics to isolate augmentations via fat transfer only? What is the authoritative or a trusted source for mortality rates of cosmetic procedures?
Steven G. Wallach, MD's Response:
The most recent rates that I’ve seen is closer to 1/30,000 which I believe is even less than tummy tucks. This is likely due to understanding of the anatomy and modifications in the technique to improve safety. After investigation, it is felt that placing fat in the subcutaneous fat layer and trying to avoid placing it into the muscle later seems the be safer. That’s actually how Ibakways performed it. Best of luck.
Payments
Tummy TuckMember Response:
Yes. My office works with several companies that can provide financing for you. I’d be more than happy to meet with you in my office in New York City. Best of luck.
Payments
Question:
Can there be a payment arrangement set up if I want both tummy tuck and Brest reduction?
Steven G. Wallach, MD's Response:
Yes. My office works with several companies that can provide financing for you. I’d be more than happy to meet with you in my office in New York City. Best of luck.
Which one?
LiposuctionMember Response:
Without seeing you in person, it is very difficult to say why your belly is enlarged. It may be the result of fatty tissue, weakness of the muscles, even visceral fat. I would have to see you in person. Best of luck.
Which one?
Question:
Good evening. So I am considering getting surgery to get rid of my bell fat but I am not sure on which surgery to get. I dont have flabby or excessive skin at all. My stomach is actually big as if I am a few months pregnant which I am not and I'm tired of feeling insecure about it and people asking me how many months am I and me responding..I'm not pregnant. I need help.
Steven G. Wallach, MD's Response:
Without seeing you in person, it is very difficult to say why your belly is enlarged. It may be the result of fatty tissue, weakness of the muscles, even visceral fat. I would have to see you in person. Best of luck.
multiple procedures
Breast Implant RemovalMember Response:
Those certainly can be performed at the same time on a healthy person.
multiple procedures
Question:
can a have implant removal, breast lift and armpit lipo in the same day?
Steven G. Wallach, MD's Response:
Those certainly can be performed at the same time on a healthy person.
Ugh...
Mommy MakeoverMember Response:
There are plenty of great plastic surgeons all over the country. You have many options. As far as your eyes go, eyelid surgery is called a blepharoplasty. This is not usually covered by any insurance. Best of luck.
Ugh...
Question:
How does someone become a patient to one of the Dr 90210 female plastic surgeons? I would like to have a mommy makeover to FINALLY get rid on my "wave" stomach which interferes with hygiene and intimacy. Also, what do you call a surgery to your eyes? (Mine are noticeably uneven and seem to be differently shaped.) Is there ANY WAY for health insurance to help cover costs of plastic surgery?
Steven G. Wallach, MD's Response:
There are plenty of great plastic surgeons all over the country. You have many options. As far as your eyes go, eyelid surgery is called a blepharoplasty. This is not usually covered by any insurance. Best of luck.
BBL + Breast Augmentation
Buttock Lift with AugmentationMember Response:
It’s possible, but it becomes a positing issue after surgery because lying on your stomach is ideal after a bbl but will push on your implants unfavorable. Pillows help
BBL + Breast Augmentation
Question:
Can you get a BBL with breast augmentation at the same time? I see some places say yes and some say no. I'm looking to get both done.
Steven G. Wallach, MD's Response:
It’s possible, but it becomes a positing issue after surgery because lying on your stomach is ideal after a bbl but will push on your implants unfavorable. Pillows help
AM I A GOOD CANDIDATE FOR IMPLANT REMOVAL AND LIFT?
Mommy MakeoverMember Response:
You look like a good candidate for several of those procedures. I perform these in my fully accredited office OR. The best thing would be to have a virtual discussion first since you live far away. I look forward to talking with you. Have a great day!
AM I A GOOD CANDIDATE FOR IMPLANT REMOVAL AND LIFT?
Question:
Hello, I am a 39 yr old Mother of 2 and embarking on my mission to find the best surgeon for my needs. I would like to get as much as I can do while under anaesthetic. My wish list includes Breast lift, nipple reduction, implant removal, fat transfer, mini tummy tuck, lipo and any other completely non-invasive procedures like J Plasma for arms and face. The first image is my breast goals :)
Steven G. Wallach, MD's Response:
You look like a good candidate for several of those procedures. I perform these in my fully accredited office OR. The best thing would be to have a virtual discussion first since you live far away. I look forward to talking with you. Have a great day!
Do i need chin surgery or browlift?
Chin SurgeryMember Response:
Based solely on the photos, it looks like you might benefit from a chin implant and possibly a rhinoplasty. A consultation in person would be essential. For the brow, it is difficult to say from the photos. Botox May be an alternative if you want some lateral brow elevation. I hope to see you soon! Good luck.
Do i need chin surgery or browlift?
Question:
Do i really need a chin surgery?or is browlift better for me to be better looking?and if i do need chin sugery what is the best for me a genioplasty or chinimplant?i think i have also a long chin,can it be shortned?
Steven G. Wallach, MD's Response:
Based solely on the photos, it looks like you might benefit from a chin implant and possibly a rhinoplasty. A consultation in person would be essential. For the brow, it is difficult to say from the photos. Botox May be an alternative if you want some lateral brow elevation. I hope to see you soon! Good luck.
Breast augmentation
Breast AugmentationMember Response:
Hi Melissa. I always try to accommodate my patients’s goals, but choosing the right implant for a patient really depends upon multiple factors including a patient’s goals, and their anatomy. Placing 800 cc implants into someone who starts out with an “A” cup is likely not possible on the first go around. This is usually due to the person’s anatomy limiting the stretch of the tissue in accommodating such large implants. I’m mire than happy to evaluate you to see if it is possible. Best of luck.
Breast augmentation
Question:
I'm a 38 A cup, 4"11 and 50 KG with lots of breast tissue. I really want huge and fake looking breasts, 800cc ultra high profile silicone implants. Will it be possible?
Steven G. Wallach, MD's Response:
Hi Melissa. I always try to accommodate my patients’s goals, but choosing the right implant for a patient really depends upon multiple factors including a patient’s goals, and their anatomy. Placing 800 cc implants into someone who starts out with an “A” cup is likely not possible on the first go around. This is usually due to the person’s anatomy limiting the stretch of the tissue in accommodating such large implants. I’m mire than happy to evaluate you to see if it is possible. Best of luck.
How long is prep?
Breast AugmentationMember Response:
There is no specific if using wAiting period per se. once I see a new patient, we can often get them scheduled at their convenience within a few weeks. Best of luck.
How long is prep?
Question:
How long is overall prep for procedure? Someone told me that it could be up to a year with consultation before the actual procedure.
Steven G. Wallach, MD's Response:
There is no specific if using wAiting period per se. once I see a new patient, we can often get them scheduled at their convenience within a few weeks. Best of luck.
7weeks post op
Tummy TuckMember Response:
You look like a patient that has lost a lot of weight, and their skin quality is very poor due to being overstretches from a lot of weight gain and then subsequent weight loss. It is very common for patients with this type of skin to have some rebound laxity. Review your concerns with your surgeon. Best of luck.
7weeks post op
Question:
I am 7 weeks post op and I have concerns about still having lose skin. It is much better but still hangs. Someone please let me know if the pictures below are normal and it’s to early in my recovery to state my concerns to my surgeon? 2 pictures are from underneath the other 2 are at side angles. My 48, 5’5” 170pds Please help.
Steven G. Wallach, MD's Response:
You look like a patient that has lost a lot of weight, and their skin quality is very poor due to being overstretches from a lot of weight gain and then subsequent weight loss. It is very common for patients with this type of skin to have some rebound laxity. Review your concerns with your surgeon. Best of luck.
Should I have a breast lift at 18?
Breast LiftMember Response:
18 is a bit young, but a lift can be performed at any time. The size of your breast may be contributing to the sag so based upon an exam, you might consider a small reduction too. Best of luck.
Should I have a breast lift at 18?
Question:
I'm 18 and thinking about getting a boob lift. I have no problem with the size of my boobs (I wear a 32D), but I'm insecure about how saggy they are. I'm pretty sure my boobs haven't changed in size for a couple of years now, so I would say I've finished development, I guess. Is it appropriate to get a lift at this age? Would it not be as effective because I'm young? If so, how long should I wait?
Steven G. Wallach, MD's Response:
18 is a bit young, but a lift can be performed at any time. The size of your breast may be contributing to the sag so based upon an exam, you might consider a small reduction too. Best of luck.
Just wanna feel beautiful in & out
Mommy MakeoverMember Response:
Congratulations on your weight-loss. You would have to be seen in person to determine what you would need. Often times patients after large amounts of weight loss will require More extensive procedures this might include a lower body lift along with a mastopexy. Best of luck.
Just wanna feel beautiful in & out
Question:
I'm a singal mother grandmother been though life's challenges have lost 100lbs feel so much alive but when I look at my body am not happy all my life I had weight problems all I've ever wanted is to be healthy and feel beautiful on the outside ,I was a young mother at the age of 15 from the moment I had my daughter my stomach was never the same so if I could get some help I would really appreciate
Steven G. Wallach, MD's Response:
Congratulations on your weight-loss. You would have to be seen in person to determine what you would need. Often times patients after large amounts of weight loss will require More extensive procedures this might include a lower body lift along with a mastopexy. Best of luck.
Breast Reduction at 16
Breast ReductionMember Response:
If you have fully matured physically and your parents consent, then you can undergo a breast reduction. Good luck
Breast Reduction at 16
Question:
i am a 40 H at 16 and it is getting very difficult for me now. i am overweight so i try to excerise but the back pain, neck and shoulder pain is too much and getting overwhelming. My doctor says i’m too young and i should lose weight first but the pain i’m going through is too great. what should i do?
Steven G. Wallach, MD's Response:
If you have fully matured physically and your parents consent, then you can undergo a breast reduction. Good luck
Breast lift
Breast LiftMember Response:
The fee will vary by the complexity of the procedures. It usually starts around $10k. Best of luck.
Breast lift
Question:
How much Is the total cost typically for a breast lift
Steven G. Wallach, MD's Response:
The fee will vary by the complexity of the procedures. It usually starts around $10k. Best of luck.
Would I be fine for surgery?
LiposuctionMember Response:
Having a thyroid condition that is stable should not prevent you from having liposuction good luck
Would I be fine for surgery?
Question:
I recently had a left side, Thyroidectomy back in August 2019. Since then my results including blood work have all come back in normal range. I know some doctors won’t perform on you if you have or had certain health issues. I just want to make sure before I spend any money would I be fine for surgery? When I sent my consultation to the surgeons I included in my questionnaire and was approved.
Steven G. Wallach, MD's Response:
Having a thyroid condition that is stable should not prevent you from having liposuction good luck
Diastatis recti
Tummy TuckMember Response:
It is unclear from your description if this is a diagnosis from an exam and/or a CTs scan or Ultrasound. If it is a diastasis the. A revision tummy tuck can treat that. You are best to come in for an evaluation in person. Best of luck. Hopefully we’ll see you soon
Diastatis recti
Question:
Hi, I am a 51 year old female who had a tummy tuck 8 years ago. I was diagnosed with a diastatis recti without a hernia which looks like a huge lump above my navel and below my rib cage. I want this repaired. Do you have any suggestions for me. I live in Mays Landing, NJ.
Steven G. Wallach, MD's Response:
It is unclear from your description if this is a diagnosis from an exam and/or a CTs scan or Ultrasound. If it is a diastasis the. A revision tummy tuck can treat that. You are best to come in for an evaluation in person. Best of luck. Hopefully we’ll see you soon
Is a BBL or Buttock Implants a better choice for me?
Buttock ImplantsMember Response:
In my vast experience nice with weight loss patients, a body lift is the first step. Fat injection or implants will not lift your buttocks they add volume
Is a BBL or Buttock Implants a better choice for me?
Question:
I am a post bariatric WLS patient with loss of volume in my buttock and laxity in my skin. I want to avoid a butt lift due to the large scar. I am curious if a BBL would give me desired results or if I have to go the route of buttock implants to be able to achieve the desired fullness. I am hoping by increasing the volume of the buttock it will fill in what is missing and be lifted and fuller.
Steven G. Wallach, MD's Response:
In my vast experience nice with weight loss patients, a body lift is the first step. Fat injection or implants will not lift your buttocks they add volume
Will a breast reduction reduce pain from my scoliosis?
Breast ReductionMember Response:
Breast reduction surgery may improve symptoms of back and neck pain but there is no guarantee. I do not think it would have any effect on your scoliosis.
Will a breast reduction reduce pain from my scoliosis?
Question:
If I get a breast reduction which I am under 18 will this reduce my back pain ? Also if I do get a breast reduction since my curve is about 42” and it’s shaped like an S would I still need to get back surgery or would I have to choose between the 2 surgeries?
Steven G. Wallach, MD's Response:
Breast reduction surgery may improve symptoms of back and neck pain but there is no guarantee. I do not think it would have any effect on your scoliosis.
Breast Reduction
Breast ReductionMember Response:
You would need to see a plastic surgeon to be properly evaluated. Best of luck
Breast Reduction
Question:
How would I go about getting a breast reduction due to back pain, and neck pain. I have had large breasts since middle school and I'm now in my fourth year of college and I just can't take the pain.
Steven G. Wallach, MD's Response:
You would need to see a plastic surgeon to be properly evaluated. Best of luck
Can a Plastic Surgeon do a combined Ventral fat hernia repair with a Tummy tuck?
Tummy TuckMember Response:
I think it depends on the severity of the hernia. If bowel is adherent to the hernia, then it is probably best to perform this in conjunction with a general surgeon. It is really individualized from case to case.
Can a Plastic Surgeon do a combined Ventral fat hernia repair with a Tummy tuck?
Question:
Whether it is true or not, I read that a Plastic Surgeon can do a combined surgery to repair a Ventral fat hernia in combination with a tummy tuck. I live in Upstate NY about 30 miles from the Canadian Border. Is there any Board Certified Surgeons that you could recommend that would perform such a procedure in NY State? I am willing to travel. Thank you advance and I look forward to your response.
Steven G. Wallach, MD's Response:
I think it depends on the severity of the hernia. If bowel is adherent to the hernia, then it is probably best to perform this in conjunction with a general surgeon. It is really individualized from case to case.
Blood clot
Tummy TuckMember Response:
You should complete your course of blood thinners which is often for 3-6 months. Once off the blood thinners you would need to get Ned clearance. It would also be important to know what the cause of your clot was. Best of luck. It might be possible and you likely would have to go on some form of chemoprophylaxis(blood thinner) after surgery temporarily. Best of luck.
Blood clot
Question:
Hi there! Wanted to know if I had a blood clot but no longer have it but still on blood thinners can I get a tummy tuck I would definitely get clearance from my doctor thanks
Steven G. Wallach, MD's Response:
You should complete your course of blood thinners which is often for 3-6 months. Once off the blood thinners you would need to get Ned clearance. It would also be important to know what the cause of your clot was. Best of luck. It might be possible and you likely would have to go on some form of chemoprophylaxis(blood thinner) after surgery temporarily. Best of luck.
Fat and unshapely legs
LiposuctionMember Response:
It is hard to tell for sure from your photos. Many massive weight loss patients usually benefit from some form of thigh lifting to address loose skin. Liposuction may also help to debulk the legs Best to be seen in person
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?
Steven G. Wallach, MD's Response:
It is hard to tell for sure from your photos. Many massive weight loss patients usually benefit from some form of thigh lifting to address loose skin. Liposuction may also help to debulk the legs Best to be seen in person
Breast lift after breast reduction?
Breast LiftMember Response:
Yes, it is very possible that you can undergo a breast lift after a previous breast reduction. It is not uncommon for breasts to sag a bit after a breast reduction. Many factors can effect the final result. Best of luck! See you soon!
Breast lift after breast reduction?
Question:
I’m 22 years old, when I was 18 I got a breast reduction procedure. I’m super happy with it, however I’ve realized that my breasts have started to sag. Is it possible to get a breast lift after a breast reduction?
Steven G. Wallach, MD's Response:
Yes, it is very possible that you can undergo a breast lift after a previous breast reduction. It is not uncommon for breasts to sag a bit after a breast reduction. Many factors can effect the final result. Best of luck! See you soon!
Fat grafting
Breast AugmentationMember Response:
Fat can be harvested from just about all those areas you mentioned. It may require several treatments to achieve the desired volume. Implants are usually the first choice for a consistent volume.
Fat grafting
Question:
I have a follow up questions after reading some of the questions for autologous fat grafting. I am looking to increase breast size and shape after having kids. When grafting from other sites to the breast can you use several sites - abdomen, hips, under arms, inner thighs, etc..? Also does this surgery occur in one setting? And finally over time can the fat tissue change if you lose or weight?
Steven G. Wallach, MD's Response:
Fat can be harvested from just about all those areas you mentioned. It may require several treatments to achieve the desired volume. Implants are usually the first choice for a consistent volume.
Best option for my breasts
Breast AugmentationMember Response:
Sounds like you might need a combination of a lift abs implants and perhaps a small reduction of the larger breast. Best to be seen in person
Best option for my breasts
Question:
I’ve had uneven breasts my entire life. I’m now 20 years old with a B cup and a C/D cup. They are also quite saggy and I assume this has to do with growing up overweight. My question is, in your experience what would be the best procedure for me as far as implants? I would like them to be full D’s.
Steven G. Wallach, MD's Response:
Sounds like you might need a combination of a lift abs implants and perhaps a small reduction of the larger breast. Best to be seen in person
Breast Augmentation
Breast AugmentationMember Response:
You can change from saline to silicone and shapes of implants. It all depends upon your anatomy and your desired volume. You would have to be seen in person Best of luck
Breast Augmentation
Question:
If you have teardrop implants that are saline can you go to round high profile silicone implants? Which is better saline or silicone? Which one has a better chance lasting longer?
Steven G. Wallach, MD's Response:
You can change from saline to silicone and shapes of implants. It all depends upon your anatomy and your desired volume. You would have to be seen in person Best of luck
Breast Lift with Fat Graft
Breast LiftMember Response:
Yes, it is possible to lift breasts and add volume at the same time. My preferred and most reliable way is to add an implant. This will guarantee the volume. Fat can be added as well
Breast Lift with Fat Graft
Question:
I would like to have a breast lift and know that it will cause my breasts’ size to be reduced a bit. I’d like them full like they were before children but what a natural look and feel so I am leaning towards a fat graft. I don’t want a lot of added volume just more shaping. Can all of this be done in one procedure (The lipo, lift, and fat graft) and what is the average cost? Or cost difference?
Steven G. Wallach, MD's Response:
Yes, it is possible to lift breasts and add volume at the same time. My preferred and most reliable way is to add an implant. This will guarantee the volume. Fat can be added as well
Should I consider a Breast Augmentation?
Breast AugmentationMember Response:
It sounds like you might be a candidate for an augmentation and a lift You would have to be seen in person.
Should I consider a Breast Augmentation?
Question:
Hello , I am 20 years old and for as long as I could remember my breast have been saggy. I’ve never had normal looking breast or a line of cleavage and my right breast is extremely smaller than the left . I changed my lifestyle and lost 100lbs so they became smaller and saggier now the size difference is extremely noticeable . Should I consider getting a breast lift ? I’m nervous due to my age.
Steven G. Wallach, MD's Response:
It sounds like you might be a candidate for an augmentation and a lift You would have to be seen in person.
Broken nose
RhinoplastyMember Response:
If you have an old nasal fracture, then you will likely need osteotomies or cuts in the bone to make them mobile so that they can be placed back in position
Broken nose
Question:
What procedure would half to be done if the patients nasal bone had fractured about a year ago causing the nasal bone from the side to split away from the rest of the septum? Causing for one side to be more depressed then the other. Also would it be possible for procedure like this to be done under local anesthesia or it would have to be under general?
Steven G. Wallach, MD's Response:
If you have an old nasal fracture, then you will likely need osteotomies or cuts in the bone to make them mobile so that they can be placed back in position
Making my breast smaller and not sit naturally without implants
Breast ReductionMember Response:
A breast reduction can reduce the size and lift the breasts. Good luck.
Making my breast smaller and not sit naturally without implants
Question:
My breast sags a lot and I want them to be smaller than what they are now. I also want them to sit naturally without getting any implants. After researching, I've come across the breast reduction surgery. I want this to be my last resort if exercising does not work. Do you have any suggestions?
Steven G. Wallach, MD's Response:
A breast reduction can reduce the size and lift the breasts. Good luck.
Insurance acceptance
Breast ReductionMember Response:
You would have to be seen in person for an appropriate evaluation and to see if removing 1000 gms or so would be appropriate for you. Best of luck.
Insurance acceptance
Question:
Hello, My insurance approved to remove 1,000 grams of my breast. How can i find out if you could remove that amount? I am 5'8" tall and at this time weight 200lbs
Steven G. Wallach, MD's Response:
You would have to be seen in person for an appropriate evaluation and to see if removing 1000 gms or so would be appropriate for you. Best of luck.
Qualifications for a breast reduction
Breast ReductionMember Response:
If you have large breasts and want them to be smaller than you don’t need any qualifications other than that to seek consultation. On the other hand, if you are looking to see if your insurance company wlll cover your surgery, then I suggest you contact your insurance company to see what kind of documentation or symptoms you need to display before getting approval. Good luck.
Qualifications for a breast reduction
Question:
Hi, my name is Tiffany-Amber. I was speaking to an older relative about my breast recently and she told me to look into getting a reduction. My breast have been causing me pains recently, and I keep getting rashes under them too. I was complaining about a tingly feeling and heaviness causing back aches. I wanted to know what the qualifications are to get a breast reduction.
Steven G. Wallach, MD's Response:
If you have large breasts and want them to be smaller than you don’t need any qualifications other than that to seek consultation. On the other hand, if you are looking to see if your insurance company wlll cover your surgery, then I suggest you contact your insurance company to see what kind of documentation or symptoms you need to display before getting approval. Good luck.
Will this qualify me for Breast reduction Surgery?
Breast ReductionMember Response:
An MRI is helpful but symptoms such as neck and back pain along with bra strap grooving are symptoms that patients with symptomatic macromastia(large breasts) often have. You are best to be seen in person to be properly evaluated.
Will this qualify me for Breast reduction Surgery?
Question:
I wear a 36H bra. My last MRI was May 2019 which I only recently got the results from because my doctor was kicked off my insurance. The findings say: MILD LEVOSCOLIOSIS, LUMBAR SPINE. MINIMAL POSTERIOR BULGING DISC ANNULI, L3-4 AND L4-5, WITH BILATERAL FACET ARTHROPATHY, SLIGHTLY GREATER AT THE LOWER LEVEL. THERE IS MILD MIDLINE THECAL SAC DEFORMITY AT BOTH LEVELS. MINIMAL POSTERIOR BULGING DISC
Steven G. Wallach, MD's Response:
An MRI is helpful but symptoms such as neck and back pain along with bra strap grooving are symptoms that patients with symptomatic macromastia(large breasts) often have. You are best to be seen in person to be properly evaluated.
could I get a breast reduction revision??
Breast ReductionMember Response:
Sure, it is possible to perform a revision. You would have to be seen in person. Best of luck!
could I get a breast reduction revision??
Question:
I had my breast reduction last June of the 4th. I wasn't really to happy with the results once I saw them, but the physician assistant told me it's to early just wait 6 months and see. The first issue I had was my nipples aren't even, one is lower the the other, the areolas are different sizes. Then I have these fold on the side of my left breast since the first time I saw my new boobs.
Steven G. Wallach, MD's Response:
Sure, it is possible to perform a revision. You would have to be seen in person. Best of luck!
Do I look like I need a nose job?
RhinoplastyMember Response:
You might benefit from a rhinoplasty if you are unhappy with your appearance. Other views would be helpful.
Do I look like I need a nose job?
Question:
I feel really insecure about my nose on the side profile. From a surgeons perspective, do I still look attractive with the nose I have or do I need surgery?
Steven G. Wallach, MD's Response:
You might benefit from a rhinoplasty if you are unhappy with your appearance. Other views would be helpful.
Frowning Belly Button & Loose Skin HELP!
Tummy TuckMember Response:
Congratulations on your weight loss Yeah, I call the belly button issue “the handle bar moustache”. This sounds like you need a tummy tuck to improve this. I do these all the time best of luck. You can call my office for a virtual consult if you’d like or wait until we can re-open.
Frowning Belly Button & Loose Skin HELP!
Question:
Over the course of 2 years I have slowly lost 100 pounds. I am 25 years old and don’t have any children yet, which I plan on doing within the next 5-7 years. Is a tummy tuck in the nearish cards for me or I should wait? My “frowning” belly button is my biggest concern, and when I turn to the side you can see where you could “carve” out the section of loose skin. Any advice helps!
Steven G. Wallach, MD's Response:
Congratulations on your weight loss Yeah, I call the belly button issue “the handle bar moustache”. This sounds like you need a tummy tuck to improve this. I do these all the time best of luck. You can call my office for a virtual consult if you’d like or wait until we can re-open.
How to find out if I should get plastic surgery?
RhinoplastyMember Response:
A good way to look at your nose is to have someone take photos in “mug shot” poses. If you are interested in a rhinoplasty, then I suggest you visit a plastic surgeon for evaluation. Best of luck.
How to find out if I should get plastic surgery?
Question:
Hello! I am thinking about a nose job, but I cannot find out how my nose looks like. Pictures are different. When I take 2 mirrors I can see my profile, but it depends on lightning and which mirror I use. Sometimes my nose looks almost straight, but under different ligthning it looks very crooked in its shape. Are 2 mirrors to trust? I cannot decide and so I cannot get a nose job. Thank you
Steven G. Wallach, MD's Response:
A good way to look at your nose is to have someone take photos in “mug shot” poses. If you are interested in a rhinoplasty, then I suggest you visit a plastic surgeon for evaluation. Best of luck.
Natural 38h
Breast ReconstructionMember Response:
It is difficult to say without an exam. Many times a small reduction of the unaffected breast is necessary to achieve symmetry if your breasts are that large
Natural 38h
Question:
Is it possible to get the same size breast with reconstruction
Steven G. Wallach, MD's Response:
It is difficult to say without an exam. Many times a small reduction of the unaffected breast is necessary to achieve symmetry if your breasts are that large
How much would these plastic surgeries cost?
Cosmetic SurgeryMember Response:
Hi Gigaeevee. It’s difficult to say what the cost would be without an exam in person. It really depends upon the complexity of the rhinoplasty, what type of Brow lift you need, and how much filler, etc. is used. Best to have a virtual consult or be seen in person when we can open the office again. Best of luck!
How much would these plastic surgeries cost?
Question:
I am absolutely tired of going out in public. I am tired of having people stare at me as I walk past them or having people laugh directly at me. I am very aware at this point that I’m hideous. I just want to know how much it would cost me to get a full cosmetic facial reconstruction. I specifically want to get a nose job, eyebrow lift, lip lift, and fillers around my cheeks.
Steven G. Wallach, MD's Response:
Hi Gigaeevee. It’s difficult to say what the cost would be without an exam in person. It really depends upon the complexity of the rhinoplasty, what type of Brow lift you need, and how much filler, etc. is used. Best to have a virtual consult or be seen in person when we can open the office again. Best of luck!
Can a crooked rhinoplasty be fixed? Is it worth fixing?
RhinoplastyMember Response:
Yes it should be possible to straighten your nose and soften the bumps you feel. You would have to be seen in person to review your history and to offer the best surgical plan.
Can a crooked rhinoplasty be fixed? Is it worth fixing?
Question:
I had a rhinoplasty to remove my hump in 2017. As I was healing I told my surgeon that I could feel lumps of what felt like bone under the skin. He said not to worry, and to leave it to heal. 3 years later, I can still feel the lumps, my bridge is crooked, and my septum leans to one side. Can it be fixed? Is it too mild to warrant another surgery?
Steven G. Wallach, MD's Response:
Yes it should be possible to straighten your nose and soften the bumps you feel. You would have to be seen in person to review your history and to offer the best surgical plan.
No longer feel safe can I get a refund?
Buttock Lift with AugmentationMember Response:
You would have to check with their facility policy. I do these procedures all the time in my fully accredited office based surgical facility. We can do a virtual consult if you want. Due to the coronavirus issue, we are not allowed to perform this procedure right now, but hopefully soon we will return to regular practice. You can contact my office during the week to schedule the consult. Best of luck
No longer feel safe can I get a refund?
Question:
i went into a place for a consultation decided to go through with them after research and said I want this particular doctor to do my procedure because he is the only board certified physician there Paid in full medical clearaloss the weight got the time off for procedure and recovery approved by job they email me saying dr no longer there pick another dr and they blocked me on their social media
Steven G. Wallach, MD's Response:
You would have to check with their facility policy. I do these procedures all the time in my fully accredited office based surgical facility. We can do a virtual consult if you want. Due to the coronavirus issue, we are not allowed to perform this procedure right now, but hopefully soon we will return to regular practice. You can contact my office during the week to schedule the consult. Best of luck
Breast Lift w/out Implants
Breast LiftMember Response:
If you are an A cup then you likely do not have much tissue at all to lift. Many times, patient will need an implant to add volume in these situations. Best to be seen in person. Best of luck.
Breast Lift w/out Implants
Question:
Hello, I have wide-set very saggy breasts that are presently a large A cup. I am considering a breast lift, but I do *not* want implants. I cannot find before and after pictures that fit my situation. What type of result can I expect? Editing to add: I prefer a flat chest to an implant for aesthetic and medical reasons. As I have very little breast tissue, the saggy breasts age me. Thank you.
Steven G. Wallach, MD's Response:
If you are an A cup then you likely do not have much tissue at all to lift. Many times, patient will need an implant to add volume in these situations. Best to be seen in person. Best of luck.
Help
Body ContouringMember Response:
You might be a good candidate for liposuction or a tummy tuck or a combination of the two. You would have to be seen in person to determine this. Best of luck
Help
Question:
Ok im not very overweight but ive never been this big i just had my 5th kid and this weight isnt coming off like the others im 5 ft 3in tall and 165lbs i have a little over hang on my belly and large arms im 28 and not hapoy with this what should i do
Steven G. Wallach, MD's Response:
You might be a good candidate for liposuction or a tummy tuck or a combination of the two. You would have to be seen in person to determine this. Best of luck
17yo Breast Reduction
Breast ReductionMember Response:
It sounds reasonable to probably offer you a breast reduction. You would have to be seen in person with your parents’ approval. Right now with what’s going on in the world, all elective surgery has been put on hold. You can reach out fir a virtual consult with my office if you’d like.
17yo Breast Reduction
Question:
All my life my breasts have been a constant challenge. In sixth grade I was DD. I am a sophomore now and I am a 46G . At this point I’m tired of feeling constant weight on my shoulders and neck. I’m carrying 16 pounds on my chest and I think it’s time I get a reduction. My question is can I get one as a 17 year old? How much would it cost?
Steven G. Wallach, MD's Response:
It sounds reasonable to probably offer you a breast reduction. You would have to be seen in person with your parents’ approval. Right now with what’s going on in the world, all elective surgery has been put on hold. You can reach out fir a virtual consult with my office if you’d like.
Feeling after surgery?
LiposuctionMember Response:
I would have to see you in person but if it’s fat primarily above the abdominal muscle and not visceral( over the organs), then you might be a candidate for liposuction. I treat 100’s of patients a year performing liposuction. The recovery is usually very straightforward with a pain level of 2-3 out of 10 postop. Pts usually go back to routine activity within a few days. Best of luck!
Feeling after surgery?
Question:
I want to have an abdominal surgery to deal with some stubborn fat that makes look like a laundry bag. Anyone here wants to share their pre and post procedures stories?
Steven G. Wallach, MD's Response:
I would have to see you in person but if it’s fat primarily above the abdominal muscle and not visceral( over the organs), then you might be a candidate for liposuction. I treat 100’s of patients a year performing liposuction. The recovery is usually very straightforward with a pain level of 2-3 out of 10 postop. Pts usually go back to routine activity within a few days. Best of luck!
Cost and process
Mommy MakeoverMember Response:
The cost will vary depending on what procedures you combine. It could range from as little as $8000 all the way up to $20-30k
Cost and process
Question:
How many does it cost? Are there any financial services? How does it work?
Steven G. Wallach, MD's Response:
The cost will vary depending on what procedures you combine. It could range from as little as $8000 all the way up to $20-30k
Left breast never dropped
Breast Implant RevisionMember Response:
Just from your description it sounds like you don’t need an implant exchange. I would have to see you in person to determine what would be appropriate. Best of luck.
Left breast never dropped
Question:
Had revision BA last July to replace my 20 year old saline implants to silicone. I also had a breast lift. It has been 8 months since surgery and my left breast didn’t fully drop. My PS suggested another surgery just on left breast. He said he would release the muscle in order to allow the implant to drop (without replacing the implant). Is this wise or should the implant be replaced?
Steven G. Wallach, MD's Response:
Just from your description it sounds like you don’t need an implant exchange. I would have to see you in person to determine what would be appropriate. Best of luck.
Lipoma
Cosmetic SurgeryMember Response:
Lipomas are usually sent out to a pathology lab to make sure that they are not cancerous.
Lipoma
Question:
Hi, I present multiple lipomas, and 35 need to be removed. I have had about 30 removed in the past. Does a biopsy of each lipoma is mandatory ? This procedure raise so considerably the cost of the surgery... Thank you
Steven G. Wallach, MD's Response:
Lipomas are usually sent out to a pathology lab to make sure that they are not cancerous.
The Right Questions
Tummy TuckMember Response:
It is impossible to eliminate all risk, but in general if you are healthy the risks are very low. What questions to ask? It’s hard to say. I know that when I meet with patients I usually answer almost all their questions in my discussion of the procedure with them. Look at my website there is an entire section of faqs on tummy tuck. Good luck!
The Right Questions
Question:
What should I ask when going to a consultation about tummy tucks. What type of surgeon to I choose. Is this a fail proof procedure meaning is it rare for a procedure to botch?
Steven G. Wallach, MD's Response:
It is impossible to eliminate all risk, but in general if you are healthy the risks are very low. What questions to ask? It’s hard to say. I know that when I meet with patients I usually answer almost all their questions in my discussion of the procedure with them. Look at my website there is an entire section of faqs on tummy tuck. Good luck!
Hysterectomy Incision Disfigurement
Tummy TuckMember Response:
It could still be swelling attributing to some of this overhang. I would give it a full year first. If it still hangs over a bit then perhaps a scar revision may be appropriate. Good luck!
Hysterectomy Incision Disfigurement
Question:
I had a hysterectomy in August 2019, and the surgeon used my C-section scar. I used to have a completely flat stomach and now I have a band of skin (a lip?) that hangs over the scar. I am 5 feet, 2 inches and 102 pounds. I have difficulty wearing clothing because of where the pouch rests and it causes discomfort. Is a tummy tuck my only option?
Steven G. Wallach, MD's Response:
It could still be swelling attributing to some of this overhang. I would give it a full year first. If it still hangs over a bit then perhaps a scar revision may be appropriate. Good luck!
Ruptured saline breast implant
Breast Implant RemovalMember Response:
Removing implants is often a straight forward procedure. I don’t think insurance will cover the cost. Good luck with your decision to move forward.
Ruptured saline breast implant
Question:
I had saline breast implants in 2008. My right one has ruptured. I’d prefer not to go back to the original surgeon. What should I do? Does medical insurance cover the removal. My original implants were way too big. I’m 60 now, and just want them out.
Steven G. Wallach, MD's Response:
Removing implants is often a straight forward procedure. I don’t think insurance will cover the cost. Good luck with your decision to move forward.
Can I get one at 17
Breast ReductionMember Response:
You certainly can have a breast reduction. You would need to get permission from your parents. Good luck.
Can I get one at 17
Question:
I am 17 with 38DDD And weigh 137 they are giving me major back,shoulder,and neck pain
Steven G. Wallach, MD's Response:
You certainly can have a breast reduction. You would need to get permission from your parents. Good luck.
Reconstruction after radiation
Breast ReconstructionMember Response:
If you remove the damaged skin, you can bring over healthy skin from the back with the latissimus dorsi muscle if you need it.
Reconstruction after radiation
Question:
I have had radiation after my breast was expanded and the skin is very thin. Is it possible to surgically remove the damaged skin and expand the area to make new skin.
Steven G. Wallach, MD's Response:
If you remove the damaged skin, you can bring over healthy skin from the back with the latissimus dorsi muscle if you need it.
Breast reduction and lift NYC Aetna
Breast ReductionMember Response:
I am not an Aetna provider but if you have out of network benefits and meet their criteria I can probably take care if you. Good luck
Breast reduction and lift NYC Aetna
Question:
I am looking for a doctor who accepts Aetna to perform a breast reduction and lift. Concerns are sagging, breasts too big for clothes, and back pain. I want a smaller perky result with upper pole fullness. I am based in NYC area but willing to travel for a great doctor within my insurance. Any recs or advice?
Steven G. Wallach, MD's Response:
I am not an Aetna provider but if you have out of network benefits and meet their criteria I can probably take care if you. Good luck
MMO
Mommy MakeoverMember Response:
I have treated patients who have RA that is stable and the Pt is not on any significant medications that can affect wound healing. I would have to see you in person and properly evaluate you. Best of luck!
MMO
Question:
Hi, I was just informed by a plastic surgeon in Miami that if a person has RA can't have a MMO and I was told the contrary, with that said I'd like your medical advise. My RA is under control and I've been cleared by my physicians for plastic surgery but now am worried if I should not get the procedure
Steven G. Wallach, MD's Response:
I have treated patients who have RA that is stable and the Pt is not on any significant medications that can affect wound healing. I would have to see you in person and properly evaluate you. Best of luck!
BBL
Buttock Lift with AugmentationMember Response:
I think you are better off doing the bbl first. You don’t want to waste any fat that you might be able to harvest from the abdomen.
BBL
Question:
How soon after MMO should I get my BBL?
Steven G. Wallach, MD's Response:
I think you are better off doing the bbl first. You don’t want to waste any fat that you might be able to harvest from the abdomen.
Crepey Neck
FaceliftMember Response:
IF your soft tissues are loose and hanging then a facelift would be reasonable. If the skin is also crepey, then sometimes lasers or light peels may help improve the texture. That would best be done after the facelift procedure.
Crepey Neck
Question:
I’m 68 years old & am looking forward to regaining a definitive chin & neckline. I also have a crepey neck. Is it unreasonable to expect the crepey neck to be gone after surgery? According to one surgeon I have interviewed, they claim it will never really be gone and that in a few years I’ll have to have it tightened.
Steven G. Wallach, MD's Response:
IF your soft tissues are loose and hanging then a facelift would be reasonable. If the skin is also crepey, then sometimes lasers or light peels may help improve the texture. That would best be done after the facelift procedure.
Which one gets done first
Mommy MakeoverMember Response:
Sometimes they both can be done. at the same time. If you want to start with one than a bbl sounds reasonable. Good luck!
Which one gets done first
Question:
I want to do MM and get BBL, which one should I do first?
Steven G. Wallach, MD's Response:
Sometimes they both can be done. at the same time. If you want to start with one than a bbl sounds reasonable. Good luck!
Can an implant be placed over an existing implant
Breast Implant RevisionMember Response:
No, if you want more volume then the old implants should be removed and new larger ones should be placed.
Can an implant be placed over an existing implant
Question:
I previously had new implants under my muscle. They are to small and look wrinkled. Is it possible to keep my existing implants that are under my muscle and put another implant over my muscle to increase my breast size?
Steven G. Wallach, MD's Response:
No, if you want more volume then the old implants should be removed and new larger ones should be placed.
Nipple Numbness
Breast AugmentationMember Response:
It is unlikely that after 3 years of numbness that it will get better. Why it happened could be for several reasons. Whether or not you’ll be able to breast feed is difficult to say. Sorry for the vague answers but you’ll only know how successful you can breast feed when you try.
Nipple Numbness
Question:
I got a the gummy bear implants inserted and a lift on my left boob, in order to seek symmetrical breasts, back in Feb 2017. I still have nipple numbness and I’m not sure why. My boobs are almost the same size, but my left still is slightly bigger. Does anyone know why I still have numbness after 3 years? My biggest concern is that I won’t be able to breast feed eventually.
Steven G. Wallach, MD's Response:
It is unlikely that after 3 years of numbness that it will get better. Why it happened could be for several reasons. Whether or not you’ll be able to breast feed is difficult to say. Sorry for the vague answers but you’ll only know how successful you can breast feed when you try.
Long or elongated uneven asymmetrical face, aging etc
Cosmetic SurgeryMember Response:
You would have to be seen in person to get an idea of what you are unhappy with and what you are hoping To achieve. I am an expert in facial procedures. Best of luck
Long or elongated uneven asymmetrical face, aging etc
Question:
Would like plan to improve my face. My niece is shorter than me so she took photo angling up. I didn’t think my face was this badly uneven, my mouth I did, but photo makes even my eyes & eyebrows look diff sizes & uneven. I get puffy bag under right eye. I’ve had hair advance, chin reduction, le forte & I’m still very unhappy with size/shape of face, long upper lip, downward sagging, asymmetry
Steven G. Wallach, MD's Response:
You would have to be seen in person to get an idea of what you are unhappy with and what you are hoping To achieve. I am an expert in facial procedures. Best of luck
Ann Bennett
FaceliftMember Response:
The fee for a lower facelift will vary from surgeon to surgeon and in different parts of the country. That could mean as little as $8000 up to $50,000 for some surgeons. Best of luck
Ann Bennett
Question:
How much is a lower facelift?
Steven G. Wallach, MD's Response:
The fee for a lower facelift will vary from surgeon to surgeon and in different parts of the country. That could mean as little as $8000 up to $50,000 for some surgeons. Best of luck
35 yr old with serious signs of aging
FaceliftMember Response:
Hi Lourihawkens. You are best to be seen in person to see what would be best for you. Often for a 35 year old, filler injections will likely be the right choice. Best of luck.
35 yr old with serious signs of aging
Question:
I have deep laugh lines and sagging jowls was hoping for recommendation on procedure for best results and long lasting results.
Steven G. Wallach, MD's Response:
Hi Lourihawkens. You are best to be seen in person to see what would be best for you. Often for a 35 year old, filler injections will likely be the right choice. Best of luck.
How will my weight affect getting this procedure?
Breast ReductionMember Response:
You are best to wait until you lose the desired weight first. Your breasts will likely be one a little smaller with the weight loss as well.
How will my weight affect getting this procedure?
Question:
All my life I’ve naturally had very large breasts, but they become a larger issue when I’m heavier. At my ideal weight (160lbs) I’m about a DDD or even an E. At my current weight (215lbs) I am an H (still wearing a G size bra). I would ideally like to have D or DDs in order to be comfortable. I am currently on a diet and plan to lose those 55lbs quite quick. How will this affect me going for a BR?
Steven G. Wallach, MD's Response:
You are best to wait until you lose the desired weight first. Your breasts will likely be one a little smaller with the weight loss as well.
Breast Reduction
Breast ReductionMember Response:
The decision to undergo a breast reduction is yours. You sound like a good candidate. The reduction may improve your symptoms of neck and back pain.
Breast Reduction
Question:
Hello, I am a 20 year old girl, and I want to get a breast reduction. My boobs are probably a DD but my right boob is so much larger than the left. They are also saggy. I have this lump forming on the back of my neck from slouching so much. It physically hurts me to sit up straight for more than a minute. I wear nothing but sports bras because my boobs hurt so bad. Would it be a good idea?
Steven G. Wallach, MD's Response:
The decision to undergo a breast reduction is yours. You sound like a good candidate. The reduction may improve your symptoms of neck and back pain.
Loose skin removal - 19 year old
Tummy TuckMember Response:
You are best to see a plastic surgeon. I have treated many massive weight loss patients over the years. Good luck
Loose skin removal - 19 year old
Question:
I am a 6 foot 4, nineteen year old male. In 2016 I weighed 300 pounds; 4 years later, after recovering from eating disorders, I’ve maintained 185 for 1 year. However, the excess skin around my stomach and chest is a source of massive stress. I wish to have surgery to reduce my nipple size and the skin around my waist + chest. I wish to do this as healthily as possible. Who do I speak to?
Steven G. Wallach, MD's Response:
You are best to see a plastic surgeon. I have treated many massive weight loss patients over the years. Good luck
Liposuction with breast lift
Cosmetic SurgeryMember Response:
While it is possible to use fat from liposuction for breast augmentation, implants provide a more reliable volume improvement.
Liposuction with breast lift
Question:
Can I use liposuction fat with a breast lift to fill out my breasts instead of using breast implants?
Steven G. Wallach, MD's Response:
While it is possible to use fat from liposuction for breast augmentation, implants provide a more reliable volume improvement.
Breast lift for a 32b breast
Breast LiftMember Response:
Yes if your breasts are sagging, you certainly can get a lift.
Breast lift for a 32b breast
Question:
Can a get a breast lift on breast 32b size. I'm also considering a augmentation with fat I just want 1/4-1/2 cup size fuller. I breast feed 2 girls. Im not fat y preaary much when back to my normal weight. I don't want implants. If I can't use fat. What Size will my breast be after the surgery?
Steven G. Wallach, MD's Response:
Yes if your breasts are sagging, you certainly can get a lift.
Need 4 Procedures Done worry about safety, money & where to have it.
Breast Implant RevisionMember Response:
The fees will vary from place to place. You are best to find the best surgeon to minimize risks of complications.
Need 4 Procedures Done worry about safety, money & where to have it.
Question:
Thank YOU ALL for HELP! Actually I have only NOW 4 options : 1. Find a Dr to take the implants out in his office and live with saggy, soft hang down to your belly breast. 2. Go in Debt and Pay get them out w a lift. 10k. 3. Go in Debt get them out get replaced w silicone w a lift who knows $ ?? 4. Go in Debt BUT Do what I did last time just Stuck an implant in there NO LIFT. Stupid ME
Steven G. Wallach, MD's Response:
The fees will vary from place to place. You are best to find the best surgeon to minimize risks of complications.
Best option
Lip Augmentation/EnhancementMember Response:
Usually the best option is some sort of filler. Sometimes laser or dermabrasion may help with the lines as well.
Best option
Question:
I’m 52 and a Flight Attendant I hate the lines now on my lips. I wear lipstick all the time and I’ve tried everything and my lipstick bleeds into my lines. I’ve done fillers with No success. I’ve been researching fat injection into my lips or implants. I do not want my lips any bigger I just hate all the lines. I workout and take care of myself I don’t smoke and I drink occasionally. Which one???
Steven G. Wallach, MD's Response:
Usually the best option is some sort of filler. Sometimes laser or dermabrasion may help with the lines as well.
Breast reduction and lift
Breast ReductionMember Response:
You might need a small excision of tissue along the lateral chest. This is a fairly common procedure for patients with similar complaints.
Breast reduction and lift
Question:
i had breast reduction and lift surgery 4 months ago and i am very unhappy with the results. my main concern is as a result of lift now i developed side boobs. i can feel the fat under my arms and my chest looks wider. also i was expecting a curve scare under my breast but mine looks like x. i appreciate any i sight
Steven G. Wallach, MD's Response:
You might need a small excision of tissue along the lateral chest. This is a fairly common procedure for patients with similar complaints.
Bigger butt and Thinning waist
Buttock Lift with AugmentationMember Response:
Unfortunately, genetics play a very large factor in your overall natural body contour. The only way to enhance your buttocks is to either have implants placed or have your own fat injected into the region. Best of luck.
Bigger butt and Thinning waist
Question:
What type of food or fruits can I be eating to get a perfect shape and bigger butt
Steven G. Wallach, MD's Response:
Unfortunately, genetics play a very large factor in your overall natural body contour. The only way to enhance your buttocks is to either have implants placed or have your own fat injected into the region. Best of luck.
Can a dorsal hump be shaved down without an osteotomy?
RhinoplastyMember Response:
While the jump can be shaved down, it may lead to a very flat look or an open roof if osteotomies are not performed.
Can a dorsal hump be shaved down without an osteotomy?
Question:
The only issue with my nose is a dorsal hump that gives me an ugly profile. If this is the only thing I want fixed since I don't have breathing problems with my nose can this be achieved by just shaving the hump down? Also, could this be achieved through closed rhinoplasty?
Steven G. Wallach, MD's Response:
While the jump can be shaved down, it may lead to a very flat look or an open roof if osteotomies are not performed.
Abdominoplasty with upper abdominal liposuction
Tummy TuckMember Response:
You are correct! I usually prefer not to do it at the Same time because I usually perform a full undermining of the abdominal skin to give the greatest release and usually the greater removal of excess skin.
Abdominoplasty with upper abdominal liposuction
Question:
Is it safe to have upper abdominal liposuction with a tummy tuck? Some surgeons do it, some surgeons do not.
Steven G. Wallach, MD's Response:
You are correct! I usually prefer not to do it at the Same time because I usually perform a full undermining of the abdominal skin to give the greatest release and usually the greater removal of excess skin.
How safe is rhinoplasty?
RhinoplastyMember Response:
Rhinoplasty surgery is very safe especially in a young healthy patient. Good luck!
How safe is rhinoplasty?
Question:
I want a rhinoplasty for a dorsal hump. I’m 21, don’t smoke, rarely drink and have a normal BMI. Only surgery was wisdom teeth under GA. I’ve heard stories of patients dying during rhinoplasty so that’s why I’m concerned.
Steven G. Wallach, MD's Response:
Rhinoplasty surgery is very safe especially in a young healthy patient. Good luck!
Csections and BMI effects on results.
Mommy MakeoverMember Response:
A low BMI and good muscle tone should give you a better result. It really depends upon how low the c-section scar is .
Csections and BMI effects on results.
Question:
I have had 5 children, all c-sections. I'm 5'2" and 130lbs. I plan to schedule a mommy makeover in the next 6 months but wonder 2 things. I have a small c-section pooch and not horrible but present abdominal separation. (shelf). 1) Can my scar be lower than my current low transverses c section scar? 2) Will a low BMI and toned muscle complement the desired mommy makeover result?
Steven G. Wallach, MD's Response:
A low BMI and good muscle tone should give you a better result. It really depends upon how low the c-section scar is .
2 part surgery
Breast AugmentationMember Response:
Some surgeons like to stage their lifts and augmentations. I usually do the two together. Best of luck!
2 part surgery
Question:
Is there a such thing as a two part breast augmentation? I was told by my plastic surgeon that I would have to go back to get a lift is this common?
Steven G. Wallach, MD's Response:
Some surgeons like to stage their lifts and augmentations. I usually do the two together. Best of luck!
Pain
Breast Implant RemovalMember Response:
Pain can be caused by many different things. . You would have to be seen in person to be properly evaluated. Best of luck
Pain
Question:
Hello, I had my breast’s done 2006. Since then I have been trying desperately to have them removed. I have been having continuous pain mainly on my left breast as well as, the feeling of them deflating inside. I am not sure how to go about this and what the cost may be but I feel it is dire. I can be reached either cell at 7273893246, email please.
Steven G. Wallach, MD's Response:
Pain can be caused by many different things. . You would have to be seen in person to be properly evaluated. Best of luck
Would a breast lift help with my back pain?
Breast LiftMember Response:
It sounds like you might be an excellent candidate for a breast reduction. However, it is difficult to predict whether or not your back pain will improve from this procedure. Best of luck!!
Would a breast lift help with my back pain?
Question:
I am a 34DDD, weigh 104 lbs and am almost 5’1. Would a breast lift be enough to help with back pain?
Steven G. Wallach, MD's Response:
It sounds like you might be an excellent candidate for a breast reduction. However, it is difficult to predict whether or not your back pain will improve from this procedure. Best of luck!!
Liposuction with Fat Transfer Recovery Time
LiposuctionMember Response:
I perform liposuction and Brazilian butt lifts all the time. My patients usually can go back to work within a week however they really should not be sitting on their buttocks for 2 to 3 weeks minimum
Liposuction with Fat Transfer Recovery Time
Question:
I am interested in possibly getting lipo on my lower abdomen and flanks and transferring it to my buttocks. However, I work full-time as a nanny which requires lifting a baby often throughout the day. I was wondering what the normal recovery time looks like and how much time I would truly need before returning. I have already looked into a tummy tuck and the projected recovery time is a month.
Steven G. Wallach, MD's Response:
I perform liposuction and Brazilian butt lifts all the time. My patients usually can go back to work within a week however they really should not be sitting on their buttocks for 2 to 3 weeks minimum
Breast lift and reduction
Breast LiftMember Response:
It sounds like you are best suited to have a breast reduction which can also lift the breasts at the same time.
Breast lift and reduction
Question:
I was just curious on how all of it works my boobs are a double D and they give me back pain and it’s hard for me to sleep but they’re also droopy and not the shape they need to be for my age what do I do..?
Steven G. Wallach, MD's Response:
It sounds like you are best suited to have a breast reduction which can also lift the breasts at the same time.
Should I do a bichectomy
Cheek ReductionMember Response:
Buccal fat pad excision is certainly an option if you have done lower cheek fullness. It is best to be seen in person to be evaluated. Properly.
Should I do a bichectomy
Question:
I can’t stand my large bottom face, do you think a bichectomy could help to refine my face ?
Steven G. Wallach, MD's Response:
Buccal fat pad excision is certainly an option if you have done lower cheek fullness. It is best to be seen in person to be evaluated. Properly.
mega lipo suction
LiposuctionMember Response:
I perform quite a bit of liposuction on a yearly basis. You would have to be seen in person to try to determine whether you are a candidate or not. Best of luck
mega lipo suction
Question:
I am trying to find a surgeon near me who will do "Mega lipo-suction" please tell me how I can find someone within 125 miles. Thank you Middletown, New York
Steven G. Wallach, MD's Response:
I perform quite a bit of liposuction on a yearly basis. You would have to be seen in person to try to determine whether you are a candidate or not. Best of luck
Excessive weight gain during pregnancy
Tummy TuckMember Response:
Unfortunately, insurance does not cover a tummy tuck after pregnancy. Please make sure you go to a board certified plastic surgeon for treatment. Good luck!
Excessive weight gain during pregnancy
Question:
Hi- I gained an excessive amount of weight - approx 80 lbs - during my first pregnancy because I had a condition called polyhydramnios which causes too much amniotic fluid to be produced. The end result was a lot of loose abdominal skin and significant abdominal muscle separation with chronic back pain. Is there any way insurance will cover a procedure to fix my abdomen?
Steven G. Wallach, MD's Response:
Unfortunately, insurance does not cover a tummy tuck after pregnancy. Please make sure you go to a board certified plastic surgeon for treatment. Good luck!
Cosmetic Face Surgery ?
Cosmetic SurgeryMember Response:
Having cosmetic surgery is a personal choice. Improving your jawline sounds reasonable, but in order to determine what might be appropriate for you a consultation in person is necessary. Best of luck.
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?
Steven G. Wallach, MD's Response:
Having cosmetic surgery is a personal choice. Improving your jawline sounds reasonable, but in order to determine what might be appropriate for you a consultation in person is necessary. Best of luck.
Flying wings
Arm LiftMember Response:
An arm lift sounds like it might be a solution for you. You would have to be seen in person first to be sure. Good luck!
Flying wings
Question:
Sir, I have trying so hard to get my arms done they are truly embarrassing. It’s been really hot here in Rhode Island but I still wear three quarter sleeve shirts. What’s more painful is when my granddaughter thinks their something to play with. Behind close door I cry. Sir I need help🙏🏻
Steven G. Wallach, MD's Response:
An arm lift sounds like it might be a solution for you. You would have to be seen in person first to be sure. Good luck!
Boob job on one side?
Breast ReductionMember Response:
It is certainly possible to only work on one breast, but you would have to be seen in person to be properly evaluated.
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?
Steven G. Wallach, MD's Response:
It is certainly possible to only work on one breast, but you would have to be seen in person to be properly evaluated.
Second liposuction
LiposuctionMember Response:
It’s not the device it’s the surgeon that is the difference. Good luck
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
Steven G. Wallach, MD's Response:
It’s not the device it’s the surgeon that is the difference. Good luck
Risk of exposure
Breast Implant RevisionMember Response:
Adding more support to the reconstruction may be necessary. This could be by using an ADM like alloderm.
Risk of exposure
Question:
If after a mastectomy and full reconstruction the implant is showing to be too heavy for the chest to support causing the incision to widen placing the patient at risk of exposure, how is that treated? Is there anything that can be done before extrusion happens to hopefully avoid that from happening?
Steven G. Wallach, MD's Response:
Adding more support to the reconstruction may be necessary. This could be by using an ADM like alloderm.
Age
Breast AugmentationMember Response:
You are not too old to get implants. Best of luck
Age
Question:
Ism 56 years old. Is it too late in life to get breast implants?
Steven G. Wallach, MD's Response:
You are not too old to get implants. Best of luck
Reopening of “new” bellybutton 6 years after Abdominoplasty?
Mommy MakeoverMember Response:
The fluid drainage may represent a retained/exposed permanent suture. You would have to be seen in person to be sure. Good luck.
Reopening of “new” bellybutton 6 years after Abdominoplasty?
Question:
I had an abdominoplasty in 2013. My surgeon created a new belly button, closed my natural one. 6 years later, I now have clear watery fluid turning into crusty yellow discharge coming from inside the “new” bellybutton. My PCP swabbed it to verify it’s not bacterial or fungal, and so far it’s come back as neither. Shes worried it may be slightly open and abdominal fluid is leaking out. Possible?
Steven G. Wallach, MD's Response:
The fluid drainage may represent a retained/exposed permanent suture. You would have to be seen in person to be sure. Good luck.
Dermal fillers/ with breast implants
Dermal FillersMember Response:
Filler products are not commonly used to correct asymmetry. However, fat injections can be used. There is a small risk of implant rupture performing this procedure. Another solution maybe using different sized implants. Best of luck.
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?
Steven G. Wallach, MD's Response:
Filler products are not commonly used to correct asymmetry. However, fat injections can be used. There is a small risk of implant rupture performing this procedure. Another solution maybe using different sized implants. Best of luck.
Combining BBL with BA?
Breast AugmentationMember Response:
It’s not that the two procedures can’t be done at the same time. It’s that it will be a positioning issue for you during the recovery. You ideally do not want to lie on your stomach after having a breast augmentation it’s not that the two procedures can’t be done at the same time. It’s that it will be a positioning issue for you during the recovery. You ideally do not want to lie on your stomach after having a breast augmentation, And you don’t want to lie on your back after having a Brazilian Buttock augmentation. I usually stage them.
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?
Steven G. Wallach, MD's Response:
It’s not that the two procedures can’t be done at the same time. It’s that it will be a positioning issue for you during the recovery. You ideally do not want to lie on your stomach after having a breast augmentation it’s not that the two procedures can’t be done at the same time. It’s that it will be a positioning issue for you during the recovery. You ideally do not want to lie on your stomach after having a breast augmentation, And you don’t want to lie on your back after having a Brazilian Buttock augmentation. I usually stage them.
Too old for breast reduction
Breast ReductionMember Response:
There is no specific age limit for breast reduction. If you are healthy then you can have it done.
Too old for breast reduction
Question:
I am 64 years am I too old for breast reduction. My back hurts, my shoulders have indentations from bra straps, my neck hurts, I am 5'3" and wear a 38 to 40 DD bra and weigh 140 lbs. Also insurance is the only way I could pay for it.
Steven G. Wallach, MD's Response:
There is no specific age limit for breast reduction. If you are healthy then you can have it done.
Cost.
Mommy MakeoverMember Response:
Sometimes the two procedures can be done at the same time. A breast lift is not commonly done just with augmentation. Usually some kind of excision of skin and lifting of the breast tissue will be required. You would have to be seen in person to determine the appropriate procedures and then the approximate cost. Best of luck
Cost.
Question:
Hello I have two children and although my body isn't that bad but in need of a breast lift and butt lift and augmentation but prefer to do with a fat transfer for both. What would be the cost for this specific mommy makeover? Would it be done all in one procedure or two? What is the recovery time and expectations of a fat transfer in being a more natural result through time? Thank you.
Steven G. Wallach, MD's Response:
Sometimes the two procedures can be done at the same time. A breast lift is not commonly done just with augmentation. Usually some kind of excision of skin and lifting of the breast tissue will be required. You would have to be seen in person to determine the appropriate procedures and then the approximate cost. Best of luck
Chiseled facial looks/ baby fat
Cheek AugmentationMember Response:
To define the jaw and cheekbones may require facial filler selectively to this area to enhance their appearance. You would have to be seen in person to be properly evaluated. Best of luck!
Chiseled facial looks/ baby fat
Question:
Hello, I lost weight about 4 years ago about 40 lbs and I don’t have abs, my face stil looks average with baby fat not allowing myself to have a chiseled jawline or cheekbones. So I’m pretty sure the problem I have is that I have baby fat that won’t go away. is there something out there to get rid of the baby fat or enhance my facial features to hav stronger jawline and cheekbone appearance? -Adam
Steven G. Wallach, MD's Response:
To define the jaw and cheekbones may require facial filler selectively to this area to enhance their appearance. You would have to be seen in person to be properly evaluated. Best of luck!
Implant and scar revision
Breast Implant RevisionMember Response:
Yes it’s a bit early to get a revision. You need to wait at least 4-6 months and sometimes longer To allow for the tissues to soften.
Implant and scar revision
Question:
I had a reduction, lift, and 325cc mentor mod saline plant on 5/20. I see my surgeon on 8/12 to discuss scar revision. However, I’m incredibly unhappy with my results and have no volume in my upper pole area. Is it too soon to replace the implants? My breasts are not symmetrical at all and I was never given the chance to see or try any implants before surgery.
Steven G. Wallach, MD's Response:
Yes it’s a bit early to get a revision. You need to wait at least 4-6 months and sometimes longer To allow for the tissues to soften.
Breast lift during explant
Breast LiftMember Response:
It’s tough to say for sure. I would say sometimes yes and sometimes no. If a patient does not have a lot of breast tissue, I may delay the lift to allow the soft tissues to collapse and fill the “dead space” first.
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?
Steven G. Wallach, MD's Response:
It’s tough to say for sure. I would say sometimes yes and sometimes no. If a patient does not have a lot of breast tissue, I may delay the lift to allow the soft tissues to collapse and fill the “dead space” first.
Am I a candidate for a breast reduction?
Breast ReductionMember Response:
You are very likely a good candidate for a breast reduction. However you would need to be seen in person to be absolutely sure and to have a proper evaluation. I am more than happy to see you in New York, but you may prefer to stay in your local region. Good luck.
Am I a candidate for a breast reduction?
Question:
I am 18 years old, and have ongoing scoliosis. As I got older my scoliosis became worse. I am 5’6 130 lbs and am a 34DDD and would like to go down to at least at C to make sure they no longer cause more back issues. I have problems finding tops and bras that fit.
Steven G. Wallach, MD's Response:
You are very likely a good candidate for a breast reduction. However you would need to be seen in person to be absolutely sure and to have a proper evaluation. I am more than happy to see you in New York, but you may prefer to stay in your local region. Good luck.
Can I go super small
Breast ReductionMember Response:
While it is impossible to guarantee cup size, reducing you to an “A”ish cup is basically doing almost a mastectomy and will likely not leave you with a reasonable shape.
Can I go super small
Question:
I am currently a 38 c and would prefer to be an A cup . Is that possible?
Steven G. Wallach, MD's Response:
While it is impossible to guarantee cup size, reducing you to an “A”ish cup is basically doing almost a mastectomy and will likely not leave you with a reasonable shape.
In-house financing/avoid third party medical credit card
Aesthetic Genital Plastic SurgeryMember Response:
There are many excellent finance companies that we work with in our office. You are welcome to call my office to treat your issue. Best of luck!
In-house financing/avoid third party medical credit card
Question:
Hello, I am a 25 year old healthy female and am hoping for a mons pubis reduction and labiaplasty. I get installments for spending money each week from my trust. My brother is the trustee and I just can’t bring this to him for up-front funds for this. I’m seeking a surgeon who will offer in-house financing near NYC if I can pay a $1,000 deposit. Thank you!
Steven G. Wallach, MD's Response:
There are many excellent finance companies that we work with in our office. You are welcome to call my office to treat your issue. Best of luck!
Post fat removal skin irregularities
Body ContouringMember Response:
You may require fat grafting to the original harvested area. You are best to be seen in person
Post fat removal skin irregularities
Question:
I have had a little bit of fat removed on each side of my outer thighs, just under my hips. This procedure was done for the preparation of my stem cells, and it was a year ago. I have noticed that I have some irregularities in those areas now- my outer thighs, they look like depressed dents, almost like cellulite. What procedures can I consider to get rid of this irregularity?
Steven G. Wallach, MD's Response:
You may require fat grafting to the original harvested area. You are best to be seen in person
panniculectomy-
Tummy TuckMember Response:
Choosing the right operation for you would really require an exam in person. Your medical history is very important as well and this will contribute to the appropriate procedure. Best of luck.
panniculectomy-
Question:
Please guide- I am 60 male, diabetic-, huge hanging abd, belly weight. which proceedure shoud I go for-, abdominoplasty./Tummy tuck/liposuction /panniculectomy .
Steven G. Wallach, MD's Response:
Choosing the right operation for you would really require an exam in person. Your medical history is very important as well and this will contribute to the appropriate procedure. Best of luck.
capsular contracture
Breast AugmentationMember Response:
You would need to be evaluated in person. You would need to have Your breast implant surgery history reviewed as well as have an adequate exam to evaluate whether not you have a capsular contracture. There are many ways to treat a capsular contracture and these options would have to be reviewed in person and customized for your specific case.
capsular contracture
Question:
Hi I need some help I did surgery for breast implants with water saline. And for the past 10 months. Since I got surgery I have a capsular .. what do I need to do ?
Steven G. Wallach, MD's Response:
You would need to be evaluated in person. You would need to have Your breast implant surgery history reviewed as well as have an adequate exam to evaluate whether not you have a capsular contracture. There are many ways to treat a capsular contracture and these options would have to be reviewed in person and customized for your specific case.
Scar revision
Body ContouringMember Response:
It is likely that your scar can be revised. You would have to be seen in person to be properly evaluated. Good luck.
Scar revision
Question:
I have an indented scar from an appendectomy that I got over 25 years ago. Can that be fixed? I don't mind having a scar, I just hate how mine goes in so much!
Steven G. Wallach, MD's Response:
It is likely that your scar can be revised. You would have to be seen in person to be properly evaluated. Good luck.
Diabetes
RhinoplastyMember Response:
Diabetes in and of itself is not a contraindication. If your diabetes is well controlled you should be able to undergo surgery. Good luck.
Diabetes
Question:
What is my risk of having a facial surgery being a diabetic patient?
Steven G. Wallach, MD's Response:
Diabetes in and of itself is not a contraindication. If your diabetes is well controlled you should be able to undergo surgery. Good luck.
To begin
Arm LiftMember Response:
Congratulations! I treat a lot of weight loss patients. The fee for a brachioplasty will vary from surgeon to surgeon. Make sure you go to some one with a lot of experience. Good luck
To begin
Question:
I have had significant weight loss and now have very large bat wings. I'm really interested in a complete body lift and would like recovery times n ball park costs
Steven G. Wallach, MD's Response:
Congratulations! I treat a lot of weight loss patients. The fee for a brachioplasty will vary from surgeon to surgeon. Make sure you go to some one with a lot of experience. Good luck
Boob Reduction
Breast ReductionMember Response:
It really depends upon who you go to and what you need to have done. Best of luck.
Boob Reduction
Question:
I wanted to know the round about cost for a breast reduction on one Breast. Does the size of the breast matter ?
Steven G. Wallach, MD's Response:
It really depends upon who you go to and what you need to have done. Best of luck.
Nose bump
RhinoplastyMember Response:
I’m sorry. At this point you have to let things heal and settle down. If the bump is still present at a year then perhaps a revision might be necessary.
Nose bump
Question:
I had a rhinoplasty 12 weeks ago and I had a bump removed from the bridge of my nose. When i took my cast off my nose looked ok, but when the swelling started to go down I started noticing a small bump at the same area. I consulted with my doctor and he said it was because of swelling and it would go down, but it’s getting more visible day by day. Is it possible that this “bony” bump will go down?
Steven G. Wallach, MD's Response:
I’m sorry. At this point you have to let things heal and settle down. If the bump is still present at a year then perhaps a revision might be necessary.
BR if I’m overweight?
Breast ReductionMember Response:
It’s always best to get down to your goal weight before undergoing a breast reduction. However if you are unable to do so, you still can undergo a breast reduction. You would have to be seen in person to be properly evaluated. Good luck
BR if I’m overweight?
Question:
I am almost 20 years old and I’m currently somewhere around a D cup. I am 5’7 and 220 pounds. I lost quite a bit of weight before (was down to about 165 last summer) but even then my cup size didn’t go down any. I constantly have back pain at work and hate shopping for bras, swimsuits, and shirts because of my chest. I know I’d probably need to lose weight 1st but would I likely be eligible?
Steven G. Wallach, MD's Response:
It’s always best to get down to your goal weight before undergoing a breast reduction. However if you are unable to do so, you still can undergo a breast reduction. You would have to be seen in person to be properly evaluated. Good luck
Brest reduction at 16
Breast ReductionMember Response:
You would need to be seen in person to be properly evaluated. It sounds by your description that you are a reasonable candidate. As long as you are of adult size and are no longer growing. In addition, if you are not an emancipated minor then you would need your parents’ permission. Good luck!
Brest reduction at 16
Question:
I am going to be turning 16 soon and would love to have a Brest reduction. I am 5’7 and 170lbs and uncomfortably wear a 34DD. I work out daily playing two sports. I have a lot of neck pain and back pain which causes me problems running and enjoying the active life I have. My size also effects my confidence and ability find swimsuits and bras. My parents r ok with me getting the surgery. Am I able?
Steven G. Wallach, MD's Response:
You would need to be seen in person to be properly evaluated. It sounds by your description that you are a reasonable candidate. As long as you are of adult size and are no longer growing. In addition, if you are not an emancipated minor then you would need your parents’ permission. Good luck!
Breast reduction
Breast ReductionMember Response:
Hi. A breast reduction is a reasonable thing to have done if you are unhappy with your large breasts. Best to see you in person.
Breast reduction
Question:
Hi guys ,my name is reginah ,im from south africa (mpumalanga) my breast are suddenly become huge ,in a way that they ruined my career ,i had to quit modeling because nothing fits me without a bra ! Im currently not working can someone help me with thier medical help ,im willing to travel the world for my condition ,thing is im so broke now
Steven G. Wallach, MD's Response:
Hi. A breast reduction is a reasonable thing to have done if you are unhappy with your large breasts. Best to see you in person.
Breast Augmentation using Fat Grafting
Breast AugmentationMember Response:
I have used fat for breast augmentation but in general I prefer to use implants because I think they give a more reliable result. Hope to see you soon!
Breast Augmentation using Fat Grafting
Question:
Hello All Been wanting to enhance my breast size for some time now. I’m looking to just go up a cup size. I read about Fat Grafting/transfer..I’m intrigued/feel most comfortable with that approach. Far more expensive than doing implants? Will I lose the fat in that area over time? Any doctors in the New York, New Jersey, CT, area that does this? Every office i call says they don’t. Help!
Steven G. Wallach, MD's Response:
I have used fat for breast augmentation but in general I prefer to use implants because I think they give a more reliable result. Hope to see you soon!
Breast Augmentation with Liposuction
LiposuctionMember Response:
Often , several areas certainly can be liposuctioned at the same time. With an 80 lb weight loss often the skin is very loose and lipo may not be the right procedure. You may require skin excision.
Breast Augmentation with Liposuction
Question:
My question is how many areas can be treated with VASER liposuction in the same procedure as a breast augmentation. I am 5’8 160lbs and 4 years ago I lost over 80lbs but didn’t lose it evenly. I have several areas I’d like to liposuction to sculpt a more feminine figure but there isn’t too much to suction in each area. I’d like to do my back, abdomen, theighs and arms.
Steven G. Wallach, MD's Response:
Often , several areas certainly can be liposuctioned at the same time. With an 80 lb weight loss often the skin is very loose and lipo may not be the right procedure. You may require skin excision.
Should I get a rhinoplasty?
RhinoplastyMember Response:
I do not see a photo. If you are unhappy with the appearance of your nose, then you may want to see a plastic surgeon for evaluation. Good luck.
Should I get a rhinoplasty?
Question:
Check out my profile picture. I keep getting told that my nose is big. Sometimes I wonder if getting a rhinoplasty would fix it I want an opinion on whether a rhinoplasty would fix my nose without making my face disproportionate
Steven G. Wallach, MD's Response:
I do not see a photo. If you are unhappy with the appearance of your nose, then you may want to see a plastic surgeon for evaluation. Good luck.
What should I expect to need after my weight loss?
Body ContouringMember Response:
Usually, you should wait until your weight stabilizes before considering surgery for the loose skin. I have treated many weight loss patients over the years and each one is different. Most start off having their abdomen treated whether alone or combined with a lower body lift. Then they may opt for breast, arm, upper back, thigh and even facelifting to name a few.
What should I expect to need after my weight loss?
Question:
I'm a 27y/o woman, exactly 5'5", my heaviest was 240lbs, I'm now down almost 60lbs from that. That's between October-ish 2018 to now. I have a large bone structure and about 40-50 more lbs to loose. How much loose skin might I be facing & what all procedures will I need done to not look gross (breast lift, tummy tuck, etc)? What starting prices am I looking at and how could I ever afford it???
Steven G. Wallach, MD's Response:
Usually, you should wait until your weight stabilizes before considering surgery for the loose skin. I have treated many weight loss patients over the years and each one is different. Most start off having their abdomen treated whether alone or combined with a lower body lift. Then they may opt for breast, arm, upper back, thigh and even facelifting to name a few.
Age limitation
Tummy TuckMember Response:
There is not a specific age cut off, per se. If you are healthy individual you can undergo certain surgical procedures. I have treated several patients in their 70s performing faceliftson them. If you are a good candidate for Tummy tuck it is not unreasonable as long as you’re healthy. You would have to be evaluated In person.
Age limitation
Question:
Can someone in her mid-70s have a successful tummy tuck, or some kind of face work done?
Steven G. Wallach, MD's Response:
There is not a specific age cut off, per se. If you are healthy individual you can undergo certain surgical procedures. I have treated several patients in their 70s performing faceliftson them. If you are a good candidate for Tummy tuck it is not unreasonable as long as you’re healthy. You would have to be evaluated In person.
Alternative to threadlift
Thread LiftMember Response:
In my opinion, a threadlift does not last. You likely are better off with a facelift.
Alternative to threadlift
Question:
What is the next best option without invasive surgery?
Steven G. Wallach, MD's Response:
In my opinion, a threadlift does not last. You likely are better off with a facelift.
Breast reduction on teen
Breast ReductionMember Response:
I have performed breast reductions on young ladies of 15 yrs if age provided that they are no longer growing and are of adult size. Best of luck.
Breast reduction on teen
Question:
I have a 15 year old daughter who has very large breasts, 34k. They impact her daily life and she isn’t able to participate in normal teenage activities, swimming etc, not to mention the back pain she endures. Is it safe to preform a breast reduction at such a young age? Of course we recommended she wait until at least 18, but I can’t help to think she’s missing out on life.
Steven G. Wallach, MD's Response:
I have performed breast reductions on young ladies of 15 yrs if age provided that they are no longer growing and are of adult size. Best of luck.
Fat transfer
Breast AugmentationMember Response:
Yes fat can be transferred to your breasts. You would have to be seen in person to see what your goals are. Best of luck!
Fat transfer
Question:
Can you transfer fat from my thighs and my stomach and transfer it to my breast.And if you can how much?
Steven G. Wallach, MD's Response:
Yes fat can be transferred to your breasts. You would have to be seen in person to see what your goals are. Best of luck!
Revision rhinoplasty
RhinoplastyMember Response:
You should wait at least a year, if not longer or until the swelling has completely subsided.
Revision rhinoplasty
Question:
How long should I wait after primary rhinoplasty until I start having consultations for the second one ?
Steven G. Wallach, MD's Response:
You should wait at least a year, if not longer or until the swelling has completely subsided.
Problem area
LiposuctionMember Response:
It it very difficult to say whether or not your skin will be looser or become loose without seeing you in person. Many factors go in to determine this. Best of luck.
Problem area
Question:
I have a problem area no matter how much I change my diet or walking I do I can never get it under control. If I was to get liposuction procedure will there be extra skin hanging or do I need to have a tummy tuck also
Steven G. Wallach, MD's Response:
It it very difficult to say whether or not your skin will be looser or become loose without seeing you in person. Many factors go in to determine this. Best of luck.
Face
FaceliftMember Response:
It’s hard to say without seeing you in person. Sometimes lasers can help with fine lines. Face lifts can help with sagging skin.
Face
Question:
Hi just wanting to know what would be the best procedure to get rid of deep creases sides of my mouth creases on forehead and cheek bones and over hanging eyelids and jowls and just starting to get abit of a saggy neck but not a lot.
Steven G. Wallach, MD's Response:
It’s hard to say without seeing you in person. Sometimes lasers can help with fine lines. Face lifts can help with sagging skin.
Health Concern
Tummy TuckMember Response:
You are wise to ask. I think that if your conditions are well controlled and you get medical clearance you might be a candidate. You would have to be seen in person to be properly evaluated. Best of luck!!
Health Concern
Question:
Hello, I want to have the liposuction and tummy tuck done, but I have rheumatoid arthritis, thyroid, and high blood pressure, and I want to know if my health issues could be a problem.
Steven G. Wallach, MD's Response:
You are wise to ask. I think that if your conditions are well controlled and you get medical clearance you might be a candidate. You would have to be seen in person to be properly evaluated. Best of luck!!
vaping after surgery
Breast ReductionMember Response:
I prefer that my patients avoid smoking or vaping for at least four weeks after surgery. Your best to discuss this with your surgeon.
vaping after surgery
Question:
Hi! I got a breast reduction 4 days ago and I was wondering how long I should wait until I can start vaping again? I know how nicotine is a blood vessel constrictor but so is coffee? just wondering is 2 weeks okay? post op?
Steven G. Wallach, MD's Response:
I prefer that my patients avoid smoking or vaping for at least four weeks after surgery. Your best to discuss this with your surgeon.
Fupa
Tummy TuckMember Response:
A tummy tuck may help lifting it up. Lipo can help reduce the fat volume as well.
Fupa
Question:
Will a tummy tuck assist in getting rid of the fat pad right above the pubic bone?
Steven G. Wallach, MD's Response:
A tummy tuck may help lifting it up. Lipo can help reduce the fat volume as well.
I need a whole complete make over need alot of work done
Mommy MakeoverMember Response:
You are best to be seen in person to be properly evaluated. If you are healthy , it is quite possible to perform a mommy makeover for you! Best of luck.!!
I need a whole complete make over need alot of work done
Question:
My body is such bad shape and over the years after haven children i have low self-esteem and body issues i have alot of scars plus my weight ia up and down and i let myself go need help to maken myself look better again
Steven G. Wallach, MD's Response:
You are best to be seen in person to be properly evaluated. If you are healthy , it is quite possible to perform a mommy makeover for you! Best of luck.!!
Restore my breasts
Breast AugmentationMember Response:
You would have to be seen in person to determine what might be appropriate for you. That may include a lift and implants or lift alone. Best of luck
Restore my breasts
Question:
I had a breast reduction 30 yrs ago. They’re now deflated. Can they be restored to what they used to be?
Steven G. Wallach, MD's Response:
You would have to be seen in person to determine what might be appropriate for you. That may include a lift and implants or lift alone. Best of luck
Advice on correcting breast asymmetry at 18 years old?
Breast AugmentationMember Response:
Hi Brooke. There might be several different options but they will depend upon how your breasts look. You are best to see a board certified plastic surgeon so that he can lay them out for you once you are examined and your goals are reviewed. Best of luck!
Advice on correcting breast asymmetry at 18 years old?
Question:
Hello, I have recently turned 18 years old, and I have been considering a breast augmentation since I was 13/14 due to breast asymmetry. My right breast is around an A cup where my left is around a B-C cup. Bras don't really fit, and I have always struggled with feeling comfortable in clothing. What advice/research would you suggest on the topic, and any tips for speaking on it with my father?
Steven G. Wallach, MD's Response:
Hi Brooke. There might be several different options but they will depend upon how your breasts look. You are best to see a board certified plastic surgeon so that he can lay them out for you once you are examined and your goals are reviewed. Best of luck!
How dangerous is the Brazilian Butt lift surgery?
Body ContouringMember Response:
I think like all operations there are risks. I perform many BBL’s. I think placing the fat subcutaneously above the muscle keeps the procedure very safe. In my hands, my patients usually get about 65-70% survival of the fat. This is permanent. If you have fat donor fires, then I would go this route. Filler product is ok but not permanent and is best reserved for those without donor sites. Best of luck!
How dangerous is the Brazilian Butt lift surgery?
Question:
Does the BBL surgery have a high risk of death? Will this fat turn into cellulite or an issue later on? BBL vs buttocks collagen injection, what is safer, what last longer and which has the naturalest. Look. What is the average cost of both procedures?
Steven G. Wallach, MD's Response:
I think like all operations there are risks. I perform many BBL’s. I think placing the fat subcutaneously above the muscle keeps the procedure very safe. In my hands, my patients usually get about 65-70% survival of the fat. This is permanent. If you have fat donor fires, then I would go this route. Filler product is ok but not permanent and is best reserved for those without donor sites. Best of luck!
Consideration for 2nd Facelift
FaceliftMember Response:
You have to do your due diligence to find a good surgeon. Look at his results, go for a consultation, see if his philosophy is your philosophy. Best of luck.
Consideration for 2nd Facelift
Question:
How would it be to my advantage if I decide to have a second Facelift, to choose a surgeon who does other plastic surgeries (breast implants, lipo, tummy tuck, etc.) vs. a surgeon who only does Facelifts?
Steven G. Wallach, MD's Response:
You have to do your due diligence to find a good surgeon. Look at his results, go for a consultation, see if his philosophy is your philosophy. Best of luck.
Prepectoral reconstruction and screening
Breast AugmentationMember Response:
I personally don’t get all the hype about prefectural implants. In my opinion, it’s like trying to rediscover the wheel. Subglafukar breast implants initially always were less painful( the muscle was not cut, or stretched from an implant)., however long term rippling and higher incidence of capsular contracture were noted in this plane. Now you have a breast with even less soft tissue coverage, and will have a higher incidence of rippling and visibility. We’ve know this for years with subglandular breast augmentation. Yes you can add fat grafting, but in my opinion it is likely going to be less aesthetic than a submuscular one
Prepectoral reconstruction and screening
Question:
I have stage 2 Invasive ductal carcinoma. I've had a double mastectomy. My plastic surgeon has recommended prepectoral reconstruction as I'm 53, active, 5'8, 120 lbs, and want to be a 34" B cup. My oncologist is concerned that the only way to do cancer screening is an MRI (will insurance cover this?). What are your thoughts on prepectoral reconstruction and cancer screening?
Steven G. Wallach, MD's Response:
I personally don’t get all the hype about prefectural implants. In my opinion, it’s like trying to rediscover the wheel. Subglafukar breast implants initially always were less painful( the muscle was not cut, or stretched from an implant)., however long term rippling and higher incidence of capsular contracture were noted in this plane. Now you have a breast with even less soft tissue coverage, and will have a higher incidence of rippling and visibility. We’ve know this for years with subglandular breast augmentation. Yes you can add fat grafting, but in my opinion it is likely going to be less aesthetic than a submuscular one
Breast reduction
Breast ReductionMember Response:
You may have to check your insurance company’s policy on coverage. I am an out of network doctor so if you have out of network benefits I may be able to help you. Best of luck!
Breast reduction
Question:
Can you pay for a breast reduction through horizon New Jersey family care?
Steven G. Wallach, MD's Response:
You may have to check your insurance company’s policy on coverage. I am an out of network doctor so if you have out of network benefits I may be able to help you. Best of luck!
life of implants/breastfeeding
Breast AugmentationMember Response:
There is no expiration date of an implant. However, implants should be checked regularly. They should not impact your breast feeding
life of implants/breastfeeding
Question:
How long do breast implants last? I keep hearing 10 years, do you have to get them replaced in 10 years? What happens if you don’t? Can you see breastfeed with implants? Does it affect milk supply?
Steven G. Wallach, MD's Response:
There is no expiration date of an implant. However, implants should be checked regularly. They should not impact your breast feeding
Lipo on vag?
Aesthetic Genital Plastic SurgeryMember Response:
It is certainly possible to liposuction the moms pubis and/or the area by the labia majora. You are best to be seen in person to determine what your needs are. good luck!
Lipo on vag?
Question:
I have a very "beefy" or fatty outside vagina. Can you lipo out the fat?
Steven G. Wallach, MD's Response:
It is certainly possible to liposuction the moms pubis and/or the area by the labia majora. You are best to be seen in person to determine what your needs are. good luck!
Is this true?
FaceliftMember Response:
A mini facelift can be performed in my office based surgery center with good sutures.. I don;t know why a surgi-center would have "better" sutures. I'm not sure about the second part of the question.
Is this true?
Question:
I want a mini facelift and the doctor said I have to get it done at the surgical facility because thge have better sutures and he'd be able to tighten it better. I scheduled it and on the paperwork the wrote "bilateral prearicular face tightening I asked why and was told that way the facility won't charge as much as they would than if they wrote "mini facelift." Should I believe this?
Steven G. Wallach, MD's Response:
A mini facelift can be performed in my office based surgery center with good sutures.. I don;t know why a surgi-center would have "better" sutures. I'm not sure about the second part of the question.
Breast augmentation & BBL
Breast AugmentationMember Response:
Your pain management doctor is the best one to determine what is the best pain control for you. I have treated many patients who have a pain contract and their pain doctor always coordinates with me during the postop period. Good luck.
Breast augmentation & BBL
Question:
So I am wanting to get a breast augmentation and bbl in the next few months. I am currently taking suboxone 8/2mg for 5+ yrs now. My dr is aware of my surgical journey I am going to be taking but she isnt sure if taking a extra suboxone is enough for post-op pain. What is the best approach for my post-op pain??
Steven G. Wallach, MD's Response:
Your pain management doctor is the best one to determine what is the best pain control for you. I have treated many patients who have a pain contract and their pain doctor always coordinates with me during the postop period. Good luck.
Price
RhinoplastyMember Response:
The fee for rhinoplasty will vary from surgeon to surgeon and in different regions of the country. The price will also vary with the complexity of the procedure. In NYC. This could be $5000-&25000.
Price
Question:
I am international student so I would like to know what is the average of the price in rhinoplasty
Steven G. Wallach, MD's Response:
The fee for rhinoplasty will vary from surgeon to surgeon and in different regions of the country. The price will also vary with the complexity of the procedure. In NYC. This could be $5000-&25000.
Mom life
Body ContouringMember Response:
If you are 255 lbs, you likely need to lose weight first to get down to a BMI that is safer fir you to undergo the procedures you desire. Good luck!
Mom life
Question:
Really want to get back down to 160 the weight I was before my first child in now 255 after my 3rd child I would also like to fix all the flabbiness in my body my arms, my legs, and my chin. Get my butt back to plump instead of flat and my boobs back where they should be. I was wondering a price range for body contouring?
Steven G. Wallach, MD's Response:
If you are 255 lbs, you likely need to lose weight first to get down to a BMI that is safer fir you to undergo the procedures you desire. Good luck!
Buttocks lift/augmentation
LiposuctionMember Response:
It might be possible for to undergo a bbl. you would have to be seen in person to be evaluated to see if you have adequate donor sites. Best of luck.
Buttocks lift/augmentation
Question:
I'm a healthy, pretty fit 58yr old female. I'm happy with my body except my flat butt. Have some extra fat on lower abdomen. Could we transfer that to my butt?
Steven G. Wallach, MD's Response:
It might be possible for to undergo a bbl. you would have to be seen in person to be evaluated to see if you have adequate donor sites. Best of luck.
Rupture removal
Breast AugmentationMember Response:
It’s probably best to change both to newer implants at the same time. Best of luck.
Rupture removal
Question:
If one 29 year old silicone implant has ruptured, can just that one be replaced or do both need to be removed?
Steven G. Wallach, MD's Response:
It’s probably best to change both to newer implants at the same time. Best of luck.
Course of action for excessively large thighs
LiposuctionMember Response:
It sounds like you are doing a great job losing weight! Congratulations! Several things can contribute to thicker legs, this includes. The size of the underlying bones, muscles and subcutaneous fat content. Only the fat content can be reduced. If you are near or at your goal weight then perhaps liposuction might be a reasonable approach. You would have to be seen in person to determine if you are a candidate or not. Good luck!
Course of action for excessively large thighs
Question:
Hi, i’m 21y/o, 132lbs 152cm (Pearshape) Was 154lbs with 31” waist, 44” hip and 28 “ thigh With rigorous diet and workout I reached 28” waist, 39” hip 26” thighs with a weight of 124lbs. Since 2years buns and thighs are not getting thinner/leaner no matter what diet or workout routine I follow genuinely. Is it okay to undergo a treatment? If yes, what kind of treatment? What are the risks involve
Steven G. Wallach, MD's Response:
It sounds like you are doing a great job losing weight! Congratulations! Several things can contribute to thicker legs, this includes. The size of the underlying bones, muscles and subcutaneous fat content. Only the fat content can be reduced. If you are near or at your goal weight then perhaps liposuction might be a reasonable approach. You would have to be seen in person to determine if you are a candidate or not. Good luck!
Is it safe
Mommy MakeoverMember Response:
Multiple procedures can be performed at the same time in the right healthy patient. Staging of the breast work or even the breasts and tummy sound reasonable.
Is it safe
Question:
Hello I'm supposed to have liposuction of tummy saddle bags ,love handles, and thighs , tummy tuck, fat transfer to the buttocks ,breast lift and breast implants.. My dr told me that I'd have to go back 4 weeks later for my augmentation but hes obviously going to do everything else at th he same time. Do you think that is safe? Is it unheard of or common? I'm 37 weigh 147lbs and I'm 5'4
Steven G. Wallach, MD's Response:
Multiple procedures can be performed at the same time in the right healthy patient. Staging of the breast work or even the breasts and tummy sound reasonable.
Health issue
Mommy MakeoverMember Response:
I have treated patients with well controlled diabetes in the past. You would like have to get medical clearance from your medical doctor . Good luck
Health issue
Question:
Hi I would like to know if it’s safe to get mommy makeover if I have type 2 diabetes
Steven G. Wallach, MD's Response:
I have treated patients with well controlled diabetes in the past. You would like have to get medical clearance from your medical doctor . Good luck
Post Bbl
Body ContouringMember Response:
Once you get a bbl, and if your weight is stable, then whatever fat survives from the initial surgery should remain.
Post Bbl
Question:
Hi, Do you stop losing your butt fat or will I always have to get fat transfers, in the future?
Steven G. Wallach, MD's Response:
Once you get a bbl, and if your weight is stable, then whatever fat survives from the initial surgery should remain.
Can fat return
LiposuctionMember Response:
If your weight is stable, then your waist should not be picking up fat. However when you gain 8 pounds or more fat will distribute in multiple areas including your love handles. It is difficult to predict how fast will redistribute with weight gain
Can fat return
Question:
I had liposuction on my love handles one year ago. I gained 8 pounds and now the fat is back. Is this supposed to happen?
Steven G. Wallach, MD's Response:
If your weight is stable, then your waist should not be picking up fat. However when you gain 8 pounds or more fat will distribute in multiple areas including your love handles. It is difficult to predict how fast will redistribute with weight gain
28 yr old female seeking medical advise for tummy tuck with lipo to flanks. I lost 86 pounds.
Tummy TuckMember Response:
It sounds reasonable to be worked up and to see what your risk factors are. Based upon that, a hematology work up may be reasonable and based upon the hematologist recommendations, you likely will be able to proceed. Good luck
28 yr old female seeking medical advise for tummy tuck with lipo to flanks. I lost 86 pounds.
Question:
I am aware that TT has the the highest risk for VTE I have a caprini score of 6 w/hx of varicose veins & and familal hx of cva my gma had a PFO which lead for her to have 3 cvas by the time she was 25(i dont have that)both gfathers had CVAS bc they were sedentary VTE is an obvious concern for me. what precautions should i take? previous hx of oophorectomy 14 years ago w/no complications. TY!
Steven G. Wallach, MD's Response:
It sounds reasonable to be worked up and to see what your risk factors are. Based upon that, a hematology work up may be reasonable and based upon the hematologist recommendations, you likely will be able to proceed. Good luck
Removal
Breast AugmentationMember Response:
Having got breast implants removed is a personal choice. Just make sure you go to a board certified plastic surgeon.
Removal
Question:
Breast augmentation almost 23 years ago with a beautiful result Over next several years became hypothyroid, hysterectomy, breast shooting pain, extreme fatigue, loss of exercise due to severe joint pain, pain under arms, depression, suicide attempts, hormone replacementBRVONIGHTSWEATS Ana highly positive and lulus. Used to be beautiful just want implants out. Please help
Steven G. Wallach, MD's Response:
Having got breast implants removed is a personal choice. Just make sure you go to a board certified plastic surgeon.
Multiple surgeries
Mommy MakeoverMember Response:
Having all these procedures done at the same time may be a bit too much. Often I will stage them. You are best to be seen in person to be properly evaluated.
Multiple surgeries
Question:
Hello, I’m wanting to get lipo on back, hips, stomach, BBL, tummy tuck, and and En Bloc total Capsuletomy all at the same time. Question: any recommendations on who can do all? Is this safe to do all at once? Thanks!
Steven G. Wallach, MD's Response:
Having all these procedures done at the same time may be a bit too much. Often I will stage them. You are best to be seen in person to be properly evaluated.
Revision for lipo
LiposuctionMember Response:
More details about your procedure and your journey would be necessary to determine what would be best for you. Yes, in general lipo can be done again but you would have to be seen in person to be properly evaluated.
Revision for lipo
Question:
After having lipo on my back 2 years ago I can see the weight is coming back in the same areas that were lipo’d. I have a strict diet and exercise schedule but still am facing this weight gain in the same area which is very frustrating. If I have lipo again will the results last longer or will it help to have the fat injected somewhere else to avoid it returning to the original area? Thank you!
Steven G. Wallach, MD's Response:
More details about your procedure and your journey would be necessary to determine what would be best for you. Yes, in general lipo can be done again but you would have to be seen in person to be properly evaluated.
Choosing a surgeon
Mommy MakeoverMember Response:
You are best to make sure the doctor is board certified and has a good history of results. Make sure the staff is also kind and helpful.
Choosing a surgeon
Question:
Hello, I am looking for someone that can do a mommy makeover and I’m having difficulty finding malpractice or issues with those surgeons. I have seen Dr. Camille D. Chavez in Miami her work is amazing but what does her record look like? all i found through media is that someone went to cardiac arrest in 2016 during surgery and died. And not many reviews out there nor recent ones to compare either
Steven G. Wallach, MD's Response:
You are best to make sure the doctor is board certified and has a good history of results. Make sure the staff is also kind and helpful.
Need a few things
Body ContouringMember Response:
It’s really hard to quote a fee before seeing you as a patient. I treat a lot of weight loss patients and have done many body lifts, breast lifts, arm lifts abs thigh lifts. Good luck with your decision to move forward.
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?
Steven G. Wallach, MD's Response:
It’s really hard to quote a fee before seeing you as a patient. I treat a lot of weight loss patients and have done many body lifts, breast lifts, arm lifts abs thigh lifts. Good luck with your decision to move forward.
Nose Job after Nose Filler
RhinoplastyMember Response:
You are best to wait until the filler dissolves completely before undergoing a rhinoplasty. This may take longer than a year because filler in the nose tends to last a bit longer than other areas. Best of luck
Nose Job after Nose Filler
Question:
Hi there, Over the course of the past 4 years, I've had nose filler quite a few times (I'd say about 5 times in total). I was wondering if I am still eligible for rhinoplasty even after having had filler. The last time I had it done was over a year ago. However, a month ago, I found out that I was allergic to the dissolving solution. How would this impact my potential nose job?
Steven G. Wallach, MD's Response:
You are best to wait until the filler dissolves completely before undergoing a rhinoplasty. This may take longer than a year because filler in the nose tends to last a bit longer than other areas. Best of luck
Providers?
Body ContouringMember Response:
I guess it depends what you want. If you are talking about surgery then make sure you find a board certified plastic surgeon
Providers?
Question:
Are there any offices that offer multiple treatment options, so you can make sure you are choosing the best option for you?
Steven G. Wallach, MD's Response:
I guess it depends what you want. If you are talking about surgery then make sure you find a board certified plastic surgeon
Buttocks implant
Body ContouringMember Response:
Unfortunately, that’s why I don’t recommend gaining weight. I do implants for your exact type of situation. Best of luck!
Buttocks implant
Question:
I did fat transfer from stomach to buttock area last year and gained over 15 pounds to do the procedure now that I have about 5 pounds to be back on my normal weight I notice I’m losing fat on that area. I’m considering doing implants. Is it dangerous! I heard also you get better results doing an implant after buttocks fat transfer
Steven G. Wallach, MD's Response:
Unfortunately, that’s why I don’t recommend gaining weight. I do implants for your exact type of situation. Best of luck!
procedures and cost?
LiposuctionMember Response:
Many times I stage the two procedures. You would have to be seen in person to determine exactly what you need and then a fee can be quoted. My office provides information on companies you can finance your surgery through. Best of luck.
procedures and cost?
Question:
I am 62, weigh 186 disgusting and I have a fat roll that sags over and I hate the sight of me. I can't lose weight and am curious about liposuction, and then a tummy tuck after to fix that sagging stomach fat roll. How much money, payment plan option? Does liposuction of stomach come with tummy tuck.?Need liposuction of hips, buttocks and maybe thighs too. Dont want to be disporportioned.
Steven G. Wallach, MD's Response:
Many times I stage the two procedures. You would have to be seen in person to determine exactly what you need and then a fee can be quoted. My office provides information on companies you can finance your surgery through. Best of luck.
Excision
Tattoo RemovalMember Response:
Surgical excision is possible for smallish tattoos but it will leave a permanent scar. Larger tattoos may not be amenable to excision. You would have to be seen in person.
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.
Steven G. Wallach, MD's Response:
Surgical excision is possible for smallish tattoos but it will leave a permanent scar. Larger tattoos may not be amenable to excision. You would have to be seen in person.
How do I find an a surgeon experienced in a Brazilian Butt Lift?
Body ContouringMember Response:
While I usually recommend people staying in their local community, if you cannot find a surgeon that perform Brazilian butt lifts in your area perhaps you should look in other cities. Best of luck.
How do I find an a surgeon experienced in a Brazilian Butt Lift?
Question:
I am very interested in having a buttock augmentation with fat grafting. I’ve been reading about the warnings for this procedure and I want to find a surgeon that is experienced with this type of surgery. I’ve looked at the surgeons that come up on the ASPS website near my area, but I’m not really confident that these surgeons have a lot of experience with a “Brazilian butt lift”.
Steven G. Wallach, MD's Response:
While I usually recommend people staying in their local community, if you cannot find a surgeon that perform Brazilian butt lifts in your area perhaps you should look in other cities. Best of luck.
Cost and results
Breast AugmentationMember Response:
Usually when I remove implants I can sometimes perform a Lift at the same time. In some patients where they do not have a lot of breast tissue and have very large implants, it sometimes is good to wait until the tissues collapse down before performing a lift. This also is a consideration when performing fat grafting. If there is a large open space then the fat will not have any blood supply to maintain their viability, so in these cases I will also sometimes wait to put that in if they so desire.
Cost and results
Question:
I have 15 yr old silicone gel implants, above the muscle. I’m looking at a few options. I have a family hx of breast Ca. but no genetic markers. I’m looking for a ball park cost for; Explant & lift Explant & fat grafting with a lift Also I’m interested in an estimate for recovery time. Thank you
Steven G. Wallach, MD's Response:
Usually when I remove implants I can sometimes perform a Lift at the same time. In some patients where they do not have a lot of breast tissue and have very large implants, it sometimes is good to wait until the tissues collapse down before performing a lift. This also is a consideration when performing fat grafting. If there is a large open space then the fat will not have any blood supply to maintain their viability, so in these cases I will also sometimes wait to put that in if they so desire.
TRYING HARD TO FIND DRAINLESS TUMMY TUCK DOC
Tummy TuckMember Response:
Drain less tummy tucks arevoften performed with internal quilting futures or what are sometimes called progressive tension sutures. Some surgeons also spray fibrin glue internally as well. I’m not sure why you were so reluctant to have drains. Drains are usually removed within about a week or so for most patients. I do not think that going drainless adds any advantage Patients can develop seromas and hematomas as well. I do all the other procedures you desire as well. Good luck.
TRYING HARD TO FIND DRAINLESS TUMMY TUCK DOC
Question:
I live in central Florida near Leesburg and am trying to find a board certified surgeon who does progressive tension suturing which I hear can yield a flatter result and lower scar and is potentially drainless. I am NOT overweight. Please help me find someone? EDITED: to clarify, Thanks!!!
Steven G. Wallach, MD's Response:
Drain less tummy tucks arevoften performed with internal quilting futures or what are sometimes called progressive tension sutures. Some surgeons also spray fibrin glue internally as well. I’m not sure why you were so reluctant to have drains. Drains are usually removed within about a week or so for most patients. I do not think that going drainless adds any advantage Patients can develop seromas and hematomas as well. I do all the other procedures you desire as well. Good luck.
Don't know what to do
Eyelid SurgeryMember Response:
I’d like to think that I guide my patients in a way that they maintain a nice youthful look without looking what I call “overly plastic.” Many patients in their mid-40s can have very nice results with fillers and Botox alone. There are some at this age that have significant facial aging and can benefit from facial rejuvenation surgery like a facelift. I would have to see you in person determine what would be best for you.
Don't know what to do
Question:
Will be the first time to do something about my face, and I don't know if I need surgery or .... what? I'm 45 years, perfectly healty. I would like to see and be seen by a doctor that can advise me what are the steps needed. Thank you
Steven G. Wallach, MD's Response:
I’d like to think that I guide my patients in a way that they maintain a nice youthful look without looking what I call “overly plastic.” Many patients in their mid-40s can have very nice results with fillers and Botox alone. There are some at this age that have significant facial aging and can benefit from facial rejuvenation surgery like a facelift. I would have to see you in person determine what would be best for you.
Redo of chin implant
FaceliftMember Response:
You would have to be seen in person to determine what would be most appropriate for you. In addition, I prefer not to remove any portions of the salivary glands. I agree that patients might be prone to dry mouth and there is a potential for excessive bleeding while removing them.
Redo of chin implant
Question:
The chin implant I had nearly 35 years ago is now drooping creating an odd downward hook like appearance. Considering a neck lift and replacement of the chin implant. Doctor indicated the possibility of shaving down a neck gland, that could in rare instances create dry mouth. How concerned should I be regarding both the replacement of the chin implant and potential dry mouth?
Steven G. Wallach, MD's Response:
You would have to be seen in person to determine what would be most appropriate for you. In addition, I prefer not to remove any portions of the salivary glands. I agree that patients might be prone to dry mouth and there is a potential for excessive bleeding while removing them.
Momy makeover
Aesthetic Genital Plastic SurgeryMember Response:
Unfortunately you can not use your son’s fat. It will be rejected by your body. You can only use your own.
Momy makeover
Question:
Can I inject lipid from my son into my body?
Steven G. Wallach, MD's Response:
Unfortunately you can not use your son’s fat. It will be rejected by your body. You can only use your own.
Scar revision
FaceliftMember Response:
I’d be more than happy to look at your photos. However, it is always best to be seen in person because photos are not that accurate and an exam in person really gives the best assessment. You can send them with a note to info@stevenwallachmd.com. Good luck
Scar revision
Question:
Hello I’m looking for a doctor to take a look at the scar on my forehead that I got from a car accident. I am wondering how much it would cost to get it fixed. I’ve never been under the knife before so don’t know how to go about it. I’m willing to send pictures for an estimate of the cost. Thank you.
Steven G. Wallach, MD's Response:
I’d be more than happy to look at your photos. However, it is always best to be seen in person because photos are not that accurate and an exam in person really gives the best assessment. You can send them with a note to info@stevenwallachmd.com. Good luck
Surgery
Mommy MakeoverMember Response:
The best thing to do is first find a plastic surgeon in your area that is board certified and a member of ASPS or ASAPS abundant then ask around about their work. Best of luck
Surgery
Question:
How do you know how to find the right doctor? I want a couple things done, but I’m scared because of horror stories I’ve read and heard about.
Steven G. Wallach, MD's Response:
The best thing to do is first find a plastic surgeon in your area that is board certified and a member of ASPS or ASAPS abundant then ask around about their work. Best of luck
Any surgeons willing to preform on teen?
Breast ReductionMember Response:
Breast reductions can be done on teenagers. You are best to find a local surgeon to take care of her.
Any surgeons willing to preform on teen?
Question:
Hello, my daughter (16) has been struggling for years with very large breasts. We were referred to a surgeon who said we are a great candidate for a reduction. however, he said he would send us to a different surgeon since he wasn't comfortable but when I called asking he will not reffer us to anyone and is avoiding everytime i call. Please reach out i will Do ANYTHING to see my daughter happy!
Steven G. Wallach, MD's Response:
Breast reductions can be done on teenagers. You are best to find a local surgeon to take care of her.
Ok doctors! I had the gastric sleeve 4 and half months ago. Im down to what is where i should stay a
Breast LiftMember Response:
Usually you want to be at least one year out and at a stable weight after gastric sleeve procedure. It is not advisable to do that at four months after your procedure. I treat a lot of weight loss patients and this is the policy that I usually adhere to.
Ok doctors! I had the gastric sleeve 4 and half months ago. Im down to what is where i should stay a
Question:
Docs sat i should lose 10 lbs and then gain a lil back..which im 5 ft 7 and 144 lbs now. Id like to gaine to 155 and stay there. But i want a breast lift and Brazilian butt lift so bad . there saying no one will touch me for 2 years after my surgery. I dont believe that especially if im paying for. I am extremely unhappy with certain areas at my age of 32 and want to feel my age. Ley me know
Steven G. Wallach, MD's Response:
Usually you want to be at least one year out and at a stable weight after gastric sleeve procedure. It is not advisable to do that at four months after your procedure. I treat a lot of weight loss patients and this is the policy that I usually adhere to.
Am I to young?
LiposuctionMember Response:
No you are not too young. You are best to be seen in person to be properly evaluated. Best of luck!
Am I to young?
Question:
I want to go through with a BBL but everyone says I’m to young and don’t need it. Even though I’m only 19 this is something I’ve always thought about but never thought I would be able to do till I looked more into it. I’m about 5’6 155 pounds. The reason I want this surgery is because I’m “top heavy”. I have long legs with slightly short torso and big breasts with a flat bottom.
Steven G. Wallach, MD's Response:
No you are not too young. You are best to be seen in person to be properly evaluated. Best of luck!
I NEEEDDD A BBL!!
LiposuctionMember Response:
This forum is really not the place to go over all the risks etc. In my office we do work with companies that can finance your surgery. We are usually pretty good about accommodating our patients various schedules. Best of luck!
I NEEEDDD A BBL!!
Question:
Interested in getting a BBL...I’ve did my research but I would like to know more about the risks and also if payment plans are available for doing this kind of thing. Also after my consultation with a dr about how long will it be till the surgery ?
Steven G. Wallach, MD's Response:
This forum is really not the place to go over all the risks etc. In my office we do work with companies that can finance your surgery. We are usually pretty good about accommodating our patients various schedules. Best of luck!
Thigh and abdominal skin removal after extreme weight loss
Body ContouringMember Response:
I treat a lot of weight loss patients. Usually I treat the abdominal area first and perform a lower body lift.
Thigh and abdominal skin removal after extreme weight loss
Question:
I will need both thigh skin removal as well as abdominal skin removal after 200 lb weight loss. Which should be done first, or can you have both areas done at the same time? Will that affect healing time? What would be the approximate cost for both procedures?
Steven G. Wallach, MD's Response:
I treat a lot of weight loss patients. Usually I treat the abdominal area first and perform a lower body lift.
My left breast
Breast ReductionMember Response:
If you are no longer growing, then a reduction on the larger breast is possible. You will likely need permission from the parents to move forward. Good luck.
My left breast
Question:
My left breast is visibly bigger than my right and I fear it is a cup size bigger also. This is disturbing me both mentally and physically as in it looks uneven and wrong. I am 17, what do you suggest I should do?
Steven G. Wallach, MD's Response:
If you are no longer growing, then a reduction on the larger breast is possible. You will likely need permission from the parents to move forward. Good luck.
Necklift same as mini Facelift?
FaceliftMember Response:
No, A neck lift will treat the neck only. S - lift or a mini lift uses a minimal incision along the front of the ear and cheek to elevate the skin and soft tissue to tighten up the cheek and maybe the jowl region only. A neck lift is commonly not done alone, it is often done with a facelift.
Necklift same as mini Facelift?
Question:
Is a necklift the same procedure as a mini facelift? I know I want a necklift, but am told it is the same basic procedure as an S-Flap mini facelift. Is this true or are they two separate procedures? Thanks!
Steven G. Wallach, MD's Response:
No, A neck lift will treat the neck only. S - lift or a mini lift uses a minimal incision along the front of the ear and cheek to elevate the skin and soft tissue to tighten up the cheek and maybe the jowl region only. A neck lift is commonly not done alone, it is often done with a facelift.
Double chin
FaceliftMember Response:
If it was just fatty tissue then liposuction would seem reasonable. If you have loose hanging skin then a facelift might seem appropriate.
Double chin
Question:
What surgery would reduce a double Chin. Not the little type of double chin. Fat and Hanging saggy skin? Is it done with face lift?
Steven G. Wallach, MD's Response:
If it was just fatty tissue then liposuction would seem reasonable. If you have loose hanging skin then a facelift might seem appropriate.
Fat transfer
Body ContouringMember Response:
I perform a lot of Brazilian butt lifts. The price will vary depending on how many areas of liposuction is required to perform the Brazilian butt lift. It will also very from surgeon to surgeon in various portions of the country.
Fat transfer
Question:
What is the standard costs for transferring fat into the butt?
Steven G. Wallach, MD's Response:
I perform a lot of Brazilian butt lifts. The price will vary depending on how many areas of liposuction is required to perform the Brazilian butt lift. It will also very from surgeon to surgeon in various portions of the country.
So many questions!!!
Breast LiftMember Response:
I perform a lot of brastlifts In fact I give a course on this subject at national plastic surgeon meetings to other doctors. I often use a limited incision procedure using a lollipop incision. The procedure usually takes between two and three hours and the recovery is usually less than one week for most patients. They can often go back to light duty at work within about a week, and then they can go back to the gym for a light activity is usually about 3 to 4 weeks.
So many questions!!!
Question:
I am 29years old. I live in Washington DC and I want to get my breast lifted, but I’m really nervous about the procedure. I’m a 34 DD with some back problems. Can you tell me a little about it as to how long the procedure is, the healing process, the do’s and donts. How safe is it?? I just want to know as much as I can before making a decision.
Steven G. Wallach, MD's Response:
I perform a lot of brastlifts In fact I give a course on this subject at national plastic surgeon meetings to other doctors. I often use a limited incision procedure using a lollipop incision. The procedure usually takes between two and three hours and the recovery is usually less than one week for most patients. They can often go back to light duty at work within about a week, and then they can go back to the gym for a light activity is usually about 3 to 4 weeks.
Neck lift/mini face lift
FaceliftMember Response:
The fee for a mini facelift will vary from surgeon to surgeon and also in different parts of the country. Your best to see a plastic surgeon for proper evaluation. Do not use the surgeon just for the price. Make sure the surgeon does excellent work. Good luck
Neck lift/mini face lift
Question:
What is the cost for mini face life/nrck lift??
Steven G. Wallach, MD's Response:
The fee for a mini facelift will vary from surgeon to surgeon and also in different parts of the country. Your best to see a plastic surgeon for proper evaluation. Do not use the surgeon just for the price. Make sure the surgeon does excellent work. Good luck
Fat transfer
Body ContouringMember Response:
Most of my patients can go back to routine activities within a couple of days. I usually advise them not to sit on their buttocks for 2 to 3 weeks. They can use special pillows under their thighs so that they can sit in a chair but they cannot put any pressure on the buttocks. In general most patients can go back to the gym within about 2 to 3 weeks as long as they are not sitting on any machine.
Fat transfer
Question:
How long does it take to heal after fat transfer to butt?
Steven G. Wallach, MD's Response:
Most of my patients can go back to routine activities within a couple of days. I usually advise them not to sit on their buttocks for 2 to 3 weeks. They can use special pillows under their thighs so that they can sit in a chair but they cannot put any pressure on the buttocks. In general most patients can go back to the gym within about 2 to 3 weeks as long as they are not sitting on any machine.
Am I too old?
LiposuctionMember Response:
No, I do not think you were too old. If you do not have any significant medical problems or the medical problems are well-controlled, you can probably go ahead and have those two procedures. It is best to be seen in person to be properly evaluated. Best of luck.
Am I too old?
Question:
I’m over 60 years old and have been thinking about having abdominal lips and a tuck procedure. To be completely honest, I have been thinking about it for more than 30 years, but I feel ready to do it now that I don’t have any obstacles, financial or time considerations. I am concerned being the age I am the healing and recovery time may prove more of a hindrance. Any thoughts?
Steven G. Wallach, MD's Response:
No, I do not think you were too old. If you do not have any significant medical problems or the medical problems are well-controlled, you can probably go ahead and have those two procedures. It is best to be seen in person to be properly evaluated. Best of luck.
Reconstruction
Breast AugmentationMember Response:
The breast reconstruction can be performed at the same time as the mastectomy. This can be performed with tissue expanders and then implants, sometimes implants immediately at the same time as the mastectomy, and sometimes using autologous tissue can be performed as well.
Reconstruction
Question:
Prophylactic double mastectomy with reconstruction. Is this done right after the removal of both Breast. Is it implants? some people say they had problems with the implants and had them removed is that true? Or do you have the implants removed after several years?
Steven G. Wallach, MD's Response:
The breast reconstruction can be performed at the same time as the mastectomy. This can be performed with tissue expanders and then implants, sometimes implants immediately at the same time as the mastectomy, and sometimes using autologous tissue can be performed as well.
Tummy Tuck/safelipo/lipo
Tummy TuckMember Response:
A tummy tuck and liposuction are two procedures that I commonly perform. You are best to be seen in person to be properly evaluated. Best of luck !
Tummy Tuck/safelipo/lipo
Question:
Hi, I'm in need of lipo with TT. Would like to see a board certified plastic surgeon who specializes in TT/Lipo. I would like to have a Consultation this week if possible. I have been looking into this for sometime now and would.l like to have the surgery. I live in Dover, DE I don't mind the travel to receive real professional attention.
Steven G. Wallach, MD's Response:
A tummy tuck and liposuction are two procedures that I commonly perform. You are best to be seen in person to be properly evaluated. Best of luck !
Capsular Contracture??
Breast AugmentationMember Response:
It could be a capsular contracture. Your best to be seen in person by her surgeon to be properly evaluated. If it is a capsule contracture then usually the best treatment is to remove the implant change it to a new one and remove the capsule as much as possible and maybe add an ADM.
Capsular Contracture??
Question:
I’ve had my breasts for about 2 years. I started a new job about a year ago which is an active job that requires some lifting. I’ve noticed that my right breast has become a little higher than the left & feels slightly firmer. I first thought it may be the development of stronger muscles so I started doing more lifting with my left which has helped a little but I’m still not even can it be CC?
Steven G. Wallach, MD's Response:
It could be a capsular contracture. Your best to be seen in person by her surgeon to be properly evaluated. If it is a capsule contracture then usually the best treatment is to remove the implant change it to a new one and remove the capsule as much as possible and maybe add an ADM.
Surgery cost and payment
Mommy MakeoverMember Response:
A mommy makeover usually refers to a procedure that includes an abdominoplasty and some sort of breast surgery procedure. These are usually self-pay procedures. I do these all the time. Good luck.
Surgery cost and payment
Question:
Im wondering if its possible to have a mommy makeover with out insurance and to just pay completely out of pocket? Is that aloud? Also how much would that even cost fully out of pocket no insurance?
Steven G. Wallach, MD's Response:
A mommy makeover usually refers to a procedure that includes an abdominoplasty and some sort of breast surgery procedure. These are usually self-pay procedures. I do these all the time. Good luck.
Cortisone to fix lower eyelid malposition caused by scar; ectropion
Eyelid SurgeryMember Response:
A Cortisone injection at this point would not be very helpful. You likely are scarred down and need release of the soft tissue and possibly support to the lateral lid to improve the ectropion that you now are experiencing.
Cortisone to fix lower eyelid malposition caused by scar; ectropion
Question:
7 years ago I suffered an orbital blowout fracture to my right eye socket. The surgery to repair the orbital bones required an incision below/along my lower eyelid. My lower eyelid does not cover my eyeball the same way as my left side and it’s noticeable in pictures. Could a 5-FU/kenalog injection eliminate the tension and pull that the scar has on my eyelid? If not, what would you recommend?
Steven G. Wallach, MD's Response:
A Cortisone injection at this point would not be very helpful. You likely are scarred down and need release of the soft tissue and possibly support to the lateral lid to improve the ectropion that you now are experiencing.
Jaw Fillers
Dermal FillersMember Response:
Fillers around the jawline can help accentuate the drawing. There’s very little care involved once the fillers are placed. There may be some bruising and some swelling, but after that there’s really nothing that you would need to do for it.
Jaw Fillers
Question:
I’m new to the filler game and have done some research but I’m still concerned and wondering about the healing process and the after care of getting fillers around the jaw area to reshape. Any help is appreciated
Steven G. Wallach, MD's Response:
Fillers around the jawline can help accentuate the drawing. There’s very little care involved once the fillers are placed. There may be some bruising and some swelling, but after that there’s really nothing that you would need to do for it.
Breast and money
Breast ReductionMember Response:
Yes it is very possible to have one breast reduced to match the other side. As for the cost it is very difficult to say without an exam in person.
Breast and money
Question:
If I have asymmetric boobs, how much will it cost to just get 1 boob done and not the other? Is it possible to just get 1 boob done and not the other?
Steven G. Wallach, MD's Response:
Yes it is very possible to have one breast reduced to match the other side. As for the cost it is very difficult to say without an exam in person.
If there any kind of age limit or concerns
Body ContouringMember Response:
Age specifically is not a contraindication. I have treated many women in your age bracket for concerns similar to yours. Your overall medical condition is most important. If you are relatively healthy, you are likely able to undergo the procedures that you are interested in. You are best to be seen in person.
If there any kind of age limit or concerns
Question:
My stomach is hanging over really bad and has bothered me many years. I am overweight, weight has been up and down, but no matter what, it’s still the same. Have some money now. I’m 63. Would it be more dangerous at this age, and/or not heal as well ?
Steven G. Wallach, MD's Response:
Age specifically is not a contraindication. I have treated many women in your age bracket for concerns similar to yours. Your overall medical condition is most important. If you are relatively healthy, you are likely able to undergo the procedures that you are interested in. You are best to be seen in person.
Regarding anesthesia
Tummy TuckMember Response:
In my office I only use a board certified anesthesiologist. I can also perform this in a hospital as well.
Regarding anesthesia
Question:
Do most plastic surgeons use anesthesiologists, or just a nurse anesthetist? To me getting put to sleep is the scary part. Is having the procedures done in a hospital with an anesthesiologist always an option?
Steven G. Wallach, MD's Response:
In my office I only use a board certified anesthesiologist. I can also perform this in a hospital as well.
Capsular contracture and mini tummy tuck
Tummy TuckMember Response:
These can be done at the same time Best of luck
Capsular contracture and mini tummy tuck
Question:
What is a mini tummy tuck, and can this be done with a correction procedure simultaneously to correct a capsular contracture after breast implants, or do both procedures need to be done separately?
Steven G. Wallach, MD's Response:
These can be done at the same time Best of luck
Capsular contracture
Breast AugmentationMember Response:
The most current theory is that it is due to a biofilm created by bacteria. Think of it like a low level infection over time. Treatment usually requires implant exchange and capsule removal.
Capsular contracture
Question:
What causes a capsular contracture after breast implants, and what has to be done to reverse the breasts feeling hard?
Steven G. Wallach, MD's Response:
The most current theory is that it is due to a biofilm created by bacteria. Think of it like a low level infection over time. Treatment usually requires implant exchange and capsule removal.
Breast reduction or lift?
Breast ReductionMember Response:
Without seeing you in person, it is difficult to say which operation would be better. However if you have large breasts, a breast reduction usually includes a breast lift as part of the procedure.
Breast reduction or lift?
Question:
I have some big breast, which results in a lot of sweat being produced. With the sweat come irritation, chafing, white and black heads, itching, and because of it sores. Would a breast reduction and or lift help with these problems?
Steven G. Wallach, MD's Response:
Without seeing you in person, it is difficult to say which operation would be better. However if you have large breasts, a breast reduction usually includes a breast lift as part of the procedure.
Breast procedure
Breast AugmentationMember Response:
I f you have a very large breast and it falls within the range of coverage by your insurance. Then you likely would be covered. You can contact your insurance company to find out. Good luck!
Breast procedure
Question:
Hi, I have a dramatically larger beast than the other. I would like to know if insurance covers any of this procedure at all & if not the price for a single breast fix. Nothing is wrong with the smaller side at all
Steven G. Wallach, MD's Response:
I f you have a very large breast and it falls within the range of coverage by your insurance. Then you likely would be covered. You can contact your insurance company to find out. Good luck!
18 and wanting a breast reduction
Breast ReductionMember Response:
Sounds like you are a candidate for a breast reduction. You would have to see a plastic surgeon for. evaluation. Good luck!
18 and wanting a breast reduction
Question:
Hi. My name is Sarah, I am 17, turning 18 very soon and considering a breast reduction. My mother and grandmother both had breast cancer, so I plan to get tested for the gene before speaking to a plastic surgeon near me. I am a size 38 G 220 pounds and 5 7. I have a lot of lower back pain. Will my insurance cover it? Will they do one for an 18 year old?
Steven G. Wallach, MD's Response:
Sounds like you are a candidate for a breast reduction. You would have to see a plastic surgeon for. evaluation. Good luck!
I need a tummy tuck
Tummy TuckMember Response:
Tummy tucks are cosmetic procedures and are not covered by insurance.
I need a tummy tuck
Question:
How do I get my primary doctor to approve a tummy tuck so my insurance can pay for it ?
Steven G. Wallach, MD's Response:
Tummy tucks are cosmetic procedures and are not covered by insurance.
Necklift
FaceliftMember Response:
A neck lift is a very popular procedure that is often combined with a facelift. It is best to be evaluated in person to determine what would be appropriate for you. Good luck.
Necklift
Question:
Hi and thanks so much for your help! I am looking for a necklift surgeon with lots of experience and I will travel anywhere in the US for this procedure. What is the best way to find a facility that has done many necklifts, with a high rate of success and customer satisfaction? Thanks again! Sandy
Steven G. Wallach, MD's Response:
A neck lift is a very popular procedure that is often combined with a facelift. It is best to be evaluated in person to determine what would be appropriate for you. Good luck.
What are the side effects of breast implants
Breast AugmentationMember Response:
Many women undergo breast augmentation each year. It is a very safe procedure. One can usually breast-feed after having breast implants. To go over more details about the procedure and about the risks it is best to be seen in person. Good luck.
What are the side effects of breast implants
Question:
Hi Am Makie, I’m 30 with a very small breast,never had a surgery before, but I’m so insecure bout my breast,my husband says he’s not complaining, but I am. I want a C cup just like Rihanna, but I’m scared what is your advice, plus can I breastfeed if I have a breast implant?
Steven G. Wallach, MD's Response:
Many women undergo breast augmentation each year. It is a very safe procedure. One can usually breast-feed after having breast implants. To go over more details about the procedure and about the risks it is best to be seen in person. Good luck.
Pubiaplasty?
Tummy TuckMember Response:
It sounds like the procedure you are requesting is a mons reduction. This can be combined with a tummy tuck or performed as a stand alone procedure.
Pubiaplasty?
Question:
Is there a procedure called pubiaplasty? I have had 6 abdominal surgeries, I am 47 yrs old. I have no feeling from the top of my pubic area up to my belly button. The entire area is just hanging, loose & is controlling my life. I am completely happy with myself & comfortable in my own skin except this area. Now, the skin is so thin that it is opening, at times bleeding. It gets irritated & itches.
Steven G. Wallach, MD's Response:
It sounds like the procedure you are requesting is a mons reduction. This can be combined with a tummy tuck or performed as a stand alone procedure.
Revision Rhinoplasty
RhinoplastyMember Response:
Rhinoplasty surgery is commonly performed by plastic surgeons and Ent trained favualmplastic surgeons. I perform them all the time. Good luck
Revision Rhinoplasty
Question:
Should only a plastic surgeon with ENT training/education do a revision rhinoplasty ? And should only a facial plastic surgeon be sought after opposed to one who also does below the neck reconstruction ? Thank you.
Steven G. Wallach, MD's Response:
Rhinoplasty surgery is commonly performed by plastic surgeons and Ent trained favualmplastic surgeons. I perform them all the time. Good luck
Tummy Tuck
Tummy TuckMember Response:
Tummy tucks are cosmetic procedures. They are not covered by insurance. The procedure usually takes between 1-3 hours. .
Tummy Tuck
Question:
Hello I Am 23 Years Old And Is Interested In Getting A Tummy Tuck . Is There Any Insurance That Can Pay For This Or I Have To Pay Out Of Pocket . (I Have AmeriGroup). & Another Question How Long Is The Process??
Steven G. Wallach, MD's Response:
Tummy tucks are cosmetic procedures. They are not covered by insurance. The procedure usually takes between 1-3 hours. .
Tummy Tuck
Tummy TuckMember Response:
Tummy tucks are cosmetic procedures. They are not covered by insurance. The procedure usually takes between 1-3 hours. .
Tummy Tuck
Question:
Hello I Am 23 Years Old And Is Interested In Getting A Tummy Tuck . Is There Any Insurance That Can Pay For This Or I Have To Pay Out Of Pocket . (I Have AmeriGroup). & Another Question How Long Is The Process??
Steven G. Wallach, MD's Response:
Tummy tucks are cosmetic procedures. They are not covered by insurance. The procedure usually takes between 1-3 hours. .
Mrs
Breast AugmentationMember Response:
The cost of the procedure will vary from surgeon to surgeon and in various locations in the country. In New York the fee is a little more expensive than some other areas. Probably would run You a fee in the neighborhood of 6000 to 10,000 depending on who you go to.
Mrs
Question:
About how much will I have to pay for breasts implants?
Steven G. Wallach, MD's Response:
The cost of the procedure will vary from surgeon to surgeon and in various locations in the country. In New York the fee is a little more expensive than some other areas. Probably would run You a fee in the neighborhood of 6000 to 10,000 depending on who you go to.
Surgery for Minors
Breast ReductionMember Response:
Yes, a minor can have a breast reduction. Ideally, The patient should be of adult size and no longer growing. Additionally, if the patient is not emancipated then they will need consent by their guardian or parent.
Surgery for Minors
Question:
Can minors get breast reduction?
Steven G. Wallach, MD's Response:
Yes, a minor can have a breast reduction. Ideally, The patient should be of adult size and no longer growing. Additionally, if the patient is not emancipated then they will need consent by their guardian or parent.
Brazilian buttlift
Body ContouringMember Response:
The fee will vary from surgeon to surgeon and in different regions of the country. In New York City you’re probably looking at somewhere between $8000-$15,000.
Brazilian buttlift
Question:
I’d like average cost if fat was removed around stomach n love handles, to achieve a Brazilian buttlift, (I already have a decent one but would hope to one day loose some pounds again An average cost. Average....?
Steven G. Wallach, MD's Response:
The fee will vary from surgeon to surgeon and in different regions of the country. In New York City you’re probably looking at somewhere between $8000-$15,000.
Inf request
Eyelid SurgeryMember Response:
No cosmetic surgery is covered by insurance.
Inf request
Question:
Which cosmetics surgeries are cover by insurance?
Steven G. Wallach, MD's Response:
No cosmetic surgery is covered by insurance.
I'm conflicted
Breast ReductionMember Response:
Deciding to undergo a breast reduction is a personal choice. Many women have the surgery performed because of associated symptoms. Good luck.
I'm conflicted
Question:
I'm 19, 5'6" And a little over 200lbs. I am currently a cup size 38H and have consistent back/neck/shoulder pain. I have recently considered a reduction, but am not sure it'd be the right decision just yet. Should I tough it out and wait until I've had children, or would sooner be better than later? All the women in my family have large breast and haven't had work, should I be any different?
Steven G. Wallach, MD's Response:
Deciding to undergo a breast reduction is a personal choice. Many women have the surgery performed because of associated symptoms. Good luck.
Breast Lift with Fat Transfer
Breast LiftMember Response:
A breast lift can be performed at the same time as an arm lift. It is unlikely to obtain enough fat for transfer from the arms to provide an adequate volume to enhance the breasts.
Breast Lift with Fat Transfer
Question:
After having a VSG I have lost 85lb so far, with plans on losing another 40. With that said I have notice dramatic loose skin on the back of my arms. I have also lost some significant volume in my breasts. I've gone from a C to a B. So my question is there ever an option to have a breast lift with fat transfer in conjunction with an arm lift, using some of the fat from the arm area? Thank you.
Steven G. Wallach, MD's Response:
A breast lift can be performed at the same time as an arm lift. It is unlikely to obtain enough fat for transfer from the arms to provide an adequate volume to enhance the breasts.
Intrested
Breast AugmentationMember Response:
Fat grafting is one way to augment the breast. I prefer to use implants for a more reliable result. How much fat that can be injected depends upon many factors. An exam in person is essential.
Intrested
Question:
I’m interested in having fat transfer to my breast , problem is I weight 115 I’ve had 2 kids and have just some tummy. How much fat could I possibly transfer to my breast ?
Steven G. Wallach, MD's Response:
Fat grafting is one way to augment the breast. I prefer to use implants for a more reliable result. How much fat that can be injected depends upon many factors. An exam in person is essential.
Reduction and Lift
Breast ReductionMember Response:
A lift and reduction can be performed. However I would say to try to get to and A cop would be very difficult. It might jeopardize the viability of the nipple areolar complex and it may be difficult to obtain a nice shape for you without any real breast volume left.
Reduction and Lift
Question:
I'm currently a droopy 32c and I'm looking go down to a perky 32a. Is this possible? If so, how would the procedure be done? What would the approximate cost be? Thank you in advance for your answers!
Steven G. Wallach, MD's Response:
A lift and reduction can be performed. However I would say to try to get to and A cop would be very difficult. It might jeopardize the viability of the nipple areolar complex and it may be difficult to obtain a nice shape for you without any real breast volume left.
Hashimoto Hypothyroidism
Mommy MakeoverMember Response:
It is quite possible for you to undergo the procedures that you desire. You are best to get medical clearance from your doctor prior to having surgery. Best of luck.
Hashimoto Hypothyroidism
Question:
I’m 57, 5’5, 159 and have had 2 c-sections and partial hysterectomy and a completed hysterectomy, all using the same incision scar. I have Hashimoto Hypothyroidism and wonder would this condition prohibits me from getting a mommy makeover that I have wanted for over 12 years. This question’s answer is my start towards getting a mommy makeover. Thank you.
Steven G. Wallach, MD's Response:
It is quite possible for you to undergo the procedures that you desire. You are best to get medical clearance from your doctor prior to having surgery. Best of luck.
Is 45 a good age for my first procedure?
FaceliftMember Response:
You need to be seen in person to determine what would be appropriate for you. I have treated many women your age using different techniques based upon their different needs.
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.
Steven G. Wallach, MD's Response:
You need to be seen in person to determine what would be appropriate for you. I have treated many women your age using different techniques based upon their different needs.
Mommy Makeover Costs
Mommy MakeoverMember Response:
The term mommy makeover refers to any surgery performed on a woman after she has completed having children. There are so many different variations of a mommy makeover that you would be required to come in for an exam to determine what would be best for you. The cost of the procedure will depend upon what procedures are chosen.
Mommy Makeover Costs
Question:
I am 27 5'3 135lbs with a BMI of 24.5 and a mother of two. I am interested in a mommy makeover. My concern is what procedures are inclusive. For example, is liposuction inclusive before the actual tummy tuck is done? Or, could fat transfer but an option? Furthermore, would anyone know a round about cost for a breast reduction, fat transfer to the buttocks, and tummy tuck cost?
Steven G. Wallach, MD's Response:
The term mommy makeover refers to any surgery performed on a woman after she has completed having children. There are so many different variations of a mommy makeover that you would be required to come in for an exam to determine what would be best for you. The cost of the procedure will depend upon what procedures are chosen.
Breast augmentation with dermal fillers
Breast AugmentationMember Response:
Using fillers is not practical. It would be prohibitively expensive for volumes like that used for breast augmentation.
Breast augmentation with dermal fillers
Question:
I'm curious because I have an encapsulation that's painful. This is my 3rd breast augmentation and each time they are larger! 560cc. I would like to remove my implants and try dermal fillers. Is that a realistic goal? Breast lift after implant removal the dermal fillers in place of fat or in addition to my own fat. Are fillers more successful correcting asymmetry problems than fat is??
Steven G. Wallach, MD's Response:
Using fillers is not practical. It would be prohibitively expensive for volumes like that used for breast augmentation.
Post Breast Reduction
Breast ReductionMember Response:
Without seeing photographs it is very difficult to comment. It is really best to review your results in person either with your surgeon or with another surgeon for a second opinion. If a revision is considered it should be OK at this point being that you are approximately eight months from your previous procedure
Post Breast Reduction
Question:
I had a breast reduction in May 2018 and I am not happy with how it is healing. My breasts are very uneven as my surgeon actually took more fat out of my smaller breast. They sag more now than they did before the surgery. My nipples are two different sizes and don't seem to fit the breast size. The scars look very rough as well. What would you suggest for me in regards to next steps?
Steven G. Wallach, MD's Response:
Without seeing photographs it is very difficult to comment. It is really best to review your results in person either with your surgeon or with another surgeon for a second opinion. If a revision is considered it should be OK at this point being that you are approximately eight months from your previous procedure
Removal of old implants & replacement
Breast AugmentationMember Response:
If your mammograms suspects a leakage then you may want to go ahead and get an MRI to confirm this. It would be nice if you had an idea of what size implant you have as well to plan out your procedure. Your best to go see a plastic surgeon and be properly evaluated in person so that a surgical plan can be formulated for you. Best of luck.
Removal of old implants & replacement
Question:
Implants are 28 yrs old. Recent mammogram shows leakage on one side yesterday, never showed before. Need advice of next steps as to how soon to remove, replace and by whom.. want the best surgeon experienced in this.
Steven G. Wallach, MD's Response:
If your mammograms suspects a leakage then you may want to go ahead and get an MRI to confirm this. It would be nice if you had an idea of what size implant you have as well to plan out your procedure. Your best to go see a plastic surgeon and be properly evaluated in person so that a surgical plan can be formulated for you. Best of luck.
7 weeks post partum from c section
Tummy TuckMember Response:
I recommend to my patients to wait at least six months or at least until they’ve lost all the weight that they gained during pregnancy. It is also best to stop breast-feeding.
7 weeks post partum from c section
Question:
I am 7 weeks post partum from my 3rd c section and I've had my tubes tied during the procedure. Is there a waiting period before I can go get a tummy tuck since I just had a surgery or can I go any time ?
Steven G. Wallach, MD's Response:
I recommend to my patients to wait at least six months or at least until they’ve lost all the weight that they gained during pregnancy. It is also best to stop breast-feeding.
Botched?
LiposuctionMember Response:
I perform hundreds of Liposuction cases a year. There are many variables want it comes to the final result. Patients have varying degrees of skin laxity. Without seeing you in person it is difficult to say what could be achieved. Many times the issue you mention is a result of skin laxity and this requires skin excision.
Botched?
Question:
I had liposuction and after 6 months of healing I have a very uneven “S” shaped profile. I went in to discuss a revision with the doc and he gave me no options aside from a tummy tuck. I don’t have sagging or extra skin so I was SHOCKED! Help! I need answers for why I am being told I could’ve never received a flat smooth tummy after spending $8,000! I wish I could submit pictures here
Steven G. Wallach, MD's Response:
I perform hundreds of Liposuction cases a year. There are many variables want it comes to the final result. Patients have varying degrees of skin laxity. Without seeing you in person it is difficult to say what could be achieved. Many times the issue you mention is a result of skin laxity and this requires skin excision.
New Breast Implants after implant removal
Breast AugmentationMember Response:
Treatment of a capsule contracture usually requires removal of the old implant and removal of as much of the capsule as possible. It is very common to place a brand new implant in at the same time and use various techniques to help minimize the risk of a recurrence of the capsular contracture.
New Breast Implants after implant removal
Question:
I currently have capsular contracture and my health insurance is willing to remove them... how long should I wait until I can have new implants placed under the muscle. Looking for a surgeon who will implant under the muscle in my area.
Steven G. Wallach, MD's Response:
Treatment of a capsule contracture usually requires removal of the old implant and removal of as much of the capsule as possible. It is very common to place a brand new implant in at the same time and use various techniques to help minimize the risk of a recurrence of the capsular contracture.
Sharp Pointy Nose
RhinoplastyMember Response:
Rhinoplasty surgery is a very safe procedure. However not all patients are satisfied with the final result. With this in mind, there is about a 10 to 15% revision rate related to rhinoplasty. To help minimize this revision right, a very clear understanding during consultation is essential so that both the patient and the surgeon understand the goals for the procedure. Best of luck.
Sharp Pointy Nose
Question:
I have a very thin witch-like nose. I really want to make it smaller and less noticeable. I don't want it to be the main thing people notice about me. Is nose surgery safe? Could something go wrong and make me look even worse?
Steven G. Wallach, MD's Response:
Rhinoplasty surgery is a very safe procedure. However not all patients are satisfied with the final result. With this in mind, there is about a 10 to 15% revision rate related to rhinoplasty. To help minimize this revision right, a very clear understanding during consultation is essential so that both the patient and the surgeon understand the goals for the procedure. Best of luck.
post hysterectomy scar repair
Tummy TuckMember Response:
Your scar is now more than a year old. It sounds reasonable at this point to go to a plastic surgeon to be properly evaluated for a possible scar revision or even a mini or full tummy tuck. Best of luck.
post hysterectomy scar repair
Question:
I had a hysterectomy Dec. 21, 2017. I now have a big lip of skin over the scar. How long do I need to wait before being evaluated to correct it. I'm 5'6" and weigh 136 and I've never had a big stomach so this really bothers me. Thank you.
Steven G. Wallach, MD's Response:
Your scar is now more than a year old. It sounds reasonable at this point to go to a plastic surgeon to be properly evaluated for a possible scar revision or even a mini or full tummy tuck. Best of luck.
Ideal Candidate for tummy tuck
Tummy TuckMember Response:
You should wait until your weight has been stabilized and you reach your goal weight. Once that is accomplished you can go see a plastic surgeon for evaluation for your tummy tuck. If you lose more than 100 pounds you were likely a candidate for a lower body lift.
Ideal Candidate for tummy tuck
Question:
Currently at 90 pound wt loss (journey started 1/2017) I would like to lose min 40# more for max weight of 130 (5’1” height female). Eventually I plan to have tummy tuck. I am wondering at what point would I be a good candidate and when should I start consulting with dr. No health issues, no meds. I have not yet selected a dr, very nervous about how to find a good dr. Thank you for your time
Steven G. Wallach, MD's Response:
You should wait until your weight has been stabilized and you reach your goal weight. Once that is accomplished you can go see a plastic surgeon for evaluation for your tummy tuck. If you lose more than 100 pounds you were likely a candidate for a lower body lift.
Breast reconstruction, gel versus saline
Breast AugmentationMember Response:
Silicone gel implants are an excellent alternative to the implants that you had. If your tissues are thin I would recommend keeping them behind the muscle and perhaps also using an ADM to provide a thicker soft tissue coverage. You may also require fat injection as well to minimize the visibility of the implants.
Breast reconstruction, gel versus saline
Question:
I would like to know your opinion regarding cohesive gel versus saline implants after tissue expanders are removed . They are posterior to the pectoralis muscle. My pre bilateral mastectomy implants were silicone meme textured implants. I am considering rippling, natural feel/look and of course systemic health. Thank you Kelli
Steven G. Wallach, MD's Response:
Silicone gel implants are an excellent alternative to the implants that you had. If your tissues are thin I would recommend keeping them behind the muscle and perhaps also using an ADM to provide a thicker soft tissue coverage. You may also require fat injection as well to minimize the visibility of the implants.
Cost of Tummy Tuck
Tummy TuckMember Response:
The fee will vary so much from surgeon to surgeon and in different locations of the country. Your best to go for a consultation first and then Learn the price from that specific surgeon. Try not to base your decision on the cost per se. You are best to find a good surgeon, that is the most important criteria.
Cost of Tummy Tuck
Question:
I'm 5'6" and 125-130 pounds. After three large pregnancies, I'm desperately looking to get rid of only this access skin. In Minnesota, what is an estimated range for the cost of this?
Steven G. Wallach, MD's Response:
The fee will vary so much from surgeon to surgeon and in different locations of the country. Your best to go for a consultation first and then Learn the price from that specific surgeon. Try not to base your decision on the cost per se. You are best to find a good surgeon, that is the most important criteria.
Panniculectomy
Tummy TuckMember Response:
You would have to check with your insurance company to see whether or not it would be covered.
Panniculectomy
Question:
I had 2 csections, last was 15 yrs ago. I just developed an abscess directly under my scar. And I have the dreaded c shelf. I was in the ER for said abscess and was referred to a surgeon. Will a panniculectomy be covered by my insurance because of the infection now?
Steven G. Wallach, MD's Response:
You would have to check with your insurance company to see whether or not it would be covered.
Breast lift without implant
Breast LiftMember Response:
It all depends upon the look that you desire. I perform many breast lifts without implants. An implant can add more volume but does not lif the breast to any great extent. If you have enough breast volume then a lift alone should be fine.
Breast lift without implant
Question:
I am considering a breast lift. The majority of the information I am finding suggests an implant. Can it be a successful lift surgery without an implant? Thanks!
Steven G. Wallach, MD's Response:
It all depends upon the look that you desire. I perform many breast lifts without implants. An implant can add more volume but does not lif the breast to any great extent. If you have enough breast volume then a lift alone should be fine.
Breast Augmentation/ periareolar incision
Breast AugmentationMember Response:
It is possible to repair of the nipple at the same time as a breast augmentation. Sometimes the nipple retraction will improve with breast augmentation surgery alone. Best of luck
Breast Augmentation/ periareolar incision
Question:
Hello! I am planning on get a BA soon and had a few questions. I am planning on doing a periareolar incision but also plan on getting inverted nipple correction surgery. Is that possible to do at the same time? Also some women have said their nipples because of the implants, are sticking out more . Also is it likely to cost extra to fix nipples at the same time as my breast augmentation?
Steven G. Wallach, MD's Response:
It is possible to repair of the nipple at the same time as a breast augmentation. Sometimes the nipple retraction will improve with breast augmentation surgery alone. Best of luck
can two different procedures be done at once
FaceliftMember Response:
It is possible to perform both procedures together. However, it might be safer to do one at a time. You would have to be evaluated person to determine this. Best of luck.
can two different procedures be done at once
Question:
I am interested in getting both a facelift and a tummy tuck. Can both procedures be done at once?
Steven G. Wallach, MD's Response:
It is possible to perform both procedures together. However, it might be safer to do one at a time. You would have to be evaluated person to determine this. Best of luck.
whole body help
Body ContouringMember Response:
You would have to be evaluated in person to determine what procedures would be right for you. Each doctor may charge different fees and it may also depend upon the location in the country. Best of luck!
whole body help
Question:
OK I have lost weight, I am 49 let myself go downhill. Been working on this and have realized I need help to get it together. My arms sag my belly sags, my thighs, my breast. Wondering what the average cost to get a whole body help. I need a fresh start.
Steven G. Wallach, MD's Response:
You would have to be evaluated in person to determine what procedures would be right for you. Each doctor may charge different fees and it may also depend upon the location in the country. Best of luck!
Small
Breast AugmentationMember Response:
In order to determine if you have enough fat to inject into your breasts, you would have to be seen in person. Best of luck!
Small
Question:
I was born with dead breast tissue in one of my breast and when i gain weight that one breast does not grow along with me having my 5 boys it aint grow i have unwanted fat but i do not know if its enough to be removed in transfered into my breast
Steven G. Wallach, MD's Response:
In order to determine if you have enough fat to inject into your breasts, you would have to be seen in person. Best of luck!
Ugly jaw/neck definition.
FaceliftMember Response:
You would have to be seen in person to determine what might be best for you. Sometimes a chin implant can help. Sometimes a liposuction of the neck can help. Sometimes release of some of the muscles in the neck may help. Sometimes facial fillers can help.
Ugly jaw/neck definition.
Question:
What would be the best procedure for a 24 year old male who's wanted a more defined jawline/chin. I know for a fact this is genetic, my mom has the same profile view as me. From the front my jaw looks good! But, from the side it looks like one slightly curved slope, chin to neck. Instead of a beautiful angle. Thanks in advance for the advice!
Steven G. Wallach, MD's Response:
You would have to be seen in person to determine what might be best for you. Sometimes a chin implant can help. Sometimes a liposuction of the neck can help. Sometimes release of some of the muscles in the neck may help. Sometimes facial fillers can help.
No definition in neck
LiposuctionMember Response:
You would have to be seen in person to determine what you might need. A chin implant, filler, or a neck lift may be necessary
No definition in neck
Question:
My whole life I have had no definition in my neck/jawline. I always look heavier then I am. I don't know if i need a chin implant, neck lift or liposuction. Just need some advice.
Steven G. Wallach, MD's Response:
You would have to be seen in person to determine what you might need. A chin implant, filler, or a neck lift may be necessary
Sad belly button and indent
Tummy TuckMember Response:
A belly button that “frowns”. May be due to loose skin. Yes, it would be nice to see a photo, but better still it would be best to be seen in person.
Sad belly button and indent
Question:
So my frowning belly button isn't rare I've seen this over and over. But i also have an area below it that looks like i was poked and it left a wrinkled indent. How is this fixed? Is it all one procedure? It would be nice if I could attach a photo. Being seen to show it is so embarrassing. I'm also afraid to know the cost.
Steven G. Wallach, MD's Response:
A belly button that “frowns”. May be due to loose skin. Yes, it would be nice to see a photo, but better still it would be best to be seen in person.
Post breast reconstruction
Breast AugmentationMember Response:
It’s always a possibility to be able to replace volume using fat injections. However depending upon the volume required you may be better off with using autologous tissue for reconstruction. Best to be seen in person for a proper evaluation.
Post breast reconstruction
Question:
I’ve had a prophylactic mastectomy with silicone implants. My breast are now Mis-shapen bilaterally, with a possible leak. Wondering if I have some options to refill my breast with my own fat, though my breast “capsule” has healed. My breast skin and nipples are still intact and I have a history of radiation to the right breast. My surgery was about 5.5 years ago. Thanks!
Steven G. Wallach, MD's Response:
It’s always a possibility to be able to replace volume using fat injections. However depending upon the volume required you may be better off with using autologous tissue for reconstruction. Best to be seen in person for a proper evaluation.
To lift or to lift and reduce
Breast LiftMember Response:
Without seeing you in person it is difficult to say, but likely some form of reduction is likely appropriate
To lift or to lift and reduce
Question:
Hello, I have had sagging but large breast for most of my life. I am currently overweight, but my breast have always been large in spite of my weight. The size does not cause me any discomfort or health issues. I want to keep my breast size, but I need some heavy lifting. So, my question is: At a size 44G, am I able to simply get a lift or will a lift require a reduction?
Steven G. Wallach, MD's Response:
Without seeing you in person it is difficult to say, but likely some form of reduction is likely appropriate
Mommy make over
LiposuctionMember Response:
You would have to be seen in person to determine what would be appropriate for you.
Mommy make over
Question:
I have 5 kids and have had 4 c sections am I at risk if I have another surgery?
Steven G. Wallach, MD's Response:
You would have to be seen in person to determine what would be appropriate for you.
SOS Please Help
Breast ReductionMember Response:
It sounds like you are a candidate for a breast reduction. Best to be seen in person for a proper evaluation.
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.
Steven G. Wallach, MD's Response:
It sounds like you are a candidate for a breast reduction. Best to be seen in person for a proper evaluation.
Lower abdomen protrusion... has anyone seen this before???
Tummy TuckMember Response:
I would have to see pictures to determine what the possible cause might be.
Lower abdomen protrusion... has anyone seen this before???
Question:
My lower abdomen protrudes out by about 3-4 inches from my upper abdomen. Has anyone encountered this before? Pictures can be provided!
Steven G. Wallach, MD's Response:
I would have to see pictures to determine what the possible cause might be.
One Breast reconstruction
Breast AugmentationMember Response:
She would have to be seen in person to determine if she is a candidate for fat injection to her breasts. Best of luck
One Breast reconstruction
Question:
When My cousin was 30 years old which was 5 years ago She got diagnosed with breast cancer. She did mastectomy with reconstruction on one breast followed by radiation which ruined everything. She revised the reconstruct again and did lifts plus putting implant on her other breast to get both asymmetric . still her reconstruct Breast is smaller . Can she injects fat on it to make them even
Steven G. Wallach, MD's Response:
She would have to be seen in person to determine if she is a candidate for fat injection to her breasts. Best of luck
Liposuction w breast augmentation
Breast AugmentationMember Response:
In my opinion, Liposuction of the anterior axillary fold should not be a problem during breast augmentation surgery.
Liposuction w breast augmentation
Question:
Can liposuction be done in the anterior axilla, during a breast augmentation? Surgeons seem to have different opinions. Is there a risk of lymphedema? Is it overall safe? Does it affect the healing of the implants? Does that area stretch after implant placement? If I’m going small (already small B) can this hurt my neck?
Steven G. Wallach, MD's Response:
In my opinion, Liposuction of the anterior axillary fold should not be a problem during breast augmentation surgery.
Tummy tuck
Tummy TuckMember Response:
It’s difficult to tell you whether or not that is too much surgery for you. It all depends upon how long the surgery is going to take how much expected blood loss that will be and what your overall medical condition is.
Tummy tuck
Question:
Having a mommy make over with breast lift with silicone implants , tummy tuck and BBL is too much surgery in one day
Steven G. Wallach, MD's Response:
It’s difficult to tell you whether or not that is too much surgery for you. It all depends upon how long the surgery is going to take how much expected blood loss that will be and what your overall medical condition is.
Cost
Tummy TuckMember Response:
It is difficult to say if you were a good candidate or not for a tummy tuck without seeing you in person. In New York City the cost will vary between approximately $7000 to 15 or $20,000 depending on the surgeon that you go to.
Cost
Question:
Hi I had cool sculpture done I'm not happy with the results. It was a noninvasive procedure that is why I had it done. Now I am considering a tummy tuck I've done my homework. But, I am afraid of wasting thousands of dollars and be disappointed again. I would like to know the cost and if the results will be worth it .
Steven G. Wallach, MD's Response:
It is difficult to say if you were a good candidate or not for a tummy tuck without seeing you in person. In New York City the cost will vary between approximately $7000 to 15 or $20,000 depending on the surgeon that you go to.
Help with loose skin around eyes
Eyelid SurgeryMember Response:
There is no such thing as a guarantee. However, if you have loose skin in your lower eyelid a lower eyelid blepharoplasty maybe the solution. Sometimes laser procedures can help as well. You would have to be seen in person to provide a definitive course of treatment. Best of luck.
Help with loose skin around eyes
Question:
My biggest problem is loose skin under and around my eyes leading to crows feet and bags. Hydration doesnt seem to fix much. Is there a topical or surgical solution that is guaranteed results? https://imgur.com/IEj5VXW
Steven G. Wallach, MD's Response:
There is no such thing as a guarantee. However, if you have loose skin in your lower eyelid a lower eyelid blepharoplasty maybe the solution. Sometimes laser procedures can help as well. You would have to be seen in person to provide a definitive course of treatment. Best of luck.
Hooded eyelids
Eyelid SurgeryMember Response:
In order to evaluate your hooded eyelids, you would have to be seen in person. It is usually a fairly straightforward procedure that could even be done under local anesthesia. Best of luck.
Hooded eyelids
Question:
Ive always been really self conscious about my hooded eyes and I would like to have them corrected. How do I go about finding the right surgeonbc I dont want to end up blind or not be able to full close my eyes.
Steven G. Wallach, MD's Response:
In order to evaluate your hooded eyelids, you would have to be seen in person. It is usually a fairly straightforward procedure that could even be done under local anesthesia. Best of luck.
Reconstructive Abdominalplasty
Tummy TuckMember Response:
It is very difficult to quote a fee without seeing you in person. The extent of the work will determine the likely cost of the procedure. It is very common to perform a breast implant revision along with an abdominoplasty . Best of luck.
Reconstructive Abdominalplasty
Question:
I had a full tummy tuck approx. 12 years ago and have very unsightly scars and indentations @ my vertical scar plus scar tissue. Ill need another corrective surgery. Is the cost goubg to be different? I also want my saline implants removed and silicone added with a lift. Approx. Cost ?
Steven G. Wallach, MD's Response:
It is very difficult to quote a fee without seeing you in person. The extent of the work will determine the likely cost of the procedure. It is very common to perform a breast implant revision along with an abdominoplasty . Best of luck.
Post bilateral mastectomy recon
Breast AugmentationMember Response:
If you just want the tissue expanders removed, it is usually a very simple procedure. It can be done at any time.
Post bilateral mastectomy recon
Question:
Hello~ I had bilateral mastectomy for bc 11/19. Expanders were placed at that time. Everything happened very quickly, and in short, Upon research and reflection, I do not want reconstruction. Can anyone of you tell me what expander removal without implant placement would involve? Thank you so much for your time.
Steven G. Wallach, MD's Response:
If you just want the tissue expanders removed, it is usually a very simple procedure. It can be done at any time.
Spair vs anchor
Breast LiftMember Response:
A SPAIR technique or an inferior pedicure with a T closure will likely have similar risks. Both use an inferior pedicle. In terms of revision, most reduction techniques have a low revision rate.
Spair vs anchor
Question:
What technique is most likely not to have revisions or scarring ? How do I find out sucess and revision rates on a physician?
Steven G. Wallach, MD's Response:
A SPAIR technique or an inferior pedicure with a T closure will likely have similar risks. Both use an inferior pedicle. In terms of revision, most reduction techniques have a low revision rate.
Columellaplasty
RhinoplastyMember Response:
A hanging columella can be treated with an isolated procedure. However most patients require more than just treatment of that region. You would have to be seen in person to be properly evaluated.
Columellaplasty
Question:
Hello! So I like everything about my nose except for my hanging columella. I really don’t care to change anything else other than that so I definitely don’t think undergoing a full rhinoplasty is necessary. So I was wondering - is it possible to just lift my hanging columella? And if so - what kind of procedure/post op would that entail? Recovery included :) thank you!!!
Steven G. Wallach, MD's Response:
A hanging columella can be treated with an isolated procedure. However most patients require more than just treatment of that region. You would have to be seen in person to be properly evaluated.
Blood pressure and time
Tummy TuckMember Response:
I treat a lot of patients who have high blood pressure and her on medication. You will likely need medical clearance to move forward. Best of luck.
Blood pressure and time
Question:
Hello, I’m getting a BBL, Lipo and tummy tuck. I Take Blood Pressure Meds and my blood pressure is under control. Is it safe for me to have plastic surgery? Is it safe to be in surgery for 5 hours? Has anyone had surgery who takes blood pressure meds or worked on a patient with who takes meds for high blood pressure and similar procedures? How is the recovery for these procedures? Thanks!
Steven G. Wallach, MD's Response:
I treat a lot of patients who have high blood pressure and her on medication. You will likely need medical clearance to move forward. Best of luck.
Can I fix my uneven nostrils and septum?
RhinoplastyMember Response:
Nostril Asymmetry is normal but it also can be exaggerated with septal deviation as well. You are best to be seen in person to be properly evaluated.
Can I fix my uneven nostrils and septum?
Question:
I’ve been thinking of get a septoplasty and rhinoplasty on my nose but I have noticed that my nostrils look uneven and my nose looks slanted to the right. What would you recommend I do?
Steven G. Wallach, MD's Response:
Nostril Asymmetry is normal but it also can be exaggerated with septal deviation as well. You are best to be seen in person to be properly evaluated.
Leg area
LiposuctionMember Response:
Sure, that sounds reasonable but you would have to be seen in person to make sure that you are a candidate. Best of luck.
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!
Steven G. Wallach, MD's Response:
Sure, that sounds reasonable but you would have to be seen in person to make sure that you are a candidate. Best of luck.
Cool sculpting , Sculpture or Liposuction?
LiposuctionMember Response:
You may need a tummy tuck to treat the area around the umbilicus. I can’t tell without an exam. In my opinion, liposuction will give you the most reliable result over coolsculpt if you have a fat issue. . Coolsculpt may improve things by about 20%.
Cool sculpting , Sculpture or Liposuction?
Question:
What is the cost comparison for these 3 procedures? Is liposuction more reliable for the results? I have a stubborn area around my belly button from having three girls , even with doing set up‘s and exercises. . And the other area as love handles. The bellybutton area is really my main focus. Thank you in advance for any advice you might have on these procedures and best results.
Steven G. Wallach, MD's Response:
You may need a tummy tuck to treat the area around the umbilicus. I can’t tell without an exam. In my opinion, liposuction will give you the most reliable result over coolsculpt if you have a fat issue. . Coolsculpt may improve things by about 20%.
Rhinoplasty and Accutane
RhinoplastyMember Response:
6 months is the recommended time to be off the Accutane before elective surgery.
Rhinoplasty and Accutane
Question:
Hello, I want to know the waiting period between rhinoplasty and accutane. I took 40mg twice a day for six months. Thank you. Rubal C.
Steven G. Wallach, MD's Response:
6 months is the recommended time to be off the Accutane before elective surgery.
Gynecomastia
Breast ReductionMember Response:
It is difficult for me to answer this question because the fee will vary from surgeon to surgeon and in different regions of the world. My best suggestion is to find a board-certified plastic surgeon in your area to be properly evaluated. Best of luck
Gynecomastia
Question:
How much cost gynecomastia surgery in Kuwait.
Steven G. Wallach, MD's Response:
It is difficult for me to answer this question because the fee will vary from surgeon to surgeon and in different regions of the world. My best suggestion is to find a board-certified plastic surgeon in your area to be properly evaluated. Best of luck
Nipples
Breast AugmentationMember Response:
If the areola are low, then it is part of a lift. This can be performed at the same time as a breast augmentation. I do this all the time.
Nipples
Question:
Is the augmentation the re-positioning of the nipples or is that the lift?
Steven G. Wallach, MD's Response:
If the areola are low, then it is part of a lift. This can be performed at the same time as a breast augmentation. I do this all the time.
Gastric Sleeve Surgery 2012
Tummy TuckMember Response:
I’m not exactly sure what you are describing. However, I have treated many many gastric bypass patients in the past. I’ve performed a lot of body lifts also treating the Mons pubis area. It is best to be seen in person to be properly evaluated. Best of luck.
Gastric Sleeve Surgery 2012
Question:
I had GSS in 2012. After I had my hernia surgery I had a huge amount of skin hanging removed along with my groin area skin removed. (or so I thought). After my surgery I woke up and saw how hideous I was left. He cut straight across and no groin area, My question is, is there a surgery that will take care of both?
Steven G. Wallach, MD's Response:
I’m not exactly sure what you are describing. However, I have treated many many gastric bypass patients in the past. I’ve performed a lot of body lifts also treating the Mons pubis area. It is best to be seen in person to be properly evaluated. Best of luck.
Re: Tummy tuck and health
Tummy TuckMember Response:
I have perform tummy tucks on patients with a history of diabetes and high blood pressure. However, their blood pressure and glucose are usually well controlled. They also will go for a pre-medical clearance with their medical doctor prior to surgery.
Re: Tummy tuck and health
Question:
Hi. I have a question. I have high blood pressure and I'm a pre-diabetic. I wanted to know was a tummy tuck safe for me? Thank you!
Steven G. Wallach, MD's Response:
I have perform tummy tucks on patients with a history of diabetes and high blood pressure. However, their blood pressure and glucose are usually well controlled. They also will go for a pre-medical clearance with their medical doctor prior to surgery.
Surgery experience
Arm LiftMember Response:
It is hard to say at what number a surgeon would be proficient at a specific operation. Some surgeons can do one operation all the time and not be very good at it and others can do it a few times and be very good at it. Remember if the surgeon does thousands and thousands of one specific operation then they’re never doing any other operation. A good surgeon does not have to do hundreds of that specific operation to be good at it.
Surgery experience
Question:
my first consult is next week. i want to have an arm lift. if i ask my MD how many times he has performed this procedure, how do i know what's acceptable/preferred? 500 times? 250 times?
Steven G. Wallach, MD's Response:
It is hard to say at what number a surgeon would be proficient at a specific operation. Some surgeons can do one operation all the time and not be very good at it and others can do it a few times and be very good at it. Remember if the surgeon does thousands and thousands of one specific operation then they’re never doing any other operation. A good surgeon does not have to do hundreds of that specific operation to be good at it.
Cost
Body ContouringMember Response:
In order to adequately quote you a fee, you would have to be seen in person to determine what surgeries would be appropriate for you. Good luck.
Cost
Question:
Is body contouring for removing fat in places needed? Also whats the average cost for the abdominal and chest fat removal? (Overweight)
Steven G. Wallach, MD's Response:
In order to adequately quote you a fee, you would have to be seen in person to determine what surgeries would be appropriate for you. Good luck.
Body contouring post 185 pound WL
Body ContouringMember Response:
If the neck skin is severely loose, then sometimes a neck lift is indicated.
Body contouring post 185 pound WL
Question:
Hi! I’m 25 years old and I’m the last 2 and a 1/2 years I’ve lost 185 pounds! As a result, I’m now left with extreme amounts of excess sagging skin. One of my complaints is my lower neck/jaw line. I know that being a candidate for a particular procedure varies based on patient need. What are some options to combat loose neck skin post significant weight loss?
Steven G. Wallach, MD's Response:
If the neck skin is severely loose, then sometimes a neck lift is indicated.
Contour before tummy
Body ContouringMember Response:
You can do either or. Tummy first or lipo first.
Contour before tummy
Question:
Is it safer to get liposuction done first before having full tummy tuck ?
Steven G. Wallach, MD's Response:
You can do either or. Tummy first or lipo first.
Symmastia
Breast ReductionMember Response:
Symmastia is a diagnosis based upon an implant crossing the midline of the chest and communicating with the opposite side or close to it. And for patienrts with very large breasts, sometimes their central chest area is full possibly with fatty tissue or stretched out from the weight of the breasts. This may or may not improve with a reduction.
Symmastia
Question:
Hi I am 42 and have Symmastia. I have never had implants. I am a 28 G. I have a small frame and small back but very large breast. I wanted to get a breast reduction and fix my Symmastia. When I put on weight it goes right to my breast. I am afraid that if not done properly it can get worse. What do you recommend?
Steven G. Wallach, MD's Response:
Symmastia is a diagnosis based upon an implant crossing the midline of the chest and communicating with the opposite side or close to it. And for patienrts with very large breasts, sometimes their central chest area is full possibly with fatty tissue or stretched out from the weight of the breasts. This may or may not improve with a reduction.
How safe and effective is blepharoplasty?
Eyelid SurgeryMember Response:
Having a blepharoplasty performed can give very natural results. Seeing you in person would be best to determine what would be the appropriate procedure for you
How safe and effective is blepharoplasty?
Question:
For under the eye bags, can laser surgery be done? What are post op issues to deal with. What are risks? How natural do the results look?
Steven G. Wallach, MD's Response:
Having a blepharoplasty performed can give very natural results. Seeing you in person would be best to determine what would be the appropriate procedure for you
Areola are big
Breast ReductionMember Response:
Yes it is possible to reduce the areola. I’ve done this on several men. I’ve also reduced their nipple size if the nipple is large as well. Sometimes these can be put on payment plans.
Areola are big
Question:
Hi I'm a guy that has big areolas I'm definitely not overweight so is I'm wondering if possible to get surgery and is it possible to put on a payment plan as well
Steven G. Wallach, MD's Response:
Yes it is possible to reduce the areola. I’ve done this on several men. I’ve also reduced their nipple size if the nipple is large as well. Sometimes these can be put on payment plans.
Brazilian Butt Lift Recovery
Body ContouringMember Response:
It’s unusual to have a lot of pain eight weeks out after a Brazilian butt lift. It might be a good idea to be seen by a doctor in person to make sure that your pain is due to normal healing or something else.
Brazilian Butt Lift Recovery
Question:
I had fat transferred to my butt 8 weeks ago. I'm still very sensitive, just leaning on a wall hurts. Will it affect the final result of the surgery if I sit or will it just hurt? Is lying down on my back just as harmful? Thanks much
Steven G. Wallach, MD's Response:
It’s unusual to have a lot of pain eight weeks out after a Brazilian butt lift. It might be a good idea to be seen by a doctor in person to make sure that your pain is due to normal healing or something else.
Lipo360 vs tummy tuck 360 with fat transfer to the buttocks
LiposuctionMember Response:
These are just marketing tool names for the different procedures. Lipo 360 usually refers to lipo of the abdomen And waste. The abdomino plasty 360 would also include lipo suction of the waste. It is best to be seen in person to be properly evaluated.
Lipo360 vs tummy tuck 360 with fat transfer to the buttocks
Question:
What is the difference in a tummy tuck 360 and lipo 360? Is a fat transfer the same as a Brazilian but lift or butt augmentation? If not, what's the difference.
Steven G. Wallach, MD's Response:
These are just marketing tool names for the different procedures. Lipo 360 usually refers to lipo of the abdomen And waste. The abdomino plasty 360 would also include lipo suction of the waste. It is best to be seen in person to be properly evaluated.
Plastic reconstruction surgery
Tummy TuckMember Response:
You would have to wait until your weight-loss has stabilized after your gastric bypass surgery. At that point you can see a plastic surgeon to be evaluated for cosmetic surgery to reduce the skin excess.
Plastic reconstruction surgery
Question:
Yes I have a question can I undergo on plastic reconstruction surgery while they do a gastric bypass surgery at the same time or i have to wait certain time frame after my gastric bypass sury
Steven G. Wallach, MD's Response:
You would have to wait until your weight-loss has stabilized after your gastric bypass surgery. At that point you can see a plastic surgeon to be evaluated for cosmetic surgery to reduce the skin excess.
Breast augmentation
Breast AugmentationMember Response:
In general, many patients can undergo a breast augmentation and a tummy tuck at the same time. You would have to be evaluated in person to see if you are a good candidate and if you are healthy enough to undergo both procedures at the same time.
Breast augmentation
Question:
I had a lollipop breast lift done almost a year ago and I already had implants. I am wanting to go with a larger implant for fullness. I am also wanting a tummy tuck. Can both be done at the same time?
Steven G. Wallach, MD's Response:
In general, many patients can undergo a breast augmentation and a tummy tuck at the same time. You would have to be evaluated in person to see if you are a good candidate and if you are healthy enough to undergo both procedures at the same time.
Indention on right breast
Breast LiftMember Response:
Sometimes the indentation occurs from the skin being a little too tight. Often times with time the stretches out a little bit and improves.
Indention on right breast
Question:
I had a lollipop breast lift done almost a year ago and my right breast has a small indention along the scar that goes down from the nipple. Can you tell me what could cause this?
Steven G. Wallach, MD's Response:
Sometimes the indentation occurs from the skin being a little too tight. Often times with time the stretches out a little bit and improves.
Breast Reduction and tank top lipo
Breast ReductionMember Response:
Many times Liposuction and a breast reduction can be performed at the same time. It really depends upon your overall health.
Breast Reduction and tank top lipo
Question:
Hello , I want to get a breast reduction and a liposuction of the underarm and bulging surrounding area. Would you recommend to have both procedures done at the same time or do the breast reduction first and later on do the liposuction. Thank you in advance for your response.
Steven G. Wallach, MD's Response:
Many times Liposuction and a breast reduction can be performed at the same time. It really depends upon your overall health.
Inquiry
Breast LiftMember Response:
There are many different ways to perform a breast lift. What would be best for you It’s difficult to say without performing an appropriate exam.
Inquiry
Question:
Hello. What's the procedure of breast lift
Steven G. Wallach, MD's Response:
There are many different ways to perform a breast lift. What would be best for you It’s difficult to say without performing an appropriate exam.
Age restrictions?
Breast LiftMember Response:
There are no specific age restrictions for a breast lift per se. At 19 you do not need permission to undergo a procedure. However it is a good idea to be seen in person to see what your breasts look like and whether or not they truly sag. Once this is performed a surgical plan can be discussed if it is indicated. Good luck
Age restrictions?
Question:
I’ve done some research and I haven’t seen many younger women do these procedures. I’m only 19 and I’ve always been very uncomfortable with how my breasts sag and how much extra skin I have. My question was, how old should I be before I start seriously considering these procedures, if not now? I have always been interested in these procedures but I also don’t want to risk ruining my breasts either
Steven G. Wallach, MD's Response:
There are no specific age restrictions for a breast lift per se. At 19 you do not need permission to undergo a procedure. However it is a good idea to be seen in person to see what your breasts look like and whether or not they truly sag. Once this is performed a surgical plan can be discussed if it is indicated. Good luck
Average cost
RhinoplastyMember Response:
The fee for rhinoplasty will really very based upon the complexity of the surgery that is required the various surgeons that you may go to as well as the region of the country where you go to. It is best to be seen in person . In New York City, a simple straightforward tip rhinoplasty could range from $5000-$12,000 where as a more complex rhinoplasty with significant septal issues may be anywhere from $10-$20,000. Good luck.
Average cost
Question:
I’m really interested in getting a nose job but how much would it cost me?
Steven G. Wallach, MD's Response:
The fee for rhinoplasty will really very based upon the complexity of the surgery that is required the various surgeons that you may go to as well as the region of the country where you go to. It is best to be seen in person . In New York City, a simple straightforward tip rhinoplasty could range from $5000-$12,000 where as a more complex rhinoplasty with significant septal issues may be anywhere from $10-$20,000. Good luck.
Dont know what to do!
Breast AugmentationMember Response:
In order to determine what would be best for you, you would have to be seen in person. A small reduction with the lift is very possible if that is what you desire.
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?
Steven G. Wallach, MD's Response:
In order to determine what would be best for you, you would have to be seen in person. A small reduction with the lift is very possible if that is what you desire.
Breast Reduction
Breast ReductionMember Response:
If you are looking to have your breast reduction surgery covered by your insurance company, then I suggest you contact them to find out their criteria for approval. There is no specific number of breast reductions a person can or cannot have. However, it is unlikely for patients to have more than one, but on occasion may need a second
Breast Reduction
Question:
How many breast reduction surgeries can a woman have, and do the insurance company have a wait time before another breast reduction surgery be performed?
Steven G. Wallach, MD's Response:
If you are looking to have your breast reduction surgery covered by your insurance company, then I suggest you contact them to find out their criteria for approval. There is no specific number of breast reductions a person can or cannot have. However, it is unlikely for patients to have more than one, but on occasion may need a second
Tummy tuck
Tummy TuckMember Response:
Whether or not you are a candidate for a tummy tuck would have to be Turman and upon examination person. As for your other medical conditions they would have to be evaluated by your medical doctor and vascular surgeon to see if you were cleared for the surgery.
Tummy tuck
Question:
I had Bariatric surgery 7 years ago and my stomach is really sagging now. I have ha a c section, hysterectomy and an aneurysm off my kidney. I’m 66 and also have bulging dis on L4 & L5- do you think I would be a viable candidate for thentummy tuck?
Steven G. Wallach, MD's Response:
Whether or not you are a candidate for a tummy tuck would have to be Turman and upon examination person. As for your other medical conditions they would have to be evaluated by your medical doctor and vascular surgeon to see if you were cleared for the surgery.
Do I need to remove implants?
Breast ReductionMember Response:
Depending upon how large your breast implants are, you may be a candidate to have the implants removed and also perform a breast lift. The only way to know for sure is to examine you in person and to review your history. Good luck.
Do I need to remove implants?
Question:
I had implants inserted in 1996, saline size 36 d I want a breast reduction do to back issues. Do I need to replace implants for reduction or is there a less painful way
Steven G. Wallach, MD's Response:
Depending upon how large your breast implants are, you may be a candidate to have the implants removed and also perform a breast lift. The only way to know for sure is to examine you in person and to review your history. Good luck.
Questions
Breast ReductionMember Response:
A breast reduction is a very common procedure that in my hands usually takes between 2-3 hrs to perform. Patients usually go home the same day. The risks of complications are pretty low for healthy low BMI patients. Good luck
Questions
Question:
Hi Surgeons , I Was Interested In Getting A Breast Reduction Like I Am Really Scared Of Getting Put To Sleep Like What Are The Risks Of A Breast Reduction ? What Are The Death Rate Of A Breast Reduction Surgery ? How Long Will I Be Asleep For The Surgery ? How Long Would I Have To Be On Bedrest After I Leave The Hospital ?
Steven G. Wallach, MD's Response:
A breast reduction is a very common procedure that in my hands usually takes between 2-3 hrs to perform. Patients usually go home the same day. The risks of complications are pretty low for healthy low BMI patients. Good luck
Inverted Nipples
Breast AugmentationMember Response:
Yes it is possible to reduce and match the Areola during breast augmentation. Inverted nipples if they are mild often improve just with the breast augmentation itself. If further release is necessary then a procedure can be performed at the same time.
Inverted Nipples
Question:
Can the areola be fixed during breast augmentation surgery to be equal to the other breast? Is there a procedure to fix inverted nipples or does that all fall under breast augmentation?
Steven G. Wallach, MD's Response:
Yes it is possible to reduce and match the Areola during breast augmentation. Inverted nipples if they are mild often improve just with the breast augmentation itself. If further release is necessary then a procedure can be performed at the same time.
Inverted Nipples
Breast AugmentationMember Response:
Yes it is possible to reduce and match the Areola during breast augmentation. Inverted nipples if they are mild often improve just with the breast augmentation itself. If further release is necessary then a procedure can be performed at the same time.
Inverted Nipples
Question:
Can the areola be fixed during breast augmentation surgery to be equal to the other breast? Is there a procedure to fix inverted nipples or does that all fall under breast augmentation?
Steven G. Wallach, MD's Response:
Yes it is possible to reduce and match the Areola during breast augmentation. Inverted nipples if they are mild often improve just with the breast augmentation itself. If further release is necessary then a procedure can be performed at the same time.
Male Breast Reduction
Breast ReductionMember Response:
I think in order to answer your question precisely, you would need to be seen in person. Most of the men that I see often do very well with just liposuction. However if they have a very glandular component to their chest and/or have a lot of loose skin, then they might need a more involved procedure requiring skin excision and glandexcision as well.
Male Breast Reduction
Question:
How much breast can be removed at one time?
Steven G. Wallach, MD's Response:
I think in order to answer your question precisely, you would need to be seen in person. Most of the men that I see often do very well with just liposuction. However if they have a very glandular component to their chest and/or have a lot of loose skin, then they might need a more involved procedure requiring skin excision and glandexcision as well.
After math
Body ContouringMember Response:
It really depends upon the individual, their age, their weight, how much fat is moved during liposuction to determine what the skin may or may not look like after the procedure.
After math
Question:
I plan on getting a Brazilian butt lift and i know that i will need a tummy tuck but i dont want to get one yet because i plan on having another baby in about 2 years. What will my stomach look like after it has been liposuction-ed?
Steven G. Wallach, MD's Response:
It really depends upon the individual, their age, their weight, how much fat is moved during liposuction to determine what the skin may or may not look like after the procedure.
Labiplasti
Aesthetic Genital Plastic SurgeryMember Response:
You will have to ask around like from people in your community. It is a common procedure that is done in New York all the time. Good luck
Labiplasti
Question:
I want to get a labiplasti i was born with an enlarged labia and don’t like how it looks and it’s uncomfortable for me to wear bathing suits, have sex, or just feel normal when i search plastic surgeons in Lexington KY i don’t see anybody who does this procedure so just wondering if anybody knows a good surgeon who does it?
Steven G. Wallach, MD's Response:
You will have to ask around like from people in your community. It is a common procedure that is done in New York all the time. Good luck
Consultations
Body ContouringMember Response:
I think that the easiest way to contact the doctors office is to call on the phone. Not all doctors will respond to these emails.
Consultations
Question:
Hello, I was wondering how long it takes for a doctor to get back to you about a consultation meeting after sending an email to them about it. I emailed a doctor that was preferred to me by you guys, and it’s been about 2 months but the surgeon has not gotten back to me... what should I do?
Steven G. Wallach, MD's Response:
I think that the easiest way to contact the doctors office is to call on the phone. Not all doctors will respond to these emails.
Which procedure?
Breast LiftMember Response:
It is difficult to say what would be the best procedure for you without seeing you in person and performing an appropriate examination. If you have a lot of loose skin then you most likely will need some sort of breast lift with a anchor type incision to treat all the loose skin.
Which procedure?
Question:
I have sagging breasts and am looking into having a breast lift. I also have alot of extra skin. Does this make a difference in what kind of procedure I will need? I am hoping for a youthful profile or side view. I am a 36DD now, but alot may be due to the extra skin
Steven G. Wallach, MD's Response:
It is difficult to say what would be the best procedure for you without seeing you in person and performing an appropriate examination. If you have a lot of loose skin then you most likely will need some sort of breast lift with a anchor type incision to treat all the loose skin.
Nipples/areola
Breast AugmentationMember Response:
In general reducing the size of the areola or the nipple does not usually change the nipple sensation. There is a small risk of change of sensation which is difficult to predict
Nipples/areola
Question:
Is it possible to reduce the size of the nipple, well areola without losing sensation?
Steven G. Wallach, MD's Response:
In general reducing the size of the areola or the nipple does not usually change the nipple sensation. There is a small risk of change of sensation which is difficult to predict
Body
LiposuctionMember Response:
There is no specific weight limit for Liposuction. However patients with a lower BMI usually have lower risk for complications. I have treated patients on the high side of BMI, but they understand that this is to deflate them a little bit. They know that weight loss by diet and exercise will also be beneficial and that other procedures like skin excision will likely be necessary down the road to provide optimal results.
Body
Question:
Is there a weight limit?
Steven G. Wallach, MD's Response:
There is no specific weight limit for Liposuction. However patients with a lower BMI usually have lower risk for complications. I have treated patients on the high side of BMI, but they understand that this is to deflate them a little bit. They know that weight loss by diet and exercise will also be beneficial and that other procedures like skin excision will likely be necessary down the road to provide optimal results.
Superpubic large fat pad
Tummy TuckMember Response:
Many times either liposuction or direct excision will improve the appearance of the mons pubis.
Superpubic large fat pad
Question:
Had gastric bypass 2002 17lb skin apron removed 2010 now large superpubic fat pad want to know if there a medical grade compression for this problem have tried spans and even griddle but it is still noticeable through clothing griddle was a nightmare. Was told Lipo would not help would be lots of loose skin hanging would have to be surgeries procedure I am now 63 was told that at my age I should
Steven G. Wallach, MD's Response:
Many times either liposuction or direct excision will improve the appearance of the mons pubis.
Tummy tuck and contouring
Body ContouringMember Response:
It sounds like you might be a good candidate for a tummy tuck. However, you would have to be seen in person to be properly evaluated, to review your medical history, and to also review your goals of surgery. Best of luck.
Tummy tuck and contouring
Question:
I 'm 59 and lost 69 pounds. My apron belly is still holding fat and I walk 4 miles a day. Had 4 surgeries in the past going in through my stomach. Everything I wear looks bd because of the belly and extra skin. The sagging of the apron belly pulls on my lumbar back. Where I have already had 2 surgeries. Can you will you help me?
Steven G. Wallach, MD's Response:
It sounds like you might be a good candidate for a tummy tuck. However, you would have to be seen in person to be properly evaluated, to review your medical history, and to also review your goals of surgery. Best of luck.
Board Certified???
FaceliftMember Response:
A plastic surgeon can be board-certified and not a member of ASPS. You can check with the American Board of plastic surgery to see if he is board certified. I will say that the majority of board-certified plastic surgeons are members of ASPS.
Board Certified???
Question:
By many recommendations I chose a plastic surgeon for a mini face, neck and laser procedure but when I went on line to check if he was ASPS, no name was found. One of the reps at my inquiry said that not all doctors register. If so, how do I find out about his credentials??? Is a mini face life, neck lift and a facial laser painful? go
Steven G. Wallach, MD's Response:
A plastic surgeon can be board-certified and not a member of ASPS. You can check with the American Board of plastic surgery to see if he is board certified. I will say that the majority of board-certified plastic surgeons are members of ASPS.
Insurance
Breast ReductionMember Response:
It sounds like you might be a candidate for a breast reduction. In order to determine the criteria for approval by your insurance company, you should contact them and find out what documentation you need to provide in order to seek approval of the procedure. You will also have to see a plastic surgeon to be properly evaluated. Best of luck
Insurance
Question:
I'm 20 Years Old & I Wear D44 & I Have Real Saggy Boobs & I Have A Lot Of Back Pain & Neck Pain . When I Sleep I Have Very Discomfort In My Back & My Boobs Get Real Heavy On Me . I Cant Even Exercise Or Doing Anything Physical Without My Back Hurting Me .
Steven G. Wallach, MD's Response:
It sounds like you might be a candidate for a breast reduction. In order to determine the criteria for approval by your insurance company, you should contact them and find out what documentation you need to provide in order to seek approval of the procedure. You will also have to see a plastic surgeon to be properly evaluated. Best of luck
I want them smaller
Breast ReductionMember Response:
You certainly can have a breast reduction You should see a plastic surgeon to determine what your options are. You will also have to check with your insurance company about their criteria for approval.
I want them smaller
Question:
Ok so I’m not plus size but I do have big breast I’m 18 but since like 8 I developed faster than everyone else it was cool for a while until I started getting the wrong attention and having back issues. I’m 5’3 pretty small but I have 44D cup size maybe a couple sizes bigger and I can’t live with them any more. Am I eligible for the surgery?
Steven G. Wallach, MD's Response:
You certainly can have a breast reduction You should see a plastic surgeon to determine what your options are. You will also have to check with your insurance company about their criteria for approval.
Age
Breast ReductionMember Response:
You can certainly have a breast reduction performed at the age of 16 provided that you have consent from your parents and you have also reached adult size.
Age
Question:
Can you get a breast reduction at the age 16?, would insurance cover it since I am under the age 18?
Steven G. Wallach, MD's Response:
You can certainly have a breast reduction performed at the age of 16 provided that you have consent from your parents and you have also reached adult size.
Mini facelift
FaceliftMember Response:
A surgeon can do 5000 facelifts or 100 facelifts, it doesn’t mean that one surgeon is better than the other. Your best to see some of their results in their office and discuss your care with a given surgeon in the office. Best of luck
Mini facelift
Question:
To learn how many mini facelifts have been performed do you ask the surgeon or obtain a report from a database.
Steven G. Wallach, MD's Response:
A surgeon can do 5000 facelifts or 100 facelifts, it doesn’t mean that one surgeon is better than the other. Your best to see some of their results in their office and discuss your care with a given surgeon in the office. Best of luck
Full body liposuction
LiposuctionMember Response:
I perform a lot of Liposuction. Because there are limitations in the amount of fat that can be removed in one session, I do not recommend performing total body Liposuction in one operation. This likely would have to be staged.
Full body liposuction
Question:
To do full body lipo, what are the requirements?
Steven G. Wallach, MD's Response:
I perform a lot of Liposuction. Because there are limitations in the amount of fat that can be removed in one session, I do not recommend performing total body Liposuction in one operation. This likely would have to be staged.
Gallbladder surgery
Tummy TuckMember Response:
I have performed abdominoplasties on patients with previous gallbladder incisions. I will say that there is a slight increased risk of potential complications with it. I have not had a problem with wound healing.
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?
Steven G. Wallach, MD's Response:
I have performed abdominoplasties on patients with previous gallbladder incisions. I will say that there is a slight increased risk of potential complications with it. I have not had a problem with wound healing.
recommended amount to remove?
Breast ReductionMember Response:
Without performing an in person exam, it is difficult to tell you how much tissue I would estimate that would be needed to be removed for your breast reduction. I will say that breast volume reduction’s do not correlate well with bra measurements.
recommended amount to remove?
Question:
According to the Schur scale my 1.73 figure would mean about 400g removed from each breast to qualify for insurance coverage. If my breasts are a 32H(us) what rough size would that take me to? Thank you!
Steven G. Wallach, MD's Response:
Without performing an in person exam, it is difficult to tell you how much tissue I would estimate that would be needed to be removed for your breast reduction. I will say that breast volume reduction’s do not correlate well with bra measurements.
Excess skin removal after extreme weight loss
Body ContouringMember Response:
For patients with extreme body weight loss, I prefer to perform a full circumferential body lift. A high lateral tension abdominoplasty does not treat all the laxity around the body.
Excess skin removal after extreme weight loss
Question:
Where is the incision scar after having the “High lateral tension abdominoplasty”? Does this surgery remove excess skin from the abdomen, and the thighs about halfway down the thigh? About how much time does that surgery typically last? Thanks!
Steven G. Wallach, MD's Response:
For patients with extreme body weight loss, I prefer to perform a full circumferential body lift. A high lateral tension abdominoplasty does not treat all the laxity around the body.
Am I a good canadate
Tummy TuckMember Response:
If you are a good candidate for an abominoplasty, it sounds reasonable to move forward. However you would have to be seen in person to see if you are a good candidate or not. Good luck!
Am I a good canadate
Question:
I am 54 years old I’ve been on diets scence I was in my 20’s we have five children and I have tried and tried and tried. Thin most of my life I just can’t get rid of this ever seemingly growing middle section! I would like to have a tummy tuck so I can move and exercise more easily! I weigh 200 pounds and am 5’7” I’m pretty healthy . My goal is to get a tummy tuck and maintain my weight.
Steven G. Wallach, MD's Response:
If you are a good candidate for an abominoplasty, it sounds reasonable to move forward. However you would have to be seen in person to see if you are a good candidate or not. Good luck!
Am I a good canadate
Tummy TuckMember Response:
If you are a good candidate for an abominoplasty, it sounds reasonable to move forward. However you would have to be seen in person to see if you are a good candidate or not. Good luck!
Am I a good canadate
Question:
I am 54 years old I’ve been on diets scence I was in my 20’s we have five children and I have tried and tried and tried. Thin most of my life I just can’t get rid of this ever seemingly growing middle section! I would like to have a tummy tuck so I can move and exercise more easily! I weigh 200 pounds and am 5’7” I’m pretty healthy . My goal is to get a tummy tuck and maintain my weight.
Steven G. Wallach, MD's Response:
If you are a good candidate for an abominoplasty, it sounds reasonable to move forward. However you would have to be seen in person to see if you are a good candidate or not. Good luck!
Breast lift
Breast LiftMember Response:
In general, I prefer to use breast implants to augment the breast volume. I will use fat on some occasions but I feel that an implant provides a more reliable final volume.
Breast lift
Question:
Hi, I had a breast lift. I can’t find a bra that fits in the cup area. I didn’t want to get implants. Can I get fat transfer in my breast to go up a bra size?
Steven G. Wallach, MD's Response:
In general, I prefer to use breast implants to augment the breast volume. I will use fat on some occasions but I feel that an implant provides a more reliable final volume.
Breast lift
Breast LiftMember Response:
In general, I prefer to use breast implants to augment the breast volume. I will use fat on some occasions but I feel that an implant provides a more reliable final volume.
Breast lift
Question:
Hi, I had a breast lift. I can’t find a bra that fits in the cup area. I didn’t want to get implants. Can I get fat transfer in my breast to go up a bra size?
Steven G. Wallach, MD's Response:
In general, I prefer to use breast implants to augment the breast volume. I will use fat on some occasions but I feel that an implant provides a more reliable final volume.
Breast lift
Breast LiftMember Response:
In general, I prefer to use breast implants to augment the breast volume. I will use fat on some occasions but I feel that an implant provides a more reliable final volume.
Breast lift
Question:
Hi, I had a breast lift. I can’t find a bra that fits in the cup area. I didn’t want to get implants. Can I get fat transfer in my breast to go up a bra size?
Steven G. Wallach, MD's Response:
In general, I prefer to use breast implants to augment the breast volume. I will use fat on some occasions but I feel that an implant provides a more reliable final volume.
Excess skin removal and liposuction
Body ContouringMember Response:
It sounds like you desire a thigh lift. Sometimes liposuction can be performed at the same time as a thigh lift. The Liposuction can decrease the fat volume but the skin that is Loose would need to be excised directly. You would have to be seen in person to be properly evaluated. Good luck.
Excess skin removal and liposuction
Question:
I am interested in having excess skin removed from my thighs, along with liposuction. I don’t see that listed in your topics. Is this surgery done for thighs?
Steven G. Wallach, MD's Response:
It sounds like you desire a thigh lift. Sometimes liposuction can be performed at the same time as a thigh lift. The Liposuction can decrease the fat volume but the skin that is Loose would need to be excised directly. You would have to be seen in person to be properly evaluated. Good luck.
Pricing
Breast AugmentationMember Response:
The fee for a breast augmentation will vary from surgeon to surgeon and in different regions of the country. Your best to find a good surgeon first and then review the cost. I would caution you to look for “the best price”., because that may cost you more money in the end.
Pricing
Question:
How much would a breast implants be
Steven G. Wallach, MD's Response:
The fee for a breast augmentation will vary from surgeon to surgeon and in different regions of the country. Your best to find a good surgeon first and then review the cost. I would caution you to look for “the best price”., because that may cost you more money in the end.
How old do you have to be and will insurance cover it?
Breast LiftMember Response:
If you desire a breast reduction, I usually wait until the patient has reached adult size. This can be around 15 or 16. Sometimes patients may be younger if they suffer from gigantomastia.
How old do you have to be and will insurance cover it?
Question:
My breast hurt my back etc
Steven G. Wallach, MD's Response:
If you desire a breast reduction, I usually wait until the patient has reached adult size. This can be around 15 or 16. Sometimes patients may be younger if they suffer from gigantomastia.
Age requirements
Aesthetic Genital Plastic SurgeryMember Response:
In general, the patient has to be at least 18-years-old to be able to consent for this procedure.
Age requirements
Question:
How old is the requirement for this surgery?
Steven G. Wallach, MD's Response:
In general, the patient has to be at least 18-years-old to be able to consent for this procedure.
Will a transfer of fat to the hands help improve crepey skin?
Dermal FillersMember Response:
Fat is one alternative to provide more soft tissue volume in the hands. Some surgeons will use absorbable fillers like the hyaluronic acid products to see if that accomplishes your goals but this would have to be repeated as a filler resorbs.
Will a transfer of fat to the hands help improve crepey skin?
Question:
I've lived in Florida my entire life. Despite using sunscreens faithfully, the skin on my hands and arms has become crepey. Can a fat filler help diminish it? Can it be used on the forearms? Thank you.
Steven G. Wallach, MD's Response:
Fat is one alternative to provide more soft tissue volume in the hands. Some surgeons will use absorbable fillers like the hyaluronic acid products to see if that accomplishes your goals but this would have to be repeated as a filler resorbs.
Will a transfer of fat to the hands help improve crepey skin?
Dermal FillersMember Response:
Fat is one alternative to provide more soft tissue volume in the hands. Some surgeons will use absorbable fillers like the hyaluronic acid products to see if that accomplishes your goals but this would have to be repeated as a filler resorbs.
Will a transfer of fat to the hands help improve crepey skin?
Question:
I've lived in Florida my entire life. Despite using sunscreens faithfully, the skin on my hands and arms has become crepey. Can a fat filler help diminish it? Can it be used on the forearms? Thank you.
Steven G. Wallach, MD's Response:
Fat is one alternative to provide more soft tissue volume in the hands. Some surgeons will use absorbable fillers like the hyaluronic acid products to see if that accomplishes your goals but this would have to be repeated as a filler resorbs.
Awake during Breast Lift
Breast LiftMember Response:
While I suppose a breast procedure can be done under local, I do not recommend it. It is very difficult to anesthetize the tissues adequately enough for you to be pain-free during the procedure without having some sort of sedation as well.
Awake during Breast Lift
Question:
Can a breast lift procedure be performed under local anesthesia?
Steven G. Wallach, MD's Response:
While I suppose a breast procedure can be done under local, I do not recommend it. It is very difficult to anesthetize the tissues adequately enough for you to be pain-free during the procedure without having some sort of sedation as well.
Breast augmentation scar revision and going larger
Breast AugmentationMember Response:
In order to assess you appropriately, you would need to be seen in person. If you had bottoming out with the volume you have at present, it is not a good idea to go with a larger and heavier implant which may cause bottoming out again to occur.
Breast augmentation scar revision and going larger
Question:
Hey I had a breast augmentation in 2014 ended up bottoming out. Had 375 under muscle! My ps told me it was because my tissues were soft! Later had a revision and did not heal correctly ! Saw him today and recommends not fixing scars and not going bigger! I’m looking at 450/500! What are your thoughts on this and is there anyway I can attach a photo of the scar!
Steven G. Wallach, MD's Response:
In order to assess you appropriately, you would need to be seen in person. If you had bottoming out with the volume you have at present, it is not a good idea to go with a larger and heavier implant which may cause bottoming out again to occur.
I had a breast reduction
Breast AugmentationMember Response:
In order to evaluate you properly, you would have to be seen in person. Often times revision of the scars can be performed with very good outcomes.
I had a breast reduction
Question:
I had a breast reduction back in 2013 and since then my scarring is really bad and I have extra skin that the surgeon left I'm really scared about doing it again and it not coming out good I'm just trying to find a really good surgeon
Steven G. Wallach, MD's Response:
In order to evaluate you properly, you would have to be seen in person. Often times revision of the scars can be performed with very good outcomes.
Butt filler
Body ContouringMember Response:
In order to determine what might be appropriate for you, you would have to be seen in person. If you do. It have adequate donor sites, then perhaps buttock implants may be an option.
Butt filler
Question:
I'm 22 years old and great health but i weigh only 90.4 pounds and im only 4'11 tall. How will a butt lift and filler work for me if I'm so small already?
Steven G. Wallach, MD's Response:
In order to determine what might be appropriate for you, you would have to be seen in person. If you do. It have adequate donor sites, then perhaps buttock implants may be an option.
Cool sculpting
LiposuctionMember Response:
Cool sculpting is an option for non-invasive fat reduction. However, in my opinion most patients are dissatisfied with the final result. Liposuction is usually the better way to go to remove a higher volume of fat.
Cool sculpting
Question:
Is cool sculpting a non invasive alternative to liposuction?
Steven G. Wallach, MD's Response:
Cool sculpting is an option for non-invasive fat reduction. However, in my opinion most patients are dissatisfied with the final result. Liposuction is usually the better way to go to remove a higher volume of fat.
Lipo
LiposuctionMember Response:
The cost for Liposuction will vary from surgeon to surgeon. Your best first to go in for a consultation be evaluated by your chosen surgeon.
Lipo
Question:
How much does the average midsection lipo procedure cost?
Steven G. Wallach, MD's Response:
The cost for Liposuction will vary from surgeon to surgeon. Your best first to go in for a consultation be evaluated by your chosen surgeon.
Face tite
FaceliftMember Response:
I have not been impressed with the skin tightening devices in general. If you have sagging tissue you are likely better off with a facelift.
Face tite
Question:
How long will the results of radiofrequency tightening last on the face. Also do you feel this procedure is as good as a breastlift.
Steven G. Wallach, MD's Response:
I have not been impressed with the skin tightening devices in general. If you have sagging tissue you are likely better off with a facelift.
Tummy fat after lipo
Tummy TuckMember Response:
Once Liposuction is performed, the fat cells that are removed will not return. However if you gain weight the fat cells that remain will enlarge.
Tummy fat after lipo
Question:
Is it possible to gain fat in tummy after liposuction
Steven G. Wallach, MD's Response:
Once Liposuction is performed, the fat cells that are removed will not return. However if you gain weight the fat cells that remain will enlarge.
Fat transfer breast augmentation
Breast AugmentationMember Response:
I prefer to use breast implants for primary breast augmentation. I have used fat grafting for breast reconstruction, however, I feel that for primary breast augmentation you will get a more reliable consistent result with an implant. Fat grafting is not an exact science, and therefore not all the fat you place will take and live. Many times repeated fat injections required to achieve the desired volume. It is not without its own risks and complications.
Fat transfer breast augmentation
Question:
What are the risks of fat transfer breast augmentations? What is the down time? What is the average price for these type of breast augmentations?
Steven G. Wallach, MD's Response:
I prefer to use breast implants for primary breast augmentation. I have used fat grafting for breast reconstruction, however, I feel that for primary breast augmentation you will get a more reliable consistent result with an implant. Fat grafting is not an exact science, and therefore not all the fat you place will take and live. Many times repeated fat injections required to achieve the desired volume. It is not without its own risks and complications.
Um boobs?
Breast ReductionMember Response:
Based upon your description, it seems that you are probably a good candidate for a breast reduction procedure. Usually parental consent is needed unless you are an emancipated minor. Best of luck with your decision to move forward.
Um boobs?
Question:
I’m 16 with size 40DDD and I weigh about 129 pounds and iv been recommended by my doctor to look for breast reductions and a few parents have also said the same thing, can I get a breast reduction at 16 in florida with a parent consent?
Steven G. Wallach, MD's Response:
Based upon your description, it seems that you are probably a good candidate for a breast reduction procedure. Usually parental consent is needed unless you are an emancipated minor. Best of luck with your decision to move forward.
Breast Lift & Reduction.
Breast ReductionMember Response:
You certainly sound like a candidate for a breast reduction. If the breasts are sagging, a breast reduction procedure will also lift the breast as well as reduce the volume of tissue. You would have to be seen in person to be properly evaluated. best of luck.
Breast Lift & Reduction.
Question:
Hello, I am a 21 year old and I am currently sitting at a 38F. I have severe back pain and I am considering having a reduction . I also have a lot of sagging. Am I too young for a lift? Do I just need a reduction? Also is it possible to go down to a 36B or is there far too much tissue for me to have breast that small considering where I am starting.
Steven G. Wallach, MD's Response:
You certainly sound like a candidate for a breast reduction. If the breasts are sagging, a breast reduction procedure will also lift the breast as well as reduce the volume of tissue. You would have to be seen in person to be properly evaluated. best of luck.
Is it possible to add the nose bridge?
RhinoplastyMember Response:
You would have to be evaluated in person to determine if you’re a good candidate for a rhinoplasty procedure. If your nose is flat, dorsal augmentation using your own rib, cadaver rib, or a synthetic substitute can be used. The tip may or may not be refined as much as you would like, this would depend upon the thickness of your soft tissue envelope.
Is it possible to add the nose bridge?
Question:
I have seen a lot of pictures of nose job but every one has had a bigger nose fixed to smaller ones. But I have a flat nose and want to add nose bridge.How much will the whole procedure cost me?
Steven G. Wallach, MD's Response:
You would have to be evaluated in person to determine if you’re a good candidate for a rhinoplasty procedure. If your nose is flat, dorsal augmentation using your own rib, cadaver rib, or a synthetic substitute can be used. The tip may or may not be refined as much as you would like, this would depend upon the thickness of your soft tissue envelope.
For my daughter
LiposuctionMember Response:
If your daughter is still considered a minor, she will need permission from you as well for consent for the procedure. You would absolutely have to be seen in person and a discussion with both you and your daughter would be performed so that she could be evaluated for the procedure and to make sure that she is mature enough and has an understanding of the procedure before moving forward. In general I don’t usually use fat for primary breast augmentation. I prefer implants because they provide a more reliably consistent results.
For my daughter
Question:
My daughter is 17 and she would like to take the fat from her stomach and move it to her hips and take some of the fat from her thighs and move it to her breasts. If I give her consent as her mother does she qualify for this procedure?
Steven G. Wallach, MD's Response:
If your daughter is still considered a minor, she will need permission from you as well for consent for the procedure. You would absolutely have to be seen in person and a discussion with both you and your daughter would be performed so that she could be evaluated for the procedure and to make sure that she is mature enough and has an understanding of the procedure before moving forward. In general I don’t usually use fat for primary breast augmentation. I prefer implants because they provide a more reliably consistent results.
TT for Massive Abdominal Scars?
Tummy TuckMember Response:
It is quite possible that that a tummy tuck would be able to treat the issues that you discussed. However, without an exam it is difficult to say. Your best to be seen in person by a board-certified plastic surgeon to evaluate you and recommend appropriate action.
TT for Massive Abdominal Scars?
Question:
I’ve had 10 previous abdominal and due to endometriosis. My last surgery (1/2015) was a complete hysterectomy. I now have a grapefruit size mass of scaring . It’s a good two pants sizes larger than the other side and hard but mobile. And the scars are a painful mess. Is this something repairable with a TT? If not, what type of surgeon should I see? (I also need a breast reduction from an i cup.)
Steven G. Wallach, MD's Response:
It is quite possible that that a tummy tuck would be able to treat the issues that you discussed. However, without an exam it is difficult to say. Your best to be seen in person by a board-certified plastic surgeon to evaluate you and recommend appropriate action.
Hospital or in house OR
LiposuctionMember Response:
Each state has different requirements and mandates regarding how much fat can be removed during a Liposuction procedure. I think it is safe to do the procedure in a hospital or in a fully accredited office-based facility depending upon the patient’s overall medical condition. Furthermore, I try to limit each session to no more than 5 L of pure fat removed at any one session.
Hospital or in house OR
Question:
The amount of fat safely suctioned allowed; is it higher in a hospital? A surgeon with an in-house OR stated that he can remove the same amount of fat that a surgeon that uses a hospital. The surgeon that uses the hospital contradict that statement. Which is true and what is the max that can be safely removed? Hospital or in-house OR , benefits?
Steven G. Wallach, MD's Response:
Each state has different requirements and mandates regarding how much fat can be removed during a Liposuction procedure. I think it is safe to do the procedure in a hospital or in a fully accredited office-based facility depending upon the patient’s overall medical condition. Furthermore, I try to limit each session to no more than 5 L of pure fat removed at any one session.
Fat Transfer Augmentation
Breast AugmentationMember Response:
I do not routinely perform fat injection for primary breast augmentation. I prefer to use implants for a more consistent long-term result. However I will perform fat augmentation for patients with signs of rippling who have very thin soft tissue envelopes. I will also use it for revisions on breast reconstruction patients.
Fat Transfer Augmentation
Question:
How do you choose a good surgeon for this procedure? Is this procedure the same as it was many years ago or has it changed?
Steven G. Wallach, MD's Response:
I do not routinely perform fat injection for primary breast augmentation. I prefer to use implants for a more consistent long-term result. However I will perform fat augmentation for patients with signs of rippling who have very thin soft tissue envelopes. I will also use it for revisions on breast reconstruction patients.
Fat transfer results
Breast AugmentationMember Response:
Thank you for your great question. In general, fat transfer to the breast’s often do not provide adequate volume for most patients. Most the time I prefer to use breast implants. If your breasts are saggy then you will likely need a breast lift. Breast implants alone do not usually lift the breast significantly. You would have to be seen in person to be sure. Good luck
Fat transfer results
Question:
Hello. I am considering a breast augmentation. I have breastfed 2 children, and now hat I’m done I’m ready to get my body back. My breasts are very deflated, and I would like a complete overhaul (make aeriola smaller, lift, better shape, the works) will I be able to get my desired result through the fat transfer stem cell method, or would I need implants and lift? I’m nervous to have implants
Steven G. Wallach, MD's Response:
Thank you for your great question. In general, fat transfer to the breast’s often do not provide adequate volume for most patients. Most the time I prefer to use breast implants. If your breasts are saggy then you will likely need a breast lift. Breast implants alone do not usually lift the breast significantly. You would have to be seen in person to be sure. Good luck
TT with a concurrent Hysterectomy?
Tummy TuckMember Response:
Hi Tia. A hysterectomy can be performed in conjunction with a tummy tuck for many patients It really depends upon multiple factors including the reason for your hysterectomy whether it is for cancer or not as well as your overall medical health and condition. You are best to be seen in person to be properly evaluated. Good luck.
TT with a concurrent Hysterectomy?
Question:
I would love to find a surgeon who is confident in doing the panniculectomy at the same time as my hysterectomy
Steven G. Wallach, MD's Response:
Hi Tia. A hysterectomy can be performed in conjunction with a tummy tuck for many patients It really depends upon multiple factors including the reason for your hysterectomy whether it is for cancer or not as well as your overall medical health and condition. You are best to be seen in person to be properly evaluated. Good luck.
do I qualify
Breast ReductionMember Response:
You would have to be seen in person to determine if you are a candidate for a breast reduction. Based upon your history, it sounds like you are a candidate. But I wouldn’t be sure unless I saw you in person.
do I qualify
Question:
I am a a 38DDD is eczema on my areola, and the pain from my breast size and the rash are driving me insane but my primary doctors keep saying I do not qualify without sending me to a specialist
Steven G. Wallach, MD's Response:
You would have to be seen in person to determine if you are a candidate for a breast reduction. Based upon your history, it sounds like you are a candidate. But I wouldn’t be sure unless I saw you in person.
Brea
Breast ReductionMember Response:
It is difficult to say without an exam. Very large and long process sometimes require a free nipple graft procedure. In those cases patients are on able to breast-feed after surgery. However many many patients can undergo a pedicled breast reduction which will allow them to breast-feed. I could only tell by seeing you in person.
Brea
Question:
I am being told by my Dr after my visit that he can only do a complete nipple grafting on me because of the size of my breast. Mentally i wasn't looking forward to this method because i wished to retain some probability of breastfeeding. Please do i have other options? Been feeling so depressed about this. Please any advice?
Steven G. Wallach, MD's Response:
It is difficult to say without an exam. Very large and long process sometimes require a free nipple graft procedure. In those cases patients are on able to breast-feed after surgery. However many many patients can undergo a pedicled breast reduction which will allow them to breast-feed. I could only tell by seeing you in person.
Price
Breast ReductionMember Response:
The price for a breast reduction will vary from surgeon to surgeon in different regions of the country. My suggestion is to go to a surgeon that you feel comfortable with. There are many options in the New York New Jersey area.
Price
Question:
How much is it to get a Breast reduction
Steven G. Wallach, MD's Response:
The price for a breast reduction will vary from surgeon to surgeon in different regions of the country. My suggestion is to go to a surgeon that you feel comfortable with. There are many options in the New York New Jersey area.
Price
Breast ReductionMember Response:
The price for a breast reduction will vary from surgeon to surgeon in different regions of the country. My suggestion is to go to a surgeon that you feel comfortable with. There are many options in the New York New Jersey area.
Price
Question:
How much is it to get a Breast reduction
Steven G. Wallach, MD's Response:
The price for a breast reduction will vary from surgeon to surgeon in different regions of the country. My suggestion is to go to a surgeon that you feel comfortable with. There are many options in the New York New Jersey area.
Smoker
FaceliftMember Response:
Smoking impairs wound healing. Therefore, the majority of plastic surgeons will recommend that you stop smoking several weeks before surgery and also avoid cigarette smoking for several weeks after surgery during the initial healing process.
Smoker
Question:
Can any kind of facelift procedure be offered to a smoker?
Steven G. Wallach, MD's Response:
Smoking impairs wound healing. Therefore, the majority of plastic surgeons will recommend that you stop smoking several weeks before surgery and also avoid cigarette smoking for several weeks after surgery during the initial healing process.
Is a Redo Possible?
Arm LiftMember Response:
Without seeing you in person, it is difficult to say. Photos would definitely be helpful. Best of luck
Is a Redo Possible?
Question:
I did my upper arm lift in Turkey some years ago. Unfortunately it was not done properly. Is it possible to redo it
Steven G. Wallach, MD's Response:
Without seeing you in person, it is difficult to say. Photos would definitely be helpful. Best of luck
Facelift with necklift
Arm LiftMember Response:
In the majority of facelifts that I perform on patients of your age group, I find it most commonly that patients require both their neck lift And faceless performed at the same time to provide a good balance for the face. Of course, it is always best to be seen in person. Good luck.
Facelift with necklift
Question:
I am 64-year-old, healthy female looking primarily to eliminate a turkey neck. Would a lower facelift be needed in conjunction with a necklift to accomplish this?
Steven G. Wallach, MD's Response:
In the majority of facelifts that I perform on patients of your age group, I find it most commonly that patients require both their neck lift And faceless performed at the same time to provide a good balance for the face. Of course, it is always best to be seen in person. Good luck.
Looking for a doctor that specializes in scar revision face reconstruction
FaceliftMember Response:
You are likely not going to find a plastic surgeon that only does scar revision. All plastic surgeons are qualified to perform scar revision surgery. Your best to look for someone locally and go speak to that surgeon about your concerns. After consultation, the plastic surgeon can then tell you whether or not he feels he can give you a better result than what you have now. Good luck
Looking for a doctor that specializes in scar revision face reconstruction
Question:
having a hard time finding a board certified doctor who specializes in this.
Steven G. Wallach, MD's Response:
You are likely not going to find a plastic surgeon that only does scar revision. All plastic surgeons are qualified to perform scar revision surgery. Your best to look for someone locally and go speak to that surgeon about your concerns. After consultation, the plastic surgeon can then tell you whether or not he feels he can give you a better result than what you have now. Good luck
Revision possible pocket displacement?
Breast AugmentationMember Response:
Sorry that you were having so many issues. The only way to really know what would be best for you is to see you in person. I’m sorry but I just can’t say for sure without an exam.
Revision possible pocket displacement?
Question:
I had initial surgery in 2005 mentor smooth saline under the muscle shortly after got capsular contracture had another surgery to fix left breast since getting the implants I’m always sick my right breast looks so much smaller than left and when I bend over they don’t stay rounded more so cone shaped what could the issue be and is it covered through warranty if not rough estimate?
Steven G. Wallach, MD's Response:
Sorry that you were having so many issues. The only way to really know what would be best for you is to see you in person. I’m sorry but I just can’t say for sure without an exam.
How do I add a picture
Tummy TuckMember Response:
Actually I’m not sure how you can add photos here. It is always best to be seen in person. Good luck
How do I add a picture
Question:
I’m a 22 yr old male. I have an indent in my lower abdomen below by belly button. What do I need done and about how much will it cost
Steven G. Wallach, MD's Response:
Actually I’m not sure how you can add photos here. It is always best to be seen in person. Good luck
Concerned
Breast AugmentationMember Response:
The simplest solution would be to ask your surgeon. Good luck
Concerned
Question:
I had a breast job done several years ago and had 375cc of saline implants put in and now I went to 450cc of silicone. I think the dr. Just lifted my breast to make them equal and did not put in the silicone implants and left the saline ones in. How can I tell if I still have saline implants or if he really put the silicone ones in? FYI, my breast are the same size they were!
Steven G. Wallach, MD's Response:
The simplest solution would be to ask your surgeon. Good luck
Finding the Most Qualified Surgeon-Please Advise
FaceliftMember Response:
You are correct. Most plastic surgery sites do not have a lot of information for prospective patients. You are better off going in for a consultation with a plastic surgeon to be properly evaluated. Good luck
Finding the Most Qualified Surgeon-Please Advise
Question:
I would appreciate any advice on finding the most experienced facial plastic surgeons performing deep plane facelifts. Several plastic surgery websites provide only the most general info and range of services they provide. I would hate to think I must call every name listed with each professional organization to find the handful (supposedly) that have the skill deemed necessary for such surgery
Steven G. Wallach, MD's Response:
You are correct. Most plastic surgery sites do not have a lot of information for prospective patients. You are better off going in for a consultation with a plastic surgeon to be properly evaluated. Good luck
Lines beneath the breasts
Breast LiftMember Response:
The lines you are likely talking about are the incisions. While many fade very well, they are permanent
Lines beneath the breasts
Question:
I noticed on a lot of the breast lift after photos that there were lines underneath the breasts. Will those lines go away?
Steven G. Wallach, MD's Response:
The lines you are likely talking about are the incisions. While many fade very well, they are permanent
Resume daily activities
Tummy TuckMember Response:
It is always best to ask your surgeon what his specific postoperative instructions are. That is because each surgeon may have slightly different instructions.
Resume daily activities
Question:
I am 2 weeks post operative from tummy tuck breast lift , can I got to a concert or when can I resume my activities ?
Steven G. Wallach, MD's Response:
It is always best to ask your surgeon what his specific postoperative instructions are. That is because each surgeon may have slightly different instructions.
Tummy Tuck Pricing
Tummy TuckMember Response:
Hi Erica: The fee for a mommy makeover will vary depending upon the type of procedures that are warranted to achieve your goals. Sometimes patients need more than just a breast lift, sometimes they also want more volume which may include placing an implant. In general, the fees for a tummy tuck and a breast lift will vary from surgeon to surgeon and in different regions of the country. In New York City, this fee may range from $15,000-$25,000.
Tummy Tuck Pricing
Question:
Around how much it would be for mommy make over tummy tuck and breast lift
Steven G. Wallach, MD's Response:
Hi Erica: The fee for a mommy makeover will vary depending upon the type of procedures that are warranted to achieve your goals. Sometimes patients need more than just a breast lift, sometimes they also want more volume which may include placing an implant. In general, the fees for a tummy tuck and a breast lift will vary from surgeon to surgeon and in different regions of the country. In New York City, this fee may range from $15,000-$25,000.
39 year old male
FaceliftMember Response:
It is difficult to answer your question without evaluating you in person. It is not very common for a 39-year-old male to need a facelift. You might be better off with facial filler products. Again it would be best to be seen in person
39 year old male
Question:
Doctors, Me: 39 yr old, male. Lifting skin midface knocks years off. I don't have a lot of time for Dr. shopping. My questions: A.) Which "MUST HAVE" attributes must a Dr. have before he cuts me? Follow-up: How can I verify them? B.) What kind of plastic is "TYPICAL" for a 39 yr old? C.) May I have a "FAIR" price range? Thank-you very much for your assistance & time
Steven G. Wallach, MD's Response:
It is difficult to answer your question without evaluating you in person. It is not very common for a 39-year-old male to need a facelift. You might be better off with facial filler products. Again it would be best to be seen in person
Pricing
Breast AugmentationMember Response:
The fee for fat grafting to the breast will depend upon the extent of the surgery required. This will vary for patients that want a breast augmentation versus a patient that needs fat after breast reconstruction. It is best to come in for a consultation to be properly evaluated. My preference for primary breast augmentation is to use breast implants which will guarantee a very specific volume as opposed to fat grafting which does not take 100%
Pricing
Question:
How much is it normally for a fat transfer breast augmentation
Steven G. Wallach, MD's Response:
The fee for fat grafting to the breast will depend upon the extent of the surgery required. This will vary for patients that want a breast augmentation versus a patient that needs fat after breast reconstruction. It is best to come in for a consultation to be properly evaluated. My preference for primary breast augmentation is to use breast implants which will guarantee a very specific volume as opposed to fat grafting which does not take 100%
Gynecomastia
Breast ReductionMember Response:
Without performing an exam and discussing your goals in person it is difficult to tell you whether or not you are a good candidate or not. There are many variations to treat gynecomastia and unless you were seen in person it is hard to tell what would be best for you.
Gynecomastia
Question:
Hi I'm a man with gynecomastia with a BMI of 20.4 I'm wondering two things one since it is more necessarily my areolas would it be a different procedure and two whether I should even get the procedure
Steven G. Wallach, MD's Response:
Without performing an exam and discussing your goals in person it is difficult to tell you whether or not you are a good candidate or not. There are many variations to treat gynecomastia and unless you were seen in person it is hard to tell what would be best for you.
Skin cancer
FaceliftMember Response:
You can have either of the plastic surgeon or dermatologist to remove it. I usually send my patients to the dermatologist. If the dermatologist decides to excise the lesion iand the lesion defect is quite large, I will often have the patient come back to me so that I can close it for them.
Skin cancer
Question:
I go to a dermatologist for periodic skin checks, and when there is a questionable spot on my leg or something, they take it off. Now I have an area on my face that looks questionable. Is that something I would go to a plastic surgeon to remove, or is that something my dermatologist would do and then consult a plastic surgeon later if it turns out to be something scary?
Steven G. Wallach, MD's Response:
You can have either of the plastic surgeon or dermatologist to remove it. I usually send my patients to the dermatologist. If the dermatologist decides to excise the lesion iand the lesion defect is quite large, I will often have the patient come back to me so that I can close it for them.
Ident in my stomach below my belly button
Tummy TuckMember Response:
In order to properly evaluate you, you would have to be seen in person. Many things can contribute to a depression or a bulge in the lower abdomen. The only way to properly diagnose this is to perform an exam in person. Good luck
Ident in my stomach below my belly button
Question:
What do I need to do so I have a flat stomach. I’m 22 and workout a lot and nothing I do gets rid of it. I’m in good shape but this bothers me a lot. Plz help
Steven G. Wallach, MD's Response:
In order to properly evaluate you, you would have to be seen in person. Many things can contribute to a depression or a bulge in the lower abdomen. The only way to properly diagnose this is to perform an exam in person. Good luck
inverted nipple
Breast AugmentationMember Response:
An inverted nipple correction can be performed under local anesthesia in an office-based setting. The procedure takes approximately 30 minutes or lessPer side. Pain control can often be accomplished using over-the-counter medications. Good luck.
inverted nipple
Question:
Is it a clinic procedure to Correct an inverted nipple or does it need Anaesthesia? How long does it take for the nipple to heal? is it painful?
Steven G. Wallach, MD's Response:
An inverted nipple correction can be performed under local anesthesia in an office-based setting. The procedure takes approximately 30 minutes or lessPer side. Pain control can often be accomplished using over-the-counter medications. Good luck.
Lipo under the chin?
LiposuctionMember Response:
In order to tell if you need Liposuction or not, you would have to be seen in person. If you just have isolated fat underneath the neck then Liposuction alone may be appropriate. Otherwise if you have loose skin as well a facelift may be the right operation.
Lipo under the chin?
Question:
I have some cheek and chin/neck fat that won't go away unless I become dangerously thin. Amongst other things I'd like done on my face, this is one that bothers me the most, especially when it comes to other people taking photos of me. Would liposuction be the best option, or is there another procedure that would suit better? I've heard about fat transfers/grafting, is that viable?
Steven G. Wallach, MD's Response:
In order to tell if you need Liposuction or not, you would have to be seen in person. If you just have isolated fat underneath the neck then Liposuction alone may be appropriate. Otherwise if you have loose skin as well a facelift may be the right operation.
Neck lift
Arm LiftMember Response:
The fee for a neck lift will vary from surgeon to surgeon and also in different regions of the country. In general, a neck lift will likely result in a 7 to 10 day downtime period after surgery. Many times a neck lift will be done in conjunction with a full facelift. This will depend on the patient’s overall anatomy. Good luck.
Neck lift
Question:
How much down time And how much does it cost
Steven G. Wallach, MD's Response:
The fee for a neck lift will vary from surgeon to surgeon and also in different regions of the country. In general, a neck lift will likely result in a 7 to 10 day downtime period after surgery. Many times a neck lift will be done in conjunction with a full facelift. This will depend on the patient’s overall anatomy. Good luck.
Cost
Arm LiftMember Response:
It will vary from state to state and with different surgeons. In NYC. It runs about $10k or so.
Cost
Question:
I'm curious as to how much an average arm lift procedure costs
Steven G. Wallach, MD's Response:
It will vary from state to state and with different surgeons. In NYC. It runs about $10k or so.
Too small after Breast Reduction
Breast AugmentationMember Response:
You will have to wait and see how things will settle down. Give it 6 months and then if you feel that they are too small an implant might be able to be added.
Too small after Breast Reduction
Question:
I had 2 consults with my PS to be sure about having the reduction & approximate a size. However, I am still left with them being much smaller than we discussed. I was a 40H/I before the Reduction & measuring 38 D now. I am 6 weeks post op & I was expecting to be E/F cup minimum. He removed 2850grams total. Insurance only required 700grams. What options do I have as far as a revision?
Steven G. Wallach, MD's Response:
You will have to wait and see how things will settle down. Give it 6 months and then if you feel that they are too small an implant might be able to be added.
Do tummy tuck scars go away?
Tummy TuckMember Response:
Unfortunately tummy tucks cars are permanent. However for most patients the scar is very thin and after about a years time usually the redness goes away. In addition, the goal is to try to keep the score well hidden within the underwear line as well.
Do tummy tuck scars go away?
Question:
I think a tummy tuck would make me feel a little better about getting into a two-piece bathing suit, but I don't know if a flat stomach is worth ugly scars. Do the scars ever fade or go away, or are they permanent?
Steven G. Wallach, MD's Response:
Unfortunately tummy tucks cars are permanent. However for most patients the scar is very thin and after about a years time usually the redness goes away. In addition, the goal is to try to keep the score well hidden within the underwear line as well.
How much pain can you expect after a breast augmentation surgery?
Breast AugmentationMember Response:
Most of the time patience tolerate a breast augmentation very well. When placing it in a dual plane, there certainly is a little bit more pain than a sub glandular pocket placement. This is because to place it in a dual plane, the muscle is divided along it’s inferomedial attachments. On a scale of 0 to 10 most patients That have breast augmentation Feel that the pain is about a six out of 10 but usually within a few days they feel much better.
How much pain can you expect after a breast augmentation surgery?
Question:
I've been thinking about getting my breasts enlarged for a while now, but I'm worried about the pain after recovery. All the stuff I see on the news about the opioid crisis makes me nervous about taking strong painkillers. Is the pain something I could manage with some Advil or will I need something stronger?
Steven G. Wallach, MD's Response:
Most of the time patience tolerate a breast augmentation very well. When placing it in a dual plane, there certainly is a little bit more pain than a sub glandular pocket placement. This is because to place it in a dual plane, the muscle is divided along it’s inferomedial attachments. On a scale of 0 to 10 most patients That have breast augmentation Feel that the pain is about a six out of 10 but usually within a few days they feel much better.
Before and after patient photos from Dr. Steven Wallach. Use the menu to filter by procedure.
Skin rejuvenation and resurfacing
Breast Implant Removal
Vascular Malformations
Breast Augmentation
Body Lift
Buttock Implants
Arm Lift
Buttock Lift with Augmentation
Facelift
Eyelid Surgery
Payment Options
- Cash or Personal Checks
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