Should I consider a Breast Augmentation?

Breast Augmentation

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Member Response:

Hello, I would advise you to have an in person or video consultation with an ASPS plastic surgeon who specializes in breast surgery. If you have never had normal breasts, you deserve to! Especially at your young age. If you have a significant size difference and are saggy, it is likely you will need a lift, at least on one side and maybe both. This will even out the skin envelope. Your breast tissue will be reshaped and lifted and it is possible to do this while still making it possible for you to breast feed later in life. If you have little to no volume in your breasts you may benefit from an implant but this is optional. It sounds like a lift would be very beneficial for you. The main downside is scars which are pretty well hidden under the breast but they tend to heal well and the trade off is having even breasts that aren’t sagging. Congratulations on your 100 lb weight loss! My office is in Alexandria, VA nearby if you wish to arrange a consultation

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Making my breast smaller and not sit naturally without implants

Breast Reduction

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Member Response:

Hello JK, Many patients these days want a more natural look and want to avoid implants. If your breast is sagging, a breast lift or “mastopexy” will remove the excess skin and lift the breast but will preserve all of your breast tissue. It is a beautiful transformation. If you want your breasts smaller, then breast reduction will combine the breast lift with removal of some breast tissue (how much is your choice) to make the breast smaller and lifted. You are correct in considering breast reduction. Breasts look more youthful and sit naturally. The nipple areolar area is generally kept attached to the breast to maintain sensation. I see you live in Woodbridge and I am in Alexandria, VA if you are interested in a consultation. Best wishes to you! Dr.Susan Buenaventura.

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could I get a breast reduction revision??

Breast Reduction

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Member Response:

Hello lyn, It is certainly possible to have a revision to address issues with your breast reduction. The nipples can be evened out, and a difference in sizes can be adjusted as needed. Since it i has not been a year, it is best to return to the surgeon who did your surgery for an evaluation and discuss why you are unhappy. It is also possible to get a second opinion. It is not uncommon to do revisions following breast reduction. Best wishes to you.

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How small can I go

Breast Reduction

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Member Response:

Hello Matti, You have a petite frame, and sound like a good candidate for breast reduction. Usually it is possible to reduce the breast size by about half of your current size. It is difficult to predict an exact cup size, but I think it is likely you can get down to a small C. It is also wise to have your current true bra size measured, as often patients don’t know their true size. Regardless of your new bra size, breast reduction is amazing! It will change your life and it will be a dramatic difference. It is also possible to use techniques that will still allow you to breast feed, if that is in your future plans. I would encourage you to find a plastic surgeon in ASPS that you are comfortable with and get information. You don’t have to proceed with the surgery itself until you are ready. Good luck!

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Eyes

Eyelid Surgery

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Member Response:

Prices will vary depending on where you are in the country. In my area of Metro DC./Northern Virginia, the cost for upper and lower eyelid surgery is about $6000, including anesthesia and surgical care. It is a wonderful procedure, getting rid of the extra skin on the upper lids and removing the fat that causes fullness or bags in the lower lids. it is called and upper and lower blepharoplasty. Recovery is about 1-2 weeks and very little pain involved, just downtime. It makes a big difference and looks very natural. Good luck to you!

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Vertical lines/marionette

Facelift

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Member Response:

Vertical lip lines are "mimetic" lines, or ones that form from facial muscle expression. For vertical lip lines that tends to be motions that purse the lips (drinking from a straw, smoking). If you smoke, quit! If it is just a genetic trait and fillers weren't helpful I would consider laser to correct these which should be very effective. I would recommend TRL laser by Sciton with an plastic surgeon who has expertise in laser. Good luck!

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Would I need to have more than one site done?

Liposuction

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Member Response:

If there is some fat and skin above the scar and the scar is indented, you will likely benefit from a scar revision and maybe some liposuction as well. We tend to see scars stuck down to the muscle wall after c section closures. Removing excess fat with liposuction helps but the scar likely needs to be revised as well to create a smooth flat abdomen.

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Breast Reduction

Breast Reduction

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Member Response:

You have asymmetry (uneven breasts), neck pain and breast pain, plus sound like you are too large for your frame. You are a good candidate for breast reduction and I would encourage you to see an ASPS plastic surgeon in your area. They can make your breasts smaller, lift them and even them out, all in one surgery. Your age is not too young provided you understand the benefits and risks of the surgery. Be sure to discuss potential issues down the road with breast feeding (it's still possible after reduction!). It improves women's lives and self esteem SO much. Try to find a surgeon you are very comfortable with. Seeking information in person is vital. You don't have to proceed with surgery until you feel ready.

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Cost

Breast Reduction

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Member Response:

Hello, you would need an in person consultation to be sure of costs and the surgical procedure, but breast reduction is appropriate for women with breasts that are too large, causing neck,back, shoulder pain and are out of proportion and wish to have smaller breasts. At our outpatient hospital, self pay costs for breast reduction would be about $9000.00 . (There is sometimes an option for insurance coverage but it depends completely on your individual policy). It sounds like you are a good candidate, and breast reduction changes women's lives!

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How long is the wait?

Breast Implant Revision

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Member Response:

It sounds like your surgeon used good judgment based on the condition of the breast tissue with the ruptured silicone at the time. Waiting 3 months is very reasonable, to let the tissue get back to normal before you place a new implant. While it is difficult to be without your implants for the waiting time, if implants were placed in an unhealthy pocket, you have a higher likelihood of infection early on, contracture later and possible infection. Sometimes ruptured implant pockets look okay and sometimes they don't. Surgeons have to use their judgment at the time (for the patient's benefit). Good luck to you!

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Insure what to do

Breast Implant Removal

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Member Response:

Your implants can be removed without previous records but it is always worth a try to obtain them. Many women have the same situation as you where the surgeon is no longer in practice from many years ago. If you remember the hospital where you had the surgery they might have the records. You also can check with the current major implant companies, Allergan, Mentor or Implantech that were used at that time. Rest assured that your surgeon can removed them without the records. I always photograph the removed implants for the patients and they often have the manufacturer and lot number stamped on them. There is a national registry now, but there was not one 20 years ago. If you have new implants placed, you can have your information shared with the national registry by your surgeon. Good luck to you.

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breast augmentation for minors

Breast Augmentation

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Member Response:

Most ASPS plastic surgeons would recommend waiting until at least 18 for surgery. Silicone implants are not recommended by the FDA until age 22 but saline is available. It is important to allow your body to develop and get comfortable with your body image prior to undergoing any surgery. It is possible to have surgery with parental consent but more important to have it at the right time for you.

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How to overcome irrational fear of dying from anesthesia or surgery?

Rhinoplasty

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Member Response:

I would not recommend undergoing elective surgery until you feel completely comfortable. Remember it is elective! perhaps seek counseling prior to considering elective surgey.

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Abdominoplasty with upper abdominal liposuction

Tummy Tuck

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Member Response:

It is safest to avoid upper abdominal liposuction the same day as a tummy tuck, as it puts extra strain on the blood supply to the abdominal skin and can increase the risk of wound healing issues or skin necrosis. Having said that, many surgeons do combine these procedures safely. The safest route would be to do these as two separate operative procedures.

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How safe is rhinoplasty?

Rhinoplasty

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Member Response:

It is very safe in properly trained hands, which is why it is wise to choose your surgeon through the American Society of Plastic Surgery. Good luck to you!

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After deflation

Breast Implant Revision

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Member Response:

If they are deflated, it is wise to have them removed. This should be a straight forward process and will avoid issues from the deflated implant folding and possibly causing damage to the breast skin from the inside out. You will have a drain for about a week. Hope this is helpful!

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Breast Reduction after nursing

Breast Reduction

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Member Response:

Congratulations on your pregnancy and growing family! You are a great candidate for breast reduction. You should wait at least 6/months after you stop nursing ( which will go by quickly) to have your breast reduction. Surgery can stimulate the lactation process sometimes so it is wise to wait. You can certainly seek a consultation at any time to gather information. If you do have more children in the future, nursing may still be possible with the proper technique.

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Help!

Breast Implant Removal

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Member Response:

If you have not had a good experience with your breast implants, it makes sense to have them removed. It is also possible that your symptoms are unrelated to the implants. Removing them is a good first step (a medical clearance for surgery from your doctor is wise) and then you can work up any symptoms with your medical doctor or rheumatologist.

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Botox and Injectors- Nurse Injectors or MD?

Botulinum Toxin

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Member Response:

Like Dr. Wong, surgeons have very extensive training in all aspects of facial anatomy and aesthetics and are more experienced injectors. Simply tell the office you would like the surgeon to do your injections if you have already had a good experience. Congratulations on your daughter's wedding.

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Have Implants, Can I have a lift and keep my implants

Breast Lift

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Member Response:

Hello, it is quite reasonable to need some additional tightening of the breast skin after 13 years. If you are happy with your implant size there is no need to change them, but let the plastic surgeon check the implants as well at the time of your consultation. Mentor implants are high quality and it is great that you are still happy with them. Cost will vary widely with the location, surgeon etc. In the DC area, it is about $7000 with surgery, anesthesia and follow up care. I hope this is helpful.

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Bell’s palsy

Liposuction

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Member Response:

Bells Palsy does tend to resolve over time. Liposuction in the facial area can certainly cause injury to the branches of the facial nerve so this could be another possible explanation. See your plastic surgeon for follow up, but it may be a permanent problem after three years. Perhaps consultation with a neurologist would also be appropriate to rule out other causes. Best wishes.

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Heat radiates into my left breast when standing up from laying down then goes away

Breast Augmentation

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Member Response:

Hello, it sounds like you may have an infection. It is important to see your plastic surgeon to check. With an implant in place, it is important to assess this and treat if necessary. Signs of infection can be warmth, redness, pain in the breast or fever. Hydrate, rest and check in with your surgeon. Good luck to you.

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Excessive weight gain during pregnancy

Tummy Tuck

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Member Response:

You have a diastasis recti (common with your condition or twins, large babies etc) and excess skin. It sounds like an abdominoplasty (tummy tuck) would benefit you and correct these issues, creating a stronger core, better back support and remove the excess skin. It is common to wait until you have finished childbearing though not absolutely necessary. This is not a procedure that insurance covers, but many hospitals have discounted fees for surgeries that are self pay. It is worth getting the muscle repaired and excess skin removed, it will benefit you now and down the road. Good luck!

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Tummy tuck vs Liposuction

Tummy Tuck

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Member Response:

Congratulations on your two children. Liposuction will remove excess fat and help reshape your body. It doesn't result in weight loss, more reshaping. If you do not have excess skin or muscle looseness (diastasis), then liposuction sounds like a better option for you. This surgery is safe in the hands of properly trained and board certified Plastic Surgeons who are members of The American Board of Plastic Surgeons. Good luck!

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Overall cost

Eyelid Surgery

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Member Response:

The upper eyelid will require mainly skin removal and the lower lid will require removal of excess fatty pockets and a small amount of skin. This is an upper and lower blepharoplasty and generally requires about 2 hours of surgery. Cost will vary with the surgeon and facility where surgery is performed, and area of the country. In my area charges are generally $5000 plus anesthesia charges. You can get a quote at the time of your consultation.

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Age

Breast Augmentation

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Member Response:

I feel that breast augmentation is best done once the patient is at least 18. It is important to feel ready psychologically as well and have family support. The FDA recommends patients are 22 before getting silicone implants but saline implants are available at a younger age. Discussion with your primary care doctor can also be very helpful in this regard. It is always good to have a consultation, learn as much as you can about the procedure and then move forward at a later date if necessary. It is one of the best procedures we offer! I hope this is helpful to you.

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Lose skin vs excessive fat

Tummy Tuck

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Member Response:

Congratulations on your weight loss and athleticism. The excess skin does have fat attached to it but the majority is likely excess skin from when you were heavier. You are a good candidate for skin excision. On the trunk it would be abdominoplasty, on the arms brachioplasty, and on the thighs a thigh lift or lower body lift. Every case is unique. Seek a consultation with an ASPS surgeon in your area to plan out the process. It would not all be done at once. Hope this is helpful.

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Thick and round nose

Rhinoplasty

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Member Response:

It is true that very thick skin can mask the results of a rhinoplasty. If the thickness of your skin is due to rhinophyma (overgrowth of sebaceous glands) then TRL laser may help. It is unlikely that further rhinoplasty would help. Hope this is helpful.

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I need Help

Breast Reduction

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Member Response:

i am sorry to hear of your pain and you sound like you would benefit from a breast reduction. If you have found a surgeon you like, get a quote and work on saving for it. It will be worth it. It is a life changing procedure. Some surgeons may offer this in their office facilities which is usually less expensive than a hospital setting. If you surgeon offers Care Credit it is sometimes possible to get 0% interest for one year. Think of it like saving for a car or a vacation....it will be worth the effort. If you feel that is not an option then you may find some teaching hospitals that offer reduced cost for surgery by training residents. I wish you the best!

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What are my options?

Liposuction

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Member Response:

At age 27 you should have good elasticity in your skin, so removing the fat non surgically should be effective. Coolsculpting may be effective for you. I would recommend you seek a consultation in a plastic surgeon's office where they can give you all of your options. Surgical liposuction leaves very minimal scars also. Good luck!

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Extrusion

Breast Implant Revision

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Member Response:

Once the implant has extruded through the skin, it must be removed, the breast allowed to heal ( or the site might be excised and closed that day, and after 2-3 months you can safely replace the implant. Otherwise the infection risk is too great.

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Breast reduction for small breasts

Breast Reduction

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Member Response:

Hello Mari, if your breasts feel too heavy and too large for your petite frame then a breast lift/reduction sounds appropriate. It is always important to leave enough breast tissue to keep the breast healthy. A breast lift would remove excess skin but not breast tissue so your cup size should remain the same. It sounds like you need a little bit of both. Find an ASPS surgeon near you for an in person consultation and best wishes.

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What's The Difference

Breast Augmentation

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Member Response:

A breast lift will remove excess skin but keep your breast tissue and corrects sagging breasts. Scars are usually around the areola and under the breast. Augmentation means you are increasing the breast size with implants. Silicone gives the most natural look and feel, but saline is also available and you should choose the one you prefer. Sometimes patients have both procedures done but each case is individual. Hope that is helpful!

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Too old for breast reduction

Breast Reduction

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Member Response:

You are not too old for a breast reduction! It is a life changing procedure and you will need an ok from your medical doctor as well. Find an ASPS Surgeon you like and get a consultation so you can find out about risks, benefits, cost and how to prepare. They can also explore your insurance options. Focus on your health and check into Care Credit. Explore all options and best wishes to you.

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Birthmarks

Cosmetic Surgery

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Member Response:

Hello, if it is mainly brown it will likely respond to a combination of laser and broad band light. Birthmarks can be at varying depths in the skin and clinical evaluation and your skin's response to the treatment will dictate treatment endpoints. It woukd be common to need multiple sessions which will affect cost. I would definitely recommend seeing a plastic surgeon first to determine if surgery or laser is best.

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Breast lift during explant

Breast Lift

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Member Response:

They are both right....it can be done but can also be risky. If your implants are currently below the muscle that makes it a little safer. If they are above the muscle and your breast tissue is thin it can be risky for damaging blood supply. Obviously it requires an experienced surgeon and good judgment to advise you properly. It is always safest to do them separately but isn't always necessary. Go with the surgeon you feel most comfortable with.

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Diastasis Recti repair

Tummy Tuck

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Member Response:

Hello, I would see a plastic surgeon first as they will repair the diastasis and possibly the hernia as well. If they feel you need a general surgeon also, they can recommend it at that time. Diastasis recti repair is not covered by insurance and cannot be submitted to Medicare. The hernia repair can be submitted for insurance coverage, so you will have part cosmetic, part insurance for billing purposes. Ask ASPS for a list of board certified plastic surgeons near you. Best wishes.

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Can I go super small

Breast Reduction

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Member Response:

It is usually possible to reduce down by 2 cup sizes with a breast reduction. It is also not possible to predict an exact cup size as bra sizes/fittings differ widely. You can rest assured that a breast reduction can remove a significant amount of tissue. It is also important to leave behind enough tissue to keep the remaining breast healthy. I would suggest that before you undergo surgery, you get professionally fitted for your bra size (it's often larger than women think). Best wishes to you!

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Revision post-reduction

Breast Reduction

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Member Response:

Insurance is not likely to cover a revision, but all insurance companies have their own policies. Breasts do settle over 10 months, so it is definitely worth seeking a revision so that you are completely happy with the result. See your surgeon to discuss. There may be some cost involved but hopefully minimal. Best wishes to you.

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capsular contracture

Breast Augmentation

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Member Response:

Hello, capsular contracture can occur for many reasons, mild infection, the implants being above the muscle, seroma, hematoma, or sometimes it just the way a patient heals. Please return to your surgeon so they can discuss exactly how your implants were done and what measures might correct your capsular contracture. Good luck to you!

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Scar revision

Body Contouring

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Member Response:

Hello, absolutely your scar can be fixed. It can be done in the operating room with you asleep or possibly under local anesthesia, depending on your surgeon's opinion. Most often the entire scar will be excised, then re-closed with dissolvable sutures. You will still have a scar, but it won't be indented and is much less noticeable when it is flat. I would encourage you to see an ASPS plastic surgeon near you. Actually I am in Alexandria, VA, not too far from Gaithersburg. Best wishes.

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Cleavage Augmentation

Breast Augmentation

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Member Response:

Hello I also agree with Dr. Vemula's answer. It is important to respect the natural border of your breasts and it's not really possible to force the implants to sit closer together. Fat grafting can help fill in the inner part somewhat. Other things that can help are putting in a wider implant to fill in the full space and limiting the lateral dissection during surgery to keep the implants closer together. Hope that is helpful!

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How expensive is it?

Breast Reduction

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Member Response:

Hello Max, it does change mens' lives to have the size of their breast reduced. Surgery is very effective and may be surgical excision of the gland or liposuction combined with surgical excision. A compression vest afterward is important. Cost will vary widely, but in the Washington DC area, it is about $5,000. You should be able to get a written estimate at an inperson consultation. If you smoke, quit! Best wishes to you.

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Pain in left breast

Breast Augmentation

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Member Response:

This degree of pain is unusual after augmentation. Please consult with your surgeon in person to discuss. It may make sense to consider implant removal at some point. If you cannot see your surgeon from 2014, find a good ASPS surgeon in your area and have an in person consultation. Best wishes.

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Boob Reduction

Breast Reduction

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Member Response:

Hello Debra, it is common for us to see patients who need a breast reduction on one side to correct asymmetry. There is no standard cost, you should make an appointment with an ASPS plastic surgeon in your area and they can provide you with that information. In our area (Washington DC) it would be about $3500.00. The size of the breast doesn't dictate the fee, although larger breasts may take longer to do and may increase the cost that way. Good luck to you.

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Brest reduction at 16

Breast Reduction

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Member Response:

You sound like a good candidate for breast reduction which will make your breasts smaller (about half their size) and lift them as well. Your age of 16 is acceptable if you have parental support and you feel mature enough to handle the decision to have surgery. My young patients truly benefit in terms of comfort, relief of neck and shoulder pain, better self esteem and simpler things like being able to wear tops and clothes and bathing suits that 16 year olds wear. Make sure you find a surgeon you are comfortable with and discuss the possibility of having children and being able to breast feed down the road. It's a long way off, but important to discuss before the surgery. With todays techniques you have a very high likelihood of being able to breast feed later. Breast reduction changes lives! I wish you the best. Insurance may or may not cover this at your age but you sound like you will benefit from this surgery.

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Flap Surgery without mastectomy

Breast Augmentation

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Member Response:

Hello, Congratulations on losing 60 lb. It is typical to have loose breast skin after this. If you need more volume, breast implants are very safe and would be the standard of care. Flap surgeries are more complex, higher risk and reserved for breast cancer reconstruction. Implants and a breast lift, or a breast lift alone depending on your needs, will help restore your breast shape. Find a great ASPS surgeon near you on this site.

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Recovery time

Breast Reduction

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Member Response:

Breast reduction is a wonderful and life changing procedure! It is also major surgery and though it is outpatient surgery, you must allow sufficient recovery time. I would recommend two weeks off of work as a minimum. If your job is more physical you may require additional time. Patients do not have much pain but still need to take it easy to avoid risks of bleeding. Good luck!

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How soon safe it is.

Liposuction

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Member Response:

This is a question that is best addressed by your surgeon, who knows how extensive the liposuction was, if you are fully recovered and how long the breast lift surgery will be. It's good to give your body time to recover before undergoing a second major surgery, especially when it is elective. If you have already had the liposuction, I would recommend waiting 6 weeks or more, to minimize the risk of complications.

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Pricing

Breast Reduction

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Member Response:

Cost will vary widely by region. In the Washington DC area, surgical fee is around $6000 and anesthesia and facility fee may be another $4000. This would be reduced hospital fees when patients are paying out of pocket. With regard to insurance, only your insurance company can tell you what your cost would be. It’s worth it, and a life changing surgery.

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Scar tissue or more Gynecomastia

Breast Reduction

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Member Response:

Hello, gynecomastia does change and soften over time. Massage that you can do daily in the shower or at bedtime helps. It is good advice to wait because some firm areas will soften and flatten as they may be some fat necrosis. If after 6 months (you're halfway there) the nipple area is still puffy or feels like there is some glandular tissue there, a revision may benefit you to remove additional tissue. One of the worst problems can be over resecting the glandular tissue behind the nipple, so most surgeons try not to over do it. Hope that helps. Keep in close touch with your surgeon and keep massaging.

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Age limitation

Tummy Tuck

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Member Response:

Age is not a limitation, your general health is the most important issue. If you are a candidate for anesthesia, you are a candidate for tummy tuck or facelift ( not the same day). It's best to be in a healthy weight range, absolutely no smoking, heart must be healthy and blood pressure well controlled. If you are a diabetic, your A1C level will be important. Work with your i trrbest and plastic surgeon as a team and you will do well. Hope that helps.

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Breast Reduction Correction

Breast Reduction

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Member Response:

You should consult in person with your breast reduction surgeon. It's unusual to shrink from a D to an A just from swelling. It's also very difficult to predict an exact cup size. If you feel you are too small now then your best option would be to consider implants. Unfortunately insurance does not cover elective breast implants. Your surgeon may be able to help reduce your out of pocket cost. The important thing is that you are happy with your breast size in the end!

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Revision rhinoplasty

Rhinoplasty

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Member Response:

Most surgeons would one year before a revision surgery. But it would make sense to start consultations sooner if you are looking for a second opinion. Depending on the issue, one might intervene sooner. Good luck!

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Average cost of reduction and lift

Breast Reduction

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Member Response:

If the implants are causing her pain, she may be very happy with removal. Replacement is also possible but if she wants smaller breasts, be sure to replace with smaller implants. If implants are ruptured and capsules are also involved, surgery may take more time and be more costly. Reduction or lift is sometimes done the same day and sometimes done as a separate procedure, once the breasts have healed from the implant removal. A breast reduction will remove skin and breast tissue, to make the breasts smaller an d lifted. The breast lift will remove skin only and lift the breasts while maintaining the breast size. It is wise to see an in person consultation to get firm numbers about cost. In Charlotte, NC, I can highly recommend the Charlotte Plastic Surgery group.

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Autoimmune disorder

Tummy Tuck

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Member Response:

Yes you can still be a good candidate for a tummy tuck if your rheumatologist agrees and they work closely with your plastic surgeon to prepare you. Medications like Naproxen (NSAID) need to be stopped temporarily as they are blood thinners. Other medications that treat your autoimmune disorder may interfere with your wound healing ability and need to be stopped temporarily as well. I would encourage you to speak to your rheumatologist, then find a plastic surgeon you have confidence in. Lots of pre planning will result in a smooth post operative course. Good luck to you.

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Health Concern

Tummy Tuck

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Member Response:

Hello, it's still possible to have the tummy tuck done safely if your internist and plastic surgeon work together. Hypertension should be well controlled with medication. Thyroid should also be well controlled with medication. This will help you through the anesthesia safely. As your RA cannot be cured, it's more a question of what medications you are on (like steroids or chemotherapy) and whether they will need to be stopped temporarily to allow proper wound healing. With proper preparation, you can have your tummy tuck done. I would recommend a hospital setting and an overnight stay. Hope this is helpful!

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Recovery

Breast Reduction

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Member Response:

Congratulations on your decision to have breast reduction surgery. Not clear if you had the surgery already or not. I tell my patients to avoid alcohol for two weeks after surgery as it is a blood thinner, it's dangerous to combine with narcotic pain medication and they need to be very careful in general the first couple weeks. Healing begins the day of surgery but exercise, etc will have to wait about 6 weeks. Going back to work is feasible at 3 weeks, depending on your job. Hope that is helpful!

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Restore my breasts

Breast Augmentation

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Member Response:

After 30 years, the skin has stretched and a secondary "tightening" of skin, or a breast lift will help reshape the breasts. If you want to be a larger cup size (you have lost weight or breasts got smaller) then you will also need to add volume with implants. Fat grafting also an option for more conservative volume addition). Be sure to see a surgeon very experienced in breast reduction as the second surgery requires additional expertise.

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Derma Fillers for midforehead

Dermal Fillers

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Member Response:

Be careful with fillers in forehead, as there are a lot of blood vessels and one of the dangers of any injection is intrvascular injection. It is rare but you should be aware of this risk. I would recommend using hyaluronic acid fillers if you do decide to proceed, as there is a medication to dissolve it if you have a problem or don't like the result. Be sure to find a very experienced BC plastic surgeon from ASPS and understand that this is an "off label" treatment. Having said that, fillers are a good way to improve contour in the face.

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One frown line between my eyes! And an Indentation in the bone underneath....I can feel it!

Dermal Fillers

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Member Response:

The indentation is from years of frowning with the corrugator muscles and if you have a bony defect there as well, it can be treated with fillers. You need Botox to weaken the corrugator muscles causing your frown lines. Secondly you would benefit from some fillers injected into that area to fill in the "dent". My preference is Botox and some Restylane into the indentation.

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life of implants/breastfeeding

Breast Augmentation

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Member Response:

Hello Alex, there is no need to replace breast implants every 10 years. It is wise however to see your plastic surgeon every couple years for a check and keep your records current. Indications to replace or remove an implant would be a leakage, pain or a desire to change the size or remove them. You can breast feed with implants. It is best if they are placed under the muscle to keep the breast healthy. Milk supply should be fine with reasonably sized implants. I would recommend smooth round implants filled with saline or silicone. I am in Alexandria VA if you desire an in person consultation.

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Rupture removal

Breast Augmentation

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Member Response:

Hi Terry, I do many of these cases and would agree that due to the age of the implants it's wise to remove both. I have often found the opposite side to be ruptured even when the MRI didn't read that way. You can find a skilled surgeon first on this site, then ask questions! Removing the capsule does require experience and skill to preserve all your breast tissue. I hope this is helpful.

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Gynecomastia

Breast Reduction

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Member Response:

I would anticipate your needing surgery to reduce the gynecomastia. As other surgeons have said, it is absolutely life changing at any age, teenage to seniors. It's wise to go ahead and find an ASPS surgeon you like and get all the information you need. Scheduling the surgery is up to you but I would get a consultation now to help you make your decision.

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smooth implants

Breast Augmentation

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Member Response:

Both smooth and textured implants may appear to move if they are placed under the muscle, (which is recommended) with intense pectoral exercise. If you are a serious body builder, sometimes above the muscle is an option. The smooth implant has been more popular over the years, and many patients and surgeons are shifting toward smooth implants due to the concerns about ALCL. Implants greatly improve self esteem and are still one of the most frequently requested and performed surgeries. Smooth implants do feel a little softer than textured. Good luck!

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28 yr old female seeking medical advise for tummy tuck with lipo to flanks. I lost 86 pounds.

Tummy Tuck

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Member Response:

Congratulations on your weight loss and educating yourself about VTE. Two important factors within your control are body mass index (BMI) and not smoking. BMI if 30 or less is ideal; BMI of 32 is acceptable.. Risks for VTE appear higher in the outpatient/ambulatory setting. Adequate hydration, pain management and patient experience is optimized with an overnight stay. Use of Ted stacking, sequential compression boots, proper positioning ( hips flexed, knees bent) and sometimes lovenox injections post operatively all help. If I have a patient whom I consider high risk I will obtain help from a hematologist. Early ambulatory is critical, and the fact that you have gotten through a previous major procedure without difficulty is a good sign. Make sure you Have a board certified anesthesiologist caring for you. I hope that is helpful!

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Removal/replace?

Breast Augmentation

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Member Response:

Once you know the implant is ruptured, removal is recommended, especially if they are 32 years old. If you haven't had a mammogram in a year, you should get one before surgery. Removal if the implant and capsule definitely require expertise. Start your search on this site to ensure a board certified plastic surgeon.

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Breast implant removal

Breast Augmentation

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Member Response:

Hello, if the implants are causing you discomfort and not enhancing your self esteem, removing them sounds like the right plan. It in Washington DC and would charge about $3000 to remove the implants and capsules, place drains and complete the follow up care. This number will vary widely. Good luck to you.

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Cost of surgery

Eyelid Surgery

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Member Response:

71 is a great age to do blepharoplasty. Cost will vary by region and facility. In Alexandria, VA, The charge for upper and lower blepharoplasty done in our surgical center is $5500 plus anesthesia which is about )1200. Good idea to have a basic eye exam within s year, and have your primary care doctor do a pre operative clearance.

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Augmentation/lift after weight training

Breast Augmentation

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Member Response:

Intense pectoral workouts and strong muscles definitely are a challenge for subpectoral implants. Wrapping the upper pole or a bra band to stabilize the implants can help ( don't do this without your surgeons permission. ). If they don't drop you canbrevise later but give it more time. Stop your pectoral exercises. I don't even let patients carry heavy purses. Sometimes subglandular implants are the answer, but it's too early to tell.

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Cost and results

Breast Augmentation

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Member Response:

I think estimates will vary widely geographically. In Virginia I would charge approximately $7500 plus anesthesia for removing implant and doing a lift. Would not recommend fat grafting the same day. Lift can be done same day if tissues look healthy, but also can be done later.

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Potential malpractice

Breast Augmentation

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Member Response:

Some offices stock implants and others order for each individual case, which is what I do, so we can get the exact implant the patient wants. Speak with the surgeon directly to clarify your implant choice and cost. Legality issues are best answered by a lawyer. It's hard to call something malpractice if no surgery was done.

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Any surgeons willing to preform on teen?

Breast Reduction

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Member Response:

Breast reduction at 16 is reasonable as long as your daughter is mature enough to understand the benefits and risks of the procedure. You just need to find another surgeon (through ASPS) who considers breast reduction their specialty. It is important at her age that milk ducts and the potential for breast feeding are preserved, and that the nipple stays attached to the breast during the procedure. Insurance is unlikely to cover at her age but most patients I see pay out of pocket for breast reduction. It's worth it!

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Getting my body right!

Body Contouring

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Member Response:

I agree with the other surgeons that you will be safer, and get a better result for your investment to learn a healthier lifestyle and lower your BMI first. You can do it! Get professional help to succeed. There are real medical risks that go along with a high BMI. Good luck! I would recommend meeting with a surgeon and setting a BMI goal together.

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lower eyelid surgery cost

Eyelid Surgery

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Member Response:

You didn't mention your age but most likely you need some fat removed and a little skin, a lower blepharoplasty on one side. It will vary widely depending on where you live. In the DC metro area, lower lid blepharoplasty would be about $3500, including surgery and anesthesia fees in a private office OR. It would be an additional $1000 more for a hospital setting.

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MRI

Breast Augmentation

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Member Response:

The best thing to do is find a new plastic surgeon to consult with, obtain your records if possible. While the FDA did suggest an MRI every three years to follow silicone implants, it is best to work with a plastic surgeon to use if this is appropriate for you. I like to check my implant patients once per year, and there are any clinical concerns we'll get the MRI on schedule. Good luck!

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Double chin

Facelift

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Member Response:

The " double chin" is composed of excess fat, excess skin and loose muscle. If it is very saggy as you describe, most likely it will need surgery to correct the loose skin, some liposuction to remove the excess fat, and t repair and tightening of the SMAS and platysmal muscle. Surgery is usually done with the patient asleep, and takes about 4 hours. There is very little pain, but it is important to have downtime to allow healing. I am in Alexandria VA if you desire a consultation.

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Can I have implants after oncoplastic surgery for DCIS?

Breast Augmentation

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Member Response:

It sounds like you are having a lumpectomy and radiation on the diseased side, then an breast lift on the opposite side? If you have radiation, an implant later may be difficult as radiation can make the tissue less pliable. There is also a higher risk of implant loss in these settings. If you have difficulties with the implant, you always have a flap (TRAM, DIEP, latissimus) as a reconstructive option. The type of radiation also matters (the entire breast vs just focal radiation). Be sure to discuss with your surgeon all of your options. If you are very small breasted, and a lumpectomy will leave significant volume loss, you can consider other options like a skin/nipple sparing mastectomy with immediate implant reconstruction. This might also avert the need for radiation. Every case is different, depending on your pathology, location of tumor, size of tumor, etc. I hope this is helpful!

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Capsular Contracture??

Breast Augmentation

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Member Response:

It does sound like capsular contracture, likely related to your lifting and working the pectoral muscle too much too soon. Stop stressing the pec muscle, massage the upper pole of the breast , and wear a bra band across the upper poles to stabilize the implants and may improve the position

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Surgery cost and payment

Mommy Makeover

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Member Response:

A mommy makeover, or tummy tuck and breast procedure ( lift, implants or both) is usually self pay as these are cosmetic procedures that aren't submitted to insurance. Cost will vary widely so best to meet with a surgeon to get that information. In the Washington DC area, a tummy tuck and breast implants would be about $18,000 with surgery, anesthesia and facility fee.

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Cortisone to fix lower eyelid malposition caused by scar; ectropion

Eyelid Surgery

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Member Response:

It sounds like you have "sclera show", meaning the white part of the eyeball is exposed. At 7 months out, it would be appropriate to return to surgery. If you are older, your lid muscles may have had some pre existing laxity which can be corrected with a canthopexy or tightening of lid. The scar of the lower lid will likely need to be released and if skin is too tight a graft may be needed. Your surgeon can help determine what is needed.

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Regarding anesthesia

Tummy Tuck

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Member Response:

We use only board certified anesthesiologists in our office surgical center. If I am in the hospital, I work with nurse anesthetists but they are being supervised by an MD anesthesiologist. In an office setting it is appropriate to have a MD anesthesiologist caring for you. Remember they will keep you safe, by monitoring your vital signs, keep you hydrated, etc.

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Tummy tuck/ hysterectomy

Tummy Tuck

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Member Response:

Hi Dayna. Please give your surgeon a call to ask this question. Sometimes the hysterectomy is done laparoscopically and then the tummy tuck follows. There would not an incision into the abdominal wall. Sometimes the hysterectomy is done "open", by making an incision through the abdominal wall, then this is closed and repaired followed by the tummy tuck. The open or laparoscopic approach to the tummy tuck will be decided by the gynecologist and may depend on their preference, the size of the uterus, or the reason the hysterectomy is being done. Best wishes to you.

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Risk

Tummy Tuck

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Member Response:

The American Society of Plastic Surgeons has studied this question and recommends a safe limit of 5 liters of liposuction during surgery. If you are having a tummy tuck then you are also removing skin and fat surgically, so I would limit liposuction the same day to less than 5 liters. You should be properly monitored by an anesthesiologist who can keep your fluids and electrolytes balanced during the surgery. This surgery should be done in the proper setting , a hospital or accredited office facility. It is an excellent question and good luck to you.

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Tummy tuck revision

Tummy Tuck

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Member Response:

I think the tugging sensation would be from the belly button being pulled through too high on the skin flap, or too low. Removing the belly button may solve the pain and tugging sensation. Another option would be surgically reopening the skin flap and determining where the belly button wants to naturally sit. No guarantees but it is unusual and I think the tugging sensation may be that it is on constant tension.

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Breast procedure

Breast Augmentation

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Member Response:

Hi Molly, it sounds like surgery would really benefit you in this situation. It is a common problem we see and making the breasts even truly improved womens' lives. The usual approach is to reduce the larger side to match the smaller. Insurance is unlikely to cover this, but please seek a consultation and find out your options. Care Credit often provides affordable solutions. I am in Alexandria VA, not far from Richmond. I can highly recommend Louise Ferland MD in Richmond who is an excellent plastic surgeon.

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Breast Reduction and Lipo

Breast Reduction

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Member Response:

Hi Gabby, it sounds like you are a good candidate for a breast reduction. The size you can get down to depends on your anatomy, but you should be able to reduce your breasts to at least half their size or more. I would not recommend transferring fat or tissue from the breasts to another area of the body. Liposuction can be combined with breast reduction sometimes but it will be up to the surgeon's judgment. The breast reduction may take 4-5 hours. Breast reductions truly change women's lives.

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18 and wanting a breast reduction

Breast Reduction

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Member Response:

Hi Sarah , 18 is a good age to consider breast reduction. All insurance companies have different policies, so your surgeon can help you navigate this possibility. Go and see an ASPS surgeon in your area and have a consultation to learn more. All tissue that is removed will be sent to the pathologist for testing. I have many patients your age whose lives have been changed by having a breast reduction! Good luck!

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ADM, Fat transfer to Breasts and MRIs/Mammograms

Breast Augmentation

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Member Response:

I would echo Dr. Castillo'S recommendations. This is a complex problem and rippling can be caused by saline implants and or malposition, or sometimes by too tight a pocket. Ask your surgeon about switching to silicone implants, downsizing a little, and fixing the malposition. ADM is appropriate despite its expense, since it bottomed out twice. Fat grafting can add volume but also be fine later. Correcting to malposition with a non stretchable ADM is the correct first step. Good luck to you!

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I need a tummy tuck

Tummy Tuck

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Member Response:

Hello, your primary care doctor does not the ability to make your insurance company cover a cosmetic procedure; while tummy tucks are very beneficial to patients, they are not considered medically necessary. I would encourage you to get your consultation and see what financing options are possible. Care Credit has some great options. Good luck to you. It will be worth it!

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Looking to reduce soon!

Breast Reduction

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Member Response:

Areola reduction is done at the same time as the breast reduction. Though we can't guarantee a cup size, full B or small C is reasonable. You also will gain a breast lift. It is a life changing, wonderful procedure. I would estimate about $9000 with surgery and anesthesia. It is usually a four hour procedure. insurance is sometimes an option but doesn't always cover.

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Mrs

Breast Augmentation

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Member Response:

Costs vary widely even between surgeons in the same area. I am in metro DC ( Alexandria, VA). Silicone implants are more costly than saline implants and anesthesia prices vary with how long the surgery is. Approximate cost for surgery, anesthesia and implants in my accredited office facility is about $7500.00. Hope that is helpful.

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Risk

Tummy Tuck

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Member Response:

Definitely discuss these concerns with your ASPS board certified surgeon before your surgery. The main risk to be concerned about are DVT which can lead to a pulmonary embolus (rare but important to know about) . Having general anesthesia and an anesthesiologist necessary for the surgery and keeps you safe. To minimize your risks, your BMI should be 30 or less, you should be walking 20-30 minutes a day and not smoking. Also stopping any hormones or birth control pills will lessen risk of DVT. Medical and cardiac clearance as indicated is also important. Avoiding travel for several weeks around the surgery is also important.

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Is it safe to get breast implants, can they bust and harm you ?

Breast Augmentation

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Member Response:

Hello Brandi, Once you have fully healed, there should be no problem with swimming, active water sports, etc. It is important to closely follow your surgeon's instructions as to when it is safe to resume activity. Be sure to seek an ASPS surgeon from this site near you. Breast implants are very safe and are one of the most commonly performed surgeries in the USA.

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Vaginal Rejuvenation

Aesthetic Genital Plastic Surgery

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Member Response:

I can't speak for gynecologists but I find that scenario strange. I recommend seeing an ASPS board certified plastic surgeon in their office and you can verify their credentials through this site. If a gynecologist is also needed they can refer you to one. Good for you that you are doing your homework!

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Surgery for Minors

Breast Reduction

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Member Response:

Hello Naja, yes it is possible to get a breast reduction as a minor, with parent or legal guardian permission. Other important issues to address at a young age are....breast feeding might be affected in the future. It is possible to breast feed after a reduction but technique matters. Also scarring..you will have scars on the breast and need to be ok with this. Patients usually are. Also as others have mentioned it's important that your breasts have stopped growing. It will change your life! As long as you understand the risks and benefits, having this done at an early age can be so beneficial!

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Multiple Same Day Surgery

Eyelid Surgery

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Member Response:

Please be sure your surgeon is an ASPS Board certified plastic surgeon. If so, their surgical office suite must be certified and accredited, Combining multiple procedures must be done with good judgment and you can plan on two separate surgeries to keep the surgical time within reason. I would recommend you have an anesthesiologist monitoring you during surgery for safety. Anesthesia is appropriate and safer for the procedures you are having.

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Does Having had a c-section affect a breast augmentation

Breast Augmentation

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Member Response:

Hi Daisy, Congratulations on your twins, and on breastfeeding! The C section should not cause any difficulties with your breast augmentation. You should be 6 months past breast feeding before undergoing surgery. You have the option for silicone implants or saline. Most surgeons will require a medical clearance from your primary care doctor before the surgery, But there is no need to undergo tests now. Find an ASPS board certified plastic surgeon in your area.

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Lift and Reduction

Breast Lift

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Member Response:

Yes I would say this is possible! You want to decrease your cup size and also lift the breasts by removing extra skin. This is a breast reduction, which includes lifting the breast. scars are usually around the areola, vertically under the breast and possibly across the base of the breast. It looks beautiful and vostcwill vary widely but is about $$9000 in our area. Good luck to you!

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Breast reduction

Breast Augmentation

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Member Response:

Yes that sounds possible with a breast reduction. It's hard to promise a specific cup size but you can certainly help choose your desired size with your surgeon. Most patients have immediate relief of neck and back strain and self confidence soars! Breasts are lifted as well as reduced in size and feel so much better. I am in Alexandria Virginia and see many patients from Stafford if you would like to consult with me. Our number is 703-751-0800 .

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Post Breast Reduction

Breast Reduction

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Member Response:

It sounds like you need a revision. I would revisit your original surgeon, discuss each detail you mentioned ( it would be nice to have them take and print a photograph so you can look at it together) and see what he/she can offer to fix it. I would also seek a second opinion for revision. See where you feel more comfortable. Best wishes to you.

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Breast Implant Illness

Breast Augmentation

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Member Response:

Be careful about reading too much into a single video. At the same time, you are asking an important and reasonable question. There are many studies showing that there are no clear associations between autoimmune type diseases and breast implants. But if you do have implants and develop an illness, will you worry that it is due to the implants? If so, it may be best to avoid having implants placed until you are comfortable with their safety. If you already have implants, be sure to keep an annual visit with your plastic surgeon to keep updated on the current concerns and get a physical exam to check for capsular contracture or risk of leakage. Best wishes to you!

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post hysterectomy scar repair

Tummy Tuck

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Member Response:

Your scar is over a year old, so you are ready for revision if you wish. There is something about the way the skin was closed after the hysterectomy that created the deformity. A plastic surgeon can excise the entire scar, some skin around it and resuture it to be flat and smooth. This is something I would do under anesthesia, not local. Good luck!

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Ideal Candidate for tummy tuck

Tummy Tuck

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Member Response:

Congratulations on your weight loss! You will be a great candidate for a tummy tuck. I would encourage you to consult with a plastic surgeon now. While you may not undergo the surgery right away, it's nice to learn about the procedure and any special issues in your case, find a surgeon you really click with, and let them share the journey with you. I would say consult now, perhaps return to them in 6 months to see where you are and plan together. I think it would be very motivating as well. Certainly stick to the ASPS website, but no substitute for meeting in person. Good luck to you!

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Ages for Surgery?

Breast Reduction

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Member Response:

Hello, the cost of a breast reduction in my area. is around $9,000 including surgery, anesthesia, facility fee and pathology. It is possible to do a breast reduction at age 15, though usually we wait until age 18. I have done as young as 14 in cases where it was appropriate and the parents of course will need to be involved. I am glad you are asking questions. Please set up a consultation in your area with your parent/ guardian to explore your options. When you do have it done, it will change your life!

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Payment

Breast Reduction

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Member Response:

It depends on your surgeon's office. We work with Care Credit which provides 0% interest for one year to the patient. Most cosmetic surgeries are paid in advance by either Care Credit, Credit card, or the patient making deposits on their account prior to the surgery. Good luck!

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Breast lift without implant

Breast Lift

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Member Response:

Very good question. A breast lift will correct sagging by removing excess skin of the breast and giving it a nice shape. An implant will add volume, increasing your cup size and providing some upper pole fullness. They are two separate entities and you can certainly do a lift without the implant. In fact the lift often heals better without the extra weight of the implant and remember you also have an option to add an implant later if you wish.

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Breast Implant Illness

Breast Augmentation

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Member Response:

Your symptoms sound like they may indicate a thyroid problem and certainly chronic stress. "Breast implant illness" is not a known disease though your symptoms are real. Removing the implants is worth considering to eliminate that worry, and focus on your symptoms. An endocrinologist may he helpful.

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Problem with sedation

Breast Augmentation

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Member Response:

Hello, it is certainly possible to have general anesthesia without benzodiazepines for the augmentation. Make sure you have an MD anesthesiologist caring for you, not just a nurse anesthetist. It also may be wise to have it done in a hospital setting rather than office, and have a medical evaluation beforehand, to determine what caused the previous reaction. I think general anesthesia is a wiser choice for the surgery. Best wishes.

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Gynecomastia

Breast Reduction

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Member Response:

Hello, this is a common but difficult condition to live with. If you are overweight, take certain medications, or have a hormonal imbalance these can all be factors. The best option is a combination of liposuction and surgical excision of the tissue. It takes about 3 hours and you wearva compression best afterward for a few weeks. It is a life changer for men! You would need a couple of weeks to recover, about 6 before exercises. Set up a consultation and bring a parent with you! Good luck to you!

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have an appendectomy scar

Tummy Tuck

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Member Response:

An appendectomy scar is not a problem for a tummy tuck, in fact you can have the appendectomy scar removed with the tummybtuck. Combining this with liposuction around the waist line is also commonly done. Best wishes!

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Hello

Aesthetic Genital Plastic Surgery

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Member Response:

Hello, This is a common and difficult issue for women after childbearing. Surgery is always a consideration but in the last 3 years there have been tremendous advances with laser resurfacing of the vaginal canal to tighten the tissue, improve lubrication and make tissue younger and healthier. diVA (by Sciton) is amazing and has minimal downtime. It is a series of three treatment over a 3 month period and also helps with urine leakage if that is an issue for you. Look for a Board certified surgeon who performs diVA in your area and meet with your gynecologist as well. Best wishes to you.

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"Puffy" nipples

Breast Reduction

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Member Response:

Hello John, it sounds like you have tuberous breast tissue where the breast tissue is herniated into the nipple/areola area. This can be corrected with surgery around the areola to allow the tissue to drop back in . It will leave a fairly well concealed scar. Sometimes this is all that is needed, but if excess tissue needs to be removed, it can be done at the same time. Cost varies widely with state and type of facility. In my accredited office facility, I ESTIMATE this would run about $6000 (including surgery and anesthesia. It is a life changer for men and will make your chest look "normal". Best wishes to you. Check into Care Credit as well which can help finance the surgery.

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I need answers

Liposuction

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Member Response:

Hello Tiffany, congratulations on your 3 children. At 5'7" your healthy weight is in the 150-175 range, so you are looking at needing to lose over 100 lb, which can be done! But surgery is not the answer. In fact it is risky at your current weight. You will be fit from help to learn why you gained the weight and how to change your lifestyle. Weight watchers "wellness works" is very successful and reasonable cost for significant weight loss like yours. You can do it, one pound at a time. You may need a tummy tuck or breast lift at a later date after having three children. Please seek some professional help for your weight loss! Best wishes to you.

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Liposuction of the bra rolls

Breast Reduction

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Member Response:

Congratulations on having a breast reduction, a life changing procedure! The surgeon should mark the bra rolls with your bra on, and luposuction the entire area. Skin on the back is thick, so some of the bra roll may be skin. You may also consider Coolsculpting for this area as it helps the skin to shrink as well. Cost varies widely! Best wishes.

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Previous surgery

Tummy Tuck

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Member Response:

Hello Sally B, you sound like a good candidate for a tummy tuck, provided you are a good candidate for anesthesia. Your body mass index is acceptable. The excess skin can be removed, muscle tightened and your old scar can probably be used for the tummy tuck. It is a restorative procedure, repositioning the muscle and removing the excess skin. Most women tell me it's the "best thing they have ever done". exercise and a healthy diet will make you a better surgical candidate and minimize the risk of complications; I would surges trying to lose about 15 lb ifvyou can. Best wishes!

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Mommy Makeover

Breast Augmentation

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Member Response:

Hello Eboni, The muscle separation is common after a second pregnancy and can be repaired surgically (diastasis repair). It really isn't possible to bring it back into proper position with exercise alone. Traditional abdominal exercises ( crunches, sit-ups) tend to make the diastasis worse. Planks and isometric type exercises are good. It sounds like you are a candidate for diastasis repair and possibly tummy tuck if you have excess skin as well. I am in Alexandria, VA and tummy tuck is one of my specialties. I would be delighted to see you for evaluation and since you are referred through ASPS we waive the consultation fee. Sagging breasts may just need a breast lift or perhaps implants or both, depending on your physical exam and your wishes. Good luck to you and hope to hear from you. Dr. Susan Buenaventura

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Sad belly button and indent

Tummy Tuck

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Member Response:

It sounds like a tummy tuck (abdominoplasty) would address both issues. It also sounds like it bothers you a lot. Check into Care Credit for help with financing; it changes women's' lives!

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Post breast reconstruction

Breast Augmentation

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Member Response:

It sounds like you had cancer on the right and prophylactic on the left? Or was the radiation on the right done for another reason? Implants and radiation can be challenging, and fat grafting and or flap reconstruction is worth considering for the left side. It is also possible to do both sides IF you have enough tissue. Fat grafting will be beneficial for both sides, especially the radiated side. But it may not be enough volume for complete reconstruction of both sides, so discuss additional options with an ASPS plastic surgeon as well. Good luck to you.

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To lift or to lift and reduce

Breast Lift

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Member Response:

It is always possible to do just a lift, but removing some breast tissue helps shape the breasts. It is your choice whether you want to have your breasts made smaller. With regard to your weight, elective surgery is safer if your body mass index is around 30 or lower. Find a board certified plastic surgeon in your area for consultation. Best wishes!

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Mommy make over

Liposuction

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Member Response:

After 5 pregnancies and 4 Cesarean sections you likely will benefit from a tummy tuck (abdominoplasty) which will realign your muscles, remove the excess skin and can be combined with liposuction. Your height, weight and medical history are important to stratify your risk. See a board certified plastic surgeon for more detail. Preventing blood clots in the legs is important and can be limited by being at a healthy weight, no smoking , good pain control and limiting the surgical time to abdominoplasty only.

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Lower abdomen protrusion... has anyone seen this before???

Tummy Tuck

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Member Response:

Hello Lauren. From the outside in, the lower abdomen is skin, fat, muscle and then your internal organs. A protruding belly can be excess skin and fat, a loose abdominal wall, a hernia or an enlarged uterus or mass. See a board certified plastic surgeon to see if you are a candidate for correction. Best wishes to you!

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One Breast reconstruction

Breast Augmentation

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Member Response:

I am sorry to hear about your cousin's breast cancer. Remember that while radiation does damage the tissue, it also cures cancer and prevents it from coming back. Fat grafting will help improve the skin and surrounding tissue on the radiated side. It may take several smaller operations, rather than one big one to achieve her best result. The good news is, it can always be improved and is worth addressing. Best wishes to you

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Insurance Issues

Breast Reduction

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Member Response:

It sounds like you are a great candidate for breast reduction. Most patients get immediate relief after the surgery and it changes their lives in so many positive ways! Find out the cost and check into Care Credit as well. Many insurance companies don't cover breast reduction but most hospitals have reduced rates for self Pay surgery. I consider all breast reductions medically necessary but it doesn't mean insurance will pay for it. Don't let the insurance company dictate your health care. Good luck to you!

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Average cost

Tummy Tuck

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Member Response:

The cost will depend your surgeon and the cost of the facility and anesthesia which varies widely. In Virginia with an overnight stay the cost is about $10,000. This can vary with a longer procedure time. Best wishes to you

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Tummy tuck

Tummy Tuck

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Member Response:

It would be safer to separate the surgery into a couple of 3-4 hour sessions to minimize the risk of complications especially deep venous thrombosis (DVT) . Remember that Cosmetic Surgery is still surgery, with real risks. Be sure you discuss all risks and benefits with your surgeon and follow their instructions closely. Best wishes.

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Breast reduction

Breast Reduction

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Member Response:

Hello Erica, the " authorization" from your doctor may require physical therapy for approval for breast reduction. You can probably find the requirements online. All insurance companies are different. Remember that the person the patient speaks with at the insurance company is completely separate from the person who the doctor speaks with and who will approve or deny the claim. Congratulations on moving forward with your breast reduction!

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Help with loose skin around eyes

Eyelid Surgery

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Member Response:

You sound like a good candidate for eyelid surgery ( blepharoplasty

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Am I candidate?

Tummy Tuck

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Member Response:

Hello Nicole I am sorry to hear of your accident. I would recommend putting all your energy into recovery right now. You may be a candidate in the future for elective surgery. Spinal cord injuries require extra caution with anesthesia. Best wishes to you.

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Hello is this procedure possible without full sedation?

Tummy Tuck

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Member Response:

It is important to evaluate each case on an individual basis. For a full tummy tuck, general anesthesia works best to optimize your results and limit the amount of local anesthesia to avoid toxicity. IV sedation is also possible. Focus on what will give you the best results from your surgery, and have an open discussion with your surgeon

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Post bilateral mastectomy recon

Breast Augmentation

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Member Response:

Hello, thanks for your question. If you have decided against reconstruction, the expanders can be removed. Have they been filled up with saline yet? If so, you can discuss removing the saline now with your surgeon, to let you see how it would look and let your tissue recover a little before surgery. The expanders can be removed easily but should be done in a sterile setting in the operating room. I usually recommend full anesthesia for patient comfort. The expanders are removed and a drain is placed. It should take about an hour and cause minimal pain. Drains usually stay in for 1-2 weeks. Also I would consider this part of your reconstruction so it should go through your insurance. Best wishes to you.

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tear trough fillers

Dermal Fillers

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Member Response:

Most fillers come in prepackaged syringes that contain 1 to 1.5 cc. The patient pays for the full syringe and I always use the entire amount, placing it where needed. Changing needles to use the remainder on another patient would be a dangerous and unacceptable practice. In the rare case that a patient only wants a portion of the syringe used, the remainder must be discarded. Some fillers like sculptra come in vials but are also intended for single patient use. I inject my own fillers and neurotoxins for patients , Thank you for your question.

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Post surgery

Breast Augmentation

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Member Response:

It is unusual to still feel stitches on the skin after so long. They may be dissolvable sutures, which never dissolved. Check in with your plastic surgeon for an exam. If there are dissolvable sutures on the surface, they can trim them away for you.

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Spair vs anchor

Breast Lift

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Member Response:

All breast reductions will have scarring but it is well hidden and the trade off (less neck, back and shoulder pain) is tremendous! It's less the technique and more the surgeon's experience that will guide the result. Each patient is different, heals differently and may benefit from different approaches by the same surgeon. Find a surgeon you like and ask to speak to previous patients. Having confidence in your surgeon is thee most important factor! Best wishes to you.

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What is the necessary amount of breast tissue for ins to aporive?

Breast Reduction

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Member Response:

Hello Pamelyn, you sound like a good candidate for breast reduction. The amount of tissue to be removed safely is usually about half the weight of the breast. All insurance companies vary as to whether they will cover a breast reduction, and if they will, all their criteria and policies are different. Perhaps seek another consultation with someone who will spend more time with you. The surgeon can help you navigate your insurance company's policies and whether coverage is possible. Best wishes to you!

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Breast sensation

Breast Reduction

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Member Response:

I am not sure exactly what you mean by climbing sensation, but it's certainly possible that any alteration in sensation can be related to your previous surgery. Muscle damage is not likely as the surgery takes place in the skin, fat and breast tissue only. Any new change in your breast should be evaluated by your plastic surgeon or primary care. If any study is needed (ultrasound, mammogram, MRI) to look into this concern further, they can examine you and proceed accordingly. Remember that other conditions can develop in the breast that are unrelated to the surgery so be sure to get evaluated to make sure. Best wishes to you.

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I have a problem with my eyes: Do I need a blethoraplasty ? or ptosis surgery? or

Eyelid Surgery

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Member Response:

Hello, and it sounds like you may have ptosis. An ASPS plastic surgeon or an oculoplastic surgeon can evaluate you to see if you have upper eyelid ptosis, excess skin, or both. If you have ptosis, the levator muscle needs to be repaired. That is the muscle that opens and closes your upper eyelid. Patients with ptosis tend to look tired because their eyelids are droopy. Excess upper lid skin from the natural process of aging can be removed with blepharoplasty. Distinguishing between the two is an important part of the pre operative evaluation. Best wishe!

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Contracture

Breast Augmentation

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Member Response:

If the contracture is causing deformity or discomfort, it makes sense to treat it. This would involve surgery to remove the implant, remove the capsule (scar tissue) partially or completely, and replace the implant. If it is above the muscle, consider putting it below the muscle. Cost will depend on they type of implant you are replacing, your surgeon and area where you live. In our area, cost for one side would be around $4000. Implant companies are now starting to include coverage for capsular contracture in their warranties. Make sure you ask about this when consulting. Best wishes to you.

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Breast Revision Recovery for body builder

Breast Augmentation

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Member Response:

If your implants are under the pectoral muscle then body building can displace the implants and cause discomfort. While under the muscle is preferred in most cases, in your case it might be best if the implants were placed on top of the pectoral muscle. If they are already on top of the muscle then it sounds like you may need more recovery time. Check in with your surgeon to be sure. Best wishes to you!

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Question

Arm Lift

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Member Response:

Hello Joseph, the arm lift involves surgery to remove excess skin and fat from the upper arms, above the elbow. It is done in an operating room and must be very precise to avoid injuring vessels or nerves. The scar is on the inner aspect of the arm and goes from armpit to elbow. It takes about 4 hours. The benefit is a lighter, tighter arm, albeit with a scar. Some patients will need liposuction as well. There is very little pain afterward but several weeks of taking it easy to allow healing. Best wishes!

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I need help

Liposuction

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Member Response:

Hello Jason. I think it is wonderful that you are considering being a physician and surgeon as a career. Becoming a surgeon requires 4 years of college, 4 years of medical school, then 5-8 years of surgical training in residency and /or fellowships. For plastic surgery it is 6-8 years of surgical training. So it can be 15 years of education after high school but if you are doing what you love, it is worth it! In college, no particular major is required, but you need a year of Chemistry, Calculus, Biology, Physics, and Organic Chemistry. You also must score well on the MCAT exam which you take in your junior or senior year of college. Being a surgeon and physician is a privilege and an honor. Though it requires hard work and dedication, if it is what you want don't let anything stand in your way! Good luck to you. Dr. Susan Buenaventura

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Cool sculpting , Sculpture or Liposuction?

Liposuction

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Member Response:

Sounds like you are working hard at keeping in shape! Liposuction is the gold standard for fat removal. I also offer Coolsculpting as it is a nice option when patients don't want surgery or down time. Cost varies widely because Coolsculpting price depends on how many sites you treat AND how many times you need to treat each site. (Each session removes about 20% of the fat.). Coolsculpting can sometimes be more expensive than liposuction but can be done blocks of time without downtime. You will get the best advice seeing a plastic surgeon who offers both rather than somewhere that only does Coolsculpting. In our area, liposuction of full abdomen and love handles would be about $7000. Ten sessions of Coolsculpting to cover the same area can be about $6000. Your concerns about the belly button are suggest you should be sure you don't have a hernia which is commmon after several kids. Find a board. Certified plastic surgeon near you and they will help you decide!

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Nipples

Breast Augmentation

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Member Response:

The augmentation involves placing an implant to enhance the breast size. A mastopexy or breast lift will reposition the nipples and remove some excess skin to tighten up the breast. They can be done separately or together. Best wishes to you!

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Re: Tummy tuck and health

Tummy Tuck

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Member Response:

Yes, it can be safe to have a tummy tuck if you are medically optimized. Your high blood pressure should be treated by your medical doctor and stable. Your pre diabetes should be addressed with proper diet and your A1C should be stable. Your primary care doctor will work with your plastic surgeon and it will minimize the risk of any complications. Ideally your BMI should be around 30 or less. Best wishes to you!

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Regarding chin implant

Dermal Fillers

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Member Response:

Chin implants generally increase the anterior projection on the chin but don't make it longer in the vertical plane. Whether or not a natural look can be achieved depends so much on your pre operative anatomy, but in general I would say yes, anatyralnlook can be achieved.

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Incontinence problem / childhood injury vaginal area

Aesthetic Genital Plastic Surgery

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Member Response:

It will depend on patient's history, exam and symptoms as well as age. DiVA laser treatment is excellent for vaginal resurfacing and helps with stress urinary incontinence as well. If your situation is more complex, seeing a urogynecologist may be helpful as well. Best wishes!

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Contour before tummy

Body Contouring

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Member Response:

Each patient is different. If you are normal weight range and have excess skin of the lower abdomen, and or loose muscle, you may prefer tummy tuck first, then can have liposuction if needed. If you are overweight, liposuction first is wise, then tummy tuck about 6 months later. Healthy diet and active lifestyle will benefit you and help you get better results from your surgery. Best wishes!

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Symmastia

Breast Reduction

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Member Response:

Hello, You sound like an excellent. Candidate for breast reduction ( a life changing procedure!) . This will make your breasts much smaller and lift them, which also tends to pull them further apart. If one needs to create a separation between the breasts this can be done at the time of breast reduction. You can also focus on the breast reduction first, heal, and address any residual concerns with a secondary procedure. In the hands of a properly trained plastic surgeon your breast shape and size will only get better! Best wishes.

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Areola are big

Breast Reduction

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Member Response:

It is possible to reduce the areola. If it is just too wide, the excess skin can be removed. If the areola are " puffy" it may be a form of gynecomastia, which can also be corrected surgically. We always offer payment plans via Care Credit. Best wishes!

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Breast Reduction at 18

Breast Reduction

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Member Response:

Hi Mattie. If your breasts are excessively large and heavy, and causing you neck and back pain, breast reduction will change your life! At your young age, it's important to discuss breastfeeding, ( it's still possible with the right technique) and scars, as well as the possibility that you may still be growing. If you understand the risks and benefits, breast reduction is a wonderful life changing procedure in teenagers. Best Wishes.

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Digestive enzyme and probiotic supplements and tummy tuck

Tummy Tuck

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Member Response:

I would continue the probiotics it will be helpful while you are on antibiotics. I would stop the enzyme no restart after surgery. Make sure to let your surgeon know bout these medications and best wishes,

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Previous reduction and need agsin

Breast Augmentation

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Member Response:

It is common to seek a secondary breast reduction after the body changes from pregnancy, perimenopause, and weight fluctuations. If you are too large, I would not plan on an implant, but would look at breast reduction to reduce the size, improve the shape and lift the breasts. This must be done with careful attention to blood supply in view of your previous surgery. Best wishes to you, find an ASPS surgeon in your area for consultation.

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