capsular contracture

Breast Implant Revision

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Member Response:

A diagnosis of capsular contracture is made by physical examination; there isn't any other testing needed for it. It does not usually occur within the first few weeks after surgery but instead over time. Muscle spasm will improve with time and with muscle relaxants. An experienced plastic surgeon should be able to make the distinction between the two.

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How long should I wait

Breast Augmentation

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Member Response:

There isn't an automatic time frame in between these surgeries. You will want to fully recover from the surgical trauma of a tummy tuck. In addition, you will want to recover from the anesthesia given for your tummy tuck surgery before undergoing another anesthesia. The breast augmentation and arm lift can be done at the same time. In situations like yours, we will have the patient, anesthesiologist and I work out a timetable for another procedure with which everyone is comfortable.

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size and profile change

Breast Implant Revision

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Member Response:

You can reduce the size of the implant as well as change its profile and shape. When doing so we modify the implant pocket to accommodate the new implant.

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Sleep position

Tummy Tuck

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Member Response:

Once you are completely healed from a tummy tuck, you should be able to sleep in any position, including on your side. Discuss your anticipated recovery including the time frames as to when you can do what with your surgeon.

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Financing

Tummy Tuck

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Member Response:

We perform in house financing with Care Credit.

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Botox and Injectors- Nurse Injectors or MD?

Botulinum Toxin

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Member Response:

If you feel more comfortable with your surgeon performing your injection, by all means, do so--just tell the front desk people who you want to see. I will say that we have a very experienced nurse injector in our practice. She receives rave reviews from our patients and has a busy injection practice. She is well trained and exercises good judgement which keep her patients safe, happy and returning with other patients as well.

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Tummy Tuck With Hypothyroidism

Tummy Tuck

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Member Response:

Prior to having a tummy tuck, you should get your thryoid controlled by your medical doctor and/ or endocrinologist, then weight reduced. A tummy tuck is not a form or weight loss surgery but instead is a form or body contouring to help improve the shape of you body.

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mega lipo suction

Liposuction

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Member Response:

We perform a lot of liposuction here in our practice, including large volume liposuction. A face to face evaluation would be most helpful to determine your desires and what can be achieved most safely and effectively.

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how much will I be paying ?

Cosmetic Surgery

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Member Response:

These fees will vary based on the amount of fat being removed and transferred as well as the location and experience of the plastic surgeon. A face to face evaluation is best to help determine all of this.

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Costs

Liposuction

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Member Response:

Charging for consultation fees varies by area. In our area of Bergen County, NJ, the vast majority of plastic surgeons do not charge for consultation fees.

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Capsule contracture

Breast Augmentation

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Member Response:

As mentioned, the implant companies have different policies to defer some of the costs of treating capsular contracture with surgery. If your condition is worsening, you should return to your surgeon for a re evaluation and discussion of options, including removal of the capsule and implant, then replacement with a new implant.

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Age

Breast Augmentation

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Member Response:

Your breasts should be fully developed and stopped growing before considering breast augmentation.

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7 days post op left side has had the same swelling. Left side looks big, right side flat and okay.

Breast Reduction

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Member Response:

It's hard to advise without seeing a picture of what your breasts look like. Based on your description, I would be sure to follow up with your surgeon. It is possible, that despite having a drain still in place, you have a collection of blood inside the breast which might need to be drained.

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Boob job on one side?

Breast Reduction

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Member Response:

Yes, we will sometimes operate on one breast only in situations such as yours where we are trying to match the other breast as closely as possible.

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Tattoo excision

Tattoo Removal

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Member Response:

Tatoo excision has been replaced by laser treatments to a large extent. Excision is something that is still done depending on the size and location of the tattoo as well as the elasticity of the surrounding skin.

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Would I be a candidate?

Breast Reduction

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Member Response:

You should be a candidate for breast reduction surgery. Obtain a consult with a board certified plastic surgeon. They will examine you, then discuss breast reduction procedures with you.

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Am I a candidate for minimal scar arm lift?

Arm Lift

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Member Response:

It's very hard to evaluate you without pictures or and in person examination. Best advice is to obtain a consultation with a board certified plastic surgeon. They can examine you, then discuss options to try to improve the contour of your arms.

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So Many Questions

Liposuction

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Member Response:

Liposuction is a form of body contouring to improve shape and not a form of weight loss. Best advice is to obtain an evaluation by your pcp to determine why you are gaining and not able to lose weight.

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Qualifications

Panniculectomy

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Member Response:

With your weight loss issues and skin laxity you would appear to be a good candidate for a panniculectomy (removal of the hanging skin only) or a tummy tuck. Best advice is to obtain a consultation from a board certified plastic surgeon to be examined and evaluate your options.

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Bumps and tightness

Facelift

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Member Response:

What you describe is not uncommon following a face and neck lift. Be sure to follow up with your surgeon so they can evaluate you and help speed your recovery.

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Reopening of “new” bellybutton 6 years after Abdominoplasty?

Mommy Makeover

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Member Response:

What you describe warrants further investigation. It would be most helpful for you to return to the surgeon who operated on you. They can review their operative report and examine you. This may shed light on what is going on without having to undergo radiographic imaging studies.

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Is there a loss of nipple sensation if you get implants?

Breast Augmentation

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Member Response:

Permanent loss of nipple sensation after breast augmentation is unusual though temporary loss can occur. Once sensation returns to normal, you may resume all the same activities in which you engaged prior to surgery

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Dermal fillers/ with breast implants

Dermal Fillers

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Member Response:

Dermal fillers would not make sense though fat grafting may be an option. This or putting in a larger implant to try to balance out the asymmetry are probably your best bets.

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Combining BBL with BA?

Breast Augmentation

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Member Response:

These procedures can be done at the same setting or staged. If they are done at the same time, you and your surgeon will need to arrange for some pillows and pads to help your positioning.

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Brest augmentation

Rhinoplasty

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Member Response:

Yes, these procedures can be done at the same operative setting to allow for one surgery, one anesthesia and one recovery.

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Too old for breast reduction

Breast Reduction

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Member Response:

At 64 you are not too old to have a breast reduction as long as you are in good health. I have performed a number of breast reductions on patients your age and older and they have done very well.

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Garment

Mommy Makeover

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Member Response:

There are many garments available. Discuss this with your surgeon and their team. They will educate you about garment wear and how to care for the drains.

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Switching fat

Breast Lift

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Member Response:

Given present technology, this is not possible. You can only use your own fat or perhaps that of an identical twin.

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cranial bones growth/remodelling in adulthood and reshaping...

General Reconstruction

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Member Response:

The cranial bones have fused by the time adulthood is reached. Therefore, remodeling of those bones in adulthood is not possible.

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Are plastic surgeons comfortable with a straight up nipple removal??

General Reconstruction

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Member Response:

This is doable from a technical standpoint. The first question the surgeon would ask during a consultation would be, "why do you want your nipple removed?" If the reason is valid, removal could be done.

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Soft capsules

Breast Augmentation

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Member Response:

A soft capsule means the lining which the body always forms around an implant is soft and pliable as opposed to hard and contracted. Soft capsules are preferred. Sounds as if your surgeon wants to see how you heal before committing to a revision.

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Cost of proceedurre

Breast Augmentation

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Member Response:

The cost of this and other procedures will depend on the specifics of the work being done, the location of the surgeon as well as their experience.

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Breast Feeding after Breast Implants

Breast Augmentation

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Member Response:

You should be able to breast feed babies when implants are inserted through an inframammary incision into a partial submuscular pocket. This should not affect you milk production or delivery of milk to your nipples.

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Implant and scar revision

Breast Implant Revision

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Member Response:

It is too early on in your course for revision--need to wait several months for the tissues to soften. Discuss your concerns with your surgeon at your next visit.

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Breast lift during explant

Breast Lift

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Member Response:

If a breast lift is indicated, we will often perform it at the same time as explantation. Best advice is a face to face consultation with a board certified plastic surgeon to be evaluated and discuss these options.

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Dental Implants and Tummy Tuck

Tummy Tuck

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Member Response:

I would agree with those other surgeons above who recommended that you not travel outside to another country for your surgery or your dental implants. The suggestion to look at dental schools and plastic surgery training programs to help reduce cost if money is an issue.

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Dangerous

Mommy Makeover

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Member Response:

As you can see in the responses here, you will get different opinions from different surgeons. Obtain one or more face to face consultations with board certified plastic surgeons. They will evaluate your desires, medical health, then perform a physical examination. Following this, they will discuss treatment options with you which would include one stage or two stage surgeries to accomplish your goals.

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Breast Plant Exchange

Breast Augmentation

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Member Response:

It's a little unclear as to what is going on. Bottom line: if I were to remove only or remove and replace implants, I would do that in the operating room for maximum safety and comfort.

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Ulthera an option?

Eyelid Surgery

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Member Response:

Probably best to obtain a consultation with a board certified plastic surgeon. They can examine you, then discuss both non surgical and surgical options to help you, as appropriate.

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Stuck

Body Contouring

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Member Response:

Best advice is to obtain a face to face consultation with a board certified plastic surgeon. They can examine you, then discuss both non surgical options such as Coolsculpting versus liposuction.

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Lots of concerns

Breast Augmentation

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Member Response:

It is not clear how long ago your surgery was. If you are relatively early on in your course, the width of your breasts may improve with time as the implants settle and swelling resolves. Once the width of the breasts becomes established, exchange to a more narrow implant is likely what will be needed. Follow up with your surgeon and verbalize your concerns to them.

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Lots of concerns

Breast Augmentation

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Member Response:

I would think revision of the size and / or shape of your breasts through the transaxillary incision would be difficult. Best to meet with your surgeon, verbalize your concerns and try to work out a plan to address them.

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Lots of concerns

Breast Augmentation

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Member Response:

Transaxillary breast augmentation can be performed with our without and endoscope, depending on surgeon preference. You are still relatively early on in your recovery and it is likely the implants have not fully settled yet. Be sure to follow up with your surgeon as advised so that they can monitor your progress and help get the best result possible.

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Fat transfer

Breast Augmentation

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Member Response:

No, presently, you can only have your own fat transferred from one part of your body to another. Transferring someone else's fat, even a family member, would not work.

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Am I a candidate for a breast reduction?

Breast Reduction

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Member Response:

It appears that you would be a very good candidate for a breast reduction. Obtain a consultation with a board certified plastic surgeon to learn more about the procedure.

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Revision post-reduction

Breast Reduction

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Member Response:

Most plastic surgeons will not charge for revisionary surgery such as this within one year of the original procedure. Discuss with your surgeon.

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Mommy make over/tummy tuck & liposuction

Tummy Tuck

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Member Response:

Best to obtain a consultation with a board certified plastic surgeon for these procedures in order to increase your odds for a good results and minimize complications.

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Calf augmentation

Body Contouring

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Member Response:

Best advice is to obtain a consultation with a board certified plastic surgeon experienced in calf augmentation. They can examine you, then discuss treatment options with you.

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Breast uneven

Breast Augmentation

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Member Response:

You are still early on in your recovery. Best to follow up with your surgeon so that they can advise you on how to get the right implant to drop sooner rather than later. We will do different things in situations like this depending on the type of implant and degree of asymmetry.

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Breast lift at the age of 18

Breast Lift

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Member Response:

Best advice is to obtain a consultation with a board certified plastic surgeon. They can examine you and tell you if you are a candidate for a breast lift. If you are, they will then discuss breast lift options to help achieve your goals.

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Recovery

Breast Reduction

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Member Response:

Following surgery, scars take time to mature over many months. Patients will heal their scar differently based on a variety of factors involving the extent of the scars, how the incisions were closed, the patient's tendency toward thin or thick scars. Discuss your concerns with your surgeon so that they can carefully monitor your scarring to heal optimally.

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Aspen therapy

Breast Augmentation

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Member Response:

We have used the Aspen ultrasound treatments for several years in our office now and found it helpful. It works best for patients with early capsular contracture. Unfortunately, it has little effect on advanced capsular contracture.

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How expensive is it?

Breast Reduction

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Member Response:

The costs will vary by location and a number of other factors. Obtain one or more consultations with board certified plastic surgeons to hear from them how they would treat your gynecomastia and costs associated with these treatments. We have found this to be a life changing procedure for our patients.

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Need help!

Tummy Tuck

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Member Response:

As long as you are cleared by your transplant doctors, you could be evaluated for the surgeries you indicate.

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Diabetes

Rhinoplasty

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Member Response:

Well controlled diabetes should allow you to be considered for cosmetic surgery. It is important for your plastic surgeon and primary care physician or endocrinologist to communicate to be sure the procedure can be done safely.

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Multiple surgeries at one time, thisthe surgeon has said he will do in one go, is this safe

Body Contouring

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Member Response:

This sounds like a lot of surgery to be performed at once. It is very reasonable to get more than one opinion from plastic surgeons who can examine you.

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Breast Implants removed well, but the right nipple looks more like a dimple

Breast Lift

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Member Response:

Without pictures, it's hard to say what is going on for sure but it is likely some scar tissue inside the breast is pulling the nipple inward. This may improve over time as the scar tissue matures. If not, releasing the scar tissue can likely solve the problem. Discuss these options with your surgeon at your next visit.

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Nose bump

Rhinoplasty

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Member Response:

Scar tissue can build up in the area from which the bump is removed. Massaging the area with your fingers can sometimes help this settle down. If not, rasping of the scar tissue can be performed which should correct the problem. Discuss these options with your surgeon.

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Nose tip

Rhinoplasty

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Member Response:

It sounds as if you want a cosmetic rhinoplasty. Obtain several consultations from board certified plastic surgeons to get their opinion about what they would do and what it would cost.

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Breast Lift with Breast Augmentation (Implants)

Breast Lift

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Member Response:

Best advice is to obtain a face to face consultation with a board certified plastic surgeon experienced in breast implants, particularly in body builders. They can examine you, then discuss the pros and cons of implant types and pocket location.

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Breast Augmentation with Liposuction

Liposuction

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Member Response:

Probably best to obtain a consultation with a board certified plastic surgeon near you. They can examine you and discuss treatment options to address your goals. Having lost 80 pounds, you may need a skin tightening procedure and not just liposuction alone.

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Should I get a rhinoplasty?

Rhinoplasty

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Member Response:

No picture. Obtain a consultation with a board certified plastic surgeon near you. They can examine you and discuss options to help the appearance of your nose.

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Recovery time

Breast Reduction

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Member Response:

Breast reductions are most commonly done as an outpatient. Our patients are up and walking around the same day, shower the next day and can perform light activities. We have a very effective pain protocol so that postop pain is usually quite manageable. Patients can return to desk jobs within a few days, more physical jobs with lifting will take 2-3 weeks unless light duty can be done.

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How soon safe it is.

Liposuction

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Member Response:

Most commonly, we will combine these procedures for efficiency--ie, one procedure, one anesthesia and one recovery. If that is not possible, discuss the timing with your plastic surgeon and anesthesiologist to see what they recommend. It may vary from patient to patient based on a variety of factors.

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Anesthesia Concerns

Breast Augmentation

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Member Response:

Not all the procedures we do require an anesthesiologist. For those that do (ie, general anesthesia or monitored sedation), we arrange an anesthesia consultation to meet with our anesthesiologist be sure we proceed with safety.

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I need a slight nose reduction.

Rhinoplasty

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Member Response:

Rhinoplasty surgery is not painful. I would think you could return to work as a dog groomer within two weeks after surgery. Obtain a face to face consultation with a board certified plastic surgeon. They can examine you, describe how you should look after surgery and detail your anticipated recovery.

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Breast Reduction Correction

Breast Reduction

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Member Response:

I would think breast augmentation is your best option. Discuss your displeasure with your surgeon as well as options such as augmentation.

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Aftercare

Facelift

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Member Response:

Cold water should not affect the survival of the fat grafts . Be sure to discuss postop instructions with your surgeon however to be sure that you and they are on the same page.

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How dangerous is the Brazilian Butt lift surgery?

Body Contouring

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Member Response:

Fat injected into the subcutaneous tissue of the buttocks should be a safe procedure in well trained hands. Once that fat survives and becomes incorporated into your existing buttock tissues, it should last a long time. This should give a natural look. Filler substances are not likely to provide a good long term solution for the buttocks.

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I Still look Pregnant but I am not

Tummy Tuck

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Member Response:

It sounds as if you may be a candidate for a tummy tuck. Obtain a consultation with a board certified plastic surgeon near you. They will evaluate you and discuss potential options to address your concerns.

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Rupture removal

Breast Augmentation

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Member Response:

It would make sense to replace both implants at the same procedure since they have been in place for 29 years.

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Is it safe

Mommy Makeover

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Member Response:

Multiple procedures can be performed safely by a well trained , board certified plastic surgeon experienced in the procedures being performed. This should be done in a hospital of fully certified ambulatory surgical center with a board certified anesthesiologist or equivalent present. Carefully review the plan with your surgeon so the procedures can be staged to minimize anesthesia time.

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Gynecomastia

Breast Reduction

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Member Response:

Since you've had gynecomastia for 3 years it is unlikely it will go away be itself. Best advice is to obtain a face to face consultation with a board certified plastic surgeon. They can examine you and discuss treatment options. Their staff can also provide you with costs for the procedure. This will vary based on geographic location, the surgeon as well as the specifics of what is being done.

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Health issue

Mommy Makeover

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Member Response:

Type 2 diabetes in and of itself does not rule you out for having a mommy makeover. Best advice is to obtain a face to face consultation with a board certified plastic surgeon. They will examine you and discuss options. In addition, they will require a note of medical clearance from you primary care physician.

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Breast Reduction Vs Bellasoma Method

Breast Reduction

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Member Response:

Plastic surgeons often do things somewhat differently from one another. A breast reduction from DD to C cup will involve a lift as well. How that is achieved will vary based on the surgeon. I have found a vertical reduction and lift to provide excellent shape to the breasts afterwards.

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smooth implants

Breast Augmentation

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Member Response:

There is some movement of both types of implants, particularly when placed under both breast and muscle. This movement is temporary during exercise and as soon as the patient stops, the implant returns to its original position. This does not usually present a problem for the patient.

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Removal

Breast Augmentation

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Member Response:

Be sure to see a board certified plastic surgeon. They will listen to your concerns, examine you, discuss the procedure of breast implant removal, otherwise known as explantation, and recovery from it.

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Removal/replace?

Breast Augmentation

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Member Response:

It's not clear to me if a mammogram done 5 months ago allowed the diagnosis of a ruptured implant. If a mammogram was done 5 months ago, should not need another one now. If not, it makes sense to have a mammogram prior to implant removal.

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Breast reduction

Breast Reduction

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Member Response:

It is unlikely that your implants are causing your hypertension. You should discuss this with your pcp to be sure your blood pressure is under good control and if there is any underlying cause for it.

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Loose skin between breasts

Breast Augmentation

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Member Response:

Not really sure what is going on with out an exam or picture. I suggest you return to your surgeon to discuss you concerns with them as well as be examined. You should be able to learn what is going on and what can be done to rectify it.

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My breast was injured by my 130 lb doberman

Breast Augmentation

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Member Response:

Given your history, it makes sense to return back to your surgeon for an evaluation. They will examine you and determine if additional testing is necessary such as and ultrasound, MRI, etc.

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BBL

Mommy Makeover

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Member Response:

Best to discuss these issues with your surgeon. They will want you pcp to be sure your blood pressure is under good control prior to your procedure. Your surgeon can also discuss the option of addressing your breast implants at the same time or staging these procedures.

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New life

Breast Reduction

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Member Response:

If your son's gynecomastia has been present for more than a year of two, it is unlikely to resolve by itself. Obtain a face to face consultation with a board certified plastic surgeon so he can be examined and treatment options discussed.

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Will i asleep doing breast augmentation surgery with slicone breast implants

Breast Augmentation

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Member Response:

Most surgeons will have the patient receive general anesthesia for breast augmentation. We have out patients wear a sports bra for support in the first few weeks following breast augmentation. Once fully healed, you should be able to resume all activities , including marathon running following your surgery. Discuss all of this with your surgeon so that they can answer these questions directly.

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Need a few things

Body Contouring

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Member Response:

Costs will vary by surgeon, location and the amount of work that needs to be done in each area. Best to obtain a face to face consultation with one of more board certified plastic surgeons in your area. They can examine you, discuss a treatment plan to address your areas of concern and give you an accurate cost for these procedures.

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Breast has has hardened

Breast Augmentation

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Member Response:

It sounds as if you've developed capsular contracture of the breast. Surgery is performed to remove the implant and hardened scar tissue or capsule around it. The implants can then be replaced. Obtain a face to face consultation with a board certified plastic surgeon who can examine you and discuss all of this in detail.

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Shape of Breast 6 month post op

Breast Reduction

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Member Response:

It sounds as if you have had some sagging of your breast tissue and stretching of your scars. Follow up with your surgeon to get their thoughts on why this has occurred and what might be done to improve it.

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Concerns with scar line and Breast shape

Breast Reduction

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Member Response:

Without seeing the scar and what you are describing, it is hard to say for sure. Based on my experience, it is likely some adherent scar tissue. Sometimes massaging the scar can release the scar tissue, if that's what it is. A visit to your surgeon should clarify things for you as to what's going on and what can be done to treat it.

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Scaring and loss of pigmentation on areolar

Breast Reduction

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Member Response:

I would contact your doctor to make them aware of what your scars and areolas look like. I try very hard to get our patients to heal well and follow them carefully during the first year of their surgery to monitor their healing.

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Nose Job after Nose Filler

Rhinoplasty

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Member Response:

Rhinoplasty surgery would be most accurately performed once the injected filler is gone so that the actual anatomy of your nose can be appreciated. Hyaluronic acid fillers will usually last several months in most areas but often more in the nose.

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Recovery

Breast Reduction

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Member Response:

A breast reduction will remove excess skin and breast tissue, leaving your underlying chest muscles alone. You can certainly build and tighten your chest muscles afterwards.

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Breast implant removal

Breast Augmentation

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Member Response:

Hopefully, removal of the implants, also known as explantation, should help alleviate the pain and other symptoms you are experiencing. In many patients, that alone is all that is needed. In other patients whose breasts tend to sag, a lifting procedure can be considered as well. Cost will vary based on the extent of work being done as well as geographic location.

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Back pain

Breast Reduction

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Member Response:

A breast reduction would make your breasts smaller and lift them at the same time. A breast lift is done to lift the breasts into a more youthful position. Both can be effective with back pain. Obtain a face to face consultation with a board certified plastic surgeon to be examined and discuss treatment options in detail.

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Buttocks implant

Body Contouring

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Member Response:

A buttock implant can be considered in a patient such as you. Obtain a face to face consultation with a board certified plastic surgeon to review your options in detail, a description of the procedure, anticipated recovery as well as potential risks and complications.

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procedures and cost?

Liposuction

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Member Response:

We would need to evaluate you to determine how best we can help you. We offer virtual consults for our patients who travel a distance. Once we have worked out a plan, fees can be quoted. Finance plans are available.

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Excision

Tattoo Removal

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Member Response:

We perform tattoo excision when appropriate. It will leave a permanent scar and the patient must be willing to accept that.

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Hourglass Figure?

Body Contouring

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Member Response:

We would need to see pictures, ideally examine you in person to give you and in depth opinion. I have no experience removing ribs or shaving the hip bone, however.

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Surgery complication?

Liposuction

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Member Response:

This is probably some scar tissue from the procedure which should improve over time. Often times, massaging the area can help break up the scar tissue sooner and speed your recovery. It might be helpful to call or email your surgeon with a picture of the involved area. Even though they are out of state, they know what they did at the time of your procedure and this can often be helpful in providing advice.

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Thigh and abdominal skin removal after extreme weight loss

Body Contouring

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Member Response:

An abdominoplasty and body lift can be performed at the same time or at two different surgeries--these are among the options we discuss in detail during our consultation with the patient. Doing both procedures at the same time is more efficient in terms of one surgery, one anesthesia and one recovery. Cost will vary based on the amount of skin laxity, the specifics of what we are doing and the time required.

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