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FAQ

Facelift

What is the best way to add fullness to flat cheeks?

Adding volume to give facial balance can be done many ways. Injectable fillers both temporary or more permanent, fat transfer, and even cheek implants can add the volume you desire. Photos can be taken and computer imaging with 2-D and/or 3-D enhancements can help you decide which option is best for you. Often times a combination of adding volume to your cheeks and decreasing the projection of your nose can help achieve the balance you desire.

Is it possible to do both a hair line brow lift and forehead reduction at the same time?

Absolutley, a hairline browlift will not only raise your brows to a more youthful position and open up the upper eyelid,it will also reduce the forehead at the same time.  Many patients are fearful of a browlift, but this is a great procedure with long lasting results.

Are There Alternative to Expensive Lip Fillers? Injectable Fillers Don't Last Long With Me.

I use the Perma Facial Implant for permanent lip augmentaton.  Perma Facial Implant is a patented, FDA approved device.  It is made of a soft, solid silicone elastomer and has a smooth, non porous surface that cannot rupture.  The procedure can be performed under local anesthesia in 30 minutes or less!

I really think that my nose is too big for my face. Should I get a rhinoplasty?

The ideal nose takes into consideration the size and shape of the face, combined with cultural aesthetics. That said, based upon the narrowness of your face, I would recommend your having a slightly narrower nose and slightly more tip definition. When you go to see a surgeon, be sure to see some type of idea visually as to what it would look like and how it would be done. Make sure your expectations are realistic.

If the bridge of my nose is curved does that mean my breathing isn't as efficient as it should be?

Breathing well through your nose is a very complicated thing. Some people have straight noses, but have trouble breathing, while others have very crooked noses and have no problems at all. Since you’re thinking about getting a rhinoplasty anyway, this will be addressed in your consultation with a Plastic Surgeon.  If it is a problem or could become one, surgery for breathing and appearance can be performed at the same time.

I got a face lift 4 years ago. Feeling pressure and inflammation on left side of my face off and on for few months.

The feeling of pressure and inflammation after a face lift could be caused from a deep suture that hasn’t dissolved, or scarring around one of the tiny ducts of the parotid gland. The gland is just below the SMAS layer of the face and if a suture is placed deep into the gland, it may compromise one of the small ducts that drain the parotid gland when it produces saliva. This occurs most often when you eat spicy or sour foods. If it is just when you push on the area, a deep suture that hasn’t dissolved, or is trying to protrude up through the skin, is more likely the cause.

A thorough evaluation usually finds the problem and leads to resolution.

Liposuction

Do I have to lose weight before I get Liposuction?

Actually, I believe it’s best to have liposuction prior to weight loss. Be aware of the fact that your Plastic Surgeon cannot “do it all”. Your participation and subsequent weight loss is imperative to achieving the best results. I recommend losing one pound for every pound removed with the liposuction, but try not to stop there… lose even more if you can.

How long to wear a compression garment for the best results?

Just another opinion… we recommend 4 weeks of girdles, followed by Spanks. I can’t tell you what’s best, but only that the majority of people wear compression longer than is recommended. They feel better in it and look better, too.  It’s funny… that patients usually wear compression longer than any doctors recommend anyway.

Safe to have lipo on thighs, abs and hips with a spinal cord injury? I have very limited feeling below waist and can't walk.

I have performed liposuction on patients with a SCI and they have done well. I agree with thinning your blood when recommended and monitored by your family physician (for instance). While I no longer perform laser assisted or ultrasound assisted liposuction, it is a good technique in experienced hands.

I have lost a lot of weight, going from 310 to 218. Which surgery is best for me?

Your concern is one of the most common that we see as Plastic Surgeons. Removal of the excess skin, though, is the best option. However, there are many different ways to rid your stomach of the extra skin. One way is to remove just the excess skin that hangs and the other way is to perform a tummy tuck.

10 weeks post op Lipo and Brazilian butt lift, my stomach is still not flat. Any suggestions?

The best 2 options for you at this point are: 1. body shaper and 2. lose some more weight. Since the swelling probably won’t go down enough to give you a flat tummy is the remaining 2 weeks, you might be able to lose just a few pounds so that you look great for the dress. I would stay away for using diuretics or other drugs to look better.

When getting a tummy tuck lipo and BBL, is it too risky to get a breast lift with implants at the same time?

The combination of procedures that you’re considering is among the most common I perform. No, it is not too much surgery if certain steps are taken to prevent complications. The biggest concern I have and that we try to prevent is a blood clot from diminished activity. You may need blood thinners or simply move around every 2 hours while awake. I would consider having you get a medical clearance from your personal physician before surgery to assess the best way to prevent complication from occurring.

Tummy Tuck

After tummy tuck, is it possible to gain weigh around the stomach area?

If after having a tummy tuck you gain significant weight (20-30 lbs) your shape will change dramatically. That’s why I discuss weight gain with patients in hopes of discouraging anyone from weight gain. After spending all the time and money to achieve your desired shape, it would be more than unfortunate to have wasted all that effort. Don’t do it! Good luck!

How long does the surgery for Tummy Tuck and Muscle repair take?

I have performed a lot of abdominoplasties, but despite all that experience I still find it depends on the following 3 factors: 1. size of patient, 2. whether or not the muscles will be tightened, and 3. whether liposuction is to done. So the range of time is from 1-3 hours, with the most common amount of time to be told to the average patient being 2.

Strong abdominal muscles but still strange shape. Will a tummy tuck help?

1. Having strong muscles is one thing, but there is a part of the body that separates the 6 pack muscles and that is what can stretch out and cause a diastasis, 2. A tummy tuck tightens all the tissues around the muscles and it is possible most of the time (not all the time) to make someone look flat, and 3. Around 6 weeks after surgery patients may resume abdominal exercise in a gentle manner and then progress from there.

Is it smart for a 210 lb woman to get lipo on the stomach or is a tummy tuck better?

This is a difficult question for us to answer. What bothers you the most? Is it the extra skin or the extra fat of the abdomen?

The answer to these questions will direct you to a certain procedure. However, in general, I would recommend having liposuction done first and then asking you to lose 1 pound for every pound of fat that is removed. As you might guess, we can’t do it all. You’ve got to help us to get a great result!

The added benefit of doing liposuction first is that I can remove more fat if the only procedure being done is liposuction. We can remove perhaps 8-10 pounds of fat! Go see your Plastic Surgeon to discuss what bother you most.

10 weeks post op Lipo and Brazilian butt lift, my stomach is still not flat. Any suggestions?

The best 2 options for you at this point are: 1. body shaper and 2. lose some more weight. Since the swelling probably won’t go down enough to give you a flat tummy is the remaining 2 weeks, you might be able to lose just a few pounds so that you look great for the dress. I would stay away for using diuretics or other drugs to look better.

I'll like to have a tummy tuck done but I want a child. Is it safe ?

Even though you may wish to have more children in the future, my belief is that if you’re not sure or if you think it’ll be several years before you get pregnant, then you may reasonably consider having a tummy tuck now. As others have already said, it is best to wait until you’re completely done having kids (especially if you think pregnancy is in the near future). However, many women who have had tummy tucks do get pregnant and do well. They do sometimes get a secondary tightening, but not always.

Is it possible to get 3 cosmetic surgeries at once? I want a tummy tuck, breast augmentation and Brazilian butt lift.

Good afternoon, I want to know if it is possible to get 3 cosmetic procedures done at once. I am looking for a surgeon willing to do a tummy tuck breast augmentation and brazilian butt lift but not the one where there are implants but the fat transfer one. Thank you

 

This combination of surgery is the most common surgical procedure I perform.  I call this a mommy makeover.  Not only does it save you thousands by combining together, but you are only placed under general anesthesia one time and you are only recovering one time.  It requires 12-14 days of recovery with most patients doing very well by the end of the first week, the tummy tuck being the only procedure that extends the recovery past one week.  It is a drainless procedure in my practice.  The transformation is unbelievable and I have had no problems with the results of my brazilian butt lifts being performed at the same time.

Breast

If I decide to have a breast lift with implants for how long would it be recommended for me to stay home from work?

I would advise at least 2 weeks of recovery before returning to a day care position. I do not want my patients lifting anything over 10 pounds for the first two weeks. It would depend on the amount of physical activity your particular job requires as to if I would recommend more time. I recommend discussing with your surgeon for his requirements.

Will minimal weight loss after breast lift negatively affect my results?

Weight loss after a breast lift may make the skin a little looser, but a 10-15lb change usually does not make much difference, unless you know that your breasts change a lot with that little amount of weight change. Typically, though, a 30lb weight loss will make a difference and it is best to lose half of that weight prior to surgery.

If you're allergic to latex could you still have a breast implant?

Many women who have a latex allergy have a breast augmentation.

I am looking for upper pole fullness and some improved cleavage. I am still undecided over gel or saline?

I highly recommend going with the gel implants.  Although they are more expensive, they look and feel more natural. As evidence of their superiority, I would say that almost every patient in whom I have changed their implants from saline to gel, have told me that they are much, much more happy with the gels.

After breast implants are you never again suppose to work out your chest muscles?

I have no restrictions after 6 weeks post breast augmentation.  I recommend you gradually work up to your normal weight routine and push ups.

Tear drop or round breast implants?

If you’re wanting a natural result, you’re probably going to pick an implant that’s not too big. And because the implant is not too big, Plastic Surgeons are trained to make round implants appear like they’re tear drop in shape. Now it’s obviously easier to make a tear drop one look tear drop in anyone, but even round implant surgery can be performed such that you can’t tell the difference. The only bit of advice I have, though, is that if you go with the round ones, then you have to give it a few months for the tissues to stretch out to get that natural look (the tear drop ones look natural sooner).

How long does a breast augmentation take to look good?

If you can be patient for a month or two, I believe you’ll see the direction they’re heading and begin to feel much better about the surgery.

When does swelling after breast augmentation begin to subside?

Swelling will subside significantly by 2 weeks post, however your implants will still be high and in the process of settling into the pocket for a period of a few months (approximately 3 months)  I recommend that my patients choose a bra that they are comfortable in at 2 weeks post but not go crazy purchasing bras until I’ve seen them for their 3 month post op appointment.  I also don’t focus on a particular cup size post augmentation.  I focus on how the size looks on the patients body.  What is a C cup on the body, may fit into a D cup bra, depending on the style and brand.  I ask my patients in the sizing process to focus on the size and the look that they like in the bra and the top provided.  You will find a bra that you like in multiple cup sizes due to the multi brands and styles.  Focus on what looks good on you without a bra and give you the cleaveage and fullness you desire, the right bra will be found in the end.

Rhinoplasty

Can my nose be made thinner?

Absolutely! Narrowing the nasal tip cartilages that are giving you the bulbous tip and narrowing the nasal alae which cause the overall tip to look wider than you want, can be performed with a rhinoplasty. The profile can be maintained and the nose can be smaller and thinner. The amount of correction is limited by the thickness of the skin, and the strength of the underlying cartilages. Those things can be assessed during your consultation and should be discussed to give you realistic expectations.

I want a nose job but just my tip but not sure how I want it to be shaped

I’d recommend having some imaging done prior to your rhinoplasty. Imaging is when you alter the appearance of the nose on the computer and show the patient some suggestions as to what should be done to the nose.

Exercise after Rhinoplasty?

In our office we tell patients the following: Low impact activities for the first 4-6 weeks and high impact thereafter. The reason is that you don’t want to risk having any bleeding into the surgical area which is more likely the first month or so.

If the bridge of my nose is curved does that mean my breathing isn't as efficient as it should be?

Breathing well through your nose is a very complicated thing. Some people have straight noses, but have trouble breathing, while others have very crooked noses and have no problems at all. Since you’re thinking about getting a rhinoplasty anyway, this will be addressed in your consultation.  If it is a problem or could become one, surgery for breathing and appearance can be performed at the same time.

Lips

Are There Alternative to Expensive Lip Fillers? Injectable Fillers Don't Last Long With Me.

I use the Perma Facial Implant for permanent lip augmentaton.  Perma Facial Implant is a patented, FDA approved device.  It is made of a soft, solid silicone elastomer and has a smooth, non porous surface that cannot rupture.  The procedure can be performed under local anesthesia in 30 minutes or less!

Can I get lip implants if I am am 3.5 month post restylane injected?

I would recommend that you wait for the filler to go away… and it may take 6-9 months or until your lips are soft. Then would be the best timing for your lip augmentation.

Butt Lift

Can I do liposuction after a tummy tuck/muscle repair Will Lipo affect the mr Will there be any loss skin after the lipo

Absolutely! You may be an excellent candidate, depending on your medical history, to have excess fat removed after having a tummy tuck. Furthermore, I would recommend transferring it to your butt (let’s not waste any of that fat when it can be used to make your shape better!).

Mommy Makeover

Has anyone ever gotten a tummy tuck, BBL, breast lift and breast augmentation all at the same time?

This combination of procedures is what I call a Mommy Makeover.  This combination is frequently done in my practice with amazing results.  I keep my surgery time down to 4 hours or less and the only complication I worry about it a blood clot.  We instruct my patients to get up regularly throughout the day and rotate their legs and ankles while resting.  This is a wonderful set of procedures to do at once with only one time to be put to sleep and only one recovery time.  Mommy’s are busy people and I try to not only to save on your pocket book but to also get you back to your pre baby body at one time.

What size implants should I go with when I'm natural 38DDD? I also want a tummy tuck to get an hourglass shape

Let’s tackle these two questions: breast and tummy. As to the breasts, I would recommend a reduction/augmentation. With this procedure, you’ll get the closest to the pictures of the desired goal. I would lift the breasts and reduce the excess skin and tissue, then augment them for size and shape.

As to the tummy, I would do liposuction to the upper tummy and hips and do a tummy tuck simultaneously… possibly with a fat transfer to the buttocks (if you like). We do these combined procedures all the time and the results make my patients very pleased!

Mini Lift

22 yr old female, best way to add fullness to flat cheeks?

Adding volume to give facial balance can be done many ways. Injectable fillers both temporary or more permanent, fat transfer, and even cheek implants can add the volume you desire. At 22, you have much too much skin tone and texture to be a candidate for even a mini facelift which would not solve your issue anyway.

Photos can be taken and computer imaging with 2-D and/or 3-D enhancements can help you decide which option is best for you. Often times a combination of adding volume to your cheeks and decreasing the projection of your nose can help achieve the balance you desire.

I am 35 and would like to know if I am a candidate for a minor facelift?

As I always say….It’s all about elasticity! You have wonderful elasticity at your age and excellent skin. I would never recommend any more than liposuction of the neck and jawline and a tightening of the muscle under your chin. You can get the results that your desire with minimal down time using local anesthesia in an in-office procedure. You are a perfect candidate for the neck and jawline liposuction with submentoplasty.