Can you tell me what there is to know about silicone breast implants?

Breast implants, which can be filled with saline or gel, are inserted underneath the breast tissue to achieve a more fulfilling chest size. There are pros and cons to obtaining either saline or silicone breast implants. Silicone implants are lighter and softer, and some women prefer them for their more natural feel. The shells of both implants are equally durable, but saline implants with their valve deflate more frequently due to leakage. There is no lifetime guarantee for either implant and new surgery may be required to replace one or both implants.

Read Bel Red Center for Aesthetic Surgery reviews to see how patients recover from breast implants and lifts, and what you can expect during your procedure.

What can you tell me about laser resurfacing?

Laser resurfacing is a procedure that treats fine lines and wrinkles, skin blemishes, and promotes collagen production. It can also reduce dark spots by the formation of new ski to rejuvenate appearance.  Multiple sessions may be needed to achieve results. Post-treatment, the patient appearance will be reddened with scabbing and may have some discomfort.  Swelling usually goes down over the course of about a week and with decreased redness over the subsequent weeks.  Laser resurfacing has been effective on patients that suffering from acne scars, wrinkling, or surface imperfections. There are two types of laser resurfacing: CO2 resurfacing and Erbium laser resurfacing. Each of them have their pros and cons so it’s best to consult with your cosmetic physician to determine which procedure is best suited for your skin.

Read Dr. Jan Zemplenyi reviews to see how patients felt about their laser resurfacing.

What procedure do I need for the bags under my eyes? Didn’t use to be concerned as they would disappear once I got enough sleep. But lately, this hasn’t worked.

Hello, thanks for your question.  Eye bags can be removed by surgical and non-surgical means.  Addressing the need to eliminate eye bags without surgery, dermal fillers, made of gels composed of hyaluronic acid can be used.  This method is best for those with excess fat under the eyes.  It is also recommended for those with eye bags caused by cheek deflation.  Downtime is little if any, most patients can return to work the same day or the day after while there are some that will have some tenderness, redness or swelling for up to 2 weeks after the procedure.  Surgical removal of eye bags can be done for those whose eye bags are caused by bulging or excess fat under the eyes.  The doctor removes and/or adjusts fat under the eyes to eliminate the bags. Depending on the patient’s recovery capacity, full recovery can take from 4 to 6 weeks.

 

What is liposuction?

Thanks for your question.  In an attempt to achieve a more aesthetically pleasing body contour, people resort to liposuction to try and get rid of pockets of excess fat.  This is typically in the abdomen, flanks, thighs, and other areas of the body.  This procedure allows figure improvement through precise targeting and removal of isolated deposits of fat.  The procedure may be performed under general, regional or local anaesthesia.  It involves using a cannula and negative pressure to suck out fat.  There is a vetting process done by a qualified plastic surgeon before patients undergo liposuction.  Ideal candidates are over 18, are in excellent health, within 25 pounds of ideal body weight, and that have fat deposits that have not been addressed by diet or exercise. Some complications that can arise from liposuction are bruising, swelling, scars, pain, numbness, post-operative weight gain and limited mobility.

 

I want to have a tummy tuck. Should I look for a plastic surgeon or a cosmetic surgeon? What’s the difference?

The appropriate doctor to consult for the tummy tuck is a cosmetic surgeon  While cosmetic and plastic surgery are both concerned with improving a person’s body, they are different in the training and goals for patient outcomes.  For cosmetic surgery, the goal is to enhance appearance by improving symmetry, proportion and aesthetic appeal on all parts of the head, neck and body.  Cosmetic surgery is elective because the body parts being treated actually function property – the desired change is simply on the surface.  On the other hand, plastic surgery is intended to reconstruct facial and body issues due to birth disorders, trauma, burns and disease.  This type of surgery is intended to correct dysfunctional areas and is reconstructive in nature.  Breast reconstruction, burn repair surgery, cleft palate surgery, hand surgery and scar revision surgery are examples of plastic surgery.

I had a mastectomy and am deciding whether I should have immediate or delayed breast reconstruction surgery. What are the pros and cons?

There are several considerations to look at in deciding on immediate/delayed breast reconstruction surgery.  Among these is vascularity, or how well blood or lymph travels through the remaining tissue of the breast mound after the mastectomy.  Post a mastectomy, radiation therapy can be prescribed – in this case, it would be best to wait as the implant would not take well in an irradiated tissue bed.  With reduced blood supply, there is an increased change for scar tissue formation.  The reverse is true – for patients not requiring radiation, immediate breast reconstruction may be better.  Also there is the highly possible negative psychological impact of waking up from the mastectomy without a breast – immediate breast reconstruction would then be well timed. A more practical consideration for immediate reconstruction is that more of the natural breast skin is preserved after a mastectomy, making for a more realistic and satisfying reconstruction.  But then again, there are some that may feel overwhelmed with having to make such  decisions regarding their cancer treatment, believing in the adage of “one step at a time.”  They will come back to their surgeons later on when they’re good and ready to do something.

What is the difference between liposculpture and liposuction? Chanel

Hi Chanel, thanks for your question. Liposculpture is a derivative of liposuction. These terms are often used synonymously. Liposuction strictly refers to the removal of fat cells from a certain area, sort of like “debulking” the area of fat. It uses a cannula which is a metal rod with holes at the end that is attached to a vacuum suction in order to suction fat from the deep fat areas of the body. On the other hand, liposculpture removes fat in areas to sculpt the body. A good example of liposculpture is the procedure where the surgeon carves out and defines the existing rectus abdominis muscle to reveal the “6 pack” or “washboard abs”.  It entails a combination of procedures, including removal of skin and fat from different parts of the body, such as a tummy tuck, breast lift, and/or breast reduction.  You should have a consult with a board certified surgeon to determine which procedure is best for your targeted areas for improvement.

I have small bladders or sacs containing liquid on my mid cheek grove. I want to get rid of them, what’s the best procedure for this

Hi, thanks for your question.  Some doctors treat this condition through surgical removal, oral diuretics and steroid injections, but these may yield minimal and often temporary results. Instead, a specialized laser resurfacing process will treat the condition and manage the critical wound healing protocol following the procedure.  Laser skin resurfacing creates a wound in the area of the sacs and coaxing the skin to heal this area with better quality skin.  By purposefully damaging the skin with just the right amount of injury, the skin can heal without any problems with scarring and, in fact, with better quality skin.  In contrast, invasive surgical procedures are more time intensive and provide results which are often less than optimal. Treating just parts of the face through laser skin resurfacing takes about 30 to 45 minutes. A full-face treatment takes up to two hours.  Following the laser procedure, the treated areas will be bandaged. After 24 hours, you will need to clean the treated areas four to five times a day and then apply an ointment such as petroleum jelly to prevent scabs from forming.  Swelling after laser skin resurfacing is normal. Your doctor may prescribe steroids to manage swelling.

 

I had nose surgery but after 7 weeks, the tip is still very swollen. Is this normal? Sab

Hello Sab, thanks for your question.  Swelling after nose surgery is not uncommon. It takes about 12 weeks for your nose to be “camera ready,” so while you are understandably concerned and anxious, your experience is fairly common.  Wound healing is a complex biological process, a large number of cell types are involved in the process.  Multiple factors can impair wound healing by affecting one of more phases of the process.  Some factors that influence healing are oxygenation, infections, age, presence of sex hormones, stress, diabetes, medications, obesity, alcohol consumption, smoking, and nutrition.   Four weeks post op, most patients are healed, except for swelling in the tip of their noses.  You should expect to notice subtle changes in your noses for up to a year.  I would suggest that you give yourself a little more time to see the results of your surgery as people heal at a different pace.

I play a lot of basketball and my nose got hit badly but I’m not sure if it was fractured. There was some swelling right after the injury. But now, about 5 months after, I can’t breathe easily and my face is painful and I get congested a lot.

Hi thanks for your question.  A ball hit to the upper face can fracture the delicate bones around the sinuses, eye sockets, and bridge of the nose or cheek bones. It can be difficult to determine if you’ve fractured your nose after the injury described.    The adrenaline rush you feel during a hard game of basketball can make it hard to be sensitive to your body’s cues.  The symptoms you shared (the swelling, breathing problems, congestion and the pain) can point to a possible nose fracture requiring nose surgery.  Of all these symptoms, you should be concerned about congestion which could come from persistent drainage from one or both nostrils.  This could be cerebrospinal fluid draining from the brain to the nose, which can happen after an injury to the head.  It is best to have an x-ray taken of the nose after a thorough physical exam; if there are other suspected fractures, a CT scan is in order.