December 31st, 2011 admin
Differing surgeon opinions
Christy,
Surgeons are sometimes very opinionated individuals. And , just as in life, surgical opinions can vary widely. I would recommend a third opinion. I realize that it is time consuming to obtain yet another opinion, but it is not just a haircut that you are considering. It is likely that the third surgeon will agree with one of the two other surgeons. Then, let the majority rule. Web reference: http://francisnyplasticsurgery.com/face_rhino.asp
Manhattan Plastic Surgeon
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November 20th, 2011 admin
Positions For Sitting and Sleeping After Tummy Tuck Surgery? (photo)
what are the best way’s to sit and watch TV and what about laying down to sleep . I have NEVER had any kind of surgery in my life and i really dont know what to do and i’m starting to freak out with only 14 days to my tummy tuck but i have lost 104 lbs and really need to fix all this
Asked 1 day ago by buffyduck_tummytuck in Jonesboro, AR
this is my before
+1
Reclining after tummy tuck
Dear Buffyduck,
The best postition to sit and even sleep in after a tummy tuck is the reclined position. It will minimize the tension on your scar while your newly stretched skin relaxes over the days following surgery. Be sure to get up and walk several times a day and exercise your ankles and feet while reclining to prevent blood clots from developing in your legs. Good luck!
Manhattan Plastic Surgeon
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November 20th, 2011 admin
Should Fixing the Bottoming out of my 3 Month Old Implants Be Covered Under the Original Fees?
My left breast implant is bottoming out. When I raise my arms the nipple is almost all the way at the top of the implant. The doctor has me scheduled to fix this by using non-disolvable stitches to stitch the pec muscle to the rib muscle. I feel that this procedure should be covered by their practice since my implants are only 3 months old. I am getting quoted over $2200 to fix what I feel is their mistake. This is quite upseting to me. Is this procedure normally charged as an additional fee?
Asked 1 day ago by Fed up with Fees
+1
Revision Fees Are Not Unusual
Dear Fed,
There are differing policies regarding revsion breast surgery. From the fee that you quoted, $2200, it sounds as if you are only being charged for the operating room materials and anesthesia. It is not unusual to charge these fees and wave the surgeon’s fees if an early revision is needed. God luck!
Manhattan Plastic Surgeon
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October 27th, 2011 admin
Rhinoplasty – What Do I Need Done? (photo)
I want to correct the obvious problems in my nose, the bulbous tip and small hump. I do not want me nose to become too small because I think the size fits my face well. The bulbous tip is very obvious when I smile. What would the suggestions be for what I should have done to improve the appearance of my nose and face overall?
Bulbous/Boxy, but not bad
Kate, Your rhinoplasy needs are relatively straight forward. Your tip is slightly bulbous, maybe more boxy. It’s difficult to tell from the pictures, and is really just a technical issue as far as the surgeon is concerned. Your dorsum has a slight bump and the length may need to be increased with a small graft to the root of your nose (near the bridge). Your results should be very favorable. Good luck!
Manhattan Plastic Surgeon
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October 27th, 2011 admin
Getting a Brazilian Butt Lift, Should I Lose a Little Weight First?
Hello, I’m planning on having the BBL procedure this year. My height is 5′2 and my weight is 175. Should I lose 20 more pounds before I have the procedure? My body shape is “V-shape”. Also current jean size 14, after body contouring what size will I end up with? and what amount of fat will be removed overall? Thank you.
How big do you want to be?
Dear Luna, The answer to your question may lie in the answer to “how big do you want your buttocks to be?” In general, it is always better to lose weight before surgery and maintain that weight for at least 3-6 months to make sure that you can maintain it. However, many of my patients want to be as large as I can make them. And, many times I am limited by the amount of fat available for transfer. So, if your goal is to have as large a buttocks as possible, then you may want to save the weight loss for after the surgery. Good luck!
Manhattan Plastic Surgeon
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October 27th, 2011 admin
NJ asks:
Am I a Candidate for BBL?
When the fat is removed, will there be excess skin hanging on my abdomen? I’m petite and weigh 111 lbs. I have fat on the love handles and front abdomen and upper back. Can I expect moderate improvement? My butt is flat.There is no fat on my thighs.
All the world is a candidate for BBL
Dear NJ,
As you know, the BBL or Brazilian Butt Lift, has become a very popular procedure. Most patients with any amount of excess fat on their bodies are candidates for the procedure. The specific question that you ask regarding the skin loosening on your abdomen can only be answered after an examination. Women that have had pregnancies or significant weight loss tend to have lost at least some of the elasticity of their abdominal skin. A good indicator of this loss of elasticity is the presence of stretch marks. However, this does not render you a poor candidate for the Brazilian Butt Lift. Many patients undergo the Brazilian Butt Lift along with a tummy tuck to address the loose skin that is present and worsened by the liposuction fat removal. So, hope is not lost. See a board certified plastic surgeon for a full consultation and recommendations as to how you may proceed. Good luck!
Manhattan Plastic Surgeon
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August 1st, 2011 admin
My Implants Are Too Big. Can Saline Be Withdrawn?
I just had breast augmentation with Natrelle saline filled implants. My left breast is a 168-330 filled to 330cc and my right breast is a 168-360 filled to a 420cc. I am post 1 week exactly, as I know my breasts have not settled, a lot of the swelling has gone down. My right breast hurts under my arm and to my back and feels and looks a size larger than my left. I feel that it has been overly overfilled. I’m a sporty girl who started with a 38A and am confidant that I’m better off a B than a C.
Asked 1 day ago by Bear66
+1
One week post surgery?
Dear Bear, One week after surgery is not time to be critically evaluating your result in any aspect. Your implants will settle over time. Swelling will resolve over the next few weeks. Your skin will relax over the next several months. You really need to be patient and let the healing process take place. A discussion with your surgeon will confirm that you need to wait it out. If after 6 months you are still disappointed with your results, you can consider a revision.
Good luck! see video
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July 24th, 2011 admin
I Am 36B/34C. Can I Go BIG Without Having 3 Surgeries?
I am 5.4″, 118 lbs and I want to go BIG but I dont want to have multiple surgeries. Is it possible that I can have DD or F without having too many surgeries? And what cc should I get to have them? Thanks.
Asked 1 day ago by a.
+1
DD likely
Dear A,
It is likely that you could get to a double D cup size with one surgery using around a 600cc implant. An F cup might take a few operations. Keep in mind that each operation brings risk to the table and each time you reoperate on a breast, the more likely you are to have sequelae such as poor healing, tissue thinning, scar contractures, etc. Many women have multiple successful surgeries on their breasts, but it’s like playing lotto. If you keep buying a ticket, you might eventually win, or in this case, lose. Good luck!
Manhattan Plastic Surgeon
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July 6th, 2011 admin
280cc Only Other Size Available 230cc? Minor Tubular/puffy Areola Breasts?
thankyou for all reply’s http://www.realself.com/question/breast-implants-correct-minor-tubular-herniated-nipple decided on a surgeon he has a different approach than others. wanting to lowering of crease, overs, 280cc 100% full silicone. He thinks 70% chance i will be happy and breasts will fill out more. Others said 260cc no mention of lowering (5′6,110lbs,size(8UK)(4US),32a)wanting 32c(nothing more) Thoughts on sizing please? only other size lower available 230cc with this surgeon?
Asked 5 days ago by flowerman
+1
Tubular breast augmentation
Dear Flowerman,
That is a very interesting question that you pose. First, you must remember that medicine is a practice. There are many different ways to achieve a result and five different surgeons might have five different approaches. However, if your surgeon seems to be an outlier, i.e. every other surgeon is saying to do it this way and he/she is saying to do it that way, then beware. If the plan is to go above the muscle you need to have enough tissue (breast, skin and fat) to adequately cover an implant. Good luck!
Manhattan Plastic Surgeon
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July 6th, 2011 admin
Buttock Implants Were Installed Too Small and Too High
I wanted larger hips and but so I had 350cc buttock implants last year and they placed them too high and they are too small. This made the problem worse and now I look worse. I would like to know if fat injections around the out side of the implant or would I have to have the implants replaced? Can fat be transferred to the outer thighs and hips of the butt with the implants replaced?
Asked 5 days ago by ponytail
+1
Butt implants misplaced
Dear Ponytail,
In answer to your question regarding fat transfer, yes, you can have fat transferred to the outer buttocks and hips to enhance these areas around the implants. If you feel that your implants are too small you might consider moving to a larger implant, although a 350cc buttock implant is rather large already. The caveat to adding fat around the implants is that you have to have enough fat to transfer. I would assume that since you had implants placed first that you don’t have much fat to transfer. If that is the case, a 10-15 pound weight gain might provide you with enough material to work with. Good luck!
Manhattan Plastic Surgeon
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