Breast reduction surgery can help to reshape, lift, and reduce the weight of the breasts to enable patients to lead more active lifestyles. Most women in this situation who undergo this procedure wish that they had done it sooner!
Scars do occur in breast reduction, as with any surgery. The question is how well do you tend to heal, what type of scar patterns are you willing to tolerate on your breasts, and whether or not you think that trading scars on the breast for improved shape and decreased back pain, if you have it. The scars tend to fade nicely for most people.
4 months is usually enough time for most of the swelling to resolve after breast reduction surgery. Occasionally there can be some fluid buildup after surgery (seroma) which might increase the time for apparent swelling to resolve. The other thing to note is that bra sizes are very different between companies and there is no great way to guarantee an exact postoperative size. Hopefully you are happy with your new overall breast shape. You should continue to follow with your plastic surgeon regarding any concerns that you might have.
I often postpone surgery until breast growth is complete with stability in size for approximately 1 year. I have done surgery for 16-17 year old girls previously because they were in significant pain related to their large breasts. For those girls, this often requires a hormone evaluation and trying conservative measures such as core strength exercise, pain meds, & wide bra straps before surgery.
Yes, very common. This procedure addresses sagging, deflated breasts by removing skin, raising the nipple location, and sometimes readjusting the shape of the breast tissue itself. The patient trades a scar on the breast for an improved overall breast shape. This surgery is often combined with breast implants for augmentation and improved upper breast fullness.
If this was early in your postoperative course, your symptoms could be related to persistent swelling, which takes a few weeks to resolve. If you are already a few months postop, then you should return to your surgeon for re-evaluation. It is possible that your trouble is coming from collapsing ala, large turbinates, allergies, or other reasons.
A septoplasty is performed to correct damage to the septum, the bridge of cartilage that divides the nostrils. Nasal obstruction arises due to many issues, including compensatory hypertrophy, trauma, birth defect and more.
Nasal septum surgery is most commonly done in two ways:
16-17 years is the average age of nasal maturity. The age at which rhinoplasty can be performed has to do with the time at which nasal growth is complete. If surgery is performed too early, the growth centers of the nose can be disturbed and the nose might not develop fully. Nasal growth is usually complete around 16 years old, on average. Another necessity is that, until you are 18 years old, your parents should be involved in the consultation.
The benefits of septoplasty are the improvement of breathing through the nose and sometimes changing the cosmetic appearance of the nose. Very infrequently, however, the latter can be a risk or unintended consequence. The more common risks are bleeding, intranasal scarring, failure to improve nasal breathing, and smell sense/voice changes.
Deviated nasal septum surgery, also called a “septoplasty,” is a medical procedure that corrects breathing problems resulting from damage to the septum, the bridge of cartilage that divides the nostrils. The damage could be the result of many issues, including severe allergic reactions, trauma or birth defect.
The procedure can be performed either “open,” meaning the skin is opened during surgery, or “closed,” meaning the surgeon works through the nostrils to avoid leaving a scar on the nasal bridge. The surgery is relatively quick, sometimes just 60 minutes, and requires a few weeks for recovery.
Stretch marks occur due to cracks in the dermis skin layer. Some of these will fade with time. If the red color does not go away, a pulsed dye laser can help to fade the color. Laser is less helpful for white marks. Otherwise, the most definitive treatment is a tummy tuck, which will completely remove as much of the damaged skin as possible while restoring smoothness to the abdominal contour.
Tummy tucks can feel tight for a while and can hurt, just as with any other surgery. I often use special catheters after surgery that give extra local anesthesia to the abdominal wall postoperatively and help with the pain. Whether or not it is “worth it” is a personal decision, since you have to weigh the risks of surgery with the benefits. Most patients are quite happy after getting this done!
Fillers are not FDA approved for use in changing nasal shape. Temporary ones are usually safe as long as the filler is placed deeply against the cartilage/bone. Temporary fillers do not spread systemically. They do not migrate locally unless manipulated a lot after injection. If injected too superficially, they can cause irregularities in the soft tissue or get infected, causing a scar. I do not recommend using any permanent fillers or anything temporary filler other than a hyaluronic acid (Restylane, Juvederm, etc…) product if you are getting injectibles in your nose.
Botox is a drug made from a neurotoxin produced by the bacterium Clostridium botulinum called botulinum toxin. It is used medically to treat certain muscular conditions and cosmetically remove wrinkles by temporarily paralyzing muscles.
Botox is extremely helpful to relax the “squint lines” around the eyelid for cosmetic reasons. If it is a tic-like squinting that is involuntary, this might be blepharospasm and is something that might be covered by your insurance.
Dysport can potentially lower the brow if too much is injected. The idea is to put in just enough to soften the horizontal forehead lines without causing other problems. This will only treat the active component of the wrinkles that you have, not any part that remains when you are not activating those muscles.
Dysport, like other neurotoxins, takes at least 3 days before any relaxing effects are noted. Sometimes it can take up to 2 weeks to see the final product. If you have wrinkles that are present without muscle activation, you might be a candidate for filler in the area, which takes effect immediately. Seek consultation with a Miami plastic surgeon for more information.
There is no significant downtime related to Dysport or botox injections. You might have a small amount of bruising that goes away in a few days, but this is usually minor if it occurs.
Maintain your appearance with Botox every 3 month on average, which is how long Botox usually lasts. It may last longer or shorter depending on the individual. If you are preparing for a party and start to see that you are getting too much muscle motion return, you should consider getting botox again at least 7 days before your party to allow for bruising to disappear (if there is any) and for the full effect to take place. Have fun!
Plastic surgery should not be used as a means to lose weight. You should try to lose weight with diet and exercise. If you are obese and the former does not help, you should consider speaking with a bariatric surgeon. The best plastic surgery results with few complications are achieved with patients who have attained their weight loss goals and have only excess hanging skin left over to be removed.
A thigh lift and liposuction address two different problems that can occur in the lower body. Liposuction is ideal for patients who have tight skin with minimal laxity. This is particularly useful when fat deposits are localized to a certain area. A thigh lift, on the other hand, addresses the skin laxity that occurs as we age or after significant weight loss. This allows the surgeon to tighten the thigh by surgically excising and redraping the area of loose skin, which may have a component of fat associated with it as well. These two surgeries are sometimes combined to obtain optimal results.
If you’re considering plastic surgery, choosing the right plastic surgeon could not be more important. Dr. Jeremy White is the recipient of many honors and awards, Doctor’s Choice Award Miami, the 2016 RealSelf Top 500, and the prestigious Castle Connolly Top Doctors Award Winner every year since in 2017. We invite you to have a consultation about the procedure you need. Schedule your consultation today.