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Alfonso Barrera, M.D., FACS
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Houston, TX 77024-2401 - Tel: Click for phone number
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Answered Questions
Q:
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I have a very youthful face but the skin under my chin is starting to sag. Can I get it fixed without having a full facelift? Are there any nonsurgical ways to tighten that area?
A:
There are no nonsurgical ways to tighten the skin under the chin. In some cases, liposuction (lipoplasty) and other corrections made through a submental incision (a small incision underneath the chin) may help. However, in other instances, lateral tightening may be needed; it is possible to do so with a partial, or "mini", facelift.
Q:
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How long do the results of liposuction last?
A:
The results of liposuction last as long as the patient takes care of himself or herself as far as maintaining healthy eating habits and exercising regularly. The results are quite durable and may be permanent. Liposuction is not a weight loss operation; it is a body contouring procedure.
Q:
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I am 20 weeks pregnant and wanted to have a tummy tuck right after delivery. I will deliver by Caesarean section. Is it possible to coordinate the tummy tuck with the Caesarean section? If so, will the tummy tuck interfere with my ability to breastfeed? Should there be a waiting period after delivery?
A:
A tummy tuck should not be done at the time of a Caesarean section, or even in conjunction with a vaginal delivery. You should wait at least 6 months.
Q:
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I am a 25 year old woman with a medium olive complexion of Latino and Caucasian descent. The area under and around my eyes is prematurely lined due to previous sun exposure and smoking. My under eye area is also hyperpigmented. What are the possible procedures that might improve this?
A:
As far as the premature wrinkles, as young as you are, I would consider microdermabrasion and the use of moisturizing creams. If that does not solve the problem, then you may try Botox injections, however Botox lasts only 3-4, maximum 5 months. For the dark circles under the eyes, I know of nothing truly effective, but you may camouflage them with makeup.