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Carl W. Lentz III, M.D., FACS
- 1040 W. Inter. Speedwy Blvd.
Daytona Beach, FL 32114 - Tel: Click for phone number
- Fax: 386-252-1173
- Send E-mail
- www.drlentz.com
Answered Questions
Q:
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I am a 36-year old mother of two. I am planning on having a tummy tuck within the next two months. I have lost about 20 pounds and need to lose another 10 pounds. I was told by an associate that you normally lose additional weight after the tummy tuck surgery and I should not worry about the extra 10 pounds. Is it normal for a person to lose a little weight after the surgery and should I have the procedure without losing the additional 10 pounds?
A:
Having an abdominal paniculectomy, tummy tuck, is an important decision and will give great results in the well chosen patient. I always encourage my patients to lose all the weight they would like to lose before they have the surgery. Depending on the individual patient's preoperative condition, there will be more or less surgical weight loss. Being a little over weight, 10 pounds, is not a big problem but you will still get better and longer lasting results if you are at your ideal body weight.
C. W. Lentz, MD
Q:
What are the advantages and disadvantages of saline and silicone implants?
I would like to know the advantages and disadvantages following comparison of saline breast implants to silicone breast implants. In addition to the cost comparison between the two.
A:
Great results are possible with both Silicone gel and saline filled breast implants. Both give great results. Silicone gel is softer and more natural feeling with less chance of rippling while saline filled implants are firmer and more likely to show ripples. The disadvantage of silicone gel filled implants are mainly cost. You also will require a slightly larger incision. If the saline implants leak you will have a deflation. If gel implants break or leak, you may not know they are broken. I feel that if you have enough breast tissue in the upper pole of your breast to cover the implant without showing ripples, the sub-mammary placement gives the best results. Because of the much higher chance of seeing or feeling ripples with the saline filled implants, I don't put them under the breast but only under the muscle.
C.W. Lentz, MD
Q:
Will getting a Breast Reduction make the breasts look lifted?
I'm 19 and seriously considering a breast reduction. I was reading other Q&A's on here and began to wonder: If I get a breast reduction, will my breasts look like they're lifted or will they have actually lifted? I'm an H cup and want to go down to a DDD.
A:
Well done breast reductions not only reduce the size of your breast but should also lift and shape them. You need to be a stable weight and an acceptable BMI.
C. W. Lentz, MD
Q:
Weight Recommendation Before Procedure?
1. I'm 5'2" - 150lbs, age 58 and not very toned. My ideal weight would be 120-125. I'm obviously not very good at losing weight or I wouldn't be considering Lipo . . . BUT . . . should I lose weight before having this procedure or seriously consider it now at my present weight? 2. How much weight could I expect to lose generally?
A:
Certainly if you are considering any kind of surgery it would be best to be at your ideal weight. This is true with liposuction also. You get a better and safer result.
Q:
Can I have laser surgery to remove hereditary under eye bags?
I have hereditary under eye bags, which always make me look tired and older. I have tired every cream and potion out there. Nothing really works. I am 30 years of age and would like to know what I could do to correct this issue with the least evasive procedure possible.
A:
From what you describe you would be a good candidate for a transconjunctival blephproplasty. Removal of the excess fat from you lower eye lid with an incision inside your eye lid. This might also be improved with a release of the arcus marginalis which is the crease below your eye and possibly fat grafting to your check area. You should consult with a Board Certified Plastic Surgeon to have a consultation to determine what would be best for you.