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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:
Would I be able to breast feed if I get breast implants?
Would I be able to breast feed if I get breast implants?
A:
Breast feeding after breast implant augmentation is almost always possible. Some woman are unable to breast feed but that should not be increased with the placement of breast implants. Hundreds of my breast implant patients have successfully breast feed. Enjoy your breast implants and enjoy breast feeding your children.
Q:
Hi. I am a model. Did mini tummy tuck with lipo in India 3 years back. Bad result.
I did mini tummy tuck with lipo. Skin above the naval is loose. Lower abdomen is very tight and uneven. Little above the naval a crease is formed which looks very bad. Above the crease skin is loose. What do I do. Please help.
A:
Unfortunately I have seen very few patients which get a good result of a mini tummy tuck like you had. Fortunately the is no problem to convert your situation to a full tummy tuck with the same good results if you originally were a candidate for a full tummy tuck. Unless you are short of extra skin between your belly button and your chest, there is no need for a vertical scar from where the belly button was removed. I would also encourage you and your surgeon to plan on liposuction to your hips, waist and abdomen and a extended incision to give you a dramatically improved waist.
Q:
Can a breast implant be done after TRAM flap breast reconstruction?
I have ductal carcinoma in situ in 2006. I had a TRAM flap reconstruction immediately after mastectomy When pathology returned it was found I had much more extensive cancer than and was within 1mm of the margins-some I had 37 radiation treatment. The breast is at least 1 cup size smaller, hard and lumpy.
A:
In my experience I have found fat grafting of the irradiated tissue very helpful in increasing volume and improving the quality of the tissue and skin. I would seek out a Board Certified Plastic Surgeon who has had experience with this technique. I believe it could be a way to give you a more symmetrical and softer reconstructed breast.
Q:
Can a breast implant be done after TRAM flap breast reconstruction?
I have ductal carcinoma in situ in 2006. I had a TRAM flap reconstruction immediately after mastectomy When pathology returned it was found I had much more extensive cancer than and was within 1mm of the margins-some I had 37 radiation treatment. The breast is at least 1 cup size smaller, hard and lumpy.
A:
It seems that you are the perfect patient to undergo fat grafting to this radiated breast. It will give you increased volume and help restore the quality of the tissue and skin. It does require that you have adequate extra fat, but even in a thin woman, there is often a relatively adequate amount of fat in the medial thighs. Make sure you find a Board Certified Plastic Surgeon who has had a wealth of experience with this technique. A breast implant can restore the volume but will not be of any value in restoring the quality of the tissue and runs a high risk of capsular contracture.
Q:
Mommy makeover
I have consultations with three surgeons in my area (Kansas) and wondering for the tummy tuck I see some say lipo on abdomen is a no no and others say its fine.. Which one is it? Also I have only had my implants/lift a year (got pregnant 4 months after) I have been told a bigger implant would correct the fullness I lost (no lift needed). What happens if after surgery if they aren't to my liking do you get charged full fee to fix?
A:
The very best results of a tummy tuck is when it is combined with suction of the abdomen and hips (waist) are combined with the tummy tuck. This requires a modification of the older techniques but gives far better results. It give a much improved waist and more muscular abdomen. It however requires the surgeon to know the modifications necessary to make it safer than the standard approach. Please see an articile I wrote in the Sept. 2011 volume of the Journal of PRS. The article referred to a consecutive series of 113 patients who had this procedure with fewer complications and better results than with the older techniques.
Carl W. Lentz III MD FACS