Christopher Costanzo, M.D., FACS
I noticed a woman of 51 with failed implants posted a question which was answered in part. She asked a number of questions, but only some were addressed. I myself am interested in her questions which are:
1. Are tear-shaped implants suitable for partial sub-muscular insertion?
2. Can implants, if in good condition, be re-used?
3. How many times can your breasts be operated on - or in other words, is the risk the same each time?
1. For me, tear drop implants do not provide any advantage over standard round implants and therefore I do not use them.
2. Implants can be re-used at the time of surgical correction, but sometimes it is better to replace them with newer implants
3. There is no limit to the amount of times a breast can be operated on. However, multiple surgeries create more scar formation and make it difficult for the surgeon to get 100% of what he/she wants to achieve. It is also an indicator that you may have a problem which is not totally correctable.
Dr. Costanzo Thousand Oaks, CA. 91360 www.doctorcostanzo.com
Is it wise for your health/safety and pain/recovery point of view to have a tummy tuck (with liposuction) and a breast lift with slight enhancement all in the same procedure? If this was done, how long would I have to wait before getting back to taking care of my two children, ages 7 and 11 years old. Also, how long before I can go back to driving?
Yes, I routinely do these procedures together. Of course, it would depend on your overall general health. An experienced plastic surgeon will be able to perform these surgeries at a relatively fast pace, so I would encourage you to seek out a plastic surgeon in practice for awhile. In my practice I stress resting for a few weeks, driving in 2 weeks, and 5 weeks before returning to full activities.
I've just turned 40. My breasts have always had low set nipples and now since I have had children, my breasts are sagging and are very soft. With the nipples set low they look really bad. I am a size 40D and I would like to refresh my breasts, make them smaller, firmer, and higher. Do I achieve this look by getting a reduction, a lift, and a repositioning of my nipples? Or, would I need a small implant to achieve this look and have more firmness?
A better look would be achieved by reducing, lifting and shaping the breasts. Generally, some one with as large breasts as yourself has a wide diameter breast, and therefore would not look good with a small implant.
Dr. Costanzo Thousand Oaks, CA. 91360
My doctor who routinely mixes his Botox with 1 cc of saline is now changing to 2.5 cc of saline. He says the 2.5 cc is a newer method. Can I still continue to have him inject between my brows, forehead, brow lift, under and around the eyes, nose and chin? I'm worried.
He may be using Dysport, another effective brand of Botulinium which is mixed with that amount of Saline. I'm sure he knows what he is doing. You shouldn't worry.
After having a facelift, what is the likelihood that skin necrosis will cause permanent scarring? The area affected is about 1/2 inch wide and about 1 1/4 inches long, just in front of the ear.
You should let it heal. The area may look thinner and reddened. Over time the surgeon will most likely be able to lift the skin again and remove that area. Be patient.