Curtis S. F. Wong, M.D.
Would post bariatric surgery help prevent gaining back weight that was lost and will insurance cover the surgery?
I lost a lot of weight and have since gained some back. I was wondering if post bariatric surgery could help prevent gaining back all the weight that I lost. Would insurance pay for the surgery and would they pay for other problems caused by redundant tissue, like rashes? What would be the total recovery time as I work at a physically demanding job requiring me to regularly lift 50 pounds.
Post Bariatric Surgery (I am assuming you mean lifting procedures and panniculectomies) will NOT prevent weight gains. If your caloric intake exceeds your output, you will gain weight.
Some insurance companies do cover these procedures if you have medical problems that develop from them such as rashes but you usually have to provide documentation that medical management has not resolved them.
As for work restrictions, it really depends on what you do but for straightforward skin excisions without complications, you should be able to return to work in 3 weeks without restrictions.
My doctor offered me two options for a brow lift - subperiosteal or subcutaneos. Both would be with incisions back and close to the hairline. Which would be the best approach for this surgery?
There is no best way as each person has different results from each procedure. I prefer the subcutaneous technique because it's simple, effective, predictable, and easy to redo if it doesn't hold up satisfactorily as admittedly, many do not. But it is much more durable the second time around. Subperiosteal lifts require an operating room and when done right, are durable but you have the probability of losing sensation over the top of the head, posterior to the incision and if it isn't right, you have to go back to the operating room which adds considerably to cost.
Bottom line, both will elevate your brow. Ask your surgeon which one he is better at and consider going with that one.
C.S. Wong, MD
My mother wants me to have a breast reduction in my larger breast but I want a breast augmentation of both breasts.
I am 16 years old. I have one breast that is larger than the other. My mother said that she would get me a breast reduction of the bigger breast. I want a breast augmentation of both breasts because of sagging when I get older. What is your opinion?
Unless you are truly deformed because of your asymmetry, you should wait until your development is complete. If you are "deformed", then it comes down to what your goals are and what risks you are willing to accept such as the inability to breast feed or loss of nipple sensation. In general, unless your situation is extreme, most surgeons will not agree to augment you at this time.
I am one week post-surgery and my sub-muscular implants are floating up very high on my chest. I'm wearing a band, but it doesn't seem to help. I'm in extreme pain, so pushing them down is difficult and they just work their way back up. Will they go down eventually? Is there anything I can do to help them go down? I teach fitness classes and have strong chest muscles. Should this have been a detriment to my getting implants?
As mentioned previously, you should discuss your concerns with your surgeon. As far as teaching fitness classes, as long as you are not having to contract your chest muscles during your classes, you should be fine. You are very early in your post-operative period and implants will settle. It's a process you will orchestrate under the guidance of your surgeon.
My left arm is considerably skinnier than my right arm due to limited usage. Can I get fat injections into the left arm to make both arms appear more equal in size?
Yours is an unusual request as limited use wouldn't b expected to have that much of an influence on your arm size. That being said, if you do not have other conditions that may explain your asymmetry of arm size, fat can be injected to help plump it up. You should discuss this in more detail with your local plastic surgeons.