David L. Davis, M.D.
I've had silicone injected into the cheek area of my face but it has moved down to the mid section of the face. Is it possible to remove this?
The removal of injected liquid silicone from the face, or elsewhere in the body, is difficult and very challenging. Large accumulations or pools of the material may be partially removed or reduced by aspiration or liposuction. If the liquid has migrated or is dispersed into small droplets or particles spread over a relatively large area or volume of the face, its complete removal is much more difficult, if not impossible without causing significant deformity. In such situations, excision of the tissues that have been infiltrated with the material is necessary. Such procedures are often performed selectively, only to remove those tissues where scar has built up around the silicone or where infected or chronically inflamed cysts have formed. Because of the structure and nature of the face, removal of even small amounts of tissue can have a very significant and adverse effect on appearance. Often more than one operation is necessary as are reconstructive procedures to improve the resulting deformities. For these reasons, the injection of liquid silicone is very controversial and should only be undertaken with great caution. I suggest you seek the help of an experienced plastic surgeon, certified by the American Board of Plastic Surgery.
I want to have earlobe reduction/reshaping surgery. I am having a difficult time finding a surgeon in my area (N. California) who has performed this type of surgery. Are there plastic surgeon who specialize in this procedure????
Northern California is a very large region that includes the San Francisco Bay area where I am sure you can find numerous, well qualified surgeons who can perform earlobe reshaping procedures. If you are looking for someone in one of the more rural areas of Northern California, you may have to travel some distance to find a surgeon who can help you.
I suggest that you go to the home page of Surgery.org, http://www.surgery.org/
In the center of this page under "Find A Plastic Surgeon" simply enter your Zip Code and then go to the drop down menu under Procedures. Scroll down to Ear Surgery and highlight it. Click on the Submit button and you should then be taken to a list of surgeons that provide the services in which you are interested as well as an indication of distances they are from you. These are all board certified plastic surgeons that are members in good standing of the American Society for Aesthetic Plastic Surgery. I suggest that you then call their offices to make further inquiries and set up a consultation.
I've had a breast reduction and only gone down one cup size. I would like to have the results that my surgeon and I originally agreed upon which is to be 3 cup sizes smaller from a DDD to a C. Do I need a breast reduction revision and how is this done?
The revision surgery would probably be done much the same way the original procedure was performed. Given the size of the reduction you desire, both skin and breast tissue would probably have to be removed. If only a very small reduction in the volume of the breast or a very limited touch-up was indicated, some surgeons might use liposuction.