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Farhad Rafizadeh, M.D., FACS
- 101 Madison Avenue
Morristown, NJ 07960 - Tel: Click for phone number
- Fax: 973-267-6960
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- www.betterplasticsurgery.com
Answered Questions
Q:
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Once you have had a breast lift, will it stay or would you have to get it done again in so many years? Also, what is the cost of this procedure?
A:
Usually the position of the nipples doesn't change but the breasts could bottom out in a few years. It also depends on how much breast tissue there is. The heavier the breasts the more there is a risk of recurrence. The type of breast lift may also have an effect on the recurrence rate. I usually try to create a tighter breast initially to compensate for that later laxity. The cost can be variable depending on the area of the country where the surgery is performed, the experience of the surgeon, and the size of the patient.
Q:
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I underwent a tummy tuck in 2006. I'm curious as to how I can have my scars revised (scar revision). I'm totally satisfied with the tummy tuck, however I have a 360 degree scar that's visible in a bathing suit (male). Can the scar be totally revised or will there always be a scar around my waist?
A:
It sounds like you had a lower body lift. In these cases there is always a trade off because the scars are permanent. There are however red, raised (hypertrophic) scars that can benefit from steroid injections or a revision and injection to get rid of the raised area. These scars can be itchy and tender; the treatment is sometimes aimed at treating these symptoms.
Q:
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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.
A:
It depends on how well you heal, the color of the skin, etc. Usually this type of full thickness skin loss will result in some visibility, usually a whitish scar which is more noticeable in a darker skin. If the scarring is significant, it can be revised by excising the scar, mobilizing the cheek flaps and closing.
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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:
It all depends on how much upper pole fullness remains in your breasts. If all the breast tissue has migrated down, it is difficult to almost impossible to recreate upper pole fullness without an implant. If however the breasts start higher, one can get a good result with just a reduction which includes the raising of the nipples and a breast lift. It is not uncommon that I have to do a breast reduction and an implant at the same time which sounds strange but it is necessary to get the optimal result.
Q:
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I have lost 107 pounds in the last two years (naturally, by dieting). I now have very serious loose skin especially in the abdominal area. My breasts are also still very heavy with a bra size of 36DDD. Would it be better to have a breast lift or reduction? Would a tummy tuck take care of the abdominal loose skin and can they liposuction the back in the love handle area? Can both the breasts and tummy be done at the same time?
A:
With a loss of 107 pounds, the abdominoplasty is most likely the procedure of choice. It can be combined with liposuction of the hips and back. It is possible to combine a breast reduction or lift with this operation, however, we have to evaluate and balance the risk of a longer and more extensive operation with the benefit of a one stage procedure. The choice of mastopexy versus a breast reduction depends on the size of the breasts desired by the patient. A consultation with a board certified plastic surgeon will answer all of your questions in a specific way. Every patient is unique and requires a specific tailored operation.