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Gary M. Brownstein, M.D.
- Suite 1, Bldg. A
102 Browning Lane
Cherry Hill, NJ 08003 - Tel: Click for phone number
- Fax: 856-795-7003
- Send E-mail
- www.cherryhillcosmeticsurgery.com
Answered Questions
Q:
Can an overcorrected botched blepharoplasty-canthopexy be repaired?
Can a botched overcorrected blepharoplasty-canthopexy be corrected and repaired?
A:
In general, it is often possible to improve many aspects of a blepharoplasty that did not get optimal results. The only way for you to obtain an answer concerning your specific situation would be to have a consultation with a Plastic Surgeon, who is certified by the American Board of Plastic Surgery, evaluate you. The Plastic Surgeon will need to obtain a history, perform an examination, review records, etc. and then formulate an opinion concerning the best course of action for you. If you are in need of obtaining a list of Plastic Surgeons in your area, please go to the Find a Plastic Surgeon section on the home page or on the navigation bar.
Q:
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What are the pros/cons of breast reduction Liposuction vs. Surgery?
A:
Liposuction will remove fat from the breast and therefore will reduce the volume of the breast. Realize that the fat weighs less than breast tissue. By removing fat, the weight of the breast does not decrease as much compared to excising the excess breast tissue and fat. Liposuction does not reposition the nipple areolar complex or remove extra skin. The decision as to the best modality to use may partly depend on the size of the breast reduction sought. The best advice can be obtained from a Plastic Surgeon, certified by The American Board of Plastic Surgery. Please see Find A Surgeon on the ASAPS home page.
Q:
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I had my breast implants done about 11 years ago. I want to know if I can get them re-done. They are sagging and have lost their lovely perky nature! I'm not sure what happened. Is this common? Im 29 years old, have a skinny upper body, and work out often. I'm worried if they might be leaking or have some other problem.
A:
The simple answer to your question is breast implants can usually be re-done. The harder question to answer is what procedure needs to be performed for you. That answer will be easy for a plastic surgeon certified by the American Board of Plastic Surgery to determine based on an evaluation of you. He or she will consider your desires and examine you. As you can tell from the other answers there are several potential reasons why they “lost their lovely perky nature.”
I would agree with consulting your original Plastic Surgeon (hopefully he or she is Board Certified by The American Board of PlasticSurggery). If you are seeking a second opinion, besides taking your mammogram with you (if one was done), it would be helpful to have information concerning your first surgery, especially what implants were placed - saline or gel and the size. If you need to find a Plastic Surgeon, certified by The American Board of Plastic Surgery, go to Find A Surgeon, on the ASAPS home page. Good luck.Q:
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I am going to have a tummy tuck. Will it be all right to smoke the day before the procedure? Would there be a problem if I smoked right after the surgery?
A:
There are many harmful substances in cigarettes. Nicotine and carbon monoxide are two examples. Nicotine causes the blood vessels to constrict and limit blood supply, while carbon monoxide essentially limits the oxygen supply to the tissue by tying up the hemoglobin in red blood cells. Tissue that is healing has an increased need for the nutrients that the blood supply brings. Oxygen is a key element needed for healing.
One significant complication that may occurs in surgery where flaps are raised (tummy tucks, breast lifts, facelifts, etc) is that some tissue may die due to inadequate blood supply and oxygen supply. In my practice of Plastic Surgery, I will not knowingly perform a tummy tuck on a patient who is smoking. To me, there is no question; smoking is potentially dangerous before and after the surgery.
Q:
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After a tummy tuck, how many times should a seroma be aspirated before considering reinserting drains?
A:
There is no hard and fast rule as to the amount of times a collection of fluid can be aspirated. If the amount of aspirate is decreasing over a reasonable amount of time, continued aspiration might be acceptable. The decision for placement of drain or any other course of action is an individual one that would best be accomplished by your Board Certified Plastic Surgeon.