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Gary R. Culbertson, MD, FACS

Answered Questions

Q:

Can I have fat injections injected into my very skinny legs to improve their looks?

I have very skinny legs and therefore hate wearing shorts.  Can I have fat injections injected into my legs?  Can this be done in just one session and approximately how much would this cost?

A:

 The short answer is yes but, several treatments are more than likely providing you have adequate donor areas. These procedures can be expensive and care must be taken during each procedure for the prevention of leg clots (DVT/PE). Consider a consult with one of the many members of the ASAPS in your area who is familiar with Fat Grafting to address your concerns. Best,

 

Gary Culbertson, MD, FACS

Fat Injection

Q:

How long a period of time should be set aside for effective skin resurfacing acne treatments done in the United States?

I am a 27 year-old woman living in Asia.  Can you tell me how much time I should plan for effective skin resurfacing acne treatments to be performed in the United States?

A:

Acne treatments in the Asian population can be frothed with hazard. If you are considering Laser Resurfacing, pre and post laser care and treatment are essential for a favorable outcome. The actual healing from the treatment is usually rapid - 5 to 7 days. However, prevention of hyperpigmenation, discoloration and photodermatitis common in Asian patients following Laser Resurfacing is essential. Consider discussing these issues and concerns with your treating practitioner before you make your trip.

Best,

Gary R. Culbertson, MD

Skin Resurfacing

Q:

My healing after a third breast reduction surgery is more painful than my first two surgeries - why is this?

I am 58 years old and had a third breast reduction five weeks ago.  I am still having a lot of pain and my breasts feel really tight.  When I first wake up in the morning, they are a little better but worse as the day goes on.  How long do you think this pain will go on for?  I had no pain after my first two breast reduction surgeries.

A:

Please address your concerns with your breast surgeon expediently. Worsening pain after surgery can be an early sign of infection.

Best,

Gary R. Culbertson, MD, FACS

Breast Reduction

Q:

At age 18, and size 42 F bra, am I a good candidate for breast reduction?

I am 18 years old.  I weigh 200 pounds, am 5'9" and wear a size 42 F bra.  I have bad posture, back pain, neck pain, and shoulder pain.  I have been professionally fit for a bra.  I wear the professionally fit bra plus two more bras for a total of three bras everyday.  I have seen an orthopedic doctor and a chiropractor for my back, neck, and shoulders and they both have recommended for me to have a breast reduction. I also see the chiropractor 2-3 times a week.  Am I a good candidate for a breast reduction?

A:

Yes, you sound like an acceptable candidate for a Breast Reduction. Consider contacting your insurance carrier to determine if Breast Reductions are a covered service, what the requirements are of the carrier to get the procedure covered as a covered service and which health care providers/surgeons that are in their plan and are in your area. Or, you could have the procedure performed as a Cosmetic Procedure. Many members of the ASAPS offer package pricing for surgical procedures like Breast Reduction.

Best,

Gary R. Culbertson, MD, FACS

Breast Reduction

Q:

How long should I wait after having a collapsed lung to schedule Breast Augmentation (without a lift)?

I was recently hospitalized with a collapsed lung due to a needle puncture from a misplaced cortisone injection.  I'm wondering what the general time frame would be to wait to safely have breast implant surgery.  I had been planning augmentation for a while but then this happened and I'm afraid I will have to postpone it for a long time.  Your advice please.

A:

Normally, a period of 6 to 8 weeks after such an event would be required before elective surgery should be considered. Consider consulting with your primary care physician regarding Cardio-Pulmonary clearance for your desired surgical procedure.

Best,

Gary R. Culbertson, MD

Breast Augmentation

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