James F. Boynton, M.D., FACS
Which would be the best option for 600 cc implants - the Binelli lift or the Lollipop?
Neither is a good option. Doing augmentation and breast lift together can be very complex and no plastic surgeon should ever (in my opinion) do an implant that large with a lift. The two procedures fight against each other. One adds volume to the breast and takes up the extra slack in the skin and the other tightens the skin. After about 300 - 350 cc at the most, doing a breast lift at the same time is very high risk of wound breakdown, nipple perfusion and necrosis problems, and even implant malposition and extrusion. The textbook answer to your quesiton is to stage the procedures if you desire such a large implant. If you want to be more modest with the implant size then it may be able to be done SAFELY in a single procedure. Staging is not a big deal and one typically does the augmentation first and follows with the breast lift somewhere between 6-12 weeks afterwards. And any breast lift in my opinion needs to have the transverse component (full anchor incision) to have the right shape. I have done research on Binelli lift with augmentations, and in patients that averaged 450 cc implants with a Binelli lift had almost a 60 percent risk of complications. With a 600 cc implant, this would be even higher. I hope this helps.
James F. Boynton, M.D., F.A.C.S.
What is the best way to remove tiny veins/capillaries from around the nose?
I find the best way to treat spider veins along the ala or "sides" of the nose is using light cautery or hyfercation. Basically this is done as a local procedure where a small amount of heat is conducted onto a very small needle (usually a 30 gauge needle) and this will obliterate these veins without leaving a scar.
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????
I frequently perform earlobe repairs each week in my office in Houston, TX. I would recommend consulting a board certified plastic surgeon in your area. Any board certified plastic surgeon should be able to help you.