Jeffrey M. Darrow, M.D., FACS
I am very unhappy with the liposuction of my "turkey neck". I look older now than before. I have a ditch under my chin, bands, wrinkles & loose skin I did not have. I am trying to be strong. I don't look in the mirror much. I need this fixed but I am afraid. I trusted my doctor but he let me down. I am ready now to move forward to fix this mistake. Please help. Thank you. Nina
Your description sounds like too much fat was removed, especially directly under your chin and did not correct the loose muscle and skin which you had. The best correction to improve the contour of your neck is a neck lift/face lift where the remaining skin and fat of your neck are elevated, the bands of platysmal muscle of your neck is sutured together in the midline and by doing so this will help correct or possibly completely correct the "ditch" below your chin. The neck contour is further smoothed by tightening the platysmal muscle near your ear. The skin is then smoothed over this newly created contour and the excess removed. This should correct the bands and the excess skin. I recommend the suturing of the platysmal muscles to fill the defect below your chin because this tissue has an excellent blood supply and a very high chance of all the volume remaining while fat grafting is not predictable as to how much volume is retained, especially if the fat is placed into an area which has prior surgery. See a board certified plastic surgeon to discuss this and ask to see their before and after photos to see their results on patients whose necks are like yours.
After delivering twins, I was left with a 10cm separation in my tummy muscle. It is now down to 2cm but after 2 1/2 years it will not close on its own.
In December 2012 I had a titanium mesh patch placed behind my belly button to fix the hernia there.
This has left me with a belly button that still sticks out and is now so hard that when it rubs against a bench it gets very tender/sore. They only patched the hernia while leaving the muscle open.
I am very slim, so tummy fat is not the issue. I look very pregnant all the time. I would like to get the tummy muscle sewn back together, while having a breast enlargement done ('c' cup), and my nipples drawn back in.
On a TV program I saw another women with a tummy just like mine (also twin pregnancy.) They cut around her tummy button, then cut similar to a 'c' section to sew the muscle back together. Although very scarred, her tummy was flat again. At least she looked good dressed.
I also saw on 'The Doctors' a women who had her nipples drawn back in so she wasn't on 'high beam' all the time. My breasts have become so small (right side 'AA', left side 'A') that wearing a bra is near impossible, but mandatory due to my nipples. However I would like to get larger breasts while I'm there. I have heard that a few years after the tummy muscle is sewn back together it often rips apart again, due to the center of the muscle being thread bare.
Can you advise on the long term success rate of this operation.
Your help would be appreciated.
The tissues which lie between your tummy muscles are stretched and this is what results in your abdomen buldging forward. These tissues don't have any elasticity and won't correct themselves. They need to be sutured together. The sutures should hold the tissues well and the results should be permanent. The muscle repair, the correction of the belly button and some tightening of the skin could be done by an incision low on your abdomen and should be very well hidden. At the same time it should be no problem to do a breast augmentation and a nipple reduction to complete your "Mommy Makeover".
Why do I need to stop smoking in order to have a facelift?
Yes, you need to stop smoking before your facelift. All surgeons wish the best for their patients and want to produce the best results possible. Smoking, or the use of any nicotine product in any form can adversely affect the healing process of your facelift and result in skin loss, poor scars, increased risk of bleeding, etc. Many plastic surgeons do not want this additional risk and feel if the patient does not want to be an active participant in maximizing their results from their facelift surgery then it is best not to operate on them. Quitting all nicotine products a minimum of 3 weeks prior to your facelift surgery and 3 weeks after your facelift is mandatory. There are a number of cessation programs available which you could check out. Complete smoking cessation would be fully in your benefit.
On both of my breasts, I have extra rings around my areolas. These rings around my areolas started developing when I was very young (possibly at age 12), and have grown in size dramatically (I'm now 21 years of age). They're so large, I cannot wear normal bathing suits without constantly checking and readjusting myself. Could I possibly receive treatments to lighten the skin? Or is a breast augmentation my only way of correcting my breasts?. Please help me
Your description sounds like you have enlarged areolas A breast augmentation would not help this, as the only thing a breast augmentation does is to give you a larger version of the breasts you already have. To decrease the size of the areolas there is a procedure called a Donut mastopexy which may work well for you. You should see a board certified plastic surgeon in your area as your first step to correcting your concern.
I am 25 years old and I only have one child. I had a c-section done 5 years ago and my belly has not been the same since. I am 4,11 and 180 pounds. I love my thighs and hips and I even like my arms. I just hate my belly and the fat under my neck. I tried the diet and exercise but only lost 15 pounds and in all the wrong areas. Now I know I want a surgical procedure done but just not sure if I want a tummy tuck or lipo. What do you suggest?
A consultation would be very important to correctly identify what would give you the best result. At 25 years old your skin is likely to still be very elastic and therefore liposuction may work well for you, as this would remove the excess fat. If there is excess skin then some form of skin tightening, like a mini tummy tuck or a tummy tuck, would need to be done to contour the skin. Tummy tucks and liposuction can be safely done at the same time to gain the benefit of both, if used in the correctly chosen patients. Continued efforts on your part to reach your ideal weight will absolutely result in the best outcome for you as it would decrease the fat stores under your skin and also inside your abdomen around your intestines where excess fat can cause a bulging forward of your abdomen. You next step should be a consultation with a board certified plastic surgeon.