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Jeffrey M. Darrow, M.D., FACS

Answered Questions

Q:

What kind of surgeon do I go to for a Breast Lift after having a Breast Reduction 20 years ago?

I had a breast reduction done when I was 18.  I am now 38 and I want a breast lift.  What kind of surgeon should I go to?

A:

Gravity will continue to affect tissues for the rest of your life and some skin relaxation is normal. A breast lift will help reposition the breast into a better position on the chest and improve its shape. Seek out a board certified plastic surgeon who specializes in cosmetic/aesthetic surgery, and be sure to ask to see before and after photos.

J. M. Darrow, MD

Breast Lift

Q:

What pre-op tests are required before having a tummy tuck and liposuction?

I am 40 years old.  I will be having a ventral hernia removed, scar tissue removed and tightening of stomach muscles from a previous surgery, a tummy tuck and liposuction.  My doctor says I do not need any tests other than blood tests before this surgery. Are there other tests that should be performed before undergoing this surgery?

A:

If you are otherwise in good health, the only tests I typically ask for are a Hematocrit, to check on the level of red blood cells, and a pregnancy test. Any other tests would be based on you health history or medications you may be taking which could affect your blood chemistry or blood counts.

J. M. Darrow, MD

Tummy Tuck

Q:

Is it safe to have the removal of breast implants and a breast lift at the same time?

I have capsular contracture in one breast and have consulted with two doctors about removal of implants and doing a lift again.  One says he won't do both procedures at the same time because of blood loss and loss of nipple sensation.  The other, while expressing the same issues about blood loss, has said the most safest and conservative way to go is to do both at the same time.  If I don't get the lift after implant removal - I will have nothing left and major sagging.  Please advise.

A:

Doing an implant removal and a breast lift at the same time, is what I have always done and is very straight forward and should be the preferred method to reduce costs and minimize the number of operations a patient needs. Blood loss from this surgery is minimal and I have never experienced any issues with poor blood supply to the skin or nipple area.

J. M. Darrow, MD

Breast Lift

Q:

Can my daughter have a breast reduction at age 17?

My daughter has been experiencing the drawbacks of having big breasts.  She used to be confident and active; now she is shy and can hardly do anything.  I’ve noticed lately how she is hunching.  She has also been experiencing some pain in her lumbar area. She is only 17 years old, almost 18, and she has mentioned breast reduction to me.  She is now a size 34 DD and she would like to go down to a 34 B.  I would really appreciate some advice about this situation as to what we can do.

A:

Yes, breast reduction can be done at age 17, especially if she has pain symptoms. Most insurances cover the cost. Though rare, some females re-grow the breasts after a reduction and may need an additional operation. Reduction from 34DD to 34B is a reasonable request.

J. M. Darrow, MD

Breast Reduction

Q:

Can fat be transferred to augment my legs and thighs as well as my buttocks?

I would like to have a fat transfer to my buttocks, but my hips have no curves and I have very thin thighs and legs, really no fat at all.  Besides the buttocks, can fat be transferred to my thighs and legs?  Thank you

A:

Fat grafting, while enjoying a boom in attention in the media and heavily marketed as a miracle cure, must be approached with caution as it is not clear yet how much of the fat survives. This may lead to several treatments being required to maximize the end result. If you are very thin, you may not have enough donor sites to fulfill the amount needed to transfer. Knowing that not all of the fat survives, you should consider whether you could have repeat procedures.

J. M. Darrow, MD

Fat Injection

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