Jeffrey M. Kenkel, M.D., FACS
I have fat deposits still lurking near my elbows. Can I get arm liposuction in certain areas on my arms after a brachioplasty?
Following brachioplasty there may be times when liposuction may allow for improved contour. It really depends on the quality of the skin. If it is reasonable, liposuction may be an option. If your skin quality is poor, then extension of the scar down to and often into your forearm may accomplish your goals.
See a board certified plastic surgeon who is a member of ASAPS to ensure expertise in cosmetic surgery
Hi, I am a Eurasian who underwent eyelid surgery 3 years ago. At that time I requested a prominent upper eyelid look but was unhappy with the results; the doctor then told me that my eyes are deep set and too close to my brow bone; even after a high incision my upper eyelids would not be that prominent. Is there really no way to increase the prominence of the upper eyelids like fat injection, etc? Thank you for your time.
Thank you for your question. The short answer to your question is absolutely!
We routinely see patients who either surgically or simply part of the aging process lose volume in the upper lid area and become a bit hollow. Fat is an option as is some of the hyaluronic acid fillers on the market. A neat trick I learned from Val Lambros ( Newport Beach) is to inject a bit of local anesthetic there and then visualize the change from the volume. It will be short lived but give you a sense as to whether you would be happy.
Go see a board certified ASAPS member close to you for expertise in this area
I would like to have a more fully rounded bottom. Do buttock implants involve and improve shaping as well as augmenting the buttock area. Currently my bottom is saggy - will implants take care of this? Also, would there be any cellulite issues to be concerned about? Can you give me an approximate cost of this procedure?
We have three general options for buttock augmentation:
1. fat injections
3. rearranging local tissues to augment the area
Depending on your body habitus, how much fat you have, and what your goals are, your ASAPS plastic surgeon can help you decide what is best for you. Implants will help take up some loose skin but if it is significant, you may require it to be surgically removed or cut out. Cellulite will not necessarily be changed unless directly addressed with fat grafting and release. Costs may range from $5-10K.
J.M. Kenkel, MD
After post bariatric surgery, how many procedures are needed to tighten skin on the arms/abdomen/thighs as well as breast aug.?
In August, 2008 I had gastric bypass surgery. Basically I have stayed the same weight since then except for putting on a few pounds after the birth of my son. I have skin hanging on my arms, my abdomen, and thighs. I would like to have all of this tightened up. I would also like to have my breasts enlarged to a full C cup and a buttock augmentation. How many procedures would this require and at approximately what cost?
Congratulations on your weight loss and maintaining it! Most patients like yourself, that have multiple areas that need to be addressed require a minimum of 2 procedures and sometimes even 3 or 4 in my hands. Some other plastic surgeons may elect to perform these in 6 procedures. The most important thing is your safety. Seeing a board-certified plastic surgeon who is an ASAPS member helps reassure you that they have expertise in body contouring procedures. Cost is tricky but can run as high as $20-25K/ procedure depending on how much is done at one time.
I would recommend seeing a couple of plastic surgeons with expertise in this area. You will connect with at least one of them and they can help you look as great as you feel.
J.M. Kenkel, MD
I just gave birth one month ago, and am no longer breast feeding. Is it safe to inject Botox to the face now?
Even though botulinum injections are very safe and local injections, we are always concerned about the potential of affecting the newborn even through breast feeding.
If a patient chooses to breast feed I personally would not recommend such procedures until they are finished and then they can be resumed without any risk to the baby. I am not aware of any studies addressing this but the risk is simply not worth it.
J. M. Kenkel, MD