Jeffrey M. Kenkel, M.D., FACS
What procedure would be used to obtain tight skin on my face? I've been doing facial exercises for awhile now and I'm still not seeing much results. Are facial exercises suppose to work? Does something like the Face Fitness Formula actually work to lose the look of fat in my face and obtain a look of thin face? Or will I have to go under the knife and get plastic surgery done to obtain a look of a thin and tight face? I would appreciate answers. Thanks.
Tightening the skin can be done but there are many factors to consider. The type of skin you have, the degree of skin laxity, your medical history and what your goals are all considerations. We have some nonsurgical devices that do tighten the skin to some degree but surgery remains the most predictable way to achieve it and the gold standard.
If you are looking to slim your face again a few questions. Are you overweight? Is it localized? For example, some people have fat in their necks and good overlying skin. These patients may be great candidates for liposuction of the neck which in many cases can be done in the office.
I'm considering a butt lift but I was wondering if there was anything I could get to make my butt a little bigger after getting a butt lift.
A "butt lift" can be accomplished in a number of different ways depending on what the problem is.
Flat, non-projecting buttock:
Filling the buttock with either your body's own fat or with an implant are the most common ways to address buttock deflation. There are pros and cons to each. While fat transfer to the buttock uses your own tissues, retention or "take" of the fat can be somewhat unpredictable and may require more than one treatment. Implants can give you the projection you want but are associated with a higher risk for wound problems and possible infections. Depending on how much "donor" fat you have and what your goals are will determine which is best for you.
in some cases, the above will improve this. In others, it may require removal of some skin around your hip to elevate your buttock.
See a board certified ASAPS member to review your options
Jeffrey Kenkel, MD
I am 5'9" and 145 pounds. I love my body but my hips seem to go out, then in, then out again at the thighs. I want to fill in what I call "the gap" that is taking away from the figure I want. I don't want to gain weight to have this done, I just want to have fat injections to fill in this area. Do you think I have enough fat at my weight to fill in the gap without having to gain extra weight?
Women often have a variable depression between their hips and outer part of their thighs. The outer silhouette can be improved with liposuction. Bringing the hip and outer thigh areas in and perhaps adding fat to this area are solutions to the situation you are experiencing.
I would recommend seeing a board certified plastic surgeon who is an ASAPS member to discuss how this might be best handled for you.
Can a recent tummy tuck cause capsular contracture in a breast when the agumentation was done 10 months ago?
I am 48 years old and was just told by my plastic surgeon that I have capsular contracture of the right breast, stage 3, after only having had the surgery ten months ago. I have read that mammography cannot be performed in cases of capsular contracture. What are my options for breast cancer screening? Could a recent "tummy tuck" done 8 weeks ago, have caused capsular contracture?
Capsular contracture remains a challenging entity to treat as we still don't completely understand its origin. It is likely due to some type of bacterial infection which may not manifest itself for some time. It could be months or even years. It is thought that the implants may contain "biofilms" which are "indolent colonies" of bacteria that get activated. It is unlikely that the abdominoplasty caused this.
I would definitely go back and see your surgeon. There may be ways to try and improve this non-surgically. Ultrasound and even some medications may be helpful.
Capsular contracture does make it more difficult for mammography because the implant cannot be displaced for the exam. MRI can be used but is expensive and may have some false results associated with them.
What are the side effects of exposing newly lasered skin to sunlight (without applying sun block) during the healing period?
I had two laser sessions on some nevi and six non-ablative laser sessions on post acne scars. During treatment (6 months) I didn't apply sun block regularly. It was about 200 hours collectively of exposure to indirect sunlight coming from the window when indoors, or in a car, fluorescent light, and some direct sunlight. What are the risks of side effects? Is there a risk of malignancy (in skin or nevi) due to exposing freshly lasered skin to sun during its healing, as laser treatments make skin more sun sensitive?
It is hard to say specifically. Surface treatments remove some of the protective elements of the skin so you are a bit more sun sensitive which can lead to pigmentation and other aging changes. I don't feel the non-ablative treatments will put your skin at the same increased risk but still may have an effect. Cumulative sun exposure and "burning" can enhance your risk for malignancy.