Kris M. Reddy, M.D., FACS, FICS
Will a weight of 215 pounds keep an insurance company from paying for breast reduction surgery (I'm size 40G)?
I am 52 years old, 5'6" and weigh 215 pounds. I have weighed as much as 239 pounds but have lost 20 pounds in the past six months. My bra size is 40G. Will my weight keep my insurance company from paying for breast reduction surgery?
Each insurance company and plan have different provisions on coverage so you would be best to direct the question to the member services department at the insurance company.
To get rid of moderate lines around the nose to mouth area, which would be best, Restylane or Juvederm injections?
I am a young man and have moderate lines around the nose to mouth area. I was thinking of having Restylane Perlane injections after reading up on the reviews of this product. After speaking to the injector she advised that I have Juvederm instead. I have read horror stories of people looking like they have had a stroke after Juvederm injections. In the hands of an experienced practitioner, how likely would a bad result occur with Juvederm? Why should I choose Juvederm over Restylane in my case?
Both Restylane and Juvederm are excellent hyaluronic acid dermal fillers, and I use both depending on the area. Juvederm is generally my choice for the folds although Radiesse is an option for deeper folds. For the folds, Juvederm is more cost effective as it will provide better coverage with fewer syringes.
The key is to choose an experienced and expert injector who can choose the correct filler for the appropriate patient and case. With an experienced injector, the probability of an adverse result is small.
I had silicone breast implants placed under the muscle at age 18. I believe they were around 250 cc's, maybe a little smaller. I am now 23 and want them removed. I had almost no breast tissue (or body fat of any kind) when I got the implants - nowhere even near an A cup. I've gained about 15 pounds since then and I can tell I have more breast tissue than I did before. I don't want to get a breast lift, but I'm afraid of a deflated appearance. Is it realistic to have the implants removed without a lift?
The facts that you are young (with presumably better skin elasticity) and have smaller implants are in your favor in avoiding a breast lift. If your nipple remains above the inframammary fold, you should be able to get by without a lift.
How would a weight loss of 30 pounds over the next year affect the results of a breast lift with implants performed now?
I need a breast lift and also want implants. I have lost some weight but I plan on losing another 30 pounds over the next year. If I have the lift and implants now, how much would this additional weight loss affect the results of the lift and implants surgery? I know I should probably wait, but is it a risk cosmetically speaking to have the surgery done now?
Significant weight loss may affect the breast size and shape requiring a revision. To ensure the greatest possible long term satisfaction with the results, you should be at your long term stable weight prior to surgery.
I am 62 years old and look 19 years younger except for deep marionette lines by my mouth as well as vertical lip lines (I've never smoked). What is the safest, most natural looking, and longest lasting treatment for this problem?
Vertical lip lines and marionette lines are distinct lines and optimal treatment is different. Vertical lip lines can be treated with dermal fillers, fat grafting, and/or laser resurfacing, Marionette lines may require dermal fillers and/or lifting. To determine the appropriate treatment plan for you will require in person consultation and exam. To explore your options, consult with 3 - 4 experienced and expert board certified plastic surgeons.