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Laurie A. Casas, M.D., FACS
- Suite 270
2050 Pfingsten Road
Glenview, IL 60026 - Tel: Click for phone number
- Fax: 847-657-6552
- Send E-mail
- www.casas.md
- Casas Aesthetic Plastic Surgery & Medispa
799 Central Avenue, #260
Highland Park, IL 60035 - Tel: Click for phone number
- Fax: 847-432-1402
- Send E-mail
Answered Questions
Q:
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I want to have breast augmentation surgery. How long before the procedure do I have to stop smoking?
A:
As I say to my patients, quit smoking for your health but for surgery, smoking interferes with skin healing, so I ask them to quit 2 weeks before for incisions under the breast and 2-3 months before for visible scars like on the nipple areola or armpit. http://www.casas.md/index.php/breast-augmentation/
Q:
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I want to have a full tummy tuck. Is the patient always sent home the same day after this procedure with a pain pump or do some patients require an overnight stay? I am a waitress - how long before I can go back to work?
A:
It is so individual. Most of my patients spend the night in the hospital because my hospital offers "hotel room rates". I tell my patients with physically intensive jobs, to plan on going back to light duty after 2 weeks and three for full activity, except for lifting over 20 pounds, which I prefer the patient hold off for 6 weeks. The key is that you get a complete consultation to review all your options with a Plastic Surgeon certified by the American Board of Plastic Surgery and also who is a member of ASAPS www.surgery.org Please visit my website http://www.casas.md/index.php/tummy-tuck/
Q:
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I am going to have a tummy tuck. Will it be all right to smoke the day before the procedure? Would there be a problem if I smoked right after the surgery?
A:
Smoking definately interferes with wound healing. A Tummy tuck involves making an incision low on your abdomen (tummy) which after skin flap dissection, belly button relocation, some flank liposuction and possibly rectus muscle plication, the low incision is sutured close after removing the excess skin. This extensive procedure requires your body to heal not only under the skin but along the incision that will become a scar, hopefully barely noticable over time. If you smoke, we know from fairly reliable reports, that the wounds will not heal well, especially if you smoke before or after the procedure. I typically require patients to quit smoking for 2-3 months before and 3 months after tummy tuck surgery. http://www.casas.md/index.php/tummy-tuck/
Q:
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After having a facelift, what is the likelihood that skin necrosis will cause permanent scarring? The area affected is about 1/2 inch wide and about 1 1/4 inches long, just in front of the ear.
A:
The scar in front of the ear will fade over the next 1-2 years. I recommend you consult a plastic surgeon who is certified by the American Board of Plastic Surgery and is an ASAPS member (www.surgery.org) to evaluate whether a scar revision may help reduce the appearance of the scar. This kind of minor surgery typically can take place after the scar is soft and is white in color. That occurs after 16-18 months.
Q:
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My 17 year-old daughter is embarrassed by her large breasts, and they even cause her physical pain and discomfort. She is talking about breast reduction surgery, but I'm not sure it's a good idea. What if she regrets it later on?
A:
Once breast tissue is removed, it cannot be put back. Breast reduction surgery is irreversible, so you are correct to approach the surgery with the utmost caution. However, in many cases, breast reduction surgery is the right choice and can significantly improve a woman's quality of life. If your daughter's large breasts interfere with normal physical activity, or if their weight causes back or shoulder pain, breast reduction may be recommended. In addition to relieving these symptoms, the surgery may improve the shape of her breasts. It also is likely to make her feel less self-conscious about her appearance.
Your daughter needs to be realistic about what is involved -- breast reduction is a major operation, usually requiring a brief stay in the hospital. There are a number of possible techniques, but, in most cases, there will be visible scars. However, most women who decide on breast reduction find that the freedom from pain and the ability to find clothes that fit well are worth it. Most plastic surgeons agree that breast reduction surgery has one of the highest satisfaction rates of any surgical procedure they perform. Start by taking your daughter to a board-certified plastic surgeon for an evaluation. The doctor can help you decide if breast reduction is appropriate and if your daughter has the maturity to make such an important decision at this time of her life.