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Michael L. Kreidstein, M.D.

Answered Questions

Q:

Can liposuction be done on the upper arm area?

Can liposuction be done on the upper arm area or does this require a surgical procedure?

A:

Hi Pam,

Liposuction is a surgical procedure, but perhaps seems less surgical than an arm lift because the skin incision is not as prominent. The limitation of liposuction in the arm is the extent of excess skin that will remain after the procedure. At consultation, your plastic surgeon will estimate whether you will have floppy arm skin after liposuction, and you may need to consider the possibility of needing an excision (arm lift) either coincident with your liposuction or as a second procedure if skin laxity is a problem.

M.L. Kreidstein, MD

Upper Arm Reduction

Q:

Will I need extra surgery after having my implants taken out?

I was a very small A cup and had breast implants (400 cc: small D in VS bras) put in at the age of 21. It has been seven years now and I want to either have them removed or have them replaced for a smaller size (to a small B cup).  I would really like to have them taken out for good but I am not sure about the results.  Do you foresee me needing corrective surgery or will I be okay after healing time?

A:

Removal of breast implants may result in excess loose skin, much as women may have loose skin following pregnancy and lactation. This is more likely if your skin was stretched significantly by the augmentation, if you developed stretch marks, if your current skin is lax, or you are post-menopausal. An experienced plastic surgeon will be able to predict the likelihood of cosmetic problems following your implant removal. In my experience, if there is no compelling reason to anticipate a deformity, it is better to just remove the implants and then perform any necessary corrections at 6 to 12 months, once the breasts have assumed a stable appearance.

M.L. Kreidstein, MD

Breast Reduction

Q:

Would it be a risk and unsafe to have a tummy tuck 11 years after spinal fusion?

I would like to have a tummy tuck.  I had a spinal fusion 11 years ago which left me with a 12 inch scar up the left side of my chest.  At that time, the surgeon also removed a rib for a graft.   I saw a plastic surgeon recently to discuss my having a tummy tuck/mommy makeover.  He expressed concern over the scar and the risks performing the surgery because of the old scar and blood flow.  However, another surgeon said it would not be an issue.  Who is right???

A:

Hi Sarah,

The abnormal blood supply to your abdominal skin is an issue, but the surgeon was likely trying to convey that it would not prevent you from undergoing a tummy tuck. It would be reassuring if you did ask your surgeon about any concerns regarding the blood supply below the scar, but a CT scan is not required to provide you with good advice about your suitability for this surgery.

M.L. Kreidstein, MD

Tummy Tuck

Q:

Is it safe for a person with diabetes to have a breast reduction?

I have very large breasts (size 50-52 DD bra size).  I want to have breast reduction but I am diabetic.  Would this surgery be safe for me?

A:

Your large breast size, large chest size, and diabetes make it likely that you will suffer wound healing complications with breast reduction surgery. A safer technique for you would involve a free-nipple graft. Make sure that the surgeon you see is comfortable with offering you this option, and that the risks and benefits of each technique are clear to you.

M. L. Kreidstein, MD

Breast Reduction

Q:

Should I be concerned about a trans-areola augmentation affecting breastfeeding?

I had my breast implants with a trans-areola incision which I have regretted all my life.  I am now pregnant and extremely worried about complications with breast feeding.  I want to know is it just a matter of being unable to breast feed or are there other issues like milk rotting in the glands because it cant flow?  What can I do to avoid risks?

 

 

 

A:

Glands that are unable to transmit milk along their ducts (because of previous surgery) will simply stop producing milk and the glands/ducts that are intact will function in their place. You may well be successful in breast feeding, and rotting milk will not be an issue.

R. L. Kreidstein, MD

Breast Augmentation

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