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Miguel A. Delgado, Jr., M.D.

Answered Questions

Q:

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I am 41 years old and am considering breast augmentation and/or lift along with a tummy tuck/lipo.  I think I have relatively good genes and exercise regularly but am concerned that the cost of having these procedures will somewhat be out weighed by the fact that I am older.  Can you give me some idea of how long I can reasonably expect to see the full effects of these procedures?  Also, can you give me some idea of the reasonable costs for all?  Could I possibly receive a multi-procedure discount?

A:

The procedure you are considering is what we refer to as a "Mommy Makeover."  Your age should not be a factor as long as you are in good health.  The tummy tuck is the part of the procedure that takes the longest in recovery, however most patients are able to return to work within a couple of weeks as long as there is no heavy lifting involved.  Most patients can return to their normal life including exercise after 6 weeks. The cost of the surgery can be dependent on your location and the surgeon you pick; also it makes a big difference if you are having a breast augmentation versus an augmentation with a lift, as a lift is a much more complex procedure than just an augmentation. Ballpark I would say you are looking at around $15,000 to $18,000, but again your geographical area can make a difference, and each surgeon sets his/her own surgical fees.

Cost of Procedure

Q:

Can a blepharoplasty, rhinoplasty and chin augmentation be done at the same time?

I am a 37 year old healthy female and would like to have upper and lower blepharoplasty, rhinoplasty and chin augmentation. Is it possible to do all three procedures at the same time?  Would there be more risk of complications if they are all done within one surgery?

A:

The nose and chin are routinely done together and is recommended if both need to be done as it is easier to balance the face.  Adding upper and lower eyelids at the same time is very safe as long as the patient is in good health.  As with any surgery, there are risks and possible complications, such as; bleeding, infection, or anesthetic problems.  However, with a Board Certified Plastic Surgeon, a well trained surgical team including a board certified anesthesiologist, complications are unusual.

Miscellaneous

Q:

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I want to have a breast reduction. I understand that I will need a physical examination and blood work before this surgery. Exactly what will the blood work be checking for?

A:

It is routine to have a Complete Blood Count (CBC ) test done prior to surgery. This test provides an overview of a patient's general health.  It checks your white blood count, which will show if there is any infection present, and red blood count,  which will show if a patient is anemic.  Depending on your physical examination and medical history, your surgeon may determine to run additional tests. This is all to ensure your safety for your surgery.

Breast Reduction

Q:

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I am a 24 year old female looking for help with my appeal for a breast reduction. I am a 32-DDD and weight about 130 pounds, healthy BMI. I met with a plastic surgeon who explained the process and qualifications to me. My plastic surgeon submitted my claim and it was denied because the amount of tissue removed from my left breast was 150cc less than what my insurance requires; however, my right breast was almost double the required amount for removal. I am currently in physical therapy to help document my neck and back pain. Another reason they denied my claim was that I don't have deep grooves in my shoulders. I need some help - please advise if you think I meet the criteria and have a legitimate claim for appeal.

A:

It doesn't cost anything to appeal the decision for your breast reduction surgery.  Many times decisions can be reversed on appeal, as they are usually reviewed by a surgeon.  If you have your insurance through your employment, I would suggest seeing if the Human Resources Department will help you with your appeal.

Breast Reduction

Q:

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I am ccnsidering having breast augmentation. Is this a one-time lifetime thing or will I need further surgery at some point down the road?

A:

You should plan on having to have a revision at some point in your life due to either a deflation (or rupture) or a capsular contracture.  There are some women who are lucky and may be able to keep their original implants for their lifetime, but most will not.  At the time of scheduling surgery you should talk to your surgeon about getting an enhanced warranty from the manufacturer.  This is offered for a 10 year period after the original surgery and can help cover the costs of an additional surgery.

Breast Augmentation

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