Miguel A. Delgado, Jr., M.D.
- 165 Rowland Way
Novato, CA 94945
- Tel: Click for phone number415-898-4161
- Fax: 415-897-4664
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Is eyelid surgery (upper and lower lid) included in a facelift, or is this a separate procedure and expense? Also, is it advisable to have only eyelid surgery first and then, if not happy with overall appearance, to have more work done, such as a facelift, mini-facelift or laser resurfacing?
Eyelid surgery is not included in the cost of a facelift because not all patients need to have their eyes done, or some may need only upper or lower eyelids done. If, however, the eyes do need to be done along with a facelift, I advise my patients to get all that is needed done at the same time or the face won't look balanced. You will also only go through the healing time once. If a patient were more comfortable getting the eyes done first, I would certainly listen to their concerns. I would then show them before and after pictures of a few patients that went that route, and at that point let the patient decide.
I want to have a tummy tuck, breast augmentation and lipo on the hips. Is this too much surgery for the body to handle at one time?
These procedures are done together all the time and are referred to as a "Mommy Makeover." As long as you are in good health, this should not be a problem. Be sure your surgeon is a Board Certified Plastic Surgeon, and ask to see lots of before and after pictures.
I am 37 years old with two children. During my pregnancies my breasts got larger and now they have dropped in size and are saggy. I've lost confidence in my appearance and would like to improve the look of my breasts. Would breast augmentation be the way to go?
It is possible that a breast augmentation will give you the look you want; however, it depends on how much loose skin you have and where the placement of your nipples are. You need to have an evaluation by a Board Certified Plastic Surgeon to determine if you are a candidate for an augmentation alone. It is possible you may need a breast lift as well. If your breasts are on the smaller size you may be a candidate for a breast augmentation with a peri-aerolar lift, which means almost no visible scar.
What is the best filler for beginning marionette lines? I have had three treatments of Sculptra but still do not have the results I desire.
Sculptra is one of the longest lasting fillers available, lasting up to two years. However depending on the amount of correction, multiple injections are usually necessary, 2 to 3 is common and some require up to 6 treatments, 4 to 6 weeks apart. Sculptra increases collagen production but the building process occurs slowly. For a more immediate result, Radiesse is a great filler and usually lasts about a year.
I am interested in getting a breast reduction in early June. How soon in advance do I need to have a consultation with the surgeon who will perform the procedure and will he/she confer with my insurance company to see if I am covered?
If you know what surgeon you are going to, I would recommend that you call their office after the first of the year and see if he/she is a provider with your insurance company. The process to get approval for insurance can sometimes take awhile. Your surgeon may want you to come in soon to get the process going. Some insurance companies require that you get letters from your doctor and/or physical therapist to state what measures you have taken to try to remedy the discomfort of large breasts. Your surgeon's office should be able to help you with all the details of getting approval from your insurance. Once approved, most insurance companies require that you have the surgery within 90 days of approval, however it is usually easy to get an extension if the surgeon's office calls and requests it.