Navin K. Singh, M.D., FACS
- Washingtonian Plastic Surgery
5454 Wisconsin Ave, Ste 1710
Chevy Chase, MD 20815
- Tel: Click for phone number301-244-0277
- Fax: 888-406-4432
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Previously I was surgically cut from just under my breast to my groin and have now developed a hernia there. Is it possible to have a tummy tuck at the same time the hernia is repaired? I also think I have a lot of scar tissue in the area. Would this surgery be more risky and what are the chances of a good result?
Yes, very often these two procedures are done at the same time. Surgery can be coordinated between a general surgeon and a plastic surgeon to perform the operation in one go, thus removing the additional down-time and surgery time a second surgery.
Costs may be lower as well since a portion of the OR/Anesthesia cost may be covered (but this is highly variable from center to center and from insurance to insurance).
Operations that are commonly combined are gynecologic ones such as hysterectomy and general surgery operations such as a hernia repair. However, depending on the extent of the hernia, be prepared for a plastic surgeon to decline performing those together if the risk of complications or infection from a severe hernia makes it unacceptable.
We want to minimize down time for patients, but above all, it is not helpful to save time if the risks are too high. I recommend making an appointment with a board-certified plastic surgeon and a board-certified general surgeon to assess your individual needs.
Many years ago I had a hair transplant and am now thinking of shaving my head. I have some small bumps where the hair was implanted. Can skin resurfacing remove the bumps or make them smoother?
You are correct in your ideas. Where hair is transplanted, you can get a little "pin-cushion effect" --bumps as you say. If you choose to shave your head, those bumps can be dermabraded down. another option would be to "recycle" those hairs into areas where you need them (if you were to choose not to shave your head in the future). . A lot of the healing may depend on your skin type and skin color.
When is it safe for a very healthy woman to have both Liposuction and Rhinoplasty after delivering a baby? The mother will not be breast feeding.
A healthy woman should be able to have liposuction and a rhinoplasty once her weight is stable, and that varies from person to person. It may be as soon as 3 months to as long as 12 months. I recommend waiting for liposuction until your weight loss after childbirth has plateaued. A rhinoplasty could be done as soon as 2 months after delivery, but if you want to combine these under one procedure, wait until your weight has stabilized.
How realistic is it to consider arm lift and breast augmentation at the same time without health insurance? Also, can these two procedures be done safely at the same time?
As you no doubt know, neither the breast augmentation nor the arm lift (brachioplasty) is covered by insurance. From a cosmetic surgery standpoint, these two procedures can be combined safely, and be done simultaneously. Both are low risk procedures and if you are otherwise healthy they should pose no additional risk to you. The risk of complications of doing them together versus separately is minimal.
I imagine that you are concerned about health insurance covering a complication, if one were to arise. Of course it is prudent to have health insurance (you never know when you might need it from an injury, accident, or discovery of a new health situation) anyway. You may consider looking into insurance for just the cosmetic surgery part. In some states you can buy one time insurance for your cosmetic surgery (for example CosmetAssure) to ease your mind.
I have dropped a lot of weight, but my tummy is still quite large and droopy. It is depressing me. Is it possible to have liposuction and a tummy tuck at the same time?
The short answer is "Yes" and "No."
Yes, You can get liposuction of other areas such as the love-handles, thighs, or chest at the same time as a tummy-tuck. Plastic surgeons respect the total volume that can be removed in a typical outpatient setting (approximately 5 liters or 10 pounds of lipo fat). It may be safer to remove less fat if multiple other procedures are being done in addition to liposuction.
No, you shouldn't get liposuction of the abdomen and a tummy-tuck at the same time. Typically, it is recommended to avoid liposuction of the abdomen itself at the same time as an abdominoplasty (tummy-tuck) because the skin has trouble healing with the "double-hit" of a tummy-tuck and lipo of the same area. You can get liposuction of the abdomen at the same time if a mini-tummy tuck is being done, and that is a very popular combination in our practice.