Robert T. Buchanan, M.D.
I have lost 80 lbs, I now weigh 130 lbs, 5' 4" tall. Can I still have a tummy tuck, if I take high blood pressure pills and angina pills, but both are controlled 100% by taking the pills? Also if I had a sterilization (tubal ligation done to not have any more kids), can I still have a tummy tuck, thanks?
Controlled high blood pressure is not a contraindication to tummy tuck. However, angina may be. Either before seeking consultation or after the consultation and learning exactly what you need, you will need an appointment with your cardiologist to determine your risks and whether it is reasonable for you to have the surgery. If you have not had one in a while, you may need a stress test to see if your heart can tolerate the stress of the surgery. Losing the weight may have markedly helped your heart.
How much is the cost for liposuction of the legs and ankles?
The cost of Liposuction varies depending on where you are and who does the procedure. You can find physicians to do the procedure who are quite cheap. However, many of these have almost no training or experience. The legs and ankles are very difficult areas and should be treated only by someone very experienced. Make sure that whomever you choose has been doing liposuction for many years and has done many legs. You are also safer with a board certified Plastic Surgeon who knows the problems that can arise from liposuction, a seemingly simple procedure that is actually quite complex and can be dangerous.
Is there a certain type of surgery that can be done to increase finger size (width) and overall hand in general. For someone who has very thin hands and especially fingers?
The dorsum of the fingers and hands can be filled with an off the shelf filler such as Radiesse or fat to replace fat that is lost with aging there. This generally hides the veins and tendons and reduce crinkles of the skin, but does not increase the size or width. It is impossible to widen the fingers or hand because of ligaments connecting the skin to the underlying bone.
After delivering twins, I was left with a 10cm separation in my tummy muscle. It is now down to 2cm but after 2 1/2 years it will not close on its own.
In December 2012 I had a titanium mesh patch placed behind my belly button to fix the hernia there.
This has left me with a belly button that still sticks out and is now so hard that when it rubs against a bench it gets very tender/sore. They only patched the hernia while leaving the muscle open.
I am very slim, so tummy fat is not the issue. I look very pregnant all the time. I would like to get the tummy muscle sewn back together, while having a breast enlargement done ('c' cup), and my nipples drawn back in.
On a TV program I saw another women with a tummy just like mine (also twin pregnancy.) They cut around her tummy button, then cut similar to a 'c' section to sew the muscle back together. Although very scarred, her tummy was flat again. At least she looked good dressed.
I also saw on 'The Doctors' a women who had her nipples drawn back in so she wasn't on 'high beam' all the time. My breasts have become so small (right side 'AA', left side 'A') that wearing a bra is near impossible, but mandatory due to my nipples. However I would like to get larger breasts while I'm there. I have heard that a few years after the tummy muscle is sewn back together it often rips apart again, due to the center of the muscle being thread bare.
Can you advise on the long term success rate of this operation.
Your help would be appreciated.
While difficult to advise specifically, everything you desire can frequently be treated with a Tummy Tuck and breast augmentation except for the prominent nipples. The Breast Augmentation may flatten the nipples some as the tissues remodel. If they do not, then they can be reduced later. For you, the only problem will be the umbilicus which may have been devasculirized by the hernia repair. Repair of the diastasis (the muscle separation), if done properly, should be permanent.
I had Aquaderm used as a facial filler on my mid-cheek groove, cheek pouch, upper lip and chin. Is it safe? Or I should take it out?
Aquaderm is a filler that is marketed outside the US. I can tell you very little about it. However, if you are having no problem, I would suggest that you do nothing. If you are having problems, I would seek advice from someone experienced in dealing with injectables.