Robert T. Buchanan, M.D.
I've had a breast reduction and only gone down one cup size. I would like to have the results that my surgeon and I originally agreed upon which is to be 3 cup sizes smaller from a DDD to a C. Do I need a breast reduction revision and how is this done?
Breast Reduction Revision
Revision of a Breast Reduction is done like the original procedure but with more breast tissue being removed. The problem is that the nipple/areola has to be preserved. If you have someone else other than the original surgeon do the revision, make sure they have the operative report from the first surgery so they know where the blood supply to the nipple is.
I have consulted with a plastic surgeon who says I am a candidate for an endotine mid facelift. I would like to know the pros and cons that have been experienced by physicians who have used this technique. Is there an unusual amount of swelling (as reported by people on the internet)?
The Endotine Mid-Facelift is one of several similar methods to elevate the malar (cheek) area. Although I prefer elevating this area another way, the Endotine and similar methods work excellently in the right patient. All of them have some swelling that can be significant in some people. Your best bet is to discuss the pros and cons with the surgeon whom you have already consulted. Also, make sure he/she is experienced with this method, as it requires significant expertise.
I am 18 years old, 4'11" and weigh around 100 pounds. I originally wore a size 34 DDD bra, but I have to buy a size 36 DD in order to support my breasts because it's difficult to find size 34 DDD. Each time I go to the doctor and complain about the largeness of my breasts, the doctor does not recommend that I have a breast reduction. What can I do?
Recommendation for Breast Reduction.
You did not mention any symptoms. These are generally required for insurance coverage. However, from your description, you sound like an excellent candidate for a breast reduction. You also did not mention which doctor you saw that would not recommend a reduction. Many non-Plastic Surgeons do not understand the problems with large breasts. No matter what the specialty of the doctor you have been seeing, I would recommend that you see a different doctor for a second opinion. Make sure whoever you see is a Board Certified Plastic Surgeon.
I am a former smoker. I had eyelid surgery a year ago with no problems. I now had a facelift and am suffering with skin necrosis. How long will this last?
Skin Necrosis after Facelift.
You did not say where the necrosis is or how large an area it is. Both these have significant impact on how long you take to heal. Other things such as your general health and nutrition and whether you are still smoking or using nicotine or are around someone else who is a smoker. All this aside, it usually takes somewhere between a week and a month to heal, but may take longer, depending on the above factors.
Can a woman get breast augmentation if she suffers from a blood clotting disorder?
Breast Augmentation with Clotting Disorder
The simple answer is “yes,” you can have a breast augmentation with a clotting disorder. However, your possible risks and complications are greater and you will need to do the surgery under the supervision of your hematologist to assure that you do clot and that you reduce your risks to a minimum. Talk to your Hematologist.