Robert W. Kessler, M.D., FACS
I had a reverse tummy tuck and now have side rib pain with a tight breathing feeling; can this be from the reverse tummy tuck?
I had a reverse tummy tuck and now have side rib pain with a tight breathing feeling. Could this be related to the reverse tummy tuck-tying skin to ribs?
I need more information to answer your question. When was the surgery and where are you in your recovery? The abdominal skin is suspended from the deep tissue of the chest with sutures which may be uncomfortable within the first few weeks of your surgery. There are concerning issues like blood clots to the lung which can also create pain on taking a deep breath. Return to your surgeon to discuss your complaints. This may be minor and related to surgery in the immediate post operative course but you want to be sure. I hope this was helpful.
Is it possible to even out the breasts by only doing a breast reduction on one breast and not touching the other one? My breasts are noticeably two different sizes, one cup size D and the other size DD. I only want to reduce the size of the DD breast, and not bother with the size D in breast in any way.
It is certainly possible to reduce one breast and not operate on the other. This will result in better symmetry between the breasts in terms of size. Consultation with a board certified plastic surgeon will help you understand what can be achieved and what your best options are for achieving your desired results. Good luck.
I am a 30 year old female with three children and I have diabetes. I have excess abdominal fat and would like to get a tummy tuck. Since I am diabetic would it be safe to have this procedure?
Surgical risk is increased by a variety of factors which are evaluated by your plastic surgeon at the time of consultation. With significant medical issues, your plastic surgeon will confer with your medical doctor to determine your individual risk for surgery. If your diabetes is well controlled and you have no other significant health issues, you will do well with the abdominoplasty.
I am going to have a tummy tuck. Will it be all right to smoke the day before the procedure? Would there be a problem if I smoked right after the surgery?
Smoking and elective cosmetic surgery do not go well together. Certain procedures are less susceptible to wound healing problems than others but the reasons for stopping are clear.
Smoking reduces the amount of oxygen in the blood. The nicotine causes constriction or tightening of the blood vessels. What this means is that less blood makes it to a healing wound and the blood that makes it has less oxygen. The combination leads to an increase in wound healing problems such as tissue loss and wide scars.
When you are having elective surgery the goals are to achieve the best possible results. Smoking is something that can be controlled and eliminated to improve your results. Smoking before and immediately after a tummy tuck will increase your chances of losing abdominal skin and creating wide problematic scars.
I hope this was helpful.
Please advise me how to correct a liposuction gone wrong. I have large wrinkles across the tops and inner sides of my arms that were not there before my upper arm reduction procedure. I am a small thin person and have no fat for a transfer. I need them tightened. Can you please advise me of my options?
This is a difficult problem. As volume replacement is not an option for you, skin tightening is the only other alternative. There are no dramatic skin tightening devices on the market. In fact most are disappointing in my opinion. Skin excision or brachioplasty is mostlikely your best solution. This will be a trade off of a scar for a contour irregularity.
The brachioplasty scar can be limited and placed in the shadow of the biceps.
This is a complex matter and would be best reviewed in consultation with a Board Certified Plastic Surgeon.
I hope this was helpful. Good luck.