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Rod J. Rohrich, M.D., FACS
- Room WA4-212
1801 Harry Hines Blvd.
Dallas, TX 75390-9132 - Tel: Click for phone number
- Fax: 214-645-3105
- Send E-mail
- www.drrohrich.com
Answered Questions
Q:
Why swelling at night post surgery?
Hello- I had a rhinoplasty done about 4 years ago. In the last year or so, I have suffered from difficulties breathing at night and sometimes it can impact my sleep. This comes with a clear swelling and hardening of the tip of my nose. My surgeon gave me a spray for allergies that helped for a short period of time. Since then issue has come back. It is not constant but has increased in frequency. The swelling is sometimes also during the day.
A:
Swelling After Rhinoplasty – Rhinoplasty swelling can continue for over a year especially if you have thick skin, are a male, Ethnic patients, or revision rhinoplasty patients. This can persist for 1-2 years.
Q:
Can laser resurfacing lead to worse scarring later?
About a month ago I had a laser resurfacing treatment for bad acne scars related to dermatillomania. Unfortunately, I recently developed a pimple that I picked at, and now I have a large red spot that feels like it's burning. There is no swelling, drainage, or crusting--just a red spot the size of a nickel that burns when my skin rubs against it. Since laser resurfacing involves collagen synthesis, could this be my skin reacting to a new wound?
A:
Laser Resurfacing and Scarring – The key element with laser resurfacing is that the procedure needs to be done by a skilled plastic surgeon or dermatologist that has experience and expertise in laser resurfacing especially in patients with acne scarring. This requires a deeper laser resurfacing with concomitant filling of the deep scars or scar revision procedure. Laser resurfacing should be healing by 10-14 days, but there is a small risk of scarring. However, in the hands of someone who has significant laser expertise, this is an infrequent occurrence.
Q:
Is there a breast lift procedure that lifts the breast from the top instead of underneath?
Is there any procedure that lifts the breast from the top (something like attaching breast tissue higher under the skin to the shoulder blade, or something similar)?
A:
Breastlift Procedure Options
There are many options for breast lifting. However, you have to have an incision around the nipple and in the lower breast area in order to get a breastlift. If you want lifting and filling superiorly long-term, then you would have to have an implant placed for desired superior pole fullness. T here are no procedures that lift the breast just in the top alone.
R. J. Rohrich, MD
Q:
Is it safe for a person with diabetes to have a breast reduction?
I have very large breasts (size 50-52 DD bra size). I want to have breast reduction but I am diabetic. Would this surgery be safe for me?
A:
Safety of Breast Reduction and Diabetic
In elective surgery, including breast reduction, it is safe to perform surgery on diabetic patients that are otherwise healthy, have diabetes that is well controlled, and that the patient is monitored properly after surgery.
R. J. Rohrich, MD
Q:
How do you treat a blood clot in the breast after a breast augmentation and lift?
Eight days ago I had saline implants removed, replaced with silicone under the muscle, and a breast lift. After the saline implant surgery I developed a hardening in my left breast. The doctor removed all scar tissue in the breast, but it is still very swollen. He said there is a blood clot in that breast. He told me I could either have it surgically removed or take Singulair for a few months and it will dissolve by itself. What is your opinion?
A:
Breast Capsular Contractures
Capsular contractures can occur after breast augmentation. In my experience occurs much less with saline versus silicone implants. If they do occur, they occur early and one can use Singulair for several months if one has no liver problems. If it does not resolve in 3-6 months, one can do a capsulotomy to relieve this area or place it in a different plane. In general, for saline implants, if you do a capsulotomy, it resolves the issue. In silicone implants, it may be more complicated as contractures occur later and they can be harder to correct.
R. J. Rohrich, MD