Samir F. Shureih, M.D.
I had a prolactinoma and recently had an MRI and was told it is no longer there. My labs have also come back within normal range. I have some residual milk that I have to extract but not much, if any. Would going through the nipple put me at greater risk for infection or capsular contracture for breast augmentation? Or should I consider going through the crease of the breast. I am going under the muscle regardless with silicone, just wanted to see what was the best option. Thank you so much!
It is much safer to wait till there is no milk production.
An inframammary incision and placement of the implant under the muscle so there is minimal contact with the ductal system. Some feel more comfortable to place the implant sub-fascial to avoid contact with the ductal system as well.
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.
Most of the time severe diasthesis recti (separation of the abdominal muscles ) is done at the same time with tummy tuck.
If you are a candidate to only a mini-tummy tuck then the muscles can still be repaired using an incision around the belly button and another in the lower abdomen like a c-section. The shape of the belly button can be repaired, but need to see the operative note and the type of the mesh used. It is very possible you still have a belly button hernia, that is why it still bulges!.
Breast augmentation, you have many options, incision, type of implant, size of implant and position of the implant.
Nipple projection can be reduced in many ways. All options are discussed with you at the time of the consult with your plastic surgeon
I have a double chin and need liposuction. I don't know who to go to, how about the Lifestyle Lift?
Like any brand named one procedure companies, you need to do a lot of research as to
1: Quality of the consultation, and who is doing the consultation and evaluation for the appropriate procedure
2: the Board Certification of the doctor, specifically what board specialty.
Only the American Board Of Plastic surgery is recognized by The American Board of Medical Specialties
3: availability of the surgeon before and after surgery. Follow up post surgery by the surgeon
4: Where the procedure is done, only accredited facility
5: the anesthesia provider, MD?
6: What is the exact procedure done and what areas it will address.
Have another consult by a Board certified Plastic Surgeon
Then you can make an informed decision
After one month of Botox injections I was laughing hard with my friends and suddenly I had a strong pain in my left eye, as if a muscle got contracted strongly. Then I realized that my eyelid of the left eye is loose and bit closed. What can I do ? Do you think it will get cured ?
One of the potential risks of Botox is that it can seep to other muscles, most commonly seen is the muscle that lifts the upper lid, and if this happens then the upper lid will droop. This is self limiting and will resolve.
How ever the sudden pain you had is not typical for Botox. I would advise you to see the plastic surgeon who injected the Botox and have a complete eye examination by an ophthalmologist.
I received lip and facial silicone injections in 2004 from a man who had given them in a plastic surgeons and dermatologists office, but was injecting at his home when I saw him. I am wondering if it could have been non-medical grade. I slept excessively after, then started to be more fatigued and sleeping excessively in the last few years. How do I find out if he injected non-medical grade? How do I find out if that is what is causing my symptoms? What can I do about it?
I sincerely doubt that a reputable plastic surgeon or dermatologist will get involved with someone who is injecting silicone. You met this person in a private residence to get the injections, he/she may claim to do that in a plastic surgeon office to impress you. Silicone is not FDA approved as a filler.
There is only one brand of medical grade silicone used in the eye for retinal detachment as a glue.
It is too expensive to inject in large volumes. My guess is based on who injected you ad where, that the silicone injected is not medical grade, and may not even be silicone, could be any thing.
The reaction to injected commercial silicone is severe inflamatory reaction and granuloma formation.
It can also migrate.
You need to be worked up by your family physician for proper diagnosis ad treatment