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Sanjay Grover, M.D., FACS

Answered Questions

Q:

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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?

A:

Smoking just prior or after a tummy tuck/abdominoplasty can be a disastrous thing to do.  This is ill-advised as it will greatly increase your risk for poor wound healing and skin necrosis.  Many plastic surgeons, including myself, will have patients refrain from any tobacco or nicotine use for 2-4 weeks before and after surgery to minimize the risks.

Tummy Tuck

Q:

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I am going to have rhinoplasty, but I will be in Germany for the next 3 years. Where can I look to get the best information on plastic surgery abroad? I want to have the best outcome possilbe. What are the most important questions I should ask when looking for a good surgeon?

A:

The International Society for Aesthetic Plastic Surgery (www.ISAPS.org) is a good place to start.  Many ASAPS members from the U.S. also belong to this "sister" society. With any surgeon, review their website, credentials, photos, testimonials, etc.  Narrow it down to a few plastic surgeons and have a personal consultation.

Nose Reshaping

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I had liposuction on Wednesday and it is now Saturday and as of yet, I have not had a bowel movement. Should this be a cause for concern?

A:

The GI system can slow down following general anesthesia and taking narcotics.  Fluids, stool softeners, laxatives, or enemas may be of benefit.  You should discuss this with your plastic surgeon.

Liposuction

Q:

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I am 64 years old and underwent radiation for a 3 mm cancer from calcification found in my left breast. Prior to and during this time I worked out and ran training for a triathlon. I lost a lot of weight, and now in July, my cheeks on my face have suddenly become large deep wrinkles when I smile. I feel as though I can never smile again because of these wrinkles. I had a beautiful cheeky face before. What can be done to restore them? Would fat injections be the route to follow?

A:

It is possible that fat transfers or intradermal fillers such as Juvederm, Restylane or Radiesse may benefit you.  There are pros and cons to each option.  Fat transfer viability is variable and you need to have adequate fat to harvest.  Fillers may only last up to one year and will require repeated injections. It is possible you may also benefit from facial plastic surgery.  Find an ASAPS member in your area for a consultation. You may click on this link http://www.surgery.org/consumers/find-a-plastic-surgeon to obtain the name of a surgeon practicing in your area. 

 

Fat Injection

Q:

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I am a person of color who is interested in liposuction. I am particularly concerned about scarring issues due to my skin tone. How can I locate doctors in my area who specialize or gear their practices towards patients of color?

A:

Liposuction can be performed on appropriate candidates with any skin type.  Scarring is usually quite minimal.  Of course, there is a higher chance for a person with olive, pigmented or darker skin types to develop a raised scar such as a hypertrophic scar or keloid.  There are ways to help minimize these risks or improve the appearance if such a problem develops including post operative taping, silicone gel or sheets, steroid injections, and hydroquinone.  All ASAPS members should be completely capable of managing patients of color.  You may go to http://www.surgery.org/consumers/find-a-plastic-surgeon to locate a surgeon in your area.

Miscellaneous

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