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Susan D. Vasko, M.D., FACS

Answered Questions

Q:

How to Remove a Scar Under the Eye?

It is 2 years old scar and it is 11-12mm long and it is quite deep, what is the best way of removing it, is it a surgical revision or something else? (many doctors have told me that it was sewn very poorly and many event thought that it wasn't sewn at all)

A:

Although scars can never be completely removed, often they can be revised to improve their appearance.  A deep scar can usually be improved by removing the scar and suturing the skin to create a flatter, less noticeable appearance.  The results are often better than at the time of the original laceration repair because the surrounding skin is much healthier at the time of revision and the procedure can be done more precisely.

Susan D. Vasko, MD, FACS

Miscellaneous

Q:

Can fat be injected into the wrists to increase their size?

Is there a certain type of surgery that can be done to increase wrist size or can fat be injected into the wrists to increase their size?

A:

Yes, fat can be injected beneath the skin of the wrists.  A portion of the fat will gain local blood supply and be long lasting.  A portion will also be absorbed so often there is overcorrection done anticipating that some fat will not survive.  There may be more than one session of fat injection to achieve optimal results.  Seek a board certified plastic surgeon for consultation who is familiar with the technique of fat injection.

Susan Vasko, MD, FACS

Miscellaneous

Q:

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I have a titanium chip marking a "problem" area in my right breast where microcalcifications were removed and tested and came back fine. I have to have mammograms every 6 months. My grandmother on my mother's side died of breast cancer at 38. I have very saggy breasts that have shrunken considerably due to weight loss and breast feeding. Would I be a candidate for breast lift and/or augmentation, or should I avoid these procedures because of my breast health "issues"?

A:

I would advise establishing a relationship with a general surgeon specializing in breast surgery and breast health.  He or she should be able to help you assess your risk of cancer and the advisability of breast augmentation in terms of monitoring for breast cancer.  With implants, your mammogram is never as accurate as without implants but other screening tools can be helpful.  The titanium clip most likely will not be a problem with augmentation.  Your plastic surgeon can communicate with the breast specialist and proceed from there along with having a thorough discussion of the pros and cons of breast augmentation in your specific situation.

Susan Vasko, MD, FACS

Breast Augmentation

Q:

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I have had reconstruction of the breast due to breast cancer.  My implant keeps dropping and sliding around, and I also have pain.  Is this normal? I wear a good support bra.  Please advise as to what I can do to alleviate the pain and to stop the implant from sliding around?

A:

The pocket that the implant is sitting in is probably larger than the implant making the implant shift in the space.  A revision surgery would help reduce the size of the space and hold the implant in position better.

Susan Vasko, MD, FACS

Breast Augmentation

Q:

Could I have a breast implant infection from a breast augmentation procedure four months ago?

Four months ago I had a breast reduction, lift & augmentation with saline implants.  Two days ago I noticed a hard lump next to my areola and it hurt when I touched it.   Today it still hurts, but is softer, red, and almost squishy like there is liquid inside.  I also have an abscess in the same area from the incision below it.  Could this be from the abscess?  Could I have a breast implant infection?

A:

This may be an infection of/or reaction to the suture if this is occurring at the incision line.  The important point is to to see your surgeon as quickly as possible for evaluation and treatment.  Often times an early problem that is addressed quickly can be resolved without leading to a more serious implant infection.  

Susan D. Vasko, MD, FACS

Breast Augmentation

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