Sutton L. Graham, II, M.D., FACS
I've been to two different plastic surgeons for consultations on this procedure. One said it would take about four hours and the other surgeon said two hours. I think it's a very considerable difference in time and of course, the price, for that matter. Does more time in surgery mean a better quality procedure or not necessarily?
The quality of the end result cannot be inferred from the duration of the surgical procedure. How long should those operations take is difficult question for us to answer, because we know relatively little about the questioner or details of the plan. But I can make some remarks that my be helpful.
In my practice, there are a variety of procedures adapted to patients needs. Saline implants may be removed more easily (whether intact or deflated) than old gel implants. Removal of gel implants typically involves complete capsulectomy, which is less time consuming through larger mastopexy incisions than smaller ones. Capsulectomy duration may depend on the location of the implant.
The type of lift / mastopexy determines how much time may be necessary for that portion. The duration may not necessarily be longer if longer incisions and longer scars are needed. Internal shaping work can improve the result and add time to the procedure.
Finally, and most importantly, the best outcome for you is probably the best looking breast. If one surgeon has a reputation for superior results, greater expense should be considered, regardless of operative time. The duration of the operation is not as important as the end result you achieve. Best wishes.
I have to do push ups 3 months after surgery because they are part of a rigorous training for employment. Would you recommend holding off on the breast augmentation or are push ups are after a certain amount of time?
Yes, I would generally recommend breast augmentation patients resume common physical workouts at 3 weeks post-op. I would further suggest beginning a few push ups at that time, and increasing to full intensity after another 1-2 weeks (4-5 wk post-op).
My practice includes female athletes, personal trainers, body builders, police officers, martial arts practitioners who do not find that augmentation interferes with their professions or avocations.
Your surgeon may have different instructions so for personal recommendations, ask him or her.
I need advice on the best way to remove neck wrinkles which will not cause any problems later in life. Is it possible to remove these wrinkles forever?
Thanks for the questions and 'I will start with the last one first. No current method is able to create a completely permanent wrinkle correction, so it won't be forever.
As far a avoiding problems later in life, the answers are more complex. Well done surgery can reduce or remove many types of neck wrinkles, and is without long term problems. Rare complications may be permanent. Various energy devices (Ulthera, Thermage, Intense Pulsed Light) have good records of safety when supervised or done by experienced professionals, although their results tend to be more variable, and their duration shorter. At some settings some devices have caused permanent irregularities, but this was less common as users gained further experience.
You would need an in-person consultation with an experienced surgeon for individual evaluation.
I am 54 years old and had Botox for the first time a week ago. I was injected above my brows to elevate them and get rid of lines between the brows. I was also injected around my eyes for crows feet. I have seen NO results at all! I am fully able to move all facial muscles. Should I be reinjected? Do I have antibodies? Would it be fair for me to pay for that? I feel that I have spent $750 for nothing.
The situation you describe is not typical, so you and your board-certified plastic surgeon should meet again to review the result, the procedure, the dosages, etc.
With facial issues needing work done and skin tightening, will I have a natural look after the surgery?
My face seems to have fallen into deep lines on both sides of my mouth creating a sag. I have a "gaddle"under my chin. There seems to be a muscle that runs from the center of my lower front teeth down to my voice box (I have had this all of my life). It seems like the top of my face does not match the bottom. Can these issues be fixed without having that horrid obvious "done" look? In other words, will I have a natural look after the surgery?
Yes, you can have a natural look after well done facial aesthetic surgery, such as face and neck lift.
The features you describe are common among patients having facelifts. Your question is just the beginning of the process of successful results. I would advise you formulate additional questions, research experienced local plastic surgeons (through professional and acquaintances), have in-person consultations, review each surgeons photographs. All this can give you a good idea of the results to anticipate and the surgeon to trust with your procedures.
Many surgeons, myself included, have ample before and after photographs on their websites. This can be helpful, but personal consultation is best.