Carlsbad Doctors

Should I Avoid Second Hand Smoke in a Casino 5 Days Before Breast Lift?

I am having a bilateral mastopexy in 5 days. I would like to go out tomorrow night with my husband (possibly to a casino) and there will be smoking. Should I not go because of the second hand smoke? I am not smoking but I am worried about being around it before my surgery. Thank you so much.

Thank you for the question.

Yes, avoidance of secondhand smoke (and all forms of nicotine) is necessary prior to undergoing breast lifting (or any other plastic surgical procedure that involves “flaps”  such as tummy tuck and face lifting surgery).

Nicotine is a powerful constrictor of blood vessels,  decreasing blood flow to the “flaps” used during these procedures. This decrease blood flow could potentially lead to wound healing problems and/or tissue necrosis.

Best wishes with your upcoming operation.

Tom J. Pousti, MD

San Diego Plastic Surgeon

Best Non Invasive Liposuction for a Morbidly Obese Male?

Hi, I am 285lbs, 5' 10", male, 25 years old. I've exercised and tried diets, nothing seems to work. I was looking at various non invasive liposuction options, as I have to work round the clock on weekdays, and resting at home is not an option, and prefer non surgical or non invasive methods. What is the best and proven non invasive liposuction option available for me ? I have fat male breasts and 52" waistline, pot belly. Losing even 5" would be great. Advance thanks and regards,

Thank you the question.

Unfortunately, plastic surgeons will not be able to help you. You would be better served seeking consultation with your family practitioner/internists to rule out medical conditions associated with an inability to lose weight. Additional consultations with dietitians and/or personal trainers  may be helpful.

Otherwise, consultation with  bariatric surgery specialists may be helpful.

Best wishes in your quest for  weight loss and resulting improved health.

Tom J. Pousti, MD

San Diego Plastic Surgeon

I Have Decided To Go Forward With Lift w/ Implants, How Much Time Will This Add to Recovery?

I just want to say thank you to all who have responded to my first post. I was just in shock to hear that my breasts were that bad. until I took the pictures My partner and I were unaware just how asymetrical my breasts actually are. I have decided that I am going to go ahead with the lift, I just hope that I can achieve my look without a vertical scar. (I'm hoping he will be able to just lift around the areola?) how much longer will the lift add to my recovery. A MASSIVE THANK YOU to all that took time to help.

Thank you for the question.

The majority of the “recovery time” associated with breast augmentation/lifting surgery is associated with the breast augmentation portion of the procedure.  This has to do with the discomfort associated with dissection of the breast implant pocket. These superficial breast lifting portion of the procedure does not  necessarily add  to the recovery time and/or return to work time.

Of course, there may be increased risks associated with the combination surgery compared to either one of the procedures done separately. Additional potential problems  may exist because of the additional incision lines that are necessary with breast lifting operations.

I hope this helps.

Tom J. Pousti, MD

San Diego Plastic Surgeon