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Recent Answers

What is the Best Scar Fading Cream for Dark Skinned Black Women After Tummy Tuck?

What is the Best Scar Fading Cream for Dark Skinned Black Women After Tummy Tuck?

A: scar treatment for dark-skinned women

The scar regimen that is proven time and time again in the literature is silicone sheeting.  Thus this seems to be my preferred recommendation for those patients at high risk for scar or developing hypertrophic scars, especially for tummy tucks.  It is more difficult to recommend this for the face since the sheets can be seen as unsightly to some people.  However at the waist, it seems to be much better tolerated.  Try a product such as NewGel which comes in clear and beige sheets that are precut to different scars.   One sheet could last several weeks and should be continued for several months.

Tito Vasquez, MD
Southport Plastic Surgeon

Is Two Weeks a Resonable Amount of Time for Recovery from Breast Augmentation?

Is two weeks a reasonable amount of time to recover from breast augmentation and fat grafting to the glutes at the same time?? What can I expect during recovery??

A: The turn around time for Breast Implants.

Usually I ask that patients to take a two week recovery period. It is important to give your body the necessary time without putting strain on your new implants. Heavy lifting may cause implants to shift as well as a longer healing process.

Alfred Sofer, MD
Fairfield Plastic Surgeon

Can I Get Large Implants to Avoid Lift? (photo)

Hi, I'm wanting to end up in the 34f range. Ive breast fed 2 children so I'm pretty saggy/deflated/very sad looking. Is there a way to avoid the lift using a large implant or does that not matter? Also is it customary for the surgeon to place the implants first then do the lift? I think I'm just paranoid my nipples will end up in some strange position. thanks!

Photos Added 12/14/11

A: Breast Implants to avoid lift.

There are different classes of droopy breasts. Class I can be addressed with implants. Usually with other classes you will need a lift, no matter how large of an implant you are considering. The shape of an aesthetic breast relies on amount of skin, position of the nipple/ areola and volume. Depending on the amount of the droop, large implants can not address the position of the nipple/areola complex. Be weary of surgeons out there, many of whom are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into your breast rather than perform a breast lift.  Not only can this give you larger breasts than you wished for, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments.  It is in these situations that long-term complications such as implant mal position (the implant sliding down too far) are more likely to happen.

Alfred Sofer, MD
Fairfield Plastic Surgeon
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