Hartford Plastic Surgeons

Can I Get Breast Implants, Then Fat Transfer To Breasts To Create Upper Fullness?

I am about to have breast implants, but since I don't have a lot of breast fat on the upper breast area I was considering having a fat transfer as well. Is it ok to have the fat transfer procedure done AFTER I get the implants?

Hello Hello 6548,

Fat grafting can be done at anytime with a breast augmentation using implants.  It is usually preferable to wait to see the results of the augmentation and then fat graft areas that may seem deficient, usually along the inner surface and upper area of the breast. In general, you will most likely be happy with the results of the augmentation. 

Good luck 

John Borkowski, MD

Hartford Plastic Surgeon

Which Do You Think is Better to Combat the Dreaded Frown Line...botox or Juvederm?

I am going to have either or done next week for my frown line between my eyes. I can't stand it! I had a conservative amount of Botox done for this last year and it worked fine, but I still was able to see a faint line still. Do you think that getting Juvederm this time around would be a better option, or should I just ask for more Botox?

Frown lines are primarily caused by the dynamic action of the muscles in the region.  The best treatment is to stop the action of the muscles with Botox. Fillers in this region without Botox are a less than ideal treatment.  If the lines have been there for some time, there may be a residual line that can be filled in.  But, if you keep up with the Botox every 4 to 6 months, gradually the lines will disappear and usually after 3 to 4 treatments the interval between treatments can be increased. 

John Borkowski, MD

Hartford Plastic Surgeon

Is It Safe to Have Full Tummy Tuck Combined with Lipo of the Full Back Within a Week of Each Other? Part 2

thank you all for resp. to previous question. iam 35yo 5 8 246 lbs my weight has been stable for 10 yrs.tho the ps sug i lose at least 20 lbs. i carry most of my weight in my stomach sorry i donot have any pics...the nyc ps suggested i split the 2 for safety reasons stating the amount of fat/tissue that has to be removed for the tt it wouldn't be safe to proceed w a full back lipo the same day and that i can put a week bet the 2 procedures.iam comfortable w having the 2 procedures but not the time frame. any suggest

Hello,  It was interesting reading the responses to part one and part two now that you have given us additional information.  The simple answer is that with the current information no one can give you an accurate answer without photos and an examination.  This is something that your plastic surgeon has knowledge of. 

 It is possible to liposuction your back and then within a reasonable period of time do something to your abdomen.  That being said, the liposuction of your back will be difficult and tedious and the postoperative discomfort will make you think twice about having you abdomen done soon after. Other safety issues need to be addressed.

 The next question is what can be done to your abdomen at your current weight.  Some of the answer depends on where the fat is.  If the fat is visceral, that is inside your abdomen around your intestines and internal organs, then a tummy tuck and liposuction of the abdomen will not work.  If, onthe other hand,  most of the fat is external (on top of)l to your muscles and you have a pannculus (skin and fat that hang over you pubic area), then it may be possible to remove fat with liposuction to decrease the bulk of the tissue and remove the hanging skin and fat ( a panniculectomy).  At 248 pounds I doubt that your plastic surgeon is considering a full abdominoplasty as we know it. 

As all have said, if you can lose the weight do this first.  However, my guess is that you have been heavy most of your life.  If the fat is in the right place, liposuction may make you a little smaller,  and sometimes this can make a significant difference.  Good Luck.
 

John Borkowski, MD

Hartford Plastic Surgeon