Hialeah Doctors

I Want to Get Smartlipo Triplex but Prefer General Anesthetic Instead of Local, Can I?

I have high blood pressure when I get nervous so im going to get really nervous with local anesthetic, can I tell the dr. to perform the smartlipo triplex on my tummy and double chin with general anesthetic instead, so I can be fully asleep and not feel any stabbing pains? Because I heard you even feel pain when theyre injecting you the local on all areas.

There are always different anesthesia options and it depends on your needs and the surgeon's comfort.  If you would like the procedure performed under general anesthesia then you should tell your Plastic Surgeon.  As long as you are medically cleared, your surgeon should be able to offer this choice.  You should be prepared to pay an additional fee for the anesthesiologist.  

Justin Yovino, MD

Fort Lauderdale Plastic Surgeon

Will Aggressive Lipo Fix my Bulge? (photo)

I'm 7mpo a tummy tuck and muscle repair.Before my TT I asked my PS if I should lose weight.He said it wasn't neccessary. Here I am now with this large bulge.I can still feel that my MR is intact. And my PS said there is no need to do more tightening. I'm scheduled for aggressive ab lipo. Will lipo fix my bulge? Was I an ideal candidate for a tummy tuck? I want my stomach to look like my sucking in photo. Will an extended tummy tuck revision help me get to my goal? I'm 5'3, 160lbs, if that helps.

There is no doubt that liposuction will improve the contour and reduce the bulge to some extent.  I don't think you will be able to acheive full reduction of the buldge to the level seen in the "sucking in" photo.    I do appreciate a right sided "dog ear" at the edge of your scar.  This will likely improve with liposuction of that area as well but may be additionally improved with a slight extension of your scar and direct excision of the underlying fat. 

Justin Yovino, MD

Fort Lauderdale Plastic Surgeon

Is Smart Lipo Under the Chin and Neck Painful?

I am having smart lipo on my chin and neck area in a couple of weeks. I need real honesty here. Is the procedure going to be painful under local anesthesia? Can you feel what's going on? And now I'm reading about not being able to smile afterwards and prolonged swelling. Should I be concerned??

The procedure should really be very tolerable but is dependent on the surgeon's technique.  Ideally you have some light oral sedation in the form of valium, etc.  The only discomfort you should feel is the initial placement of local anesthetic.  With excellent technique, even the anesthetic injection should be just about painless and really of no concern.  Since you are awake for the procedure you will feel pushing, pulling, and pressure but should not experience pain as long as the treated area has been completely numbed.  You may have difficulty with smiling right after the procedure but this only lasts for a couple hours until the numbing medication has worn off.  Longer episodes of difficulty moving the mouth may be due to nerve injury which is a very low risk with this surgery and less so with proper technique.  There will be swelling and everybody is different.  It's usually mostly resolved in a week or so.  Proper compression of the treated area can help speed it along. 

Justin Yovino, MD

Fort Lauderdale Plastic Surgeon