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Recent Answers

What Is The Injection Depth of Restylane at the Lips? 3 Months Later I Still Have Vertical Lines.

Could someone please tell me what the depth of the injection of Restylane for the lips is? Would the injection be subcutaneous, or deeper? I'm currently having Restylane injections around the lip line and even 3 months after injection, I have vertical lines on the lips from the Restylane which I never had before. You can see lumps and bumps from the Restylane. Other people I see that have the Restylane injections for the lips do not have these visible lumps and bumps.

A: Bumps and lines after Restylane It is hard to say precisely where a material is placed, as it depends on a number of factors. Ideally, it would be placed in the middle of the skin so as to improve your lines. Lumps or bumps, while vexing, will eventually disappear. Hyaluronidase can help them go more quickly. However, your first resource is always the physician who placed the material for you.
Barry Resnik, MD
Miami Dermatologist

Is it Safe to Go Back on Birth Control Before Mommy Makeover?

I am due in March and have scheduled a mommy makeover in August. Breast lift, tummy tuck, lipo, and possibly implants. Is it safe to go back on birth control before such a major surgery? Is there any I should avoid? I would like to try something that is long term such as the Mirena IUD but I am concerned about blood cloths

A: Birth control and major surgery.

There are a lot of concerns regarding birth control and general anesthesia in regards to blood clots. Certainly, we know that women over the age of 35 and particularly smokers who take oral contraceptive pills have a higher rate of deep vein thromboses. The safest answer is to avoid oral contraceptives altogether. As for IUD devices, this is a question for you OB/Gyn. On another note, scheduling a mommy-makeover 5 months after your childbirth seems a bit rushed. Particularly any breast surgery if you plan on breastfeeding at all. I recommend waiting at least a year and attempting to achieve your prepregnancy weight before any contouring surgery for the best results.

David Bogue, MD
Boca Raton Plastic Surgeon

Almost 6 Months Post-op. How Likely is It to Damage the MR in a TT?

First off, I want to thank all of you for your time. Anyway, I am 1 week out from being 6 months post-op TT/MR. I saw my Dr. last week and he said that it is safe to push it during exercise now. I have been exercising since 4 weeks post-op. I do crossfit and 2 days ago we did an abs intense workout and now I am EXTREMELY sore. How likely is it that I ruined the MR and how would I know? I called my DR. and he said to take ibuprofen and call back Monday if the pain was still extreme. Thanks again.

A: Muscle repair/tightening and exercise.

At 6 months, your muscle repair is as healed. There really should be no restrictions for working out. Signs or symptoms of a "busted" repair are bulging of the middle abdomen. Pain after an intensive abdominal workout is more of an indication of the deconditioned state of your rectus muscles than it is the integrity of the plication.

David Bogue, MD
Boca Raton Plastic Surgeon
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