College Park Doctors

What Are Recommended Questions To Ask PS In Consultation for BA For Tuberous and Asymmetric Breasts? (photo(

I have tuberous breast with severe asymmetry. I am going to my first consultation next Frqiday and I have no idea what questions to ask the ps. He is board certified with over 20 years of experience and has delt with other patients that have the tuberous defect. I am wanting a breast lift with implants. His assistant said that I shouldn't need a lift. What do you think from my picture? Can you please advise me as what to ask my plastic surgeon.\? THANKS!

You do not have tuberous breasts, just asymmetric breasts with a narrow upper pole. The best way to correct this problem is with a combination of a breast lift (mastopexy) and augmentation.  It may take more than one procedure to correct your problem.

Rondi Kathleen Walker, MD

Washington DC Facial Plastic Surgeon

Revision Rhinoplasty Advice Needed? (photo)

I had nose reshaping done in Thailand in Nov 2010.Apparently from the medical report,the doctor did not diagnose or corrected my deviated septum so the nose appears in an S-curve frontal view.What are other nasal issues I need to be aware of and make sure are addressed during the revision.I am not sure if I can find a doctor here in Thailand who is highly experienced and skillful enough on western nose revision and may have to go to the US for this.The surgical report and pictures are attached.

Your photographs indicate that you would benefit from a revision rhinoplasty.  The areas that need to be addressed are the following:

1. Nasal hump correction - it appears you have a Polly-beak deformity

2.Nasal tip needs to be rebuilt probably with a combination of cartilage grafts and fat augmentation

3.Correction of the deviated nasal septum

4. Correction of the upper lateral cartilages separation from the nasal bones

The surgery was performed over a year ago, so you may safely undergo a revision, but you need an experienced plastic surgeon to perform the procedure.

Rondi Kathleen Walker, MD

Washington DC Facial Plastic Surgeon

Who Pays for the Cost of Emergency Room After Surgery if It Becomes Necessary?

If something goes wrong and I end up in an ER as a result of a breast augmentation surgery, who will pay for the ER's cost? I asked my insurance company, and they said because it's cosmetic surgery based reason, they don't cover the cost. I called my surgeon's office and the receptionist said if insurance doesn't cover, it would be on me. Really? Then how much I need to be prepare myself for this worst scenario?

It is extremely rare for a patient to end up in the emergency room after breast augmentation surgery.  Some insurance companies will cover any emergency situation and others will not cover emergency visits that are the result of cosmetic surgery.  It is best to check with your insurance carrier to find out their policy. However, I would proceed with your breast augmentation and not expect to visit the emergency room after surgery. If you experience any untoward issues after the procedure contact your surgeon first.

Rondi Kathleen Walker, MD

Washington DC Facial Plastic Surgeon