Santa Fe Doctors

Is the Method of Fixation Different for a Facelift?

where the SMAS is elevated by plication (folding) rather than imbrication (trimming)? I the tissue fixed onto itself or into the bone? There seems to be a difference of opinion regarding technique ad longevity; and, this is very important to a patient! I know everyone's skin differs, but photos are not reliable since every doctor takes them at a different phase of recovery.

I believe that each case ( and even one side of the face vs. the other ) is different, and therefore individual analysis is the best approach- and thereforethe best answer to your question. I would get an options from several different surgeons and select the one that discusses and reviews why they would utilize a specific technique.

William Loutfy, MD

Albuquerque Plastic Surgeon

Should I Avoid Second Hand Smoke in a Casino 5 Days Before Breast Lift?

I am having a bilateral mastopexy in 5 days. I would like to go out tomorrow night with my husband (possibly to a casino) and there will be smoking. Should I not go because of the second hand smoke? I am not smoking but I am worried about being around it before my surgery. Thank you so much.

Absolutely!-- I have had patients several days after surgery  exposed to second hand smoke and develope incision healing problems. The longer you avoid smoke and nicotine prior to your surgery as well as after the procedure, the better off you will be with healing.

William Loutfy, MD

Albuquerque Plastic Surgeon

Could Distended Lower Abs After Tummy Tuck Be A Seroma?

I am 5 weeks post tummy tuck. My upper abs are very flat but right below my incision is extremely distended . It's as though I have a donut around my belly. My PS says this is where the swelling naturally travels but I keep wondering if it is a seroma. I cannot find pictures of a seroma on the web. the area is even all the way around . I cannot fit into my old clothes and am worried. Please help.

It is possible, but less likely at 5 to 6 weeks after surgery. Positioning , garment use, and activity levels all can affect the swelling -and therefore early appearance of your abdomen at this time frame. I f you see a "wave' under the swollen area when you push on the skin- then it may be a seroma. Best to follow up with your surgeon.

William Loutfy, MD

Albuquerque Plastic Surgeon