Galveston Doctors

What Are My Options For Noticeable Jaw Asymmetry? (photo)

I have very noticable asymmetry in my jaw. The right side is much larger than the left side, which looks like a large chunk is missing from my face. What would be the best option for me to rectify this?

A: Jaw Asymmetry Solution Evaluation of the one photograph you present reveals a more significant soft tissue deficiency of the mid and upper cheek on the left than bone. There likely is deficiency in both. I would approach this problem with a combination of autologous fat injections to the deficient left cheek, placement of a thin Porex implant and judicious liposuction of the right cheek. Best of luck to you.

Should I Get a Mini Tummy Tuck or a Full? is There Any Non Surgical Options for Me? (photo)

So I had a baby 3 years ago and this completely ruined my stomach. I am 21 years old, I exercise regularly and have been trying EVERYTHING to get rid of this. Before pregnancy I was 115 lbs, I ended up weighing 180 lbs the day before delivery. Finally down to 133 lbs I am about ready to be able to wear a bikini. Is there any other options then surgery for me? I plan on having this done by june so please let me know soon!

A: Tummy tuck is essential after massive weight loss

A 47 lbs weighht loss results in hanging skin.  Only a FULL abdominoplasty would be able to correct this.  However, if you are planning additional pregnancies, the same thing may happen to you again.  Your weight may shoot up after pregnancy before it will drop and you will have hanging skin.  If you are planning no further children now is a good time for an abdominoplasty.  At the same time, you can undergo a sterilization procedure if desired.  Your other option is to wait.

Best of Luck,

Gary Horndeski, M.D.

Would a TT Be Right for Me? I Want To Get Rid of The Spare Tire From Pregnancy (photo)

I am a mother of 3 children. After my first child I wasn't able to loose any weight. I gained even more weight with the second. I was working out regularly with my third but I was showing at 2 months. My last pregnancy I gained a total of 16 lbs which was where my dr wanted me to be. And lost it all most instantly I gained the least with the last but my skin streched the most. Now I am stuck with this tire around my stomach. Also Do dr's give discounts for patients who pay cash?

A: Abdominoplasty with mesh reinforcement

You are an excellent candidate for a TT as long as you plan no further pregnancies.  Certainly, you would not want to undo the abdominoplasty by another pregnancy.  Although, you are most concerned about the spare tire and loose skin, the abdominal wall strength which is determined by your fascia is equally important.  Mesh reinforcement of the fascia has been shown to increase abdominal wall strength, increase efficiencies of muscles and reduce weight and maintain reduced weight.

Best of Luck,

Gary Horndeski, M.D.