Woodbridge Doctors

Brazilian (Fuzzy) Implants. Are the Sizes Different to Other Breast Implants? (photo)

I am looking at surgery in June and have requested the Brazilian implants as they have less chance of damage (from what I hear). My breasts are different in shape and volume after breast feeding for 12 months over 11 years ago. I would like to go to a large C cup or D. What would you suggest, under the muscle,crease incision etc? Thanks

It seems like you are going to use textured silicone implants. The advantage is that they may stay where you place them and not move around. There may be a slightly less chance of the implants getting hard (capsular contracture). In terms of the incision you need to go with the incision under the breast fold. The implant must be placed partly under the muscle and partly under the breast tissue. You may need a lift at some point because your nipples look like they are a little below your breast fold.

Saeed Marefat, MD

Woodbridge Plastic Surgeon

Do You Recommend ICL or PRK For Thin Corneas?

I am 28, have a prescription of -3.0 (right) and -2.0 (left) and a central corneal thickness of 470 in both eyes which I understand too thin for Lasik. I have been to two separate eye clinics and one advises PRK and one ICL. The surgeon recommending ICL says they believe my corneas are too thin even for PRK and that ICL would be much safer. ICL does sound like the more pleasant option but is twice the price! Any advice?

There is no question that you are better off with PRK.  Both are great procedures, but ICL is a bit aggressive for your low RX.  Many studies show that the stability of PRK over many years may even exceed that of LASIK.  It is a fantastic procedure when done properly and the healing isn't nearly as bad as some may tell you. It really does depend on your pre and post op care, and the skill and care of your surgical team/surgeon.  Choose that carefully and you will do great! 

Andrew E. Holzman, MD

Mclean Ophthalmologist

I Have a Hard Ridge of Radiesse That is Nearly Protruding out of my Tearduct, What Can I do?

Approximately 3 weeks ago I went to have my cheeks enhanced with radiesse. Initially the procedure seemed to go well, but within one week I had major swelling ,hardness and pain across both cheeks all the way up to my eyes. I ended up in the emergency room and the Drs. did a CAT scan. results came back showing signs of infection directly related to the product injected in my face. I was put on antibiotics for 10 days and medicine for pain. I now have two odd shaped lumps and a raised ridge.

Infections after injection of tissue fillers are rare  but they do happen occasionally. If you have an infection it must be treated aggressively. That is, with antibiotics and perhaps drainage if necessary. If some irregularity has resulted from Radiesse it will take a long time for it go away, especially around the tear trough area. It may be necessary to have your doctor squeeze some of it out with a small needle. At other times it may be possible to make these irregular lumps less visible with repeat injection of a tissue filler. I like to use something like Restylane or Juvederm for this area.

Saeed Marefat, MD

Saeed Marefat, MD

Woodbridge Plastic Surgeon