David J. Pincus, MD, FACS

Hello and thank you for your question. This does in fact appear to be a full thickness burn,  an unfortunate outcome from the energy device during your liposuction. I would recommend continued local wound care. There may be a need for debridement of the wound as well. Frequent visits to a board certified plastic surgeon is imperative to insure the best chance of adequate healing. Be aware of any increasing redness or foul smelling drainage from the wound as this constitutes an urgent evaluation. Scar revision can be performed once the wound has healed. Good luck in your recovery. Best, David J Pincus, MD

Hi and thank you for your question. I think the most important first step is to have a thorough and open conversation with a board certified plastic surgeon to discuss your overall goals in the post op period. In my opinion, liposuction and body contouring can address most of the areas of concern for you. In order to achieve a flat stomach with no excess skin, I believe that you would benefit from a tummy tuck as well. This would allow for tightening of the abdominal muscles along with removal of any excess skin and subcutaneous tissue left behind after a liposuction procedure. Good luck on your journey.  All the best, David J Pincus, MD

Hello and thank you for your question.  Looking at your photos it appears that you would benefit from a breast lift or mastopexy procedure. This would help lift the nipple areola complex and return the breasts to a youthful perky height and shape. The other question is whether or not to use an implant during surgery. Placing a breast implant in your situation will help add upper pole volume that could not be achieved with a lift alone. I hope this helps. Good luck in your journey.  Best, David J Pincus, MD

Helllo and thank you for your question. Although I would wait another week or two before beginning any scar cream treatment on your fresh incisions, I recommend only silicone based scar gels or strips. In my practice, I provide Biocorneun scar gel to my patients.  I feel that this is the best scar treatment on the market. When used for twice a day during a 3 month period the incisions flatten and lose their discoloration. You should consult with your surgeon before applying anything to your fresh incisions. Good luck in your recovery. Best, David J Pincus, MD

Hello and thank you for your question. Looking at your pictures the bruising looks normal after undergoing breast augmentation. However, It is extremely important to watch for any bruising that seems to be expanding or becoming more firm to the touch. This could be an indication of active bleeding inside the implant pocket. If you have any concerns of this contact your surgeon immediately.  I wish you well on your journey. Best, David J. Pincus, MD

Hello and thank you for your question. Looking at your photos I do not think extra skin after your liposuction will be a problem for you. You have what appears to be abdominal muscle out pouching or rectus diastasis. Direct tightening of the abdominal muscles will fix this problem but that can only be accomplished by performing an abdominoplasty. Its difficult to ascertain the problem from the photos alone. Consulting with a board certified plastic surgeon who is experienced in breast and body contouring is your best bet. I wish you well on your journey. Best, David J. Pincus, MD

Hello and thank you for your question, From your picture it appears that you have a grade 1 ptosis. I would caution against placing saline implants above the muscle. The breasts will appear less natural and more "fake". It is also possible to feel the implants or see rippling. I would recommend a retropectoral or dual plane approach. Always consult a board certified plastic surgeon before making a decision. Good luck! David J Pincus, MD

Hi and thank you for your question, There should be no problem performing breast surgery and Brazilian Butt Lift at the same time. My only concern lies in the post op period. I prefer my BBL patients to not put any pressure on the butt for at least three weeks. This can get complicated if there is recent breast surgery as well. I think with some creative cushioning the results can be great! Best of Luck, David J. Pincus, MD

Hello and thank you for your question. Day 2 postoperative pain is very normal. In my practice, I inject pain medication into the nerves that provide sensation to the chest when I am performing any breast augmentation surgery. Although this does help greatly, the pain will increase once the pain medication wears off later in the day. I would recommend taking the pain medication prescribed by your surgeon at this point. If the pain is still severe, a muscle relaxant may need to be added. This usually helps.  I think you are perfectly ok holding water bottles, but I would ask your surgeon for his opinion.  Good luck and Happy Thanksgiving, David J Pincus, MD

Hi, Thank you for your question. I do think your best option would be a tummy tuck with liposuction to the hip roll/flank area. This would allow you to have a smaller waist line and a better overall silhouette. A tummy tuck ( also known as an abdominoplasty) will allow for removal of excess skin and fat, tightening of the abdominal muscles, and a flat tummy. Liposuction will help with contouring the back and hips. Continue keeping physically fit and consult with a board certified plastic surgeon. I wish you all the best. David J Pincus, MD