Dominion Plastic Surgery
2755 Harland Rd., Ste. 300, Falls Church, Virginia, 22043
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
25 Questions Answered
MEET EARL M. JOHNSON, JR., MD
🩺10 YEARS OF EXPERIENCE
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Thank you for your question and your photo. Based on your photo it looks like you either have some scabs, dried blood or a small amount of skin turning black. I don't see any sutures but it could just be the photo. None of these are particularly worrisome and will resolve with time. It is best that you see your surgeon in person so that you can be examined to determine exactly what is going on. Keep an eye out for any redness, swelling or increasing pain and let your surgeon know if you develop any of these symptoms. Good luck!
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Thanks for your question. The tape is usually removed after a few days or a couple weeks depending on your surgeon's preferences. I would encourage you to touch base with your surgeon and ask. Personally I leave tape or steristrips on until they fall off which is usually about a week or so. Good luck!
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Thank you for your question. I strongly recommend that you stop smoking and all products containing nicotine both before your procedure and afterward. The nicotine in cigarette smoke reduces blood flow to the skin and can lead to complication such as delayed wound healing, wound opening, infection, etc. Every surgeon has their own specific requirements regarding smoking. I tell patient to stop all nicotine containing products for a minimum of 2 weeks prior to surgery and for a minimum of 4 weeks afterwards. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Thank you for your question. A tummy tuck or abdminoplasty has the best results when you are close to your desired weight. You surgeon will be able to better predict what you final outcome will be is you are near your weight loss goal. As you mentioned, the procedure can help you lose additional weight after surgery by "kick starting" you. However if you lose additional weight you may have additional skin that you may want removed. Also, additional weight loss reduces complications such as delayed wound healing or infections, etc. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Thank you for your question and posting your photos. Based on your photos, you are experiencing a normal amount of bleeding after breast augmentation. I encourage you to follow you surgeons post-operative instructions and contact them if your drainage continues or increases. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Thank you for your questions and sharing your photos. Based on your photos it does not appear that you have a double bubble or are bottoming out. You are still very early in the healing process. You may continue to notice changes over the next few weeks to months. I recommend that you stay in close contact with your surgeon and discuss your specific concerns. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
I want a natural look without looking heavy on top. What is the ideal implant for my body type? (photos)
Asked By:AnonymousANSWERS (1)Thank you for your question. Selecting implant size and shape can be confusing. There are a ton of options. In person examination and consultation with measurements is essential in picking the right implant. Once a size is recommended it is important that you "try it on" and make sure you are pleased with how it looks. It is important to keep in mind the impact of the implant on your soft tissues. Overly large implants can lead to complications. I recommend seeing a plastic surgeon for in person exam to address your specific concerns. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Would it be possible for me to get a breast augmentation without a lift while achieving this look? (photos)
Asked By:AnonymousANSWERS (1)Thank you for your question and posting photos. A breast augmentation may give the appearance of a slight breast lift. Based on your photos alone it is difficult to tell if this would give you the result that you are looking for. I recommend in person consultation with a plastic surgeon to evaluate your anatomy and skin elasticity and to address your specific concerns. Selecting bigger implants to simulate a breast lift can often lead to complications if your tissues can not support the implant. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
My gap between breast is too much and I want to know that whether is there any treatment to reduce gap? (photo)
Asked By:AnonymousANSWERS (1)Thank you for your question. Breast augmentation is a great way to enhance your natural breast shape. The procedure will change a lot of your anatomy but it will not change the gap between your breast. Each breast has a natural "foot print" or foundation. Aggressive attempts at manipulation of the foundation carries a high chance for complication. Trying to reduce the gap between the breasts can lead to symmastia or "uniboob". The right push-up bra may address your concerns. I recommend consulting with a plastic surgeon to discuss your specific goals and concerns. Hope this helps and good luck.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
Recent breast surgery. My implant is painful & hard. Any suggestions? (photos)
Asked By:AnonymousANSWERS (1)Thank you for your question and for posting your photos. Based on your photos, I agree that your result is not ideal. There are many potential causes for this outcome including capsular contracture (tight scar tissue around the implant) or an implant that is inappropriately positioned. While there may be some changes as more time passes from your procedure, it is unlikely that they will be significant enough to address your concerns. I recommend that you stay in close contact with your surgeon or find a plastic surgeon more responsive to your concerns.
Earl M. Johnson, Jr., MD
Board Certified Plastic Surgeon
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Independent921454
Realistic and honest when explaining my prognosis
My experience with Dr. Johnson was excellent. He was patient and took time with me to be informative, kind and thorough. He was also realistic and honest when explaining my prognosis which I really appreciated. He has an excellent and reassuring bedside manner.
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