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Silicone injections for soft tissue augment should not be used for buttock augmentation. &nbsp;Don&#39;t do it!

	I&#39;ve seen many complications from this procedure. &nbsp;It is often performed by a non-licensed individual and can lead to horrendous complications including removal of all of your buttock subcutaneous tissues and skin. &nbsp;If you google the procedure &quot;silicone injection&quot;, you&#39;ll see plenty of horror stories about skin discoloration, infections, hardening of the tissues (siliconomas), and even death.

	Silicone injections have been used successfully by some practitioners in very small volumes, no more than 25ml or a little more than a tablespoon for facial soft tissue augmentation. &nbsp;But this use is not FDA approved. &nbsp;

	If you&#39;re looking for a perkier or fuller backside, then a solid silicone implant or fat augmentation is the way to go.

I am inquiring about the silicone butt shots but my concern is that I&#39;m a Diabetic on insulin. How would it affect me being as though I have this condition?

Will silicone butt injections affect a person with diabetes on insulin?

Butt Augmentation

You would be a good candidate for Vaser (ultrasound assisted) or Laser assisted liposuction. &nbsp;After a tummy tuck and traditional liposuction, you will have some scarring under your skin and through the soft tissues of your abdomen. &nbsp;The use of ultrasound or laser will help to make the second liposuction easier and allow your surgeon to provide a more sculpted finish.

I Have Already Had a Traditional Lipo &amp; a Full Tummy Tuck 3 Years Ago. Unfortunately, I have gained my weight back(mainly in the hip area) after the surgery;Now I look like I have 2 flat tires hanging off of the sides; I am considering vaser lipo or lipo sculpting;not only for just the hip area, but for the inner/outer thighs, pubis area &amp; the buttocks; I do plan on losing the weight prior to any PS; would this be considered a good option for me based on the fact that I already had this done?

Gained Weight After Lipo and Tummy Tuck - Is Vaser or Lipo Sculpting a Good Option Now?

Yes, it is possible to hide a tummy tuck scar behind a bikini.&nbsp;

	This is something you need to plan carefully with your plastic surgeon.&nbsp; There are many different shapes to bikini bottoms - high rise, french cut, low rise, etc....&nbsp; No one technique or scar will hide behind all of these different types of bikini bottoms.&nbsp;

	So, if you have a particular type of bikini you prefer to wear, then bring this with you to your plastic surgeon.&nbsp; Then, they can plan for the scar to lay under this area.&nbsp; If you switch bikini bottom styles, the scar will likely not be hidden any longer.

<img alt="Tummy tuck scars - Abdominal scar 4 months after tummy tuck" src="/files/Image/tummy_tuck_scars1.jpg" style="margin-left: 3px; margin-right: 3px; margin-top: 2px; margin-bottom: 2px; float: right; width: 185px; height: 67px; " />I imagine that you can have tummy tuck scars hidden below your underpants but is this true? can i wear a bikini 1 year after tummy tuck?

Can I wear a bikini 1 year after tummy tuck?

Like the others, I have not heard of this approach.&nbsp;

	For some patients, particularly post-bariatric surgery, an upper or reverse abdominoplasty can be performed.&nbsp; In this procedure, the incision under the breasts is used to help remove some of the additional abdominal skin in the upper abdomen.&nbsp; This access or approach could also then be used to repair the rectus muscles as well.&nbsp;

Muscles were not repaired all the way up during initial abdominoplasty, so surgeon is now recommending he use a scope and go thru breast to fix the upper 1/4 he didnt do. He says it is easier on him and me?? Will I still need drainage tubes?My stomach has rounded pregnant appearance now and NEVER did b4 baby AT SAME WEIGHT or even b4 surgery. Will this help that?

Is It Possible to Repair Upper Diastasis Recti Through the Breast?

1) a reduction at the age of 18 is reasonable for some patients. &nbsp;If you have symptoms of intertrigo, back/neck pain, shoulder pain, etc., then a breast reduction will help with these symptoms. &nbsp;

	2) There is a caveat or note of caution though. &nbsp;Because you are fairly young and undergoing a reduction, it is likely that you may require another reduction in the future. &nbsp;This possible need for a future repeat reduction is not a reason to avoid surgery, but just a warning that this may not be a permanent fix for you. &nbsp;You are genetically well endowed and your remaining breast tissue will continue to grow as you continue to age and will also undergo changes that every woman goes through with pregnancy and aging.

	3) &nbsp;An implant after a reduction... &nbsp;I disagree with this strategy. &nbsp;If you have ptotic breasts, without as much tissue, then you need a mastopexy or lift more than a reduction. &nbsp;If you have enough breast tissue to require a reduction, then you can undergo a slightly smaller reduction and not require the implant. &nbsp;

Hi. I'm 17 years old, 5'7", and 145 lbs. I have D breasts and would like Bs. I want them lifted, a redection, and a small implant to make them look nice. What do you recommend?

Breast Reduction for an 18 Year Old?

The most likely explanation is that the <a href="/Botox/reviews">Botox</a> drifted lower than where it was initially placed. The Botox then paralyzed the levator muscle which raises your eyelid. Without this muscle your eyelid can't open fully and looks like it's halfway shut no matter what you do.
Alphagan are eye drops that can help with this problem. There is a second smaller muscle that can help to lift your eyelid - Muller's Muscle. This is stimulated by Alphagan. So, the eyedrops will get your Muller's muscle to contract and make the eyelid go up a little bit more. It's often not enough to make the paralyzed side look exactly like the unaffected side. But it helps.
The eyedrops may also cause irritation; so if you notice any discharge, pain, or redness to your eye, stop the drops for a few days until the symptoms clear. Paralysis of the levator goes away over time. It can take anywhere from 3-4 weeks to 2 months. Good luck and try to be patient. It will get better.

After <a href='/reviews/botox'>Botox</a>, my lid is almost closed. My doctor must have hit a nerve. How long will it take to look normal again? What should I do?

Botox Caused Eyelid to Almost Close?

Your anatomy and aesthetic goals are more important than age. Like others have said, just be aware that if you do decide to have more children, you may undo some of the work done during your abdominoplasty - mini or full.

I am 22 years old, and I hate how my post-pregnancy tummy looks. I lost the weight after the pregnancy, but I still have a bulge and <a href="/Stretch-marks/info">stretch marks</a> under my belly button. I want to get a <a href="/reviews/mini-tummy-tuck">mini-Tummy Tuck</a>, but some people tell me I'm too young for it, and I should wait until I finish having kids. However, I'm not planning to have children again until maybe 8 years from now. Setting future pregnancies aside, am I really too young for a mini-Tummy Tuck or a full Tummy Tuck? Is there an ideal age for the procedure?

Is There an Ideal Age for a Mini Tummy Tuck?

No, you don't need to have a <a href="/Nerve-block/info">nerve block</a>. There are multiple techniques to anesthetize that area prior to injection. As with everything in medicine there are pluses and minuses.
The most low tech would be icing.
<ul>
<li>Pros - provides a brief <a href="/anesthesia/info">anesthesia</a> (seconds), doesn't distort the anatomy, short acting.</li>
<li>Con - short acting, it will hurt soon after.</li>
</ul>
The next method is being experimented with - vibration. This provides brief anesthesia by confusing your pain and vibration receptors in order to decrease the sensation of pain.
<ul>
<li>Same Pros and Cons as ice.</li>
</ul>
Topical anesthetic 
<ul>
<li>Pros - anesthesia will last longer than with icing, will not affect underlying muscles, doesn't distort anatomy.</li>
<li>Cons - not always 100% numb, takes 20-30 minutes to set after being applied, may cause allergic/skin reactions</li>
</ul>
Local anesthetic - in the area
<ul>
<li>Pros - provides good anesthesia for a sufficient duration, can be mixed with <a href="/Injectable-fillers/info">fillers</a> (<a href="/off-label/info">off label</a> for some, pre-mixed with others).</li>
<li>Con - distorts the anatomy.</li>
</ul>
Nerve block
<ul>
<li>Pros - excellent anesthesia usually 100% numb.</li>
<li>Cons - may distort local anatomy as the muscles may be paralyzed making the fold shallower than it normally is, takes hours to wear off, involves additional injections. Hope that helps</li>
</ul>

Nerve Block for Juvederm in Nose Crease or Smile Lines?

Tissue expanders are relatively painless. Skin and many of your soft tissues can be stretched with relatively little to no pain at all.
Think about when you eat a large meal like Thanksgiving and your belly sticks out. If you measure your waist it's probably a few inches larger than it was just before Thanksgiving. Now imagine doing that every week for a few months. You're belly would get quite alot larger with realtively little pain. (This is not an experiment you should try :)) Your skin has a natural give to it. If you keep slowly expanding or stretching it out over time, then you actually grow more skin.
There is a little discomfort with each expansion, i.e. each time they fill up the expander with more saline. But it shouldn't be painful. If it's too painful, this may indicate that the expander has been filled up too much and that it's causing too much stress on your overlying tissues. The discomfort should respond to tylenol or ibuprofen and go away relatively quickly, i.e. within a few hours.

Do Breast Reconstruction Tissue Expanders Cause Pain As They Expand?

It's true. <a href="/Juvederm/reviews">Juvederm</a> is sold by the manufacturer (Allergan) only in boxes of 2 syringes. But, many surgeons/derm/etc will sell the syringes individually. As you said, they are packaged separately in a sterile fashion within the box. The confusion may have been in the amount that you thought you needed and how much your surgeon thought you needed. I would definitely call back to check on it. If you only need one syringe and you have to buy two, then they should be able to hold the other syringe for you until you need it again in 9 months to a year. Give them a call.

I went to see my plastic surgeon to have <a href='/reviews/juvederm'>Juvederm</a> added to my <a href='/Rhinoplasty/Nose-job/reviews'>Rhinoplasty</a> surgery in two weeks. I have already gotten Juvederm about a month and a half ago and its holding up well, so I just wanted a little bit to correct some very mild unevenness. He saw what I did and approved this but didn&#39;t specify the amount of Juvederm. However, the change is minimal and having had it done before I knew one vial was going to be enough.

	When I went over to the financial lady she quoted me for two vials, when I asked her to double check she said they can only be purchased in 2&#39;s because thats how they&#39;re packaged. Has anyone every heard of this? Why would the packaging matter if each vial is sterile?

	Normally I&#39;d think they&#39;re just trying to rip me off but this the chair of PS at university hospitals - A very large and well known hospital in the area so I have a hard time believing it. The doctor is always busy so I didnt want to argue and just paid it but now I&#39;m thinking I shouldnt have given up $550 so easily.

Is Juvederm Only Sold by Two Vials?

Edward S. Lee, MD

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