Jack A. Friedland, MD (retired)

Canthopexy is used to support the lower eyelid and it is one way to treat horizontal laxity.  I doubt that it would provide benefit in your case, but not enough information is provided to make that determination.  A repeat visit with your operating surgeon is necessary and you should ask why this happened, what the various alternatives are that will improve your condition, etc.  If you are confused or disagree then you should see another surgeon for a second opinion.  Do not make a decision based on advice given over the internet.  You must be personally examined.

I would recommend that you be evaluated by your own personal physician regarding the idea of undergoing elective aesthetic surgery. If it is felt that the surgery would be a significant risk, then I would "get that thought out of your head." You would need to be off anticoagulants until they have absolutely no effect and that time would be decided by your physician and your plastic surgeon. You could commence taking them again during the post-op period after the risk of post-op bleeding has diminished.

Remember: Discretion is the better part of valor.

I suggest that you schedule a consultation with Dr. Federico Zapata for breast augmentation. You may use my name for the referral.

Best of luck!

Think of reconstructive or aesthetic rhinoplasty as a modification of the underlying structures such as the substructure of poles that hold up a circus tent. The skin is analogous to the canvas covering of the tent. Thin skin readjusts itself quicker and it shows the underlying structure of the nose more than thick skin, which takes longer to shrink and readjust. The surgeon will take that into consideration in determining what approach to use and how to modify the underlying structure by subtracting or adding cartilage, bone, etc., or rearranging it.

I suggest you wait until you are in your later teens or early twenties to undergo surgery, as noses in males continue to grow and change until that time. Of course, if you have structural deformities that impede your breathing , corrective surgery should be entertained earlier.

You have what appears to be a large chest, so adding a significant volume to your breasts would be easy, but as you are concerned with looking too big, or fat, it is necessary to try on a larger bra, put a sizer in it and then put your clothes over that to see how you look. This is an easy thing to do and your plastic surgeon should be able to asist you in making a decision.

Although there are excellent board certified plastic surgeons in countries other than the USA and Canada, you should be aware that the old adage in life, 'you get what you pay for," holds true in medicine and surgery.

I often see patients whose desires were similar to yours, mainly to save money, who ended up with less than satisfactory results, complications, etc. They become depressed, mad at themselves for considering price only as their main objective, and then find that it costs much more to try to correct the problems which have arisen. So there is time lost, more money expended, grief, aggravation, frustration, etc. and the surgeon who cared for the patient originally is not around the corner, is many miles away, and often unreachable.

If you do go overseas make sure that the surgeon is board certified in plastic surgery, that the surgical facility is appropriately accredited, that you speak with previous patients who were treated by the doctor there, and in essence that you do your due diligence. My advice: Look before you leap!

Congratulations on your weight loss. Withoout question you have increased your life span and improved the quality of your life tremendously. It would be wonderful to undergo a more minor procedure, but to achieve the reults you hope for I recommend that you consider surgery to remove the excess skin and subcutaneous adipose tissue in conjunction with liposuction. Your surgeon will be able to adequately advise you on what needs to be done based on your desires.

Alarplasty is only one part of nasal reconstruction. It ususally is performed at the end of the surgery. Think of the procedure similar to listening to a symphony. The last part only makes sense after the first parts have been heard. The size, shape and contour of the alae should relate to the rest of the nose and modification of the alae depends on the structural integrity of the dorsum, septum, upper lateral and lower lateral cartilages. Consultation with a board certified surgeon with a great deal of experience performing rhinoplasties should prorvide you with sufficient information to make an informed decision as to what you can expect and how you wish to proceed.

You did not say how tall you were nor did you divulge your age. If you are overweight you should try to lose the weight before surgery. Being pleased with the results of an abdominoplasty and then losing a significant amount of weight contributes to loss of the initial good correction as the skin and subcutaneous tissues become more lax (less tight) and the contour improvement might not remain. So it just makes sense to lose the weight prior to surgery. Scheduling a procedure in the future makes good sense, as the date signifies a deadline and an extra impetus to lose weight.

Abdominoplasty performed by a Board Certified plastic surgeon in an accredited fsurgical facility under general anesthesia administered by a Board Certified anesthesiologist takes away many risks, and it is imperative that the patient due his or her due diligence to make sure that the above suggestions are followed.

Actual ptosis of the upper eyelids is a medical condition that is correctible by surgery. Occasionally, excess skin of the lids combined with drooping of the eyebrows requires correction of both problems to improve upper visual field deficits.

Of course, there will be improvement in appearance as a result of the surgical correction, but the main reason for operating is to improve vision in the upper fields. Therefore, it is my opinion that the procedures should be considered reconstructive rather than purely cosmetic.