Board Certified Plastic Surgeon
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Our office provides very personalized service and we listen to patients and find out what is important to them. I take time to explain what is involved in the various procedures that patients are interested in. I make a concerted effort to treat patients like
Asked By: L.Roma
ANSWER
There is no specific time that you have to wait after tummy tuck to travel but it is usually a good idea to wait a day or two because in the first 24-48 hrs is when the risk for bleeding or other serious complications is the highest. That being said most patients will not feel up to traveling very far for the first 5-7 days because that is when they are the most sore. If you are at a large airport you may have to walk significant distances when you are really sore and tired. Also, If you are traveling a long distance you would want to make sure that your plastic surgeon knows so that so they can make sure you are on a blood thinner such as lovenox to decrease the risk of a blood clot..Best of Luck on Your Journey, Dr. AmspacherChief of Surgery Mosaic LifeCare Hospitals and Clinics
Asked By: msBBL2017
ANSWER
It depends on what kind of improvement you are looking for. If you are looking for a slight improvement a mini may be all that you need to get a mild improvement. A mini tummy tuck will give some improvement in the central lower abdomen with a shorter scar but it will not improve the appearance of the belly button and will not help as much as a full tummy tuck with the bulging belly. The mini will also lower the position of the belly button by a few centimeters in most cases. A full tummy tuck will be a much bigger improvement in the abdominal contour and the belly button will stay at the same height but you have a little chance for a vertical scar at the bottom of your incision since you don't have as much skin excess as some massive weight loss patients. If you want big results go with the full tummy tuck and some liposuction, but if you only want a small improvement then go with the small scar.Best of Luck on Your Journey, Dr. AmspacherChief of SurgeryMosaic Life Care Hospitals and Clinics
Asked By: Queen1998
ANSWER
When you’re young and don’t have a lot of excess weight you have a lower risk of loose skin, but you have a little higher risk of contour deformities (lumps bumps or divots). You would probably want to go to someone who follows the SAFE liposuction protocols. This stands for Separation Aspiration and Fat Equalization. This three step technique helps maximize the amount of fat removed while minimizing the risk of postop lumps/bumps and divots. It is more work and takes more time but is worth it for the better chance at a good outcome. Best of Luck on Your Journey,Dr. A.
Asked By: EngineerIsMyPassion33
ANSWER
They eyelid and cheek skin attach to the skin through a variety of different attachment ligaments and septa. The face has multiple fat compartments that help shape the face and these are divided by septal layers. As the face ages many people will get deflation in the upper cheek compartments and bulging of the lower lid as the septum becomes more weak. The difference in individuals is related to a combination of how their facial fat compartments age and how their septa and ligaments sag or stay tight over time.
Asked By: Shai123
ANSWER
Congratulations on doing a good job of getting back into shape after your children. You would get an improvement in your nipple position with a larger implant but you would still have some ptosis or droop and would not make it to ideal nipple position. The trade off for moving the implant above the muscle is an increased risk of capsular contracture. You may get a better one step result if you did a smaller implant and did the lift at the same time. If you really want to avoid the extra incisions then you could proceed with the larger implant, but you would need to know that you have a reasonable chance of ending up needing a lift in a second surgery to get better breast shape and nipple position. Best of Luck on Your Journey, Dr. Amspacher Chief of Department of Surgery Mosaic Life Care Hospitals and Clinics
Asked By: JR7406
ANSWER
If you are having an abdominoplasty (Tummy tuck) I usually recommend two weeks off of work, if it is just breast surgery I usually recommend 1 week off and 5-6 weeks from strenuous physical activity for both surgeries. Some patients might be able to make it back a little sooner but that is the exception more than the rule. You always want to wait until you have enough time down to recover and bounce back after surgery. Best of Luck on Your Journey Jonathan Amspacher, MD Chief of Surgery Mosaic Life Care Hospitals and Clinics
Asked By: 86WifeMomNurse
ANSWER
It looks like you have done a great job with weight loss after your bariatric surgery. I would recommend that if you have a hernia, that you get it repaired by a general surgeon at the time of the lower body lift or before. A hernia repair can increase the risk of loss of your belly button if not done with the plan of an abdominoplasty in mind. I think that you would get the most benefit from a lower body lift with and a secondary augmentation mastopexy. We help a lot of massive weight loss patients with lower body lifts and purse string gluteoplasty and it can make a significant difference in your outcome. I like to do the mastopexy at a separate time just to limit your time under anesthesia. Best of Luck on Your Journey, Jonathan Amspacher, MD Chief of Surgery Mosaic Life Care Hospitals and Clinics Saint Joseph, MO
Asked By: sue2108
ANSWER
Your preop testing plan should be based on a thorough preop history and physical. Many young healthy patients do not need additional preop labs unless they have a significant medical issues or a pertinent family history of issues with anesthesia etc. In the old days they ordered labs on everyone, but the yield of valuable information ended up being so low that they no longer do that for many minor surgical cases. Best of luck on your journey, Dr. Amspacher
Asked By: Magicalfruit
ANSWER
I would recommend that you talk with another physician who does a lot of inferior pedicle breast reductions. I have done many breasts with long pedicle lengths that did just fine and had no nipple necrosis. Some people have been trained that you always need to do nipple graft and that is not the case for many patients. Best of Luck on the Journey, Dr. Jonathan Amspacher
Asked By: mllazenby
ANSWER
Congratulations on getting your weight loss. Unfortunately, our skin does not always bounce back after we lose the weight and give. Luckily, there are a number of surgeries out there that can help restore things to their former glory. I would not recommend a fleur-de-lis incision unless a patient already has a large midline incision from another surgery. I think the scar is very unattractive and hard to hide. I would instead recommend either an extended tummy tuck with liposuction or possibly a lower body lift. If the patient has a lot of flattening of the buttocks and loose skin in the lower back and buttock area then you can do a lower body lift with a purse string gluteoplasty and get a nice improvement in buttock shape, droop and projection as well as the abdomen and flanks. The purse string gluteoplasty is also safer than fat transfer to the buttocks. If you just have some lower back and flank fatty deposits then a full tummy tuck and liposuction will frequently yield great results when done by a talented surgeon who pays a lot of attention to details. Best of Luck on the Journey, Dr. Jonathan Amspacher
Dr. Jonathan Amspacher has received positive reviews for his expertise in cosmetic procedures including , , , , and . Patients frequently highlight his professionalism, kind bedside manner, and the excellent outcomes of his surgeries. His attentiveness to patient needs and his ability to communicate effectively about procedures and recovery are also frequently mentioned as strengths.
