Board Certified Plastic Surgeon
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UCSF graduate, board-certified Plastic and Reconstructive Surgeon practicing in San Francisco. Boutique, private practice setting specializing in aesthetic surgery.
Asked By: Lisattt
ANSWER
Hi Lisatt,Thanks for your question. As long as your type 1 DM is under control and your primary care doctor has cleared you, a tummy tuck (abdominoplasty) can be performed safely. The issue with DM is that it increase the risk of wound healing complications and infections, but with a conservative and safe approach, performed by a board-certified, experience plastic surgeon, the increase risks can be mitigate. Numbness in your C-section scar is quite normal and may be permanent. It is probably not related to the DM, but rather the loss of nerve regrowth in your scar. The C-section scar will be excised during the tummy tuck and a new scar with fresh tissue will be used. I have performed quite a few tummy tucks on patients with Type 1 DM with successful outcomes.All the best,Dr B.
Asked By: kalyau
ANSWER
Thanks for your question and pictures. From what I can tell, you would need large volume fat grafting to your breast. More importantly, you would also need to expand your skin envelope pre-operatively with the use of an expansion device called "EVE". It's the new device that has been redesigned (previously called BRAVA). I don't think straight fat grafting will make a big impact as your breast skin envelope appears tight. Make sure you see a board certified surgeon who specializes in this type of treatment.
Asked By: pattypa
ANSWER
This is one of the most common questions I get from my 35-45 year old patients. Non-invasive skin tightening has become very popular and it can be a good way of tightening the skin of those patients who are not ready for a formal facelift. Buyer be aware of over-selling and it is important to have realistic expectations. Radio-frequency treatments, laser resurfacing, botulinum toxin and quality skin care are just some of the options. Make sure you discuss your particular needs with a board certified plastic surgeon. Good luck.
Asked By: BNelson96
ANSWER
In order to inject fat into the breast for autologous fat transfer, small needle pokes are used. They have to be placed around the periphery of the breast to make sure you get an even distribution and contour.It is not possible to inject fat into the breasts from the belly button.
Asked By: dmarie_12
ANSWER
Recurrent capsular contractures are difficult for both the patient and surgeon. There is no easy answer to your question. The use of ADM as an internal bra may be a step to consider, but you are correct in saying it is expensive. Removal of the implants is another consideration, but also remember, you can consider autologous fat grafting to restore some of the volume in your breast. The procedure can be done at the same time as the removal of your implants. Make sure you see a board certified surgeon who has performed at least 20 breast fat grafting procedures. Hope this helps.
Asked By: azevedoj
ANSWER
Dimpling can occur, but usually goes away. Massaging after 2 weeks can help.Please consult with your surgeon for expectations and instructions.
Asked By: angela2206
ANSWER
The cost of procedures depends on the amount of surgery, facility fee, time under anesthesia and any associated implants or special devices. Our office does provide patient financing options.
Asked By: alaexcited
ANSWER
In most cases yes, you can take ibuprofen after surgery. However, please consult with your surgeon prior to taking any medication that are not prescribed.
Asked By: murphyc
ANSWER
The are preoperative evaluations set up to evaluate your risk for general anesthesia. Those evaluations include blood work, EKG, chest x-ray, urinalysis, etc. What to order is based on the procedure, your medical history, your age and should be directed by your surgeon or primary care provider. An abnormal EKG warrants further analysis by a cardiologist and commonly, some type of stress test will be necessary. In most cases, if the stress tests are normal, your cardiologist will clear you for surgery. I hope everything goes well.
Asked By: Natali700
ANSWER
There is a possibility that if you lose weight after abdominoplasty or fat transfer, you may affect the results significantly.I tell most of my patients to reach as close to 10 pounds to their weight loss goals before having body contouring surgery.If you are considering a 20 pound weight loss, lose 10 and then consider having surgery by a board certified plastic surgeon.
Dr. Kenneth Bermudez is highly regarded for his expertise in , , and . Patients commend his skill, professionalism, and the natural results he achieves. His attentive post-operative care and ability to meet patient expectations are frequently highlighted. However, some patients have expressed dissatisfaction with his approach to respecting individual treatment preferences.
