Luis A. Vinas, MD

In our office, when we give quotes they are ideally honored for 1 year. We however explain this to our patients upfront so they understand our office protocol. Our quotes are only honored when signed.

You need a vertical breast lift. The correct technique will fill the central part of your breast with your own tissue. Thanks

You need a vertical breast lift. That’s a lollipop scar. At the same time you will need xtra projection implants to give you more of the rounded look you desire. Lift alone will not do it thanks

You seem to be a great candidate for the mini V lift. It will improve your neck, jowls and cheeks. Minimal time off and done under local at the office. Call for a consultation

Looking at your photo, you seem to be a good candidate for lipo of your abdomen and glands. That will create a nice waste line and the fat could be injected in your butt for more definition. Seak for a board certified plastic surgeon to help you

a tummy tuck has inner sutures holding your muscles tight. Most likely, you gave an infection from one of them which will drain through the closest scar. It needs to be cultured for all bacteria including anaerobes. Harder to treat if positive. Sometimes requiring surgery. For that reason, go see a board certified plastic surgeon near you.

Although becoming pregnant can change the intended results of a surgery, your body does go through a lot of changes during and after pregnancy that doctors cannot predict. Even though you didn't breast feed, the stretching from milk production can change your skin elasticity. Your doctor used a "template," which is called a cookie cutter to measure a perfect circle with a specific diameter. Your breast tissue that is hanging can be removed and your nipples will be raised as well, with just a breast lift and small inferior breast reduction. You'll have the same lollipop incision and the weight of the hanging portion of your breast will be gone. Your breast will be slightly smaller but the chances of your breast sagging will be less likely. If nipple expansion persists, the surgeon may use a permanent suture around the areola to prevent it from becoming wide again. It's hard to tell through pictures but I would recommend having a consultation with a Board Certified Plastic Surgeon to assess all your options in person. 

Similar to the responses, I think fat grafting is your best option. Although instead of just injecting fat into the defected area, there is a cannula that can be used to first separate and release the scar tissue from the underlying structures. It will allow the fat to survive better by making space instead of just injecting it under all pressure if the scarred area. I would be sure to choose a Board certified Plastic Surgeon who is familiar with fat grafting. I do multiple fat grafting procedures every week for my breast reconstruction patients. Good luck!

Three weeks seems like a lifetime while recovering but your body most likely needs time to recover. I find that time and exercising the affected muscle(s) helps them to respond a bit quicker by frowning, puckering your lips, smiling, etc. Swelling and bruising on or around the nerve may have blocked the connection to the facial muscles that you are trying to use. The hardness from liposuction is swelling. Manual massaging can help that fluid drain quicker.

Bleeding is always normal when you have a surgical procedure. Vessels and tissue were separated and cauterized. It is possible that a vessel that was cut and coagulated has began to bleed again, which can happen from blood pressure rising, movements using upper body muscle, etc. The blood will want to exit the path of least resistance, which is unfortunately through your incision. By sitting slightly elevated in a recliner and holding steady pressure without lifting up the bandage for 15-20 minutes should help the vessel coagulate naturally. I would make sure you keep your post operative appointments with your surgeon so he may monitor you closely.