Michael H. Rosenberg, MD

Liposuction is an effective treatment for the upper arm if there is little kin laxity, particularly using Smart liposuction where the laser can help tighten skin.  If there is moderate skin laxity a modified arm lift, placing the scar in the axilla or arm it, improves the contour while hiding the scar.  For severe skin laxity, a traditional arm lift with the scar extending down the upper arm gives the best contour result.  Consultation with an experienced cosmetic surgeon will help guide you to the best choice for your particular situation.  

contracture in patients requiring radiation treatment following mastectomy and implant reconstruction.  Initially, it serves as a sling holding the implant in position but over time it is re-populated with your own cells and can shield tissue from radiation damage.  That said,, it reduces rather than eliminates the incidence of post-radiation changes, and you see see your doctor regularly for examination after completing your treatment.  

In considering your age, history and the photograph you sent, you would fall into the group of people that would most benefit from non surgical approaches, such as the filler injection you are planning to receive in the nasolabial fold area.  Another option you might consider is volume replacement in the mid face, and Voluma would be a good option for you.  Hard to tell from your one photo, but there are many good skin resurfacing options available as well.  In summary, talk to your plastic surgeon about options besides surgery that could improve your appearance, as there are many good ones available.  Best of luck...

to undergo the procedure comfortably and safely. The “ Tumescent” liposuction refers to the fluid with local anesthesia and epinephrine that is placed in the areas to be treated, for example thighs and saddle bags as in your situation. In addition to providing definition of the treated areas, the xylocaine local allows an experienced surgeon to perform the procedure without requiring the use of general anesthesia, and the epinephrine minimizes any blood loss. In addition to obtaining excellent results, general anesthesia can be avoided and recovery is often quicker. You are a good candidate for this procedure and should consider consultation with a Board certified, experienced surgeon. 

significant swelling and bruising on one side compared to the other is something that requires an early visit back to your surgeon for evaluation. Most of the time an examination of differential bruising and swelling in the early post-operative period will just serve to reassure you, but it could also represent hematoma or seroma so please call your surgeon to discuss your situation.