Dr. Michal Brichacek is a Plastic Surgeon in Winnipeg specializing in craniofacial, and aesthetic plastic surgery. He completed a prestigious fellowship in Craniofacial and Aesthetic Plastic Surgery at the University of Toronto, and has a particular interest i
Asked By: 2177
ANSWER
Losing weight following surgery can negatively impact your results, especially anything more than 10 pounds. You should reach your goal weight prior to surgery, and maintain a stable weight following surgery for optimal results.
Asked By: daisy715
ANSWER
This is not true. It is possible to safely perform a facelift with local anesthetic with oral sedation, and I do many facelifts in this manner. The local anesthesia is diluted to a safe level to ensure that local anesthetic toxicity is not a concern.
Asked By: jdjtxhrx
ANSWER
To me this looks like it could be a salivary leak rather than a seroma. If that is the case, it is more complex issue than a seroma. I would recommend seeing your surgeon.
Asked By: user88888
ANSWER
Implants are picked based on your body and the size of your chest and breast. A 400 cc implant in one person will not look the same as a 400 cc implant in someone else. The shape of the implant will make a difference, as will where the implant is placed (above or below the muscle). The best way to give you an idea of what things will look like after surgery is using a simulation software such as Crisalix. Although not completely accurate, we find it gives patients the best idea of their result after surgery. The software tends to place the implants further apart than they will be following surgery. A 400 cc Moderate High Xtra implant sounds like it could be a reasonable choice for you, but an in person assessment and simulation would be needed to say for sure.
Asked By: Terrific213909
ANSWER
The best option for addressing the fullness in your neck would be a deep plane necklift, together with some liposuction. You are unlikely to be happy if just liposuction is performed without addressing the deep structures. This could be combined either with an extended deep plane necklift or a deep plane facelift to address the resulting skin excess. For dealing with the hollowing under the eyes, my preference would still be to start with fat grafting, but importantly not an excessive amount to prevent making you look feminine. A midface lift is an option, but I find it doesn't work quite as well.
Asked By: hopethisnamehasntbeentaken
ANSWER
In men, my preference is to use Terino Square Chin Style I implants. I find the width in the front gives a more masculine look. I will not put in the extra large size implants however. I feel that very large implants put more pressure on the bone, and can lead to bone resorption and loss over time. In patient's who desire a large sized chin implant, I prefer to use MedPor chin implants instead.
Asked By: canuck2288
ANSWER
Unfortunately, bra sizing is very inconsistent. Some women can go to three different stores, and leave with three different sized bras. As a result, many women may be wearing the wrong bra. We see this especially when the breasts are ptotic and drooping. Based on the photograph your breasts appear to be quite ptotic, but they appear to be smaller than a 32F. An in person assessment would be required to best determine how much tissue excess there is to see if a reduction or a lift is a better option. I would suggest getting a second opinion from another plastic surgeon to see which is the best option for you.
Asked By: Neat982711
ANSWER
It would be reasonable to remove the implants and then perform a BBL, but this should not be done in one surgery. I would suggest removing the implants first and allowing things several months to settle, and then doing the BBL at a second stage. In your case there will be more scar tissue present, and precautions should be taken when performing a BBL. The safest way to perform a BBL would be under ultrasound guidance to ensure that no fat is placed into the muscle.
Asked By: MumAY1
ANSWER
Without knowing when your surgery was performed, I would suggest seeing your original surgeon back to see if anything can be done in the meantime. If a seroma is present, it can be aspirated or a small drain can be placed to help it to flatten out. If more time has passed and the issue is scar tissue, then the best option is to give things time to settle. Massage would likely be helpful to try to get the area to soften up. Sometimes ultrasound treatments or steroid injections can be of benefit, but a careful examination would be needed to know for sure. If things don't settle out by 8 to 12 months, then a revision may be the right answer.
Asked By: Loving510852
ANSWER
I would recommend first obtaining a CT scan of the skull with thin cuts and a 3D reconstruction, followed by consultation with a plastic surgeon with experience in craniofacial surgery. It may be possible to shave the bone in these areas down.
Dr. Michal Brichacek excels in plastic and cosmetic surgeries, particularly , , and . Patients commend his professionalism, thoroughness, and exceptional results. His attentive and compassionate approach, clear communication, and dedication to patient care have earned him numerous 5-star reviews and strong recommendations.
