N. Bill Aydin, MD

Seromas after liposuction occur in 10% of the population and is usually based on the patients anatomy. Seromas usually appear about a week or two after the procedure. The best way to get rid of a seroma and prevent fibrosis is finding it early on during the recovery period. Once the seroma has been diagnosed, it would then be aspirated. Serial aspirations may be needed depending on each patients case. After a couple aspirations, the pocket will eventually collapse. Sometimes, collagen starts form overtime and give a firm appearance. We usually wait until all the swelling settles and reassess if diluted Kenalog injections (steroid) are needed to help break down those fibers.

Muscle tightening helps give a good contour/end result especially when there is diastasis (separation of the abdominal muscles). If there is diastasis and the muscles are not tightened, it may create a bulging affect to the abdomen post-surgery.

Although a butt lift will tighten the area and contour the buttocks to a more youthful shape, it may not get rid of cellulite. For some patients, accumulating fat will make the already existing cellulite become more visible/prominent. Cellulite is connective tissue bands that pull down the skin to the deeper tissue creating dimples seen from the outer skin surface. When fat is injected and accumulates around those areas, the bands may push up the skin on all sides and may create that "cottage cheese" appearance. Cellulite may be treated with injection product called Qwo. Qwo is a combination of bacterial collagenase, an enzyme that breaks down the connective tissue bands.

For majority of the population, the umbilicus is generally not the most sanitary region. Rarely do we find ourselves regularly cleaning our umbilicus during or after we shower. Overtime, organisms such as bacteria and fungus like to grow in moist, dark areas and form colonies. For every patient that undergoes or will undergo umbilicus revision / umbilicoplasty, we recommend the following wound care instructions: While lying down flat on your back, clean the umbilicus with the following mixture: (1/3 of betadine, 1/3 of rubbing alcohol, 1/3 of hydrogen peroxide). wear gloves while doing this. You can pour this into a bowl and use a gauze to pour the mixture into the umbilicus. The mixture will then sit in the inner belly button for several minutes until the mixture is almost dry. We have our patient do this repeatedly daily until the wound is fully closed and well healed with no signs of infection. We also have our patients cover their umbilicus with clear tape ( For example; Tegaderm) only when showering. The tegaderm gives a good seal helping to prevent any kind of unwanted organisms from the shower water getting in.

The cost of a liquid face lift will depend on how many syringes and units of Botox will be needed. You should consult with an experienced injector to make that determination.

Thank you for your question. To achieve your desired outcome, you will likely need a breast lift with implants. This is due to the size of your areola and the position of your breasts. I would recommend consulting with a board-certified plastic surgeon to discuss different implant sizes to achieve the best result for you.

Hi and thank you for your question. Based on your photo, you appear to be a great candidate for an abdominoplasty. In a tummy tuck the skin between the umbilicus and public area is removed, therefore any stretch marks in that area are removed. If there are any above the level of the umbilicus they will likely remain after surgery. I recommend you consult with a Board Certified Plastic Surgeon to discuss your concerns further. Best wishes

Hi and thank you for your question and photos. It is recommended to be below a BMI of 30 before undergoing surgery for safest practice and to minimize the chance of complications. I recommend that you lose weight before undergoing cosmetic surgery and try to get closer to your goal weight for best results. I suggest you meet with a Board Certified Plastic Surgeon to discuss all options and decide upon a treatment plan of how to move forward. I hope this helped! Best wishes.

Hi and thank you for your question and photos. I believe you would be a great candidate for a traditional tummy tuck with liposuction. A tummy tuck with remove excess skin, tighten your abdomen and repair your muscle diastasis. A mini tummy tuck will not address the loose skin above your belly button or your muscle. I recommend you consult with a Board Certified Plastic Surgeon to discuss your options further. Best wishes!

Hi and thank you for your question. Neuromodulators such as Botox, Dysport, Xeomin, may be used to reduce nasal flaring however this is an off-label use. Only a few units are needed and maintenance is every couple of months. It is important to note that this will only affect the muscle movement and will not change the width of your nose. I recommend you meet with an experienced injector to discuss further. Best wishes