She was great, very caring, called me to check on me the following morning. She is very efficient and informed me of everything before the procedure to help me prepare. Great results! It was on base, everything there takes forever, so I did have to wait a while for a lot of appointments, there were a lot of mix ups as well, but I don't blame her for that craziness.
I had been distressed by a very asymmetrical looking face due to a more prominent nasolabial fold on one side of my face. I was recommended Juvederm as a filler of choice to even it out. I also had 10 units of botox injected above my lip to alleviate a gummy smile. I was red for the rest of the day but by the next day I was back to normal. Everything went great and I'm very happy. I apologize for having no pictures, but I'm uncomfortable with sharing my face.
I was well informed about each part of my journey. I was treated with the utmost respect and care. Dr. Miller explained everything to me to it fullest extent. I was so pleased with my procedure and the aftercare was awesome. All of my follow-up appointments were done with professionalism and great attention to the best care possible. I have appreciated this journey and do not regret any part of my surgery. I have recommended Dr. Miller to all my friends for there surgical needs.
I went to Dr. Miller to address facial aging concerns and she was able to take care of my concerns quickly and professionally with botox injection of my forehead and around my eyes. She was gentle and my discomfort was nonexistent. She made the experience well worth the time and expense. She is my only choice.
For the past 5 years I had been self conscious of my frown lines between my eyes. I was often told that I looked angry or sometimes mean even when I had indifferent feelings. I would often use my eyes and farrowed brow to express many thoughts without needing words. This was not always a positive thing for me. I started doing research for Botox 3 years ago. As I had consultations with several doctors around San Antonio, I felt most comfortable with Dr. Quintessa Miller.
Hello Everyone, I’m a 30yr old mother of 3 ages 7, 4 and 2. I have been going back and forth for the past couple of years on whether or not I should get a tummy tuck. I’m 5”7 and right now I weigh 173 pounds, I’m okay with my size just hate my stomach. Before I got pregnant with my daughter I weighed 130 lbs, I gained 60 pounds with her. Eventually I was able to get down to around 163 but still had a stomach. I started working out twice a day and was able to lose most of my stomach but it never went back flat. In 2007, I became pregnant with my middle son and when I had him I weighed 208lbs. I had him in Feb of 2008 and 8 months later I became pregnant with my youngest son. I had my tubes tie 2 months later, 3 kids is enough for me! I have had a stomach since 2007. Since I had my last son I have exercised on and off. I have been able to lose weight but no luck with losing my stomach. For the past year my husband has told me to at least have a consult done, but I never did because I knew that a tt is expensive. I’m a full time college student and my husband is the only one working. I feel bad that we are spending thousands of dollars on this procedure, when it could go towards something else. A few weeks ago I was in the restroom on campus and this girl asked me if I was pregnant or just had a baby. I couldn’t believe it; I was so upset I called my husband crying. Within the next couple of days I started looking for plastic surgeons and I stumbled upon this site. I contacted two clinics and schedule my consults. When I went to my first consult I was expecting to meet with the doctor for my consult, but instead I meet with someone from his “consulting team.” She handed me a book of the procedures he has done and asked me to pick one of the pictures that best resembled my stomach. She printed me up an estimate of the procedure, which is a little over 9100 (after a 360 discount for having tt and lipo of flanks) which includes all fees. And that was the end of my consult. Although the doc has great reviews on the internet, I didn’t like the fact that I was unable to meet him. I guess after I paid $250 to hold my surgery date then I would meet him. The next day I went to have my other consult. I wasn’t sure if I was going to meet this doctor or maybe having a consult with someone’s from her consulting team. One of the staff members had me change into a robe and within minutes the doctor walked in, I was so happy. She looked at my stomach and told me a great candidate for a tt. She sat down with me and my husband went through everything that the surgery consisted of. Also what I should expect during my recovery and she also warned me that she keeps her drains in for 2 wks and that I can call and complain to her all I want, she will listen but she will not take them out any sooner. She showed use before and after pics of her patients and explained the photos to us. She is a surgeon in the Air Force but has her own practice on the side. When the consult was over we received the estimate which was a little over 8700 (after 10% military discount off of her fee). My husband and I loved this doctor and decided to go with her. My procedure is scheduled for July 5; I’m so excited but yet nervous. I am so grateful to husband for paying for me to have the surgery. My mother in law is flying down a couple of days before my surgery and she’s going to stay a month to help my hubby with the kids while I’m recovering. We will see how that goes. My two youngest kids both boys love to be under me especially my middle son, he a mommy’s boy. Hopefully they will do okay with not being able to be under me for a little while. I will post pic soonUpdated on 24 Jun 2012:I went to my pre op appointment yesterday. My surgery date has been moved from the 5th (Thur) to the 6th (Fri), my husband is glad because he says now I can barbecue of the 4th of July. The appointment went well, I'm still glad that I chose the surgeon that I did. She went over what I should expect after the surgery and all the complications. One of the complications that she stressed over and over again is blood clots (forgot the proper term) . She said that all the other complications are a pain in the butt, but are manageable and can be fix, but if a clot forms and travels to your lung it can cause death. She really stressed walking after the surgery. She said try to walk early in the morning or late in the evening, because she doesn't want me walking in the heat (I live in Texas). During the day she said walk around the house. I paid for the surgery everything except the facility fee which is paid directly to the facility the day of surgery. I have to arrive at the hospital no later then 530am and surgery is set to start at 730am. The doc is going to use a medicine ball to manage my pain after surgery, she said the meds in it will last about 4 or 5 days. After the med has ran out I can pull the little tube out or if I don't feel comfortable I can come in and she will do it. I also was measured for my compression garment. She also took pictures and she said that she will take pics during the surgery as well. I final have download all the pics off my phone, so I will take photo of myself and post them tonight or in the morning. I still have some things I need to do around the house between now and next Friday. My husband leaves tomorrow for a couple of days for a conference, so it will be the kids and I, I know that I wont get much done. I don't that it has registered that I'm having surgery next Friday.Updated on 13 Jul 2012:It has been an long week. My number one complaint right now is this darn drain, I'm ready to rip it out!!! Hopeful I will be able to get it removed tomorrow. I am so amazed at the results thus far and I know that I am swollen everywhere. My flanks where I had the lipo really hasn't bothered me. it's been my actually tt site. I have finally slowed down on taking the meds which is good, all thought it work they made me really sleepy. I have started taking showers, I swear its nothing like being clean. The first two showers my husband helped, but yesterday he purchased me a chair for the shower so I was able to do it myself. The day following the surgery the doc came to my house to check on me and change the bandages out. She informed me that my muscles were so separated that she had to double stitch them and stitch them higher than normal. She said that she only has seen one other lady who muscles were worse then mine and she was pregnant with triplets. I'm so ready to see the after results when all the swelling goes down!Updated on 14 Jul 2012:I just got back from my one week checkup. Everything went great. I was able to get my drain out today, I'm so HAPPY!!! So now I have to pack the incision where the drain was for 7 days, just to make sure that if anything still needs to drain it will have a way out. Before I take a shower everyday I have to pull the strip out and replace it after I get out the shower. Hopefully it wont be as painful as it was today when my ps did it.
Thank you for your question! Reviewing your photos it appears the best course of action is a breast lift in addition to implants. Due to the degree of that your breasts sag the best cosmetic result would be a vertical (lollipop incision) breast lift. This will bring your nipples back up to their optimal position and will enhance the fullness you will achieve in addition to the implants.
In my experience very few patients are good candidates for liposuction alone as a means of breast reduction. Although younger patients may not have a great deal of ptosis (sagging), they may have very dense breasts that are not amenable to liposuction. Older patients may have a great deal of ptosis; therefore, liposuctioning the breasts will only make this worse. Most times you have to remove the excess skin with the breast tissue giving the patient a lift with the reduction.
Congratulations on your weight loss! There are many different options which may be based on patient preference &medical condition as well as the location where the surgery will be performed. The longer the surgeries, the higher the risk of complications such as blood clots. It's prudent to not attempt to do too much at one setting. In my experience most patients want their abdomen addressed first. You most likely would be a candidate for a circumferential body lift as the first stage. Often times a breast lift can be done simultaneously with an abdominoplasty in the appropriate candidate. Another option is to combine the breast and arm lift. I tend to do vertical thigh lifts separately and last. Many ambulatory centers would like your surgery to be limited to under 5 hours; therefore, more extensive surgery will require a hospital setting to optimize patient safety. Consult with a board certified Plastic Surgeon who will thoroughly discuss you options. Best of luck to you!
Evaluating your photos you appear to be a more appropriate candidate for a full brachioplasty (arm lift). If you also have excess axillary skin, I would perform and extended brachioplasty whereby the incision is extended to remove that excess skin for better contour. I prefer to perform the posterior extended brachioplasty using the liposuction avulsion technique. During this technique the arms are liposuction to completely deflate them. Your nerves and vessels are easily protecting while the most superficial skin is gently removed. I find this technique to have the least amount of complication risks compared to other methods.
You appear to be an excellent candidate for a breast reduction. Suture selection is a matter of surgeon preference. I prefer to use absorbable monofilament (single stranded) sutures as opposed to braided sutures. Monofilament sutures are less prone to elicit inflammatory reactions and harbor bacteria.
