Hey everyone, I've wanted to have a TT w/lipo forever & I finally did it. My surgery was 8/20/20 so I'm in quite a bit of pain. Although it's only been a couple of days I can see a huge difference. I chose Dr Samuel Sohn in Las Vegas. He is kind & took his time explaining everything.
Dr. Sohn is absolutely amazing. His office staff is extremely professional, friendly and knowledgeable. Bambi is so sweet and caring and I look forward to all of my appointments. Highly recommend Dr. Sohn and his staff to everyone!
Snatched Waisted with a perfect booty . I did inter thighs I have to say it's sooo painful ..more then the tummy .. I have been bleeding more today then yesterday. My surgery was 1/28/20 .. I waited 3 hours before going in .. I am very bruised and swollen even my face . This is a crazy journey Updated on 31 Jan 2020: I love dr.Sohn he is a true artist . You tell him what you want and he will make it happen . I am feeling alittle better but still very sore and very swollen ughhhh . Updated on 31 Jan 2020: Updated on 5 Feb 2020: I love his energy and I love how humble he is . Am slowly healing but on my way .. it’s been crazy especially in the morning cause u woke up stiff and just soo uncomfortable.. so don’t forget the pain meds on time . I would have to say the inner thigh has my whole legs soo bruised and by the end of the day am super swollen from walking or standing . I do have a10 month old baby thank god my moms watching him in my house .. cause am just sooo exhausted I can’t watc home yet . The tummy part I feel no pain or my back . My butt is sore but it’s nothing anyone one can handle . Updated on 6 Feb 2020: Dr .sohn is the best trust me .. everyday it’s getting better .. yay ... I feel way better today .. still bruised and still swollen . Dr . Did a great job . Updated on 7 Feb 2020: I always feel stiff in the morning .... but then as the day goes by I feel better . I wish I had more butt but it’s bigger in person and I do have hip projection I did 800cc .. my family thinks it’s huge in person lol . Updated on 17 Nov 2020: I I have one side of my flank that is bigger than the other it’s not obvious else I show u no I have one butt bigger than the other ... ;(
My mom had her breast augmentation done by Dr . Sohn a year ago and it looks amazing. She has 400cc HP mentor memorygel (silicone) implants, incision under the crease. It is very natural-looking on her. I swear Dr. Sohn is an artist because I’ve also met other women with bigger implants (exotic dancers/entertainers, if you will) they too had their breasts done by him and it looks so natural and soft and just so perfect in proportion with their bodies. So now it’s my turn lol. Went to my consultation, talked with Tiffany to set up dates for pre-op, surgery, and 1 day post-op. The whole team at Hankins and Sohn are so pleasant and kind to me and the kids. I ran a bit late because I had to babysit my niece at the last minute, so I brought her and my kid with me to the consultation. It was hilarious! They let the kids play with all the sizers of different textures, tossing them back and forth across the room and they had a blast. I just found it so relieving that they made it a fun and comfortable environment for them even though it wasn’t a place for kids lol I really appreciate that. Although I had settled with 425cc and 450cc HP silicone, I’m afraid that my breast tissue is too thin to hold up such weight. My concern is bottoming out. So I scheduled a second consultation with Dr. Sohn the day before my pre-op day to talk about it. I uploaded some pictures in case anyone with a similar build would need any help with reference to sizing. I’ve been lurking on realself since 2012 and it has been so helpful and informative. I want to return that favor so if you have any questions I will try to stay active here, answer questions, and share my progress. Thanks yall Updated on 24 Nov 2019: 2nd consultation is tomorrow. Gonna whip out these wish pics and show it to Dr. Sohn. Things I will not forget to mention this time around: - Requesting for him to use Keller Funnel - Asking if it’s ok to redress incision with new steri strips and leaving it on longer after the two week standard, for the sake of not stressing the skin and to prevent bad scarring. I have olive skin, being a darker Asian and all, I’m prone to keloids and hypertrophic scarring. Will ask about other ways to lighten and flatten scar if it gets to that point. I’m inclined to ask more about periareolar incision, because he also does this. I looked through his HUGE binder of before-and-after photos and I have seen the amazing work he did through the nipple I’m surprised they aren’t on the internet or even realself. But he warns me of higher risk of capsular contracture, a hardening feeling like scar tissue on the breast or incision which made me choose to go under the crease instead. - Asking questions about “internal bra” or technique in suturing and asking whether the implant sizes I chose may or may not prevent from bottoming out. Might have to go smaller, which is so unfortunate but whatever his opinion will be, I totally trust him. Gotta trust your surgeon! What I love about him is that he isn’t conservative when it comes to sizing. I was shocked when he said he could give me mid 500ccs at most. Scared to even go that big but that just tells me he knows what he’s doing. He is talented af. Other concerns I have: - Getting implants so big to where I have to buy bras in rare sizes from only particular stores. It’s inconvenient and annoying to me.. maybe? I also don’t want it to hinder me from being active, exercising or using full range of motion after 1 year post-op. Updated on 25 Nov 2019: I honestly feel bad for coming in to my 2nd consultation this morning and wasting my surgeon’s time with my rambling about stupid trivial worries over 50ccs and other things. I understand that Dr. Sohn is a busy man, especially on Mondays! Ok let’s get down to brass tax: - Changed implant sizes from 425 & 450cc HP to 400 & 425cc HP. Because he reassured me that the asymmetry of my breasts are not noticeable, I decided on these sizes because the projection between 400 and 425 is virtually the same, and the diameter difference is very very small. - Asked for price of using Keller funnel. He said it was almost $200 and that he only uses it for going through the nipple. I voiced my concern about capsular contracture and infection, wanting to go through the nipple if in the case that I get breast implant illness he can explant them through the same incision. He then told me he will use the Keller funnel on me for free because he wants me to be happy. Omg WTH I love this guy!!! - I asked how many ccs of fat can he get from me for a BBL. He did a brief examination and told me that he can get probably 300ccs for each cheek, mainly from my love handles and abdomen. Aww man that sucks. I am too skinny for a BBL :( I’m gonna have to start working out. Or maybe not? Damn it, he was gonna quote me on a BBL too but I said no. Should’ve let him quote me. Surgery’s in two weeks. Omg I have butterflies in my stomach. Either that or tapeworm. (Sorry, morbid joke) Here are some pics I took at his office today. I also showed him my wish pics and he definitely understood what I want. What a sigh of relief this consult was. I don’t feel as paranoid as I did before. :) Updated on 26 Nov 2019: Elvia Lange helped me at my pre-op today. We discussed sizes (been going back and forth on the damn sizes, sorry) and my FINAL decision is back to the 425 and 450cc HP. She said it wasn’t going to get in the way of me doing any physical activities as long as I support them by wearing a high impact sports bra. She also said that if I like the look of 400 and 425 I should go with 425 and 450. So I did. She then took pictures of the top half of my body in different angles and gave me a folder of all the papers I initialed and signed to bring home. They faxed over the prescriptions to the pharmacy. I picked up gabapentin (for spasms), diazepam (valium), and cephalexin (antibiotic). I was supposed to have promethazine (for nausea/motion sickness) too but the insurance I have doesn’t approve of my pharmacy’s manufacturer or something like that so I guess we have to change it? Gotta call my doctor tomorrow to see what’s up with that. Went to The Vitamin Shoppe and purchased Boiron brand Arnica Montana 30c (80 count). Was gonna get iron pills because I was afraid that my hemoglobin was low but Elvia checked and said that it was at 12.0, which is good. On my way out they asked me if I would like to pay for the BLISCare Protection Plan (BIIS Surgical Complication coverage) to cover $15,000 of any hospitalization due to complications for 12 months starting from date of surgery such as: Cardiopulmonary, Thromboembolic, bleeding, Hematoma, infection, perforation, Capsular Contracture, and Removal-Symptomatic (By this did they mean breast implant illness?) I ended up getting it, and though for like 400 milliseconds I felt that I just let $300 into the ether, IT IS WORTH IT in case something does happen. They only started doing this not too long ago. They definitely didn’t have it when my mom paid for her surgery September of last year. It’s good they offer protection plans now. While I’m playing the waiting game, I should probably get topical silicone gel and scar strips to prevent bad scarring. Perhaps vitamin A & E ointment, strivectin, or palmer’s shea butter too. I’m coming for you, stretch marks! Don’t try me! Updated on 28 Nov 2019: A wholesome update to wish you all a happy thanksgiving!!! c: Since updated reviews require a minimum of 200 characters I might as well wish y’all a happy and safe Black Friday and Cyber Monday too! Updated on 5 Dec 2019: Called the office and asked to change my size back to 400cc in my left & 425cc in my right. OK THIS IS IT MY FINAL-FINAL decision lol I PROMISE. Here's some good info for anyone who can't decide on a size and might make changes at the last minute: You have 48 hours before the date of surgery to change your size. What they do is that if they don't have the implant size in stock they have to order it. Usually you have to come back for another consultation to change sizes, but in my case I was able to do it over the phone because I've already tried the sizers. Also wanted to confirm with the nurse over the phone that Dr. Sohn would use the Keller Funnel. I don't remember her name but I believe it starts with a J. She looked at my chart and said that he does not use it for the inframammary incision (under the crease). If you do want to use the Keller Funnel you would have to go through the nipple (periareolar incision) and it would cost extra. Sigh I hate being a nuisance to people but this is a huge investment for me. I have to protect it even if it means calling them 2 days in a row and emailing them 5 days before the surgery date. Going the biggest you can go has its risks especially if it's your first rodeo, and this isn't about trusting your surgeon because my surgeon definitely gives his patients what they want and he exceeds expectations, he's a bleepin' artist for crying out loud, and he's good at what he does. My mom's boobs are a great example of his artistry. You just gotta weigh the pros and cons. If you are petite like me with virtually no breast tissue, going too big will cause complications regardless of how many ccs your body can accommodate, whether you go wider than your BWD or go with too much projection. I'm talking about infection, capsular contracture, bottoming out, etc. and this is all from just going "too big". I'm praying I don't get complications. I'm not a professional at bio-dimensional planning but I'm super glad that I went with someone like Dr. Sohn compared to other plastic surgeons that I've had consultations with in San Francisco, Los Angeles, and Las Vegas area (I will not say names) who are WAY TOO damn conservative when it comes to implant sizes. At least Dr. Sohn gives you the option to go bigger and informs you of the risks before you commit. I know I was pretty effing excited at the idea of going the biggest I can go, but it's really best to put the boob greed aside and really marinate on if you can really live with being top heavy. Some girls like it, others just want to be proportional, but I just want to be a little bigger to where I can play it up and dress it down and 400cc/425cc can definitely do that for me. My butt isn't even big and that is also a factor in this equation. I want to be proportional and if I do end up a little bit top heavy I can just work out my midsection, legs/glutes at the gym and this can lead to changing my lifestyle for the better like having the right nutrition, being more physically active with exercising, fixing your posture, etc. I'm so down for living a healthy lifestyle, living life with a new set of boobies coming along for the ride. So excited. c: Updated on 8 Dec 2019: Bambi, the one and only! I've only seen her name countless times amongst all the realself reviews of those who've had their procedures with Hankins & Sohn. You can just tell over the phone that she's been doing this for so many years she's so supportive and doesn't show any frustrations or negative vibes. Holy EFF you have no idea how comforting she is. The sound of her voice immediately calmed my nerves regarding this emotionally exhausting and anticipated surgery.. Dude where do I even start.. She informed me that she'll have it in her notes for Dr. Sohn to bring 400cc, 425cc, 450cc, and even 475cc to the surgery center to see what looks best on me. 400cc in the left, 450cc on the right. I asked her why the 50cc difference and she said that judging by my pre-op photos, my right breast is a little smaller than it seems, so putting 450cc in it might achieve more symmetry than the 425cc implant. Here's a more organized way to put this: Old set of options (25cc difference between the two breasts): - 400cc in left, 425cc in right - 425cc in left, 450cc in right New set of options (50cc difference): - 400cc in left, 450cc in right* - 425cc in left, 475cc in right* * - From Bambi's judgement, she believes that the asymmetry can be fixed with putting 50cc more in my right breast rather than 25cc. This is speculative of course, as she also said that Dr. Sohn will use a sizer in my right breast to determine which of the two sizes (425cc or 450cc) is better for symmetry. Told me not to worry and to stay excited. Omg I love this girl already. She told me to communicate with Dr. Sohn to voice my concerns and ask questions when I see him at the surgery center. She gave me her personal number and offered me to come through ANYTIME tomorrow just to help me with the sizes knowing that I've been bouncing back and forth like ping pong with this stuff. Damn my OCD/perfectionist type A personality. She reiterated what was in my pre-operative folder. She reminded me to bring the following to the surgery center: - Bring my driver's license to provide photo identification - Bring my prescribed medicines for the nurse to explain to my babysitter what meds to administer me post-op. - Show up wearing a zip up/button up top, slip on shoes, and pants that are easy to slide in. - NPO after midnight with the exception of ONLY water until 10:00 am the day of surgery. Things I have to do on the pre-operative checklist starting today: - Take stool softener and arnica (instructed to do this two days prior to surgery) Things I should probably get today or tomorrow: - Frozen peas. Oh Lord in heaven please help me. The boob greed is coming back at full force. I recall asking Bambi if I can put 425cc in my left instead of 400, which means 475cc in my right to keep the 50cc difference for symmetry. UGH WTH AM I DOING. I just emphasized to her that I want to play it up and dress them down under clothes if I can while having the natural look and fullness when I'm naked. She understood that I wanted to stay classy and not have my boobs show themselves off unintentionally. So 400cc left and 450cc right should be enough right? My barely 32 b-cup breasts are aching from my indecisiveness, the poor kiddos. I guess I'll be on this site looking for people who got 400/450 or 425/475 mentor HP silicone.. Updated on 11 Dec 2019: Yesterday, I woke up in the recovery room. had to stay in there for an hour because my blood pressure was SUPER high. Eventually I was given two doses of liquid fentanyl and something to lower my blood pressure. Went home. Puked all night. My pain was an 8-9. Omg I couldn’t even sit/stand up straight for the life of me. It’s so damn painful. It’s like a combo of having bad menstrual cramps and contractions from childbirth in my upper chest radiating towards my back. Oh lawdy it was a night full of pain and discomfort, couldn’t find a position that was comfortable for me to sleep. Fortunately the worst has past after 8 am the next morning. Went to my 1 day post-op appointment. nurse Anne removed my ace bandage wrap and gave me my mentor card, an pamphlet of optional enhanced coverage plan for mentor implants ($300), and two white maidenform sports bras. Dr. Sohn was super cool. He asked me how I was doing and I told him everything. He said that puking was a bad reaction to the anesthesia. He took a look at my breasts and said they are looking completely fine for 1 day post-op. He and nurse Anne assisted me by putting the sports bra on me as I was too much in pain to use my arms full range of motion. I scheduled my 1 week post-op appointment with Anne and left feeling slightly better. I want to thank Flamingo Surgery Center, the team of Hankins & Sohn, and Dr. Sohn for their excellent service and bedside manner. I am so grateful. Updated on 13 Dec 2019: I took my mom to the ER last night and when I went out into the cold my boobs started hardening and tightening up Dunno if it was my muscles tightening up from feeling the cold. Should’ve worn a thicker jacket but oh my god it was extremely uncomfortable. Went to the women’s restroom and tried to “massage” them with more of a lightly grazing in circular motion from the top bulging part of the implant to the outer side and across them. Woke up this morning and these implants still feel stiff. I hope this isn’t capsular contracture. Updated on 13 Dec 2019: This is probably too much information but read more if you’re curious anyway. I just had my first bowel movement. Yay no more sharp pains in my upper left abdomen accompanying the bloating lol Updated on 18 Dec 2019: Where do I even start with this guy.. I want to use all the synonyms for artfully skilled, genuine, caring, and refined gentleman when I talk about Dr. Sohn. No bs, real af down-to-earth guy hella perfectionist. Whenever I’m waiting in the lobby I see his customers are of all ages 18 plus, girl or guy, MTF or FTM, whatever your preferred pronoun is he doesn’t discriminate. It’s no wonder he’s busy all the time and literally has to allocate the office hours between all his clients. I find that to be just great even if my time with him is always brief, it’s okay with me because I understand I’m not his only client. He listens, answers all of my questions/concerns and does it in a timely manner. Do not let the short time you have with him at the office discount his artistry and perfectionism in the operating room. He is very busy and in demand. I heard about him from a smoking hot girl who is a fellow dancer and has brown olive skin like me. She had 600cc done by him, no ugly or visible scarring whatsoever and the shape and generous size impressed me. My mom’s breast augmentation was performed by him. She went with 400cc HP silicone and they are so natural-looking that nobody could tell if it was fake or not but I bet they were wondering it. I just got mine done by him. I’m only at 1 week post-op and now all my sisters want a boob job. He is not conservative when it comes to size. Price is reasonable and in the lower range in the Las Vegas location. Shoot, even if you’re out of state I recommend you come through and get your boobs done by him. From consultation to OR/bedside manner to post-op appointments I was always served with exceptional service by everyone working at Hankins & Sohn. If you have any questions leave me a comment on my review I will reply as promptly as I can. Thanks :) Updated on 28 Dec 2019: Right breast is a slow one. Still a bit higher than my left. Dunno if it will drop and even out. I guess time will tell. I am relieved to say that 400/425cc high profile is quite proportionate with the rest of my physique but boy am I having boobie greed. I am so out of shape I am waiting as patiently as I can to get the ok to exercise. Or at least get on a damn treadmill because my body type is straight and my unsightly silhouette is low key bugging me. Should I consider BBL or just work out? Opinions please and thank you! Updated on 30 Jan 2020: Drop and fluff process is slow for me that I was given a bandeau at my 1 month post op appointment. Wanted to put my faith in naturally letting it happen rather than forcing the drop and fluff so I wore the bandeau only twice or thrice overnight. Started my scar regimen at around 1 month post op, after the appointment. Due to being busy, I couldn't take a trip to Vitamin Shoppe and grab the highest IU of vitamin e as this oil is ideal for my scar regimen. Instead I have been massaging the scars with Vitamin A&D ointment, Centella Asiatica cream, and Mederma Advanced Scar Gel. I want to say this helped with hyperpigmentation and prevention of forming into keloids. I still try to sleep upright every night with the sports bra that Dr. Sohn provided. A lot of the times I end up sliding down and waking up in an uncomfortable slumped position. Last night I tried to sleep on each side cupping each breast toward my midline to help create the crease I desire. In retrospect I should have perhaps went with a bigger size, and that is what most say after the fact lol but overall I am being as patient as I can and trusting in the drop and fluff process. I have 4 months to go before the results stop changing. Updated on 11 Feb 2020: Currently 2 months and 1 week post-op. Got fitted at Dillards a month ago and was told to be 32DD in Le Mystere brand demi bras and regular t-shirt bras, and 32D in their high impact sports bras. Ridiculously pricey bras. Just stuck with my poor, worn out sports bra and went to Walmart a month later. I am a 34D in Walmart brand called Secret Treasures, a wirefree bra. Super comfortable with soft push up pads that lift and has convertible racerback straps that brings cleavage more closer together! The tag said 14.94 but when I rang it up it was 7 bucks. I highly recommend going to Walmart. I even bought two sports bras there for medium support that you can zip up from the front and one for high support but no zipper; brand name is Avia. 12 bucks and some change each. Do bra sizes stay the same after two months? Do they get bigger or smaller 6 months or a year down the road? Lmk Updated on 11 Feb 2020: Sorry, I wanted to upload some images with the last post but it wasn't showing up in the thumbnails for me. Hopefully they show up correctly this time. And yes, please let me know if bra size gets bigger, smaller or do stay the same 6 months, 1 year post-op. Thanks! Updated on 12 Feb 2020: Sorry, I wanted to upload some images with the last post but it wasn't showing up in the thumbnails for me. Hopefully they show up correctly this time. And yes, please let me know if bra size gets bigger, smaller or do stay the same 6 months, 1 year post-op. Thanks
I don't even know where to begin. Dr. Sohn was amazing from the very first time I met him to my last follow up visit. After 20 years of deciding, the decision to have my tummy tuck was the best one I've ever made. Updated on 30 Jul 2020: These pics speak for themselves.
Let me start out by saying that my experience with Dr. Sohn was a breeze! I have always thought about getting a BA and when I finally made the decision to do it, I visited with 3 doctors in town. I felt so comfortable with Dr. Sohn and I knew right away that he was the doctor I was going to choose. He is so confident and knowledgable about the procedure. My biggest fear was going too big but he worked with me to pick out the perfect size that I was imagining. Implants can be so different on everyone depending on weight, height, frame and your original size. To get an idea, I am 5'6, 135lbs, and was a small A to start. I went with 400cc High Profile and it boosted me 2 cup sizes. It has now been 1 month after surgery and I feel absolutely fantastic, they are literally exactly what I wanted. My pain level was very low during the whole experience, I only had to take Tylenol for a week. My scars under my boobs are small and I am confident that they will disappear not be noticeable at all in a few months. His staff was also helpful and very pleasant. I definitely recommend him! YAY BOOBIES!
I have been wanting a mommy makeover for over 8 years now and decided to finally pull the trigger. I met with 4 plastic surgeons in the area and ultimately felt the most comfortable with Dr. Sohn. He took the time to explain exactly what would happen during surgery, what the complications would be and even told me he didn't feel I needed to do some of the procedures I wanted to do which to mean meant a lot as most surgeons will tell you to get more done so they make more money. He spent 20 to 30 minutes with me in my consult while the others were with me for 5 to 10 min max. I ended up getting a tummy tuck and lipo with some fat transfer and am currently 1 year post op. The results are amazing, my stomach is flat, the scar healed nicely and is light and is covered even in a string bikini. I did pay opt in to do 4 treatments of Embrace to lighten scar. The nursing staff was amazing as well! Bambi was very attentive and made sure to check on me and ensure I was doing well. Whenever I had a question in regards to medication or the way something was healing their offices would put me in contact with a nurse right away. I did have to travel from Utah to Las Vegas and the staff and doctors were all aware and ensured I had everything I needed each time I left an appointment so I could heal comfortably at home. I have been to both locations and both locations are clean and well maintained and the staff is extremely nice! If you are looking for a surgeon in the Las Vegas area, I would highly recommend Dr. Sohn.
Dr. Sohn remover my breast implants a few years ago. And now just a couple weeks ago gave me a breast lift with lipo to the axillia area. He’s an amazing doctor. His staff is great. I would recommend him for anything you want to do.
Dr Sohn is the best!!! He did the most amazing job on my BBL. I get compliments left and right and definitely exceeded my expectations. He definitely knows how to shape your body for the most perfect shape! The pain after the treatment is worth it! I stayed off my butt for 8 weeks!! No sitting or laying on it at all! I was in pain for about 3 weeks. I lipo'd my arms which were very painful for about 3 weeks.
Dr. Sohn performed my tummy tuck, lipo on lower and upper flanks, axila and double chin and I could not be more happier not inly with his stellar work but his bedside manners and really making me feel like a priority. He always made himself available and took his time to answer all of my questions and concerns. I would never go to another surgeon. He really is the best and made all my investment worth it. I can't leave out his staff as they are all extremely courteous, knowledgable and just sweet. I'm a big baby and let's just say each one of these ladies that I am about to mention practically held my hand and babied me. They are Elvia, Amy, Anna, Angela Zuzy, Welyn, Bamb and I left a few out as I can't remember all their names but from the time you walk into their office, the beautiful receptionist, greets you in a very professional and sweet demeanor. I felt like a super star each time. Can't wait to get more work done!
Hi Kathy,You are now 6 weeks postop, and a significant amount of the swelling has resolved after your facelift. However, there can be small irregularities and contour issues that take even longer to fully resolve. Many times these issues improve on their own, but can sometimes take months to soften. If it doesn't fully resolve by 6 months, you may be in need of a revision. All of these responses, please keep in mind, are broad generalizations - photos can be helpful.Have this discussion with your surgeon, and keep open lines of communication with him/her to make sure you are both on the same page with regards to postoperative management and what may need to be done (if anything) in the future. Good luck with the recovery.
Hi jodiperskin,Typical downtime from a facelift will be between 1-2 weeks. This is the timeframe that I recommend most individuals to anticipate as far as downtime. You will not be perfect at 1 week, but by 2 weeks things look better. At day 3 after surgery, you will like be swollen, and still have some discomfort. Longer hair will help to hide things, but in general, most plastic and facial surgeons would recommend against a return to work at day 3. Listen to the recommendations of your operating physician, and understand that the postoperative restrictions are there for reasons - safety and improved quality of results. Good luck with the surgery and the recovery.
Hi joyce2be,It's likely safe and possible for you to have a facelift. However, your operating surgeon and anesthesiologist would likely prefer for you to have a preoperative evaluation and clearance by a cardiologist, which may include some additional testing. Listen to the recommendations of your operating surgeon, and good luck with your surgery!
Hi Crystal8491,While it is possible to consider doing all that your doctor has suggested under a local anesthetic with some oral sedation (xanax or valium, and a narcotic such as vicodin or percocet), that doesn't mean it's the best way of approaching your facial rejuvenation. It will be a difficult 6 hours for both you and your surgeon. Longer procedures done under local will need to be timed appropriately due to the length of action of the local anesthetics - and be aware of maximum safe doses of the local if it needs to be readministered. One of the most common complaints I hear with longer procedures under local is back pain while laying in a static position for a long period of time. I myself try to limit local procedures to 2-3 hours max. Please also make sure your doctor has the option of operating in an accredited surgical facility; some physicians who are not board certified surgeons only have the option of performing this type of surgery under local, as they are not able to obtain privileges to perform surgical procedures at a surgery center or hospital under a general anesthetic or conscious sedation. Good luck with your intended set of procedures.
Hi salud111,Sorry to hear you're not happy with the results from your otoplasty. Typically, permanent buried sutures are placed in strategic locations during this operation to help achieve the intended result. Usually, it is not necessary to remove these sutures unless they are causing a problem. There are no radiographic or noninvasive tests or imaging that can be done to help detect them; a good physical exam can sometimes help to determine their location if they can be felt through the skin and soft tissue. In addition, the sutures are often placed in typical locations, depending on what needed to be corrected with your ears, so the operating surgeon should have some idea of where to search to help remove them. Good luck with your search, and seek out a board certified plastic surgeon stateside who is experienced with otoplasty to help you achieve the results you are looking for.