Sean C. Smith, MD, FRCSC

Thanks for your question. Your mold allergy will not cause a reaction if you choose to have Juvederm injections. Juvederm is made with Hyaluronic Acid which is found naturally in the soft tissues of your body. If your skin is cleansed with alcohol before the procedure and sterile technique is used by your Plastic Surgeon, mold should not be introduced during your treatment.

It is common to have a temporary decrease in sensation in a small patch of breast skin between the underside of the nipple and the breast crease after breast augmentation.  This returns to normal after several months in most patients.  It is very unusual to have any changes in nipple sensation. In your case, it is possible that return of sensation to this area is causing your symptoms.  This would be the best case scenario. Without knowing your full history and performing a complete physical examination, it is difficult to give you a reliable answer.  I would suggest returning to your surgeon as soon as possible to have this area examined.

I ask my patients to wait 3-6 months after breast-feeding before undergoing breast augmentation.  Waiting allows the breast to undergo postpartum involution (decrease in size and fullness after the breast stops making milk).  Choosing your implant and having surgery after this change has occurred will give you a better and longer lasting result.  It may also decrease certain risks associated with breast implants such as capsule contracture and infection. Immediately after breast feeding, you can start looking for a board certified plastic surgeon who makes you feel comfortable and addressed all of your concerns.  There is no harm in starting the process of choosing your surgeon now, but waiting 6 months before surgery is highly recommended.

Treating jowls with fillers requires a systematic approach that first restores volume to the upper face before treating the lower face.  In my experience, treating the lower face alone is not effective. I use a three stage approach to jowl treatment.  Usually, I perform this over 3 sessions: Session 1: Restore volume to the cheek bones, temples and under eye area.  Jowls are the result of decent of tissues from the cheek.  Treating the upper face will address the underlying problem.  Patient will often enjoy a subtle difference after this treatment alone. Session 2:  Add subtle volume to the chin, jaw and directly around the jowls to add further support to the lower face. Session 3:  Finesse.  At this stage, most of the correction is complete and we are working on optimization of the area around the eyes, subtle lip enhancement and treating fine lines around the mouth. I would suggest finding a board certified plastic surgeon in your area trained in this type of technique. I hope this helps!

Yes, I ask all my patients to stop smoking 6 weeks before surgery and to continue for 6 weeks after breast augmentation.  This will decrease the risk of wound healing complications and decrease the risk of infection.  It will also decrease risks associated with undergoing general anesthesia.  I hope this helps.