Vineet Mehan, MD

Agree with others.

 

1. You need a CT scan of the facial bones/orbits. Need to look for evidence of other previous fractures so that you can be treated correctly

2. You need an Ophthalmology exam.  Specifically (provided no depressed cheek bone fracture) to get a hertel Exophthalmometer reading.  This measurement will tell you if you have a significant difference between the two eyes.

3. If you are not having trouble with vision ie double vision, really consider carefully if you want to do anything at all.  As a surgeon that frequently treats facial fractures, delayed orbital fractures can be difficult and come with a risk (albeit tiny) of blindness in the affected eye.

 

cheers and good luck.

Agreed with Dr. Placik.  How long dsyport sticks around should not be related to your excercise regimen.

Cheers!

There are a variety of companies that offer compression garments.  Marena group comes to mind (NOT an endorsement!) but there are several others.  Regardless you definitely want to talk to your doctor about what kind of garment.  Your surgeon should help guide you as to what kind of garment to get, and can guide you much better.  Good luck!

I'm sorry to hear you had bruising for so long restylane injections.  Unfortunately it happens to all of us once in a while, and I hope you do not look poorly on your physician for causing a bruise. 

Whether you get more or less bruising or swelling is difficult to say.  It is also difficult to compare the apples and oranges of restylane and radiesse since they are used often for different purposes, in different tissue planes, and with different injection techniques.  All these factors can also vary by the injector.

In my hands I do think I've seen less bruising with radiesse than restylane, but I use them for very different areas, and in different ways. 

The best thing a patient can do is avoid all aspirin, nsaids, and other herbals that have been shown to increase bleeding. Also be aware if you bruise easily or bleed more than usual (heavy menstrual cycles etc), you might be a bit more apt to also get more bruising after injections.  Also talk to your injector.  Let them tell you about their experience and what they've seen.  If you have a good relationship, they should be an effective guide to getting the right injection for you.

good luck.

Sarasota,

So it's a bit unclear whether you have already had nipple reconstruction and it went flat, or are researching to find out how to prevent  flattening after nipple reconstruction.

This is a problem that has dogged us plastic surgeons for quite some time. Although we can often get a nipple quite upright, the scarring and tissue remodeling combined with pressure can often lead to nipple flattening. 

Either way, whether you have already had a nipple reconstruction, or are about to, there ARE ways to make nipples remain upright long term.  I've had success in both types of patients by using an implant material within the nipple reconstruction. Which material and the exact technique will be up to your reconstructive surgeon.  I prefer alloderm, a commercially available cadaveric human dermis product.  In my hands this product and the results have withstood the test of time.  There are also other products available and you should discuss this issue with your surgeon and see if you can come up with a plan. 

Good luck!