Board Certified Plastic Surgeon
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Dr. Bram Kaufman is a Ohio native and a board-certified plastic surgeon with over 20 years of experience, and currently in private practice in the greater Cleveland, Ohio area. He has expertise in performing a wide variety of procedures across the face, hand,
Asked By: Bright1011
ANSWER
Thanks for your question. One of your best options for autologous (using your own tissue) augmentation is fat grafting. This technique is extremely useful and we employ it very often in our breast reconstruction patients. It involves using liposuction to obtain fat from elsewhere on your body. Even though you are thin, there is always some fat available. The fat is then lightly processed in the operating room and injected into the breasts. Some of the fat may resorb and you might desire re treatment but the overall outcome can be quite good. It is safe. I hope this helps.
Asked By: VictoriaValencia1
ANSWER
I estimate your ptosis as grade II, bordering on III. Management of grade II/III ptosis will require true mastopexy (breast lift) and there are many options for type of lift. The other option, if this fits your desire, is breast reduction which involves elevating the nipple as part of the surgery. I hope this helps.
Asked By: Cool407230
ANSWER
Thank you for the great question. This is common situation and I see it frequently in our massive weight loss patients. Here is how I approach this. I start with listing, as you have, all the areas of concern. Then the patient and I go over the symptoms/concerns for each area. Using this information, we prioritize the most important to the patient. This is a rather detailed discussion but, in general, there is usually one or two anatomic areas that are most concerning aesthetically or symptomatically. Then we see if we can combine those two (rarely three) areas into one anesthetic. This addresses the most concerning things for the patient and gets it out of the way in case life and/or money get in the way and no more surgery can be done. I do not recommend operating on all four extremities at once. Your facelift surgeon may not want you to have another procedure at the same time as this might result in more pain, increased heart rate and blood pressure after surgery that risks post op bleeding in the face. Good luck.
Asked By: Sensible37278
ANSWER
Thanks for the question. From your photos I would give you a preliminary thumbs up for mommy makeover. However, this is one that requires a detailed physical examination and history by a board certified plastic surgeon to really be sure. I wish you the best of luck, I am sure you will be happy.
Asked By: sunkiss21
ANSWER
Thanks for your question. I see no reason not to do these at the same time. No need to have more than one anesthetic and there is no anatomic or medical reason they can not be combined. Good luck !!
Asked By: Jamie N
ANSWER
Thanks for your question. It is really hard to tell from your photos alone. My best advice is a consultation with a board certified plastic surgeon who can perform a detailed history and physical examination and advise. This one is a hands on situation. Sorry I couldn't be more help.
Asked By: petite__
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Thanks for your questions. It looks like you are a great candidate for a Mommy Makeover with respect to your desires. Of course each of those areas is a discussion to itself, but overall appear very appropriate. Best of luck.
Asked By: Deb_rit19
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That is a very interesting question. I do not recall any patients of mine that had both and discussed that with me, nor is there anything I've read in the literature. However, I would ask your surgeon about the plan for post op pain. For instance, will they use local anesthetic and if so, where do they apply it? What type of local anesthetic do they use and how long will it last. Will they perform a TAP block (Transversus Abdominis Plane (TAP) Block). Is a temporary pain pump an option for a few days? Are muscle relaxants an option? Will they recommend ice packs? Any one or more of these will help considerably and there are many more options for managing pain after abdominoplasty than for hysterectomy. Hope this helps.
Asked By: Glorious533183
ANSWER
Thanks for such an interesting question. It all depends on the exact location of the pump. If it is directly within the tissue to be excised with the mini abdominoplasty then I would hold off on the cosmetic surgery until the pump is removed or location changed. If the pump is in the abdominal wall but outside the tissue to excise then there should be no problem. Keep in mind, there is added risk in that situation of injury to the pump and/or infection that could jeopardize the pump, among other complications. Talk to your pain doctor first. Hope this helps
Asked By: smilemaker
ANSWER
Your concern is understandable, but no pictures are not a deal breaker. If you researched the doctor's credentials, reviews, employment history and have no concerns from those then it is probably OK. I certainly would ask the doctor to provide some referrals from previous patients that you can talk to directly. Although not at all common, some practices are not really set up for photographic documentation. This might be due to the practice situation. For instance, some hospital based and academic practices and the HIPAA requirements can be challenging. Many practices are a blend of reconstructive and cosmetic and do not have the resources nor are they geared toward patient flow that is conducive to photography. Finally, a quick word about pre/post photos in general. They may not tell the whole story Almost all surgeons who post photos of their work are going to use their best results. It is just human nature. Also pay attention to the technique of the photographs. As an avid photography enthusiast, I can tell you that you can hide a lot or enhance certain aspects of a result by manipulating the patient's stance, the lighting, use of makeup etc. Pay close attention to the nuances of the photos. I hope this helps.
Dr. Bram Kaufman is highly regarded for his expertise in various plastic surgeries, including , , , , , , , . Patients consistently praise his surgical skills, natural-looking results, and compassionate bedside manner. Many report feeling more confident and comfortable after their procedures with Dr. Kaufman.
