Adam Rubinstein Plastic Surgery

A: Over the years I have operated upon many patients that have back issues. Some cases require special care to be certain that the patient is comfortable for the procedure. Most patients are fine without any changes to our usual protocol for care. In fact, I have found that many patients with lower back problems actually feel better and often experience less discomfort after a tummy tuck due to improved core muscle support. Part of a tummy tuck realigns the abdominal muscles which can make the support for the back better. Its not uncommon for patients to even have better posture after abdominoplasty. Of course, every case is different and if there are special considerations in your case I would recommend having your surgeon speak with your back specialist prior to surgery. I'm confident that you can comfortably go through an abdominoplasty with good care.

I hope this helps! You can find more tips and useful information in my Instagram profile @plasticsurgerytruths

A: The short answer is you're probably in no significant risk for infection. One month after surgery your incisions are fairly well healed. You're definitely healed enough to do most activities without any fear. Having saliva spread across the incision is definitely higher risk than most other activities, but still probably OK. Just keep an eye on things. As long as there is not increasing redness and/or pain you should be just fine.

I hope this helps! You can find more useful information in my Instagram profiles @drrubinstein and @plasticsurgerytruths

A: It usually takes about 3 months for the swelling to completely resolve after breast augmentation. I wouldn't get too upset about how things look and feel at one month. Stay patient and wait another couple of months to allow the healing process to move along. Your breasts will change quite a bit between now and then. 

Getting the size just right after breast augmentation requires really good communication between you and your surgeon. I've found that simply talking about cup and bra sizes is not always so accurate. The image you have in your mind when you talk about a certain size may be very different from the image your surgeon has in his/her mind when hearing you. In my practice I use a process called Customized Breast Augmentation that takes the guesswork out of choosing your implants. The whole surgery is customized in the operating room for each and every patient. Implants are selected during surgery using temporary implants that show how the permanent ones will look IN YOUR BODY. No need to guess prior to surgery since I'll see exactly what different implants will look like before committing to the actual permanent implants. The attached link explains a little more about that technique.


If you're still unhappy at three months after surgery the good news is that you can always have the implants exchanged for something that more suits your goals. Implant exchanges are much easier than the first operation. Hopefully it won't come to that. Best of luck!

I hope this helps!