Beautologie - Fresno

5.0 rating from 6 reviews
Practice Information
9491 Ft Washington Rd., Ste. 101, Fresno, California
This practice is not currently accepting consultations on RealSelf.

About the Practice

20 Before & After Photos
6 Reviews
433 Answered Questions

Doctors & Other Staff Members

Garrett Jones, DO
Board Certified General Surgeon
5.0
James Knoetgen, III, MD
Board Certified Plastic Surgeon
4.8
Darshan Shah, MD
Board Certified General Surgeon
4.6

20 Before & After Photos

6 Beautologie - Fresno Reviews

MaddiF333
Lip Fillers•15 days post-op•August 20, 2024
Beautiful Lip Filler Work
Fierce835626
Breast Augmentation•July 16, 2024
They have settled in and look and feel amazing
Dazzling524519
Breast Augmentation•2 months post-op•May 2, 2024
​Amazing experience from start to finish
KG559
Lip Fillers•19 days post-op•September 4, 2023
Everything Was Amazing! Staff to Aftercare!
heart356
Breast Augmentation•3 months post-op•November 30, 2018
Caring
kia95
Breast Augmentation•June 8, 2018
Breast

433 Answers

Breast Augmentation
Q Left breast much narrower than the right (Photo)
A It’s not uncommon for patients to notice differences in breast appearance after augmentation, as there are several potential factors at play. Based on your description, here are some possibilities to consider: 1. Natural Asymmetry o Most people have some degree of asymmetry in their breasts or chest wall, which can become more noticeable after surgery. If the asymmetry has been present from the beginning, this could be a contributing factor. 2. Implant Rotation o With teardrop-shaped implants, rotation can lead to visible differences in shape. If the left implant has rotated slightly, it might give a narrower appearance. An imaging study, like an ultrasound or MRI, can confirm implant positioning. 3. Pocket Dissection Issues o An incorrect or insufficiently expanded pocket on the left side might result in a tighter fit for the implant, making the breast appear narrower. This could also contribute to differences in implant positioning or projection. 4. Muscle Release o If the muscle wasn’t fully released on the left side, it could be constricting the implant, affecting its shape and how it settles. This might also explain why the issue has been present from the start. 5. Capsular Contracture o Although it typically develops later, early capsular contracture can cause the implant to feel firmer or appear misshapen. This is less likely since you mentioned it has looked this way from the beginning, but it’s worth monitoring. Next Steps: 1. Consult Your Surgeon o Bring these concerns to your surgeon for an in-person evaluation. They can assess whether the implant has rotated, the pocket needs revision, or if muscle release might help. 2. Imaging Studies o An ultrasound or MRI can provide clarity about implant positioning and identify any rotation or structural issues. 3. Surgical Revision o If it’s determined that the issue is due to a technical factor like pocket dissection or implant rotation, a minor revision surgery may help correct it. 4. Monitor and Document Changes o Keep track of any changes in the appearance or feel of the breasts over time. If the asymmetry worsens, it could indicate a developing issue like capsular contracture. It’s great that you’re happy with the overall result on the right side, and with careful assessment, the left side can likely be adjusted to match your expectations.
Answered by Dr. KnoetgenDecember 30, 2024
Breast Lift
Q Brest lift between two pregnancies? (Photo)
A If you're removing your implants and want to improve the shape, combining a breast lift with the removal is a good option. A lift addresses sagging and reshapes the breasts, especially after pregnancy changes. While your milk ducts are developed, a second pregnancy could still change your breasts, though likely less dramatically than the first. If you're planning a second child, it's usually best to wait for the lift until after you're done breastfeeding, to avoid potential changes during pregnancy. However, if you're experiencing discomfort or significant changes now, combining the procedures could improve your shape right away. Discussing with your surgeon will help you decide based on your goals and timing.
Answered by Dr. KnoetgenDecember 30, 2024
Gynecomastia Surgery
Q Gynocomastia surgery (post-op) What could be causing this sharp pain that I am experiencing?
A Experiencing sharp pain after gynecomastia surgery can be concerning, but it is not uncommon during the recovery process. Several potential causes for this pain include: 1. Normal Healing Process • Sharp pain could be a sign of nerve regeneration and healing, which is common after surgery. As nerves begin to repair themselves, they may send sharp or tingling sensations. 2. Swelling or Inflammation • Post-surgical swelling or inflammation around the treated area can cause discomfort. This typically improves as the swelling subsides. 3. Scar Tissue Formation • Scar tissue may form as part of the healing process. This can occasionally cause sharp or pulling sensations as the tissue matures. 4. Muscle Strain • Overexertion or sudden movements can strain the chest muscles and surgical area, leading to sharp pain. 5. Seroma or Hematoma • Accumulation of fluid (seroma) or blood (hematoma) in the surgical area can sometimes cause localized sharp pain. These issues often require medical attention. 6. Infection • Pain accompanied by redness, warmth, fever, or discharge could indicate an infection and should be evaluated by your surgeon immediately. 7. Nerve Irritation or Damage • Temporary nerve irritation or, in rare cases, nerve damage during surgery could lead to intermittent sharp pain. What You Should Do: 1. Monitor Symptoms: Note the duration, intensity, and location of the pain. Is it getting worse or better over time? 2. Follow Post-Op Instructions: Ensure you're adhering to your surgeon's guidelines, including rest, wearing compression garments, and avoiding strenuous activities. 3. Contact Your Surgeon: If the pain is severe, persistent, or accompanied by symptoms like fever, excessive swelling, or unusual discharge, reach out to your surgeon promptly. When to Seek Immediate Care: • Severe, unrelenting pain. • Signs of infection (fever, redness, or drainage). • Sudden increase in swelling or bruising. • Difficulty breathing or chest tightness. It’s always best to consult your surgeon to ensure the pain is within the expected range of post-operative healing. They can perform an evaluation and provide appropriate treatment if necessary.
Answered by Dr. KnoetgenDecember 26, 2024
Liposuction
Q 7 months post-op & seroma complications, they pulled 30ccs in 5 days, what could be the cause?
A Seven months post-liposuction with seroma complications and a recurring 30cc of fluid in 5 days could result from various factors. Some potential causes include: 1. Chronic Seroma Formation • Persistent cavity: The seroma cavity may not have fully healed or closed, leading to ongoing fluid accumulation. • Fibrous capsule: A capsule can form around the seroma site, which can perpetuate fluid collection. 2. Residual Inflammation • Inflammation from the procedure or repeated aspirations can cause local irritation, leading to continued serous fluid production. 3. Inadequate Drainage or Compression • Insufficient compression: If compression garments were not worn consistently post-op or not properly fitted, it could contribute to persistent fluid collection. • Drain removal: If drains were removed too early, the seroma cavity may not have had adequate time to close. 4. Movement or Activity • Excessive or vigorous activity post-op can disrupt healing, preventing the seroma from resolving. 5. Infection or Underlying Conditions • Although rare at this stage, a low-grade infection could cause fluid build-up. • Health conditions: Systemic factors such as diabetes or immune issues could delay healing. 6. Lymphatic Disruption • Liposuction disrupts lymphatic channels, which might cause ongoing issues in draining fluid from the affected area. Recommendations: • Consult Your Surgeon: Follow up with your surgeon for an in-depth evaluation. Imaging such as an ultrasound may be helpful to assess the seroma cavity and surrounding tissues. • Compression Garments: Ensure you are using proper post-op compression to help prevent fluid accumulation. • Consider Sclerotherapy: If the seroma is persistent, your surgeon might suggest injecting a sclerosing agent to close the cavity. • Rule Out Infection: Look for signs like redness, warmth, fever, or worsening pain, which could indicate infection. Persistent seromas are relatively rare but manageable with the right approach. Your surgeon can determine the best course of action tailored to your situation.
Answered by Dr. KnoetgenDecember 26, 2024
Tummy Tuck
Q Stinging and burning in one spot around incision is this normal 1 year post op?
A It’s not uncommon for sensations like stinging or burning around an incision site to persist long after surgery, but experiencing this over a year after a tummy tuck (TT) is worth paying attention to. Several factors could be contributing to your symptoms: 1. Nerve Regeneration: After a tummy tuck, the nerves in the area can take a long time to fully heal and re-establish connections. The stinging or burning sensation could be the result of nerves regrowing or becoming irritated as they adapt to their new positions. 2. Scar Tissue: Over time, the body forms scar tissue around the incision line, which can sometimes create tightness or irritation. Scar tissue can also put pressure on nerves, leading to sensations like burning or stinging. 3. Muscle Tightness or Scar Adhesion: If there’s tightness in the abdominal muscles or adhesion between the skin and deeper tissues, stretching or movement could trigger discomfort or pain in that area. 4. Infection or Inflammation: Though less common after a year, an infection or low-grade inflammation could cause localized pain. This would usually be accompanied by redness, warmth, or swelling, but it’s still something to keep an eye on. 5. Herniated Tissue or Abdominal Changes: Any changes in your abdominal area, such as muscle weakness or herniation (even long after surgery), could potentially contribute to pain or sensations around the incision line. Since this has developed months after your tummy tuck, it would be best to consult with your surgeon or healthcare provider for a thorough evaluation to rule out complications or other underlying causes. They can provide more specific guidance based on your individual case.
Answered by Dr. KnoetgenDecember 24, 2024

Opening Hours

Monday8:30am - 5:00pmTuesday8:30am - 5:00pmWednesday8:30am - 5:00pmThursday8:30am - 5:00pmFriday8:30am - 5:00pmSaturdayClosedSundayClosed

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