Q Advice needed - breast reduction and lift, or reduction then implants? What will scarring be like for my skin type?
A
All breast reductions are a lift also. Not all lifts are reductions. The scars are usually the same for lifts and reductions. Adding an implant is necessary if you don't have enough breast volume. If you do have the volume and indeed want less adding an implant complicates the surgery, adds cost, and long term maintenance issues. It is true that most lifts or reductions will not result in long term upper pole fullness which most women want. Adding an implant with areduction is is a luxury that has it's pros and cons.
Answered by Dr. DanyoApril 30, 2020
Tummy Tuck
Q Would I fit better for a tummy tuck? (Photo)
A
You would be an excellent candidate for an abdominoplasty. Almost all people will benefit from liposuction of the torso too as part of the procedure. Many surgeons are uncomfortable performing larger volume liposuction at the time of an abdominoplasty because either their surgical facility is not set up for longer perioperative recoveries, time constraints, or fear of adding complication risk. I routinely perform 3-6liters of liposuction with abdominoplasties always in a hospital setting. Likely three or four liters of liposuction to your abdomen, flanks, upper and lower back at the time of your abdominoplasty would give you a great result.
Q I had liposuction of gynecomestia like 2 years ago but there is lump beneath my nipple and it hurts. What should I do?
A
Gynecomastia implies breast gland is excess not just surrounding or associated excess fat. Breast gland is firm and rubbery and can not be suctioned. This breast gland tissue is easily removed with a small incision at the lower half of the nipple. This can often be done under local anesthesia.
Answered by Dr. DanyoApril 30, 2020
Facelift
Q NL folds direct excision? (Photo)
A
You do have exceptionally deep naso labial folds. Facelifts can work well for the lower half of the fold but don't usually improve the upper half of the fold towards.the nose. Fat injection under the fold does a poor job of "cracking out" the fold and oftens just lifts.the fold up without reversing it. Fillers in the central and lateral cheek either fat or hyaluronic gel work well. Filler under the fold after a a facelift will help. Repeat the filler over a year and again can permanently remodel and improve the fold. Excising the fold completely should not be done during a facelift to minimize skin circulation issues. It could be done safely after however. Best to try filler first.