Plastic Surgery Institute of Miami

A: Unfavorable healing of those is a very real and common problem we encounter in nasal surgery. When the nose swells a significant amount and the swelling does not subside that swelling becomes fibrotic scar tissue. Kenalog injections do help with this tissue for about for the six months to twelve months. After a year, Kenalog injections do not really help a whole lot and they actually cause problems because it will thin out the skin. In my practice, after a year when a patient has a bump or contour anomaly that I cannot take care of with injections. It becomes time to consider a revision surgery to remove scar and reshape the nose.

A: You are an excellent candidate for a lift with implants. This procedure would entail removing a lot of the excess skin making the breast small and tight and then placing an implant. Most likely a gummy bear or a cohesive implant under the muscle so that the breast can look perky and full and round. You will always have the issue of having thin skin and depending on the quality of your breast tissue, you may actually be a good candidate for a dermo matrix. Any well breast specialist should be able to give you recommendations on this. Good luck.

A: At nine months post surgery, most swelling should be gone. What you are looking at now is not so much swelling but rather scar tissue due to unfavorable healing. My recommendation is that you seek the help of a rhinoplasty surgeon whether it be your old surgeon or you trust someone else to consider a revision. A revision a would certainly enable the surgeon to give you a much prettier, more attractive, and softer look. Good luck.