Asked By: Polite5245
ANSWER
Hello and thank you for your question. The simple answer is yes....it is possible to do a donut lift under local anesthesia. As stated by my colleagues below, a donut lift is right for only very few patients. Also, not all donut lifts are the same. Therefore, some can easily be done under local but some may be better done under anesthesia for patient comfort. I do all my surgeries under IV sedation which is much safer than general anesthesia and the patients remain extremely comfortable throughout the entire procedure. Please make sure you are being evaluated by a board certified plastic surgeon who truly understands how to perform a "donut" lift and that you have seen many of their before and after photos that are at least 1 year out from surgery! I have attached before and after photos of a patient who had a "donut" lift and augmentation by another plastic surgeon that I had to correct. Her areolas spread VERY wide which is something that can happen with these types of lifts. Ankur Mehta MD Board Certified by The American Board of Plastic Surgery Instagram: @ankurmehtamd
Asked By: Ariana Veri
ANSWER
In the US, the largest silicone implant on market is 800cc. Saline implants can be overfilled for more volume however, if the volume exceeds the upper end of the manufacturer’s recommendation, the implant warranty is voided. So, you have no protection in the event of early rupture.In the past, occasionally implants were stacked on top of one another often times with bizarre looking results and hefty costs for revision surgery.Long term, there is only so much our skin can take. Heavy implants stretch our skin prematurely and often make us look wider and as if we’ve gained weight. Sometimes fat can be grafted from one area of the body to another to help boost volume in addition to an implant but this type of volume would not get you to your goal cc’s. I’d advise seeing more than one plastic surgeon who can advise you regarding implant size based on your tissue and frame. We want you to be happy but also age well with your implants. Really talk through the potential pitfalls of large implants. You may change your mind. Best of luck to you!!
Asked By: Calm5977
ANSWER
Hello and thank you for posting photos along with your question! It is difficult to tell whats going on with your incision through just photos alone. However, they seem to be healing pretty much as expected. When trying to soften and flatten scars the key is consistency and making sure you follow the instructions of your physician. I typically recommend aggressive massage to the incisions as well as placing a scar cream of choice for which I use biocorneum. Silicone and pressure are other things that can aid with scar softening. Just keep an eye on them and if they worsen then you should go in and see your surgeon. I have an open door policy at my practice. After I operate on someone they become my patient and if they have an issue with healing or have concerns then I see them in the office. I hope this helps and wish you all the best in your recovery process!Ankur Mehta MD Board Certified by The American Board of Plastic Surgery Instagram: @ankurmehtamd
Asked By: TTApril2019
ANSWER
Hello and thank you for posting photos along with your question! You appear to have had a very nice result from your tummy tuck! Wound healing problems can arise in the center as you have experienced because that is where the blood flow is the weakest. From your photos alone it appears as though a scar revision should be quite simple to do but I would wait at least 3-6 months and sometimes even 1 year depending on what the tissue feels like. You want everything to be mobile and soft and healed before revising the scar. You should discuss this with your plastic surgeon and see what they have to say. Hope this helps and congrats on your new tummy!Ankur Mehta MD Board Certified by The American Board of Plastic Surgery Instagram: @ankurmehtamd
Asked By: Alwaysjusme
ANSWER
Hello,It is possible to do both at the same time, but just remember that fat injections will add volume but will appear different than an implant. Most notably, it will sit much more naturally. You may want a few rounds of fat grafting to get the volume you desire but this is something a plastic surgeon can talk to you about at a consultation. Best wishes in your journey,Dr. BlaggAustin, TX
