Is a Revision of Silicone Breast Implant Surgery Advisable?

Question: Is a revision of silicone breast implant surgery advisable?

In 2006 I got silicone breast implants and a breast lift. In 2009 I had a mammogram and was told the implants were not positioned correctly. They are not in a “pocket”, instead, they are positioned sideways of the breast not in the front. I want to have a tummy tuck in the near future and wonder if it would be advisable to have a revision of the implants at the same time. Will the original implants be reused or should I get new ones?

Answer: Combining the procedures is do-able

Assuming there is no health issue that would preclude you from having a surgery that would last 4-5 hours, it would be a good time to perform the breast revision at the same time as the tummy tuck.

However, the first thing to do is get examined by a plastic surgeon board certified by the American Board of Plastic Surgery to figure out what type of revision is necessary. It is difficult to figure that out based on a mammogram.

Complications After Extended Tummy Tuck and Breast Lift with Implants?

Question: What are some “MAJOR” complications that can/may “OCCUR” after having an Extended Tummy Tuck and Breast Lift with Implants?

I am going to have an Extended Tummy Tuck and Breast Lift with Implants in September. I need to know what are the most common and major complications that can occur after surgery (during the healing process)? Can/Should the Emergency Room assist if I have medical insurance? Is there a legal document that can be signed by my Plastic Surgeon (haven’t chosen one yet) if I did not RECEIVE what we discussed in the consultation? Is there additional insurance offered for post op issues?

Answer: Major complications are rare, but, can happen.

The main ‘major’ complication I discuss with my patient is a ‘pulmonary embolism.’ This is where a blood clot can form in the legs and travel to the lungs which can be life threatening. Surgeons generally take special precautions to prevent this. These methods include avoiding the breathing tube for anesthesia, using a special medication to lower the risk, getting the patient up and moving asap (even the first night), etc.

Other major complications include things like a hematoma, bad infection, anesthetic complications, etc. However, your surgeon should review all of these in detail at the ‘preop appointment’.

Most Effective Pain Medication After Tummy Tuck?

Question: What is the most effective oral pain medication after Tummy Tuck/Mommy Makeover with Breast Augmentation? I’m about a month pre op and researching pain management. My surgeon does not offer a pain pump. What is the most effective oral pain medication after tummy tuck/mommy makeover with breast at?? Thank you, Timberel

Answer: Pain control after mommy makeover varies

Thanks for the question. Each surgeon will have their own specific protocol for postop pain management. Narcotics, like percoset, are common place. I Rx these for my patients. However, I also like to use a muscle relaxant (like soma or flexeril), Neurontin (gabapentin), and Celebrex. All are non narcotic and can go a long way to reducing the # of narcotics that you would need. Additionally, you should also research Exparel which is a long lasting type of pain medicine that I have found extremely helpful, especially after tummy tucks. This is injected into the muscle layer before completion of the tummy tuck and can last 3-4 days.

Web reference: http://www.exparel.com/index.shtml?gclid=CKry-9KCg8ICFZCVfgodJ0gAyQ

Is it Safe to Resume Boating and Fishing After TT and BA?

Question: My Husband and I enjoy fishing a lot. How soon after surgery can I resume boating/fishing. Also, since I would be exposed to the sun, I will be taking extreme measures to prevent any direct sun exposures to my incisions. Thankfully its Fall/Winter so swimming and tanning is out of the picture for me!. What would be a good/safe wait time to resume boating/fishing? Even if its just boat cruising around the bay?

Answer: 6-10 weeks

For my mommy makeover patients I like to suggest zero exercise, or anything that is going to stress the tummy muscles, for 1 month. Between 5-10 weeks I have the patients slowly increase their activity so that at 10 weeks they are unrestricted. Boating and fishing would be okay at about 6 weeks, but, no water skiing, etc, for 10 weeks. Again, this will vary widely between surgeons.

Can I Sleep on My Stomach After Tummy Tuck?

Question: I had a tummy tuck and umbilical hernia repair 16 days ago. Can I sleep on my stomach yet? My drains are out, but I’ll have stitches for another week.

Answer: Best to wait

I personally feel that waiting at least two or three months before lying perfectly flat on your tummy is the best idea. However, I generally allow my patients to sleep on their side after the drains are out.

Pubic Area Higher After Tummy Tuck

Question: My pubic area is higher and bigger since my Tummy Tuck. Can this be fixed?

My tummy tuck was 1 1/2 year ago, is it possible to change the look of my belly button and my Pubic area? My pubic area sticks out and seems as if fat stores there. Also the area around my belly button is still tight. Is this Normal?

A: Possibly, But…

It all depends on the anatomy that you currently have, in particular how lax the tissues are. If the tissues are already quite tight without much give then there is a good chance that it may not be worth this kind of revision.

Getting a Second Opinion on Tummy Tuck?

Question: Is it unwise to decide to do TT with 1st Dr. I consulted with? The other two Drs I’m interested in can’t see me for another week or later. I’m stressed for time. I have to get my surgery done by the 2nd week of May. The Dr. I saw is far from where I live (about an hour), the other two are like 10 min from me. I liked him and the staff, he does the surgery at a hospital. He is double board certified, I looked at pic etc. So is it unadvisable to go with the only Dr. I interviewed?

Answer: Due diligence

I suggest to all consults I see that they visit with at least one more surgeon. I understand there’s a time crunch. However, it’s important that you do your due diligence before making a decision. An exception to this could be if you have multiple friends that have gone to that first surgeon and are happy with their experience there.

Where Can I Go to Get My Tummy Tuck Drained?

Question: I had a tummy tuck and lipo on April 4 and the drainage came out on April 13. I did my surgery in the Dominican Republic. I have to get it drained because my stomach is growing due to liquid in my stomach. Where can I go in New Jersey to get the drain out? Please advise. Thanks, I am really scared.

Answer: Little options

I generally advise not to fly anywhere for any cosmetic procedure unless you’re convinced there is no one in your area that is qualified to do it. At this point, I believe your only option is to head into the emergency room. The only other thing to consider is to get on the phone and call around to local plastic surgeons to see what their thoughts are. Finally, what you can do is contact your original surgeon and see if they have made arrangements for these types if situations.

No Follow Up Appts After Full TT w/ Lipo?

Question: I was 40 on BMI and high risk. I am five weeks post-op for a full Tummy Tuck w/ Liposuction on flanks and back, my Plastic Surgeon only had me come in for the day after surgery check up and to have my drains removed. I was told I do not have to come back again for five months when I have a my after pictures taken. I also had a post-op infection, foul odor from drain tubes and yellow brown drainage. How concerned should I be that there are no follow-up appointments?

Also is it normal that when I suck my tummy in it is uneven; 2″ higher on one side than the other?

Answer: This Varies

The frequency of follow-ups varies widely between offices. However, yours is exceptionally low. I think it is important in my practice to see patients at day one, day four, day 12, one month, two months, three months, six months, etc. The best thing to do is to contact your surgeon to see about getting in for a recheck.

Getting Rid of Stretch Marks

Question: If I get the Smart Lipo on my stomach will it help get rid of some of my stretch marks?

Answer: Unfortunately, stretch marks are not treated by liposuction, smart or otherwise

Stretch marks are not treated with any form of lipo. Additionally, the presence of stretch marks might indicate that you would be better off with an abdominoplasty.