Q
: 1
12/27/2009 |
After having my mammogram, I was told that both of my breast implants have a rupture, but no leakage. How much time do I have to replace them before leakage occurs?
The body normally forms a layer of scar tissue around implants called a capsule. This capsule can generally contain the silicone from an implant as long as you are not having any pain or any visual deformity that bothers you, there is not an absolute need for you to remove the implants simply because there is mammographic evidence of rupture.
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Q
: 2
11/23/2009 |
I had a nose job over a month ago. Now my nose gets cold so easily that it hinders my everyday activities. It also turns almost black when it's cold. My doctor says this is normal. Is that true?
Yes this can happen and I would expect that this will likely improve over the next few weeks. If it does not improve, you do need to see your surgeon.
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Q
: 3
10/07/2009 |
I have a large fat deposit on my right hip that looks like a saddlebag. Can this be resolved through plastic surgery?
Liposuction can be performed to remove localized fat deposits. This is generally very effective. I would be happy to see you to discuss this. Please call 410-328-2360 to set up an appointment.
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Q
: 4
09/08/2009 |
A year ago, I got breast implants. The surgery was performed so that the implants were placed under my pectoralis muscle. This weekend my left breast seemed to be sitting higher than my right one, this lasted about a day then the next morning they seemed to be back to normal. I'm not sure if this is something that can happen and if I should I worry about it since everything seems fine now?
No worries. Because the implants are under your pectoralis muscle they can sometimes get pushed around but you should be able to push them back where they should be (or they probably will just go back into place on their own which seems to have happened here). Weight lifters often see this type of problem.
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Q
: 5
08/02/2009 |
I have a chicken pox scar just above bridge of my nose, and I am wondering what procedures there are, if any at all, that could fill this scar in? Is there anything a plastic surgeon can do about such a scar?
Yes, there are several options including injection with a filler (such as fat), surgical scar revision and dermabrasion.
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Q
: 6
07/24/2009 |
I am a 52 year old female diagnosed with basal cell carcinoma on the side of my nose. Would you recommend (and do you perform) the Mohs procedure?
For basal cell carcinomas of the nose, there are two main options: 1. standard surgical resection 2. Mohs resection. I do standard surgical resection and I work with dermatologists that do Mohs resections. Often, one of my dermatology colleagues will do the Mohs resection and I will do the reconstruction for them. Both techniques are fine and they have pros and cons. For a very well circumscribed lesion, standard resection is generally fine and has the advantage of being able to be done under sedation in the OR if a patient desires that. There is a slightly higher chance that the pathology results will show a positive margin which means a bit more tissue has to be removed. Mohs has a much higher chance of having a negative margin, but can only be done awake and could take several hours. I am happy to see you to discuss and would be happy to do your reconstruction either way. Please call 410-328-2360 to set up an appointment to see me.
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Q
: 7
06/01/2009 |
I have a keloid on the back left-center of my head. It is about 3" wide and 2" high. It is raised about 1" off my scalp.
Can this keloid be removed or reduced in size/appearance?
There are several options for treatment including surgery, surgery plus steroid injections, steroid injections alone, surgery plus radiation, or non surgical options. None of these techniques are 100% guaranteed to prevent keloids.
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Q
: 8
05/27/2009 |
I am found to be a breast cancer gene carrier. I am thinking about prevention mastectomy. What are my options for reconstruction? How do I determine what is the best for me?
There are many options for reconstruction in preventative mastectomies. Implants generally look very good, particularly if acellular dermal grafts are used in combination with silicone gel implants. They look good because both breasts are done and therefore you don't have as many issues of asymmetry that you often have when only one breast is removed.
For patients who want autologous flaps (this is when your own tissue is used) you need to have extra tissue to give. Usually it is taken from the abdomen but I would strongly suggest that you have a perforator flap (diep flap) if you go this route.
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Q
: 9
03/09/2009 |
Can multiple lipomas be removed by liposuction?
It is possible to remove lipomas with liposuction, however you lose the ability to submit them as an intact specimen to pathology. If there is any concern that they might be something other than a lipoma, then I would not use liposuction.
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Q
: 10
02/11/2009 |
I am interested in having a cheek lift by percutaneous cheek suspension. I have read that it has little scarring and has less recovery time, etc. Do you do this procedure? I have tried fillers, but they never last long. I am hoping to find something that can be done under local anesthesia so I can drive myself home after (don't want people to know) and that doesn't have much bruising/recovery time. I haven't heard good things about threadlifts, are there any other alternatives?
The cheek lift by percutaneous cheek suspension uses a barbed suture material that is brought in through the temple area and comes out in the nasolabial fold. This is very similar to the threadlift. Threadlift actually is no longer on the market and I really don't think that any of the percutaneous lift options are currently worthwhile. You mentioned that you have had fillers placed. Have you ever had the fillers placed through injections introduced through the mouth onto your cheek bones? I find this can lift the cheek and can be achieved in the office in just a few minutes. Other than that, the next option would be a mini face lift, which I would not recommend under local anesthesia.
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Q
: 11
05/16/2008 |
I wanted to get my breast enlarged but I have diabetes. I was wondering if this would be possible?
Yes, it is certainly possible. Diabetes alone is not a contraindication for breast enlargement. I would be happy to see you to discuss this further. Please call 410-328-2360 to set up an appointment.
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Q
: 12
03/04/2008 |
I'm interested in breast implants. I'm currently A/B, would only want lift and to C. Do you offer financing, would it be cheaper if a fellow of your practice performed the surgery? How much do you think it would be?
I would be happy to see you. We do have a resident clinic that you could certainly go to as well which offers a less expensive alternative. In terms of financing, we do not yet offer it (though we do accept credit card payment for part of the fee). Please call my office at 410-328-2360 for more information.
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Q
: 13
02/27/2008 |
I am a 24-year-old woman. I weigh 225 pounds also, I am 5"5. I had my daughter one year ago and my stomach sags. I would like to know would you recommend a tummy tuck since I am still young.
Abdominoplasty (tummy tuck) is not a minor surgery. I would definitely recommend weight loss as much as possible before having the surgery because as you lose weight, your skin may become even more loose. I would be happy to see you in order to discuss this in more detail. Please call 410-328-2360 to schedule an appointment if you wish
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Q
: 14
02/18/2008 |
I have a slightly misshapen skull not even noticable unless my hair is wet. Is there a solution such as implant or am I just out of luck?
Yes, there are many ways to improve the contour of the head. There are several products available to achieve this and I would be happy to see you to discuss your options. Please call 410-328-2360 to set up a consultation.
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Q
: 15
01/16/2007 |
I live on the eastern shore of Maryland and I had gastric by-pass surgery almost a year ago. I have lost 90 lbs and I'm very interested in plastic surgery to remove the "excess" skin. I have been faithful to exercise during all these months, but I still have these issues. I'm rather disturbed by the excess skin and have decided that plastic surgery is my option. I have a friend of a friend that has had several procedures done through your hospital with you as her doctor. She said she was very pleased and the cost was so much less because the procedures were done by students or interns. I'm interested in seeing you for a consultation. I'd like to know the cost for this consultation. I'm interested in a tummy tuck, breast lift and removing the excess skin beneath my chin. I want to know what I'm looking at financially because that will also be an issue. I look forward to hearing from you.
I certainly offer the procedures that you are talking about. There is a less expensive option and that is going through the plastic surgery resident clinic. This means that the primary surgeon for your procedure is a resident in plastic surgery (in their final year of training). All of the surgeries are supervised by an attending surgeon by the name of Nelson Goldberg, MD. For the resident clinic, you need to call 410-328-2360 to schedule an appointment and they can tell you the cost of a consultation for that clinic. To see me, a consultation is $100. You can get my secretary by calling the same number. Either way I am sure that we can help you.
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