Ask The Expert - Archive

  ATE home page
  Specialty Services
  Surgical Webcasts
  Patient Success Stories
  News Releases
  Feature Stories

Find a Doctor Become a Patient www.umm.edu University of Maryland Medical Center Ask an Expert Getting Here Contact Us Site Map 1-800-492-5538
Ask The Expert Archive
For an Appointment Call: 410-328-2360
Search

Plastic Surgery Archive Questions

Below are Dr. Silverman’s answers to Plastic Surgery questions
received through the Ask the Expert feature.

This content is provided for informational purposes only, and is not intended
to be a substitute for individual medical advice in diagnosing or treating a
health problem. Please consult with your physician about your specific health
care concerns.




Now displaying records 1 to 11 of 11.

1


Q : 1

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.


Q : 2

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.


Q : 3

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


Q : 4

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.


Q : 5

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.


Q : 6

12/21/2006
When are you too old to get abdominoplasty? I would like to have my naval redone as well. I'll be 44 years old and am afraid that my risks would be higher than someone younger than me and a less likelihood of success.

There is no age limit and we do this frequently in woman much older than you (even in their seventies on occasion). What is more important is your overall health. I would be happy to see you to discuss. Please call 410-328-2360 to set up a consultation.


Q : 7

12/11/2006
I've had breast augmentation done there two times now. After the second time I had rippling when I removed the bandages soon after surgery. I need to have it done again. How much is a consult? Do you use the high profile implants and do you use silicone? Saline is not working for me. I have the Mentor in now and the rippling is very severe. I had my two sets done by the residents. I'd like to have it done soon. Mentor will replace the implants but what is the cost for the doctor and hospital?

We do now offer silicone implants since they have recently approved by the FDA. Approximate costs for surgery (minus the cost of the implants) would be - $3615 in the resident clinic and $5085 through an attending surgeon. We would of coure need to verify that Mentor would cover implant costs because they don't automatically do that. I would be happy to see you. The cost for a consultation in $100 with me or $25 in the resident clinic. Please call 410-328-2360 to set up an appointment.


Q : 8

12/11/2006
Hello I had a surgery in August to have an ovarian cyst removed since then I have a problem with my stomach "hanging" I need to know what the best option for repair is?

I would have to see you to see exactly what you mean. If the scar is indented or hypertrohic sometimes I can revise the scar. If it is purely for extra abdominal tissue than the best option is a cosmetic abdominoplasty. I would be happy to see you to discuss this further. Please call 410-328-2360 to set up an appointment.


Q : 9

12/02/2006
I'm a friend of a woman that is a victim of a shotgun blast (birdshot) to the right side of her neck, face and jaw. She also suffered a stroke due to a migrated pellet to her frontal lobe causing her to suffer from partial paralysis of her right side. She has pellets lodged in her jaw and some areas of soft tissue in the surrounding area. She now is suffering the beginnings of lead posioning. I'm having difficulty finding a surgeon(s) to aid her as this sort of injury is beyond the scope of her primary care physicians abilities of recommendations and her insurance has only done minimal recommendations to aid her. My question is basic, I haven't any idea what sort of specialty practice is involved. Does she need a plastic surgeon, a maxillofacial, cranial, throat, etc.? She is ambulatory and able to travel. Any help would be appriciated.

In general, plastic surgeons have the most expertise when it comes to facial/neck wounds. We at the University of Maryland have a large experience with traumatic wound reconstruction and I would be happy to see your friend. Just have her call 410-328-2360 and we can schedule an appointment.


Q : 10

11/28/2006
Is plastic surgery performed to correct a SEROMA in the groin area where a heart - lung machine was connected during my heart surgery two months ago. And if this is possible, what are the details of this surgery ?

Yes, this is an operation that can be done. Placement of tubes in the groin area can sometimes interfere with the lymphatic vessels and cause what is called a lymphocoele. This is something that we do see and we have operated on in the past. I would be happy to see you and discuss in detail. Please call 410-328-2360


Q : 11

11/18/2006
Recently my father had an IV in his left hand that infiltrated causing severe tissue damage. It looks like a severe burn, his tendons are visual. The area is approx 4cm by 5cm. If his is going to need a skin graft when is the best time to perform this? At what point is the decision usually made to do a skin graft? I would appreciate any information you have regarding tissue damage from IV infiltrations and how it is treated. Thank you -Kara

The best time to perform the skin graft is when the wound is clean and has granulation tissue at the base of the wound (a red type of tissue that indicates healing). It is important to keep the tendons very moist (usually with a topical antibiotic such as Silver Sulfadiazine Cream) because if the tendons dry out then can turn brown and sometimes will die (and need to be debrided). A plastic surgeon from the division of plastic surgery at the University of Maryland would be happy to see your father to provide wound care and to schedule surgery if needed. Please call 410-328-2360 for an appointment.


1

Disclaimer Site Map Home Email this Page Translator University of Maryland Medical Center