X's Q & A

Liposuction may be of some help. You need to have a consultation with a Plastic Surgeon to determine if your skin will shrink sufficiently after the liposuction to make it worthwhile. An alternative procedure would be a brachioplasty (direct excision of the excess skin and fat), but it will leave a scar on the inner-back-side of the upper arm from the armpit to the elbow.

Q&A: What should I tell the doctor after having bad breast implant results?

Wow, that's quite a story. Let me assure that none of this is your fault.
There are so many unanswered questions. First, you state that you went down a size. I'm assuming that means "one" size. Was the reason for the lift because you were already sagging and going smaller meant that you had even more excess skin?
Next are your implants saline or silicone and are they placed above or below the muscle? What size were you before your implants and what size are you now? Without  seeing you in person it is challenging to imagine your final result.
Being that, I would highly recommend the follow up appointment tomorrow. Confide in your surgeon your concerns and feelings. Listen carefully to his/her evaluation of your current breast size and shape. Ask for a detailed explanation as to what may have caused your unexpected result and how he/she plans to correct things. Also, discuss costs associated with the 'lift" or other procedures that are recommended. We normally don't charge for "redo or touch ups", but every practice is different.
There is nothing wrong with seeking a second or even third opinion. If fact, I highly recommend it.
Please keep me informed as to the outcome of your follow up and any further surgery.

Q&A: Is surgery safe to reduce fat in my upper arms? If so, how much could that cost?

Dear Jenn, Upper arm liposuction, especially using ultrasonic-assisted liposuction is a wonderful procedure as long as your skin is in good condition to allow for a smooth and even contraction over the area after the fat is partially removed. If the skin is in large excess, a brachioplasty is a better procedure to undergo. This difference between the two is immense though in terms of recovery, risk and scarring. I would suggest that you visit with a plastic/cosmetic surgeon in your area to determine which procedure is best for you.

Q&A: I have lost 174 pounds. I have loose skin all over my body, can anyone reconstruct my body.

Dear Virginia, Congratulations on the weight loss. Keep up the good work. Visit with a plastic surgeon for your options in removing the excess skin. There are a number of procedures such as lower body lift, abdominoplasty, brachioplasty (arm lift) that can help. I have worked with a number of former sumatori (sumo wrestlers) who retired and lost many hundreds of pounds. The contour can be greatly improved with the only drawback being a number of long scars at various placed on your body.

Q&A: How do I go about getting rid of stretch marks on my abdomen?

The only way to get rid of stretch marks is to cut out the area of skin that has the stretch marks. On the abdomen that means an abdominoplasty. An abdominoplasty is an operation where excess skin on the lower abdomen is cut away and the underlying muscles tightened. Hope this is helpful to you. Carmen Paradis M.D.

Not that I am aware. It would be more appropriate to ask a dermatologist. Allergists do not usually treat acne.

Q&A: I'm 19 and had a baby at 17, what is involved with a tummy tuck for the stretch marks

Dear Sarah, I trained in Halifax and, unfortunately, Dr. Caines died about two years ago. There are other competent plastic surgeons in the area who can perform an abdominoplasty. What is done is that an incision is made and the skin and soft tissue of the abdomen is raised up to the level of your rib cage. The muscles of your abdomen are then tightened and then the excess skin is removed. A new belly button is made and everything is then closed. Often there is some associated liposuction if needed or desired. The cost varies but is usually somewhere between $4000 and $8000 U.S.

Q&A: Are there any specific concerns with breast augmentation in MtF transexuals?

Dear Holly, There are the same complications as with women. The chest wall tissue tends to be thicker in males and, thus, placement should be above the muscle for a more natural appearance of the new breast.

Q&A: Am I a candidate for IVF?

Dear Molly Artificial insemination works all right, but it does not sound like u r a candidate for it. IVF sounds like the only answer here, but u need to consult with a board certified Reproductive Endocrinologist before u make any further decisions. Good luck

Q&A: Does artificial insemination risk higher susceptibility to disease?

Hi Mona, I don't understand your question. Are you asking if it makes you more susceptible to catching diseases in the future? If so, then it shouldn't. If you're asking if it increases the odds of catching a disease at the time of the insemination, then the answer is yes. Hope this helps! 

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