Ear Surgery (Otoplasty) Questions and Answers

Question:

I am 28 years old and was a 34 B with sagging breast after having 2 kids. I had two breast surgeries to insert implant in the past 8 months. The second one was to insert a smaller implants since they were too big (I had it done 4 months after the first one). And even now they still look big (34 D) since I have a short torso and skinny legs. I want to remove them and just have a lift (that was actually my original plan but my doctor talked me into having implants) but I am not sure if it would work and if I should be concern with having to go three surgeries on my breast in one year? and how much scaring should I expect? Any info will help. Thank you.

Answer:

Dear Illy, The scarring from a breast lift procedure is more significant than that from implant surgery. If the lift is significant, the scars are shaped like an anchor around the areola, down the front of the breast and along the fold under the breast. If a lesser lift is required, the scarring can be abbreviated. You should not be concerned with the operations within the past year as the implant surgery has little to do with the lift procedure and actually helps get more blood to the tissue that is moved.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

Years ago I had a breast reduction. Since then I have lost a lot of weight. Now my breasts are very small-YEAH!! but droopy. What is a breast lift, how is it done, and does is look natural?

Answer:

The breast lift surgery is very similar to breast reduction surgery in that the final scarring for both operations is identical. The result is quite natural as well. However, sometimes the lift can be accomplished using a breast implant.

David Ross, MD
Chicago, IL

Question:

I am still in high school(a freshman,14) and i was wondering the following: in and around how much a nose job would cost, the youngest i can be to receive it, and how long I will have to wear a splint or an object over my nose after the surgery. If you would please write back I would really appreicate it. Thanks in advance.

Answer:

Age 14 would be old enough to have nasal cosmetic surgery were you a female. The age of 15 would be more appropriate for a male. Costs vary but range from 5 to 8 thousand dollars. The splint is usually worn for about 1 week.

David Ross, MD
Chicago, IL

Question:

I had rk surgery done on my eyes several years ago that has left me with reduced clarirty in my vision. Glasses do not improve my vision due to this rk result. Is this something laser correction could fix? I also have trouble with night driving due to glare from lights and the clarity issue. thank you

Answer:

An advance that should be available in the next two or three years, called Custom Cornea, should help your situation. Andrew Caster, MD Beverly Hills, California

Question:

what are my chances of rehabiliting my back from a grade 3 spndylolethsis withouy surgery?

Answer:

Dear Jen, Many people suffer from spondylolisthesis. They range from grade 1-4 with 4 being the worst. i have seen very symptomatic grade 1 and asymptomatic grade 3. Many times the spondylo does not play a factor but is an incidental finding. Now this may not be true in your case but i would need more information in regards to your history. My opinion is you should consult with your physician and see if there are alternatives. As a chiropractor i have treated many spondylo's and have had great success. Good luck, Dr. Sambursky

Question:

I am going to be getting a surgery on my jaw within the next 2 years. This surgery is to correct my over-bite, as my braces cannot. I was wondering what are the most common, and the possible but not so likely side-effects of an invasive surgery like this. The plan is to crack my jaw, and then screw a titanium screw into the jaw to create the new jaw-joint. Thank you for reading my question.

Answer:

Oli, Risks and benefits are so individualized, that it would be better that you direct your questions to the surgeon who will be doing your treatment. It would be unfair of me to attempt to answer your questions without the benefit of your xrays, models, prediction tracings and consultation with your orthodontist. Good Luck

Question:

I'm 29 and trying to get pregnant. I had cervical dysplasia over ten years ago and required laser surgery and freezing to correct it. Doctors always comment on the scarring on my cervix as a result of this. I've been married for 2 1/2 yrs. and would like very much to start a family. Will this scarring cause problems for me getting pregnant?? My sister-in-law had the same surgery and it took her 4 1/2 yrs to conceive!! Thanks!

Answer:

The cervix produces mucous, and the mucous is important for being able to conceive (with intercourse). Rarely, the mucous producing glands are destroyed when the cervix is lasered or frozen, and this can decrease the odds of pregnancy if this happens. A simple test, called a postcoital test, can be done at the time of ovulation to see if your mucous is normal with intercourse. Ask your doctor about this test (some people call it a Huhner test). If the postcoital test is normal, then your cervix history is not an issue for fertility.... Good luck! Dr. Roseff, Director W.E. C.A.R.E. Visit us on the web at: http://www.reproendo.com =================================================== Since I don't know your entire history and haven't examined you, any medical information given to you may be incomplete or inaccurate. Therefore, Dr. Roseff and the W.E. C.A.R.E. staff can not be responsible for any actions taken or not due to the information contained within these communications. These communications are for educational and informational purposes only, and should never be used to replace the information and care rendered by your own doctor. ===================================================

Question:

I have booked a lasik surgery date of 1-25-01, but am concerned about a question posed to me by the Dr. - do I have a problem with keloiding after surgery? I have had some problem in the abdominal area, but not in other surgical areas. I've given him that information and he doesn't seem concerned, but if it's an issue, why did he ask in the first place. I don't want to be blind because I don't like wearing glasses. Any further info?

Answer:

Keloiding is a problem for patients who are having PRK, but does not seem to be a problem for people having LASIK. Andrew Caster, MD

Question:

I am inquiring about a procedure that entails transfering fat from one part of the body (stomach) to another (breasts). I would like to know if such a surgery is possible, the name of the procedure, estimated cost, risks involved, and any other information you are willing to give. My goal in researching this type of procedure is to have more natural looking and feeling breasts. I have had two breast augmentation surgeries to achieve the size I want. I have gone from a small A-cup to a large D-cup with saline implants. I am very pleased with the results, compared to my appearence prior to the surgeries. However, it is obvious that I have implants when my breasts are touched and they are also very round. My plastic surgeon explained to me that this would be the result, I'm just wondering if there is anything that can be done to make my breasts look and feel more natural. I also would like to reduce the size of my breasts from my current D-cup (with implants) to a C-cup. Please let me know what you can about the procedure I mentioned and anything at all that may help accomplish my goal. Thank you very much.

Answer:

Unfortunately, fat grafting to the breast for enlargement purposes fails to work and can cause problems. Breast implants remain the best operation for breast augmentation even though this to can have imperfections. Perhaps, you are a candidate for silicone gel implants that are available to those women deemed saline implant unsuitable. Ask your physcian about this option

David Ross, MD
Chicago, IL

Question:

I had Lasik surgery one month ago. I now have 20/50 in one eye and 20/80 in the other. It will be 3 months before I can have an enhancement. Can I wear contact lens until then? Thank you for your advice.

Answer:

I would not recommend it.

Question:

Sorry to keep bothering you but I really need to know the answer to these questions. If I were to pick a surgeon from Mexico you said he should be part of ASAPS or ASPRS, is it possible to be part of both? and what about "El Consejo Mexicano de Cirugia Plastica,Estetica y Reconstructiva"?, should he have that too or is it not important? I don't know anyone or any place(not on web) that knows what a Mexican Surgeon's qualifications should be except you. My cousin had work on his nasal tip and surgeon didn't use oblique views but did use head tilted back so was he correct? or wrong? Any advice from this matter would help.

Answer:

The photos are really inconsequential. Many different surgeons use different views and different views for different patients. It does not reflect on the surgery being performed. I have never heard of that Mexican group. Yes it is very possible to belong to both ASPRS and ASAPS but the latter is more important for your purposes.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

I recently had eye surgery done, double eyelids, last friday. The next morning I had a blood vessel that popped in my eye. The surgeon told me that while who was putting in anesthesia in my eye that I had strained my eye too much causing the blood vessel to pop. So I was wondering when this would go away and are there any ways for it to heal a little faster, more water? more sleep? vitamin C? Thank you. Please email me.

Answer:

Dear Judy, This is not an unusual occurrence. We, of course, hope that it rarely happens but a blood vessel in the front of the eye can break at the time of surgery leading to the redness that you see. There is no way to hurry the resorption of that blood and it will take about 7 to 10 days to disappear.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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