Ear Surgery (Otoplasty) Questions and Answers

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Question:

Hi. I have a problem with one of my nipples. It is only partly there and looks as if it has just rotted off. I am 16 and don't remember when it got like this I only know it's been like that for about 5 yrs. I went to a doctor a couple of years ago but she said just to wait and see if it grows back which it hasn't and I am positive it won't on it's own. I was wondering if you know of anything I can do for it or if there is any kind of surgery that can correct it. I am in Ottawa, Canada. Please respond. Tks again, Brittany

Answer:

Nipple retraction can certainly abe corrected. I concur with the above anser.

Question:

a child three years old right eye has eye droopy lid. 1-How mach the surgery cost for this eye. 2-which Doctor can do this surgery for droopy eye lid.

Answer 1:

The cost will vary with the proceedure needed to be done (levator advancement or possible frontalis sling) for the drooping eyelid. I suggest that you have this done by a oculaplastic trained ophthalmolo

Answer 2:

I suggest that you speak to an oculoplastic surgeon. Andrew Caster, MD

Question:

I had a breast reduction consultation about 10 years ago. If you have a 36DD breast size, how is the nipple moved up to reduce the breast to 36B? Also, can anything be done about stretch marks on the breast?

Answer 1:

Dear Joan, The nipple and areola (dark area around the nipple) is moved up into a keyhole type of pattern. The lower portion is then closed in order to lift the breast. Tissue is removed from each side but carefully so as to maintain blood supply to the nipple and areola through the skin and also from the chest wall. Many stretch marks on the lower central portion of the breast would be removed with such surgery but stretch marks on the upper breast would remain.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Answer 2:

It is hard to describe a breast reduction via this format. I recommend that you go to www.plasticsurgery.org and click the info on breast reduction.

Question:

I had breast augmentation 2/01. It was planned that I would receive textured implants. After the surgery my Dr. advised me I had too thin of skin for textured. I requested my original breast size of 36D (after babies & weight loss I was a 36B). I am 40 years old. My main concern is that the implants look and feel rippled (all the way around), as though they are too large for the size I requested. It is as though there is too much material for the fluid amount. Is this possible?

Answer 1:

Dear Teresa, Although it is possible it is unlikely. Breast implants are filled within the requirements set forth by the implant companies and sometimes even more so. If your surgery was performed by a competent plastic surgeon with many implants to choose from, it is unlikely that he/she would underfill the implant. I am not certain why you did not receive a textured implant since this is possible to be placed even in very thin individuals and texturing seems to reduce the incidence of capsular contracture down the road. Rippling is an inherent problem with any implant that is filled with saline - as they all are in this country at the present time.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Answer 2:

Dear Teresa, You could have more saline put in, but that would probably give you the same problem. Since you have already had saline implants placed and your skin is thin, you would be eligible for silicon gel implants under a special study which many plastic surgeons participate in. Check with your plastic surgeon about this.

Josh Korman, M.D., F.A.C.S.
Mountain View, CA

Answer 3:

Be fair to your plastic surgeon and ask him/her what they think they can do to help you. I believe that the doctor acted in your best interest to give the best operation for you. Your questions are reasonable. Ask your doctor! We here have not examined you and it is easy to render an opinion as a "monday morning quaterback."

Question:

My lasik surgery took me from -7.00 correction to -.50 in one eye and -1.75 in the other. I am wearing soft lenses to get to full 20/20 vision now (surgery was 9 weeks ago), and am looking forward to "enhancement" surgery at the end of the year. What are the chances I'll be correctable this time to full 20/20 or better? Having worn hard lenses for 30 years, I'm used to seeing "great!"

Answer:

Most rigid contact lens wearers do not see as well after laser vision correction as they saw in there rigid lenses. Some surgeons no keep there patients out of rigid contacts for about 1 month for every ten years of hard contact lens wear before they get the final refraction for laser vision correction surgery. This is because of corneal warpage from the hard contacts. An enhancement is possible so long as your cornea is not to thin and you do not have signs of corneal ectasia.

Question:

I had a breast reduction about 6 years ago and now they are back. Insurance paid for it the first time and I just wondered can you have the surgery again and will insurance pay for it twice?

Answer:

Dear Emily, Each insurance company is different but if you have symptoms from your breasts being too large, again, the surgery should be covered.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

are any plastic surgeons in the raleigh durham area using glue for face lifts

Answer:

Dear Jody, Tisseal or tissue glue has been FDA approved for a few months and has led to fewer hematomas in facelift surgery. I have used it extensively in Canada and Switzerland prior to its FDA approval. Sutures (stitches) are still necessary in performing the procedure. I don't know anyone in your area using it routinely.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

I have very thin legs and have tried everything (weightlifting) to make them bigger. Is there any kind of implants for the legs?

Answer:

Dear Josie, There are implants for the calves but this procedure is fraught with problems and complications. There are no implants available for the upper legs (thighs). I would suggest that you contact Dr. Lloyd Carlsen in Canada as he is the world leader in leg implant surgery. I believe that he is in Montreal.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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