Ear Surgery (Otoplasty) Questions and Answers

Question:

I have been having headaches which have been diagnosed as tension/migraine combos. They have been getting progressively worse. They are here almost 24/7. If I awake w/o one, one comes on within an hour. My last migraine was an 11 day one, which just ended. I have seen a specialist who has almost given up on me & a neuro, who only advised I see a pain management doc. My MRI shows I have degenerative disc disease, but only mildly...normal for a person my age, I was told (I"m 45). My headaches get strong in my neck & wind up turning into migraines as they progress. I turn to the possibility of TMJ because most other options have been excluded. One main reason I am considering this is that I had brain surgery 8 1/2 years ago, removing my right temporal lobe & successfully ending 36 years of seizures due to epilepsy. BUT to get to my RTL, part of my upper jaw had to be removed & replaced. Chewing gum has given me headaches ever since then. I eat 2 apples every morning for breakfast & that seems to bring on the initial pain. If I can't get it under control, it spreads down my neck and up my head, turning into the tension/migraines. The tension in my neck seems to aggrivate the degenerating discs & making neck pain worse. Most of the time, no OTC meds will get my pain under control in time. I've lived on OTC meds for so long that my system is immune to them. I had a CT scan to check for tumors & the radiologist wanted to know what on earth happened to my head. I had told him about brain surgery, but failed to mention my upper jaw removal at the time. When I told him of it, he just kinda nodded & didn't mention TMJ possibilities. I was about to see an allergist & get checked for food allergies when I thought about the possibility of TMJ. Do I need to see a dentist to be checked for it? Can my regular dentist advise me yea or nay about seeing an oral surgeon? I'm searching for answers & am tired of 24/7 headaches for the past 3 years. I failed to mention that there is a very sensitive spot right above my right ear, which is extra sensitive during headaches. I have always attributed it to the jaw removal. I have not had jaw locking problems. If you can help me, PLEASE do. Thank you very much. Sorry if this is too long. Jacque

Answer:

If chewing is painful you could have a TMJ problem. I would think it was in your best interest to see a dentist.

Question:

I had Lap RNY gastric bypass surgery 6/24/01. I am loosing weight at a steady gradual pace. I already have redundant skin from past dieting. I have hanging skin on my breasts,abdomen,upper arms and upper legs. When I attain my weight loss goal, I wish to speak with and meet a board certified plastic surgeon who will evaluate me and remove the redundant skin on my ever shrinking body. I am a registered nurse and I fully understand the risks involved. I desire a surgeon who will work with me to achieve a "normal" physical appearance. Thank you, Susan M. Stitt RN

Answer 1:

Dear Susan, It is important that you see a plastic surgeon who has quite a bit of experience with body lifts, as it is not the same as a tummy tuck, for example. Please let me know if you need further assistance Josh Korman, M.D. wwwkormanmd.com

Answer 2:

I appreciate your concern. Any sort of body lifting procedure that you are considering should not be attempted until you have reached a "steady state". It may take you up to 6 months to a year for that to occur.

Question:

Where can I find the cheapest botox injection?Thankyou.

Answer:

Dear Jen, Perhaps you should ask where can I find the best and safest Botox injection. It was reported in the last two issues of Plastic and Reconstructive Surgery the Botox injections caused prolonged paralysis of the entire side of one woman's face and the drooping of the lower and upper lid of another woman. This paralysis could last 4 to 6 months. I would think that the difference between $250 and $300 would matter little in this light. You should call around to the different offices of dermatologists and plastic surgeons in your area to find the best prices. Be sure to ask about complications as well.

Question:

i am a preop transgendered female....i am looking for a breast reduction before i go and get top surgery...can you please provide me with some info on what doctors dealing with this sort of situation. Are doctors less likely to perform this sort of surgery under these circumstances?thanks for yer time snd i hope to hear from someone soon...

Answer 1:

Dear Corey, There are few surgeons that perform transgender surgery, but there are many that perform the associated surgeries such as breast reduction/mastectomy. Most plastic surgeons can do this operations. Also, I think you might consider a general plan for your surgeries and that can be done through a center that performs transgender surgery. If you need more information,let me know Dr. Korman

Answer 2:

I agree with Dr. Korman, I would suggest that a coordinated approach is best and this should be done in a center specialized in this surgery.

Question:

im looking for tatto removal would anybody refer me to a doctor in ny tks

Answer:

Dear Tatiana, Look in your local telephone book under cosmetic or laser surgeons and/or under tattoo removal. You are looking for a physician with a Q-switched laser who performs tattoo removal. I would be best if he/she were board-certified in laser surgery but few surgeons as yet are.

Question:

I have fat lips, and I'm wondering if there's any procedure or cosmetic surgery that could make my lips thiner. Thank's

Answer:

Dear Anton, This is the second lip reduction question of the day. Lips are readily reduced by procedures performed within the mouth so that there is no outward scarring. When properly performed the overall lip shape is maintained but the size reduced.

Question:

I had breast implants in 1989 and am now having extreme severe pain in my right breast, pain, limited and restricted use of my right arm and slight pain in my left breast,as well as numbness in both arms?? I have no insurance as I am current unemployed and single. I need financial assistance from a physican pending the class action settlement, is there any reputable doctor that will help me???

Answer:

Dear Judy, Don't count on much help in the future from the class action suit. Most people with implants will end up receiving very little. Insurance will not cover the costs of any complications from cosmetic procedures such as this. The pain is likely due to capsular contracture. I would suggest that a relatively inexpensive and, likely, curative procedure would be the removal of the implants and capsule removal. I know of no surgeons who will perform this surgery free of charge. You could perhaps approach the surgeon who placed them for you to see if he could help you in some way with your problems.

Question:

Dear Dr. Cano, thank you for responding to my question. I did go to a eye Dr. and the thickness of my cornea's was measured at 560. The Dr. said my eyes are healthy and have no keratitis (?)What is that? Also, with my high prescription, would this be higher risk for me to have done than someone with a lower prescription. thank you Laura Smyser lsmyser@lnc.com

Answer:

Dear Laura, Your corneas appear to be thick enough. You may have misunderstood your doctor. He probably said that you have no signs of keratoconus, a condition where your cornea is structurally weaker and therefore bent out of shape. Keratitis is inflammation of the cornea, which is usually time limited. Sometimes keratitis can be secondary to dry eye, which can be a factor in deciding if you should proceed with Lasik. Ask your doctor if you have signs of dry eye. As far as your high prescription, you are at a higher risk of needing an enhancement, or second surgery. If an enhancement is necessary, it is usually performed no sooner than 3-6 months after the initial lasik surgery. During this interim time period, you may or may not need glasses or contact lenses for seeing well depending on how much you underresponded to your initial surgery. An enhancement may not always be possible depending on your remaining corneal thickness. Good luck with your decision. David B. Cano,

Marc Kayem, MD
West Hollywood, CA

Question:

I'm looking for a doctor who performs tattoo removals and find out how much it will cost.

Answer:

Dear Yvett, You need to look for someone with special interest and the proper lasers. You will require a Q-switched ruby or YAG laser for black and blue tattoos, a Q-switched KTP laser for red tattoos and/or a Q-switched Alexandrite laser for purple and orange colors. I would suggest that you contact the American Society for Laser Medicine and Surgery and find a practitioner in your area with the right laser for you. You will be quoted costs at that time but know that it will take an unpredictable number of treatments. Most tattoos are gone in from 4 to 10 treatments with modern laser equipment. I charge $50 per square inch of tattoo ink per treatment for removal.

Question:

I have scaring from appendectomy 15 yrs ago. I am 25, just married. 5/18/00 laparoscopy found extnesive pelvic adhesion that appeared to involveomentum as well as bouel. After extensive lysis of adhesion, uterus was sighted normal in size and shape. Still adhesions involving both adnexa. Left tube obtained. right ovary unremarkable, with a hydrosalpinx. No normal fimbria could be identified. further lysis of adhesion could not be performed without endangering bowel. I have normal periods, but terrible cramps. In your opinion, can I concieve?

Answer:

Dear rebecca It does not sound very promising, but IVF should be able to help. You may needa surgery to remove the hydrosalpinx first before doing IVF (and if it cannot be removed to cut the connection between the tube and uterus). Good luck Fady I. Sharara, M.D VA Center for Reprod Medicine

Scott Urban, MD, DMD, PC
West Jordan, UT

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