Ear Surgery (Otoplasty) Questions and Answers

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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

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

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.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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,

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.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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

Question:

my vision is -10.25 in my right eye and -10.50 in my left. Is there any chance I would be able to get laser surgery?

Answer:

Dear Laura, You need to be evaluated, but if your corneas have enough thickness and you have no other pathology in your eye, then you may well be a candidate for laser vision correction with your high correction. Your pupil size may play a role in your ability for being treated though. David Cano, M.D. www.canovision.com w. palm be

Question:

I need to find a doctor in the topeka area that performs labial reduction surgery.

Answer:

Dear Virginia, This surgery seems to be becoming more and more common. I performed two just in the past month. Any competent plastic surgeon should be able to perform the procedure for you. It is relatively simple with only local anesthetic being needed and a rather rapid healing time.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

Hi, I am looking for some information on "cyclic esotropia" I was wondering if you may be able to help. My mother is suffering from it. It has caused her problems with vision over the last year. Every 24 hours her left eye crosses causing double vision. I have spoken to a couple of doctors who told me that this is a very rare syndrome and it may be corrected by surgery. However non of them have had any practical experience with it or ever performed surgery for it. I am looking for a specialist around the world who has experience dealing with this condition. Someone with practical knowledge who can offer suggestions on the best way to deal with it. I would appreciate it if you could help me get some information about the best way to cure or correct this condition. Can you direct me to a source of information or person that can help us. Thank you from your help, Hope to hear from you soon, -Erez Ben-Or erezbo@ozemail.com.au

Answer:

Dear Erez, You need to have your mother see a pediatric ophthalmologist. I know that this sounds strange, but pediatric ophthalmologists also specialize in strabismus, or as you say in oz, squint, which is the type of problem your mother has. Recognizing from your e-mail address that you are Down Under, I recommend that your mother see Dr. Lionel Kowal in Melbourne, Australia, at the Royal Victorian Eye and Ear Hospital. Good Luck, David B. Cano, M.D. www.canovision.com

Question:

I am a 41 year old female that has worn corrective lenses (both glasses and contacts, but primarily contacts) for nearsightedness since the 10th grade. I have been evaluated for LASIK and have been told that I am a good candidate (vision is -3.5 in my right eye and -4.5 in my left). I have been told that monovision is a good idea to keep from having to wear reading glasses after the surgery. However, I have no idea which eye should be corrected for monovision and which one should be corrected first. I am left-eye dominant and would prefer to only get one eye done at a time.

Answer:

Dear Kim, Traditionally surgeons have picked the dominant eye to be corrected for distance. However, recent publications in our field have shown that there appears to be no patient preference for correcting either your dominant or non-dominant eye for distance. I suggest that you try monovision first with your contact lenses to see if you tolerate it. Wear your full correction in your dominant eye and your reading correction in your non-dominant eye. If you don't tolerate this, than you can try the opposite. If you still don't tolerate this, than monovision is not for you. Hope this helps. David B. Cano, M.D. www.canovision.com

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