Ear Surgery (Otoplasty) Questions and Answers

Question:

Are some people more susceptible to Myopia than others? And if so why?

Answer:

Dear Emma, Myopia or nearsightedness can occur for many reasons. It can be related to genetics, developmental problems, large eyes, and some studies now indicate that they may be related to focusing on near objects for prolonged periods of time and even nightlights during infancy. Nothing is clear about the reasons people become myopic, but the good news is that we have a cure for more of them with either lenses or surgery. Also, one study in Isreal indicated that people that were myopic had higher I.Q.'s! David Cano, M.D. West Plam Beach C

Marc Kayem, MD
West Hollywood, CA

Question:

I recently had laparascopic surgery because of a small cyst in my ovary. My doctor was planning to remove the ovary. Instead he tells me that I have 4th-stage endometriosis and that it was best to leave the ovary as is. I have already been tested for cancer; all removed tissues are benign, negative and my CA125 is 6. I am 49. My doctor believes that when I reach menopause in a year, or two or three, that this will alleviate the endometriosis and also the ovarian cyst. I currently have no cramping, no pain...much to my doctor's surprise. My periods are irregular, which is not surprising considering my age. I have had heavy bleeding since age 41. I may have a heavy period...extremely heavy...once or twice a year; otherwise only minimal spotting periodically. I would like a second opinion. I want to understand my condition better, especially why I am not in pain with this condition. Does it make sense to just let it go and see if menopause is the cure?

Answer:

Without being there at the surgery it is hard to second guess what was done. I would have probably recommended a hysterectomy with removal of both ovaries at this point if you were having symptoms. Without symptoms. expectant management (waiting) is appropriate/

Question:

I recently read a article on a new system to enlarge your breats without surgery called the Bravo system I live in Maine and was wondering about finding out more about it and if there are any doctors that practice in it.

Answer:

Dear Cristie, This has been an attractive means of breast augmentation for centuries. It has never worked until this time and I doubt that many people will have much success with the system now. I do not know any reputable physicians who are promoting the product but I would suggest that you contact some local plastic surgeons who may know someone in your area who may be promoting the product.

Question:

hi sir! i am concerned about the dense black and kind of hard hairs on my arms and legs,is there any surgery 4 the complete removal of hairs?and how much will it cost, i am 17.6 yrs/m/nc.waiting for reply. khurram

Answer:

Dear Khurram, There is good news for your. Laser hair removal is able to reduce the number of hairs in the areas that you mention rather readily and with very few side-effects. Large areas can be treated and, although most people find that 3 or 4 treatments are necessary, the hair is permanently removed. I would suggest that you visit with a laser specialist in your area to discuss the procedure further.

Question:

How can I remove scarring (rashes) under the breast from having too large breast (size 42 T approx. 50 inches); second question, is there a publication that list top plastic surgeons by speciality. I scar very easily.

Answer:

Dear Kimberley, It sounds as though you would benefit from breast reduction surgery. One of the insurance clauses to have coverage is the improvement in your problem (called intertrigo). You should be able to have at least part of the procedure covered by your insurance. There is no listing of plastic surgeons by the procedures that they perform or want to perform. Those plastic surgeons who are most interested in performing cosmetic rather than reconstructive procedures are usually members of ASAPS (American Society of Aethetic Plastic Surgeons). I would suggest that you simply ask the few surgeons in your area that you visit with how many breast reduction procedures they perform each month. If the answer is more than a few, you have an experienced breast reduction surgeon. I recall from my training that we performed at least 4 to 10 reductions per week during our training.

Question:

I was wondering what part daily stress would play in "obtaining" a panic disorder and is a panic disorder a precursor of post-traumatic stress disorder? If so, I've had 2! very stressful disorders (Vietnam and brain surgery resulting in the EXTREMELY stressful grand mal seizures that were a residual effect! Since my SOUND decision making ever since the surgery has been severely affected, I feel that it's, probably, due to some damage that has occurred to my frontal lobes for the "successful" surgery occurred deep within them and they're responsible for one making sound decisions! I'm very interested in the frontal lobes of the brain and the brain is the MOST delicate and sensitive organ of the body! What I have to deal with is very close to mental incompetence, I feel, and rightly so, and will feel that way until mental incompetence is PROVEN to me to be something else!

Answer:

Dear Mr. Dettrey, June 13, 2001 You certainly sound like you’ve had enough trauma to cause posttraumatic stress disorder, but someone would have to examine you in person to make a diagnosis. Though people with posttraumatic stress disorder often have panic attacks, panic attacks themselves are not a precursor of posttraumatic stress. The brain surgery also could produce a lot of strange effects, including panic. I suggest that you try to find a psychologist in your area who is trained in testing and diagnosing neurological problems. Check with LocateADoc in your area. Also,The National Register of Health Service Providers in Psychology, which you can find in the reference section of your public library, will give you a list of psychologists in your vicinity, and a description of the training of each and their specialties. If you can’t find what you need there, call a local psychologist and ask for a referral. Good luck, Eric Loeb, Ed.D.

Question:

How much (ballpark figure) would a reconfiguration of the tip of my nose cost? Also, who gives free consultations?

Answer:

Dear Lisa, I am sorry to be so vague but there are many possible things to do to the tip of a nose to make it look more attractive. Also, the look that you wish for must be considered and strived for by the surgery. It is impossible for me to tell what you would need to reach this desired end. A simply tip rhinoplasty can cost as little as $2000. With regard to the free consultation, this is often not in your best interest since the more experienced surgeons often charge a $50 to $100 consultation fee. This allows only interested people to seek consultation and for us not to have our offices overun with people who are only interested in information and not surgery. I offer a reimbursement of the consultation fee for any procedure that I perform - which I think is a fair approach to this problem. I would suggest that you also seek out two or three consultations prior to deciding upon your surgeon and the procedure that you desire to have done.

Question:

I'm 25 female,my height is 4.10 and my breast are 32 inches I want to enlarge them upto 36 inches is that possible by cosmatic surgery.I've used heomopathic medicines,but could only increased them upto 2 inches [32].how much will it cost?Will I be normal forever[just like having natural breasts].Will I've normal sex[breast sucking etc? Any side effects?

Answer:

Dear Kiran, The increase in breast size from breast augmentation is in cup size and not circumference (this is measured below the breast in determining bra size). Certainly your breast size will be increased with augmentation surgery, however, your breasts will not be normal. It will not be like having natural breasts. Sensation is usually preserved although this cannot be guaranteed and, also, the ability to breast feed is usually maintained. Your breasts will feel and look different to you as well as to others. The cost is normally $4000 to $6000. There are very few side effects but I strongly suggest that you visit with a qualified plastic surgeon so that not only the good points about breast augmentation but also the bad can be fully discussed with you.

Question:

Iam a 54 year old male considering lasik correction. Currently Iam taking unaretic for hypertension(under control) and lipitor for high LDL count, as well as Enbrel 25mg twice weekly for control of limited Reiters syndrome(psoriatic arthritis). Need I have any concerns taking into account my medical history regarding the lasik surgery? Pleas advise.

Answer:

Dear Mr. Smith, LASIK may not be a problem for your medical conditions in general. Some conditions, such as Reiter's syndrome can have ocular manifestations. These include conjunctivitis, iritis and keratitis. If your ocular symptoms are chronic or recurring then I would avoid LASIK to be safe. David B. Cano, M.D. W. Palm Beach, Boca Raton, Ft. Laud. www.canovis

Marc Kayem, MD
West Hollywood, CA

Question:

I had a breast reduction in January 2001. I went from an overflowing 40DD to a C cup. Prior to surgery I was told that some lipo is generally done given the shape of my breasts and where/how the reduction would be done. The lipo was to be done where the incision would stop beneath my arms and a small amount in the arm pit area itself. My reduction was covered by my insurance company since it was done for health reasons rather than cosmetic so the outcome causes me concern. Although the front of my breasts are noticeably smaller and are round for the most part, there does not appear to have been any lipo and there are rather squarish protrusions where my breasts previously began. Because of this shape, many bras don't fit properly and I am much more self-concious than I was before when they were too large and in the beginning stages of drooping. I am a bit overweight but was told it wasn't enough to warrant any weight loss pre-surgery so i'm concerned that they will be square even if I do lose weight. Is there anything that can be done now and if so, what procedure and what might it cost me? I am leery of returning to the doctor that did the reduction.

Answer 1:

It sounds like you could benefit from some additional liposuction. If you are not comfortable returning to the surgeon who did the first surgery, there are many excellent plastic surgeons all around. Good luck Josh Korman, M.D.

Answer 2:

Dear Cyndi, There are different ways of performing breast reduction surgery and those of us who do a lot of this type of surgery are very aware of the "boxy breast" problem which can result from the procedure being performed without this possible result in mind. It may be that liposuction alone will help the problem or that a revision of the outer portion of the reduction is required. I would suggest that you first revisit with the surgeon who performed the procedure and discuss these options with him/her. It may be that this was considered and that the breast may just need time to drop further to achieve a nice shape.

Question:

Mu husband and I have tried and successfully conceived twice in six months. However, each time it has resulted in an ectopic pregnancy. I have had one live birth nine years ago. And, three years ago I was about 10 weeks pregnant when we discovered the fetus did not have a heartbeat, therefore, a D & C was performed. What are the chances for a normal pregnancy? Should we try implantation at this point? I am 33 and in pretty good health otherwise. I have had a history of dermoid tumors which have resulted in surgery to remove them. However, I still have my ovaries. And, both tubes were repaired and remain functional from the ectopic pregnancies. I look forward to your advice.

Answer:

Hi, It's IMPOSSIBLE to dictate treatment from afar, as it's only possible to do so after an extensive history, physical exam, lab testing, and review of all past records. However, it does sound like IVF is your best bet. If you do choose IVF, make sure you research each potential center's updated/latest success rates. For example, you can view our updated awesome rates at http://www.reproendo.com/pages/ivf_success.htm Good luck! Dr. Roseff, W.E. C.A.R.E.

Bernard Pacella, Jr., M.D.
New York, NY

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