Ear Surgery (Otoplasty) Questions and Answers

Question:

Are the methods for breast enlargement other than surgery(i.e., creams, other methods) worthy of my time? Meaning--do they work? If so, what do you recommend?

Answer:

Dear Jennifer, They do not work. I have had literally hundreds of patients who have tried all of these and none have found any effect other than to lighten the billfold. Sorry that the answer is not that easy.

Question:

My brother had a tripod fracture or broken zygomatic Arch (cheekbone). We went through the first surgery of trying to "pop" the bone back in place. this was unsucessful. Is there a way to put in an implant to correct the apprearance of the cheekbone? What type of material would be used and what would be a ballpark figure on the surgery?

Answer:

Dear Melisa, The popping out procedure, when it doesn't work, is usually followed by actually re-breaking the bone (if necessary) and repositioning it forward using tiny plates and screws. A good craniofacial surgery should be able to help you in this regard. An implant is rarely necessary.

Question:

Iam a 54 year old male. Currently I wear acuvue 2 soft lens BC8.3, DIA14.0, -7.00. Iam considering lasik surgery and have recieved a few recomendations. One says the surgery could be done with the Visx star 2 laser, while another recommends the new Bosch & Lomb laser. Iam confused and question which laser will give me the best results taking into consideration my current eye sight. Please advise.

Answer:

We have researched this. Our findings are based on clinical outcomes. We chose the VISX S3.

Paul Zwiebel, MD
Littleton, CO

Question:

During childbirth 2 years ago I had a 4 degree tear which was improperly stitched. I now have a fistula between my vagina and rectum, which causes stool to come out of my vagina. I have had a reconstructive surgery in my vagina (which didn't work), the second surgery was to stitch the fistula (which also didn't work). I need to know if there is anything out there that will fix this, that maybe the doctors in this area might not be familiar with.

Answer:

In California, I would contact Dr. Gordon Gunn or Dr. Charles Ballard. Both are pelvic surgery specialists and will be able to give you your best shot at cure. Dr. Gunn is in private practice in Fulleron (714) 447-4800; Dr. Ballard in on the faculty at USC School of Medicine and can be reached at (323)226-3416. Good luck.

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.

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.

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.

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

Robert Joseph, MD
Danville, KY

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

Paul Chasan, M.D., F.A.C.S.
La Jolla, CA

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. ===================================================

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

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

Robert Joseph, MD
Danville, KY

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