Ear Surgery (Otoplasty) Questions and Answers

Question:

I am inquiring about a procedure that entails transfering fat from one part of the body (stomach) to another (breasts). I would like to know if such a surgery is possible, the name of the procedure, estimated cost, risks involved, and any other information you are willing to give. My goal in researching this type of procedure is to have more natural looking and feeling breasts. I have had two breast augmentation surgeries to achieve the size I want. I have gone from a small A-cup to a large D-cup with saline implants. I am very pleased with the results, compared to my appearence prior to the surgeries. However, it is obvious that I have implants when my breasts are touched and they are also very round. My plastic surgeon explained to me that this would be the result, I'm just wondering if there is anything that can be done to make my breasts look and feel more natural. I also would like to reduce the size of my breasts from my current D-cup (with implants) to a C-cup. Please let me know what you can about the procedure I mentioned and anything at all that may help accomplish my goal. Thank you very much.

Answer:

Unfortunately, fat grafting to the breast for enlargement purposes fails to work and can cause problems. Breast implants remain the best operation for breast augmentation even though this to can have imperfections. Perhaps, you are a candidate for silicone gel implants that are available to those women deemed saline implant unsuitable. Ask your physcian about this option

Question:

I had Lasik surgery one month ago. I now have 20/50 in one eye and 20/80 in the other. It will be 3 months before I can have an enhancement. Can I wear contact lens until then? Thank you for your advice.

Answer:

I would not recommend it.

Paul Zwiebel, MD
Littleton, CO

Question:

Sorry to keep bothering you but I really need to know the answer to these questions. If I were to pick a surgeon from Mexico you said he should be part of ASAPS or ASPRS, is it possible to be part of both? and what about "El Consejo Mexicano de Cirugia Plastica,Estetica y Reconstructiva"?, should he have that too or is it not important? I don't know anyone or any place(not on web) that knows what a Mexican Surgeon's qualifications should be except you. My cousin had work on his nasal tip and surgeon didn't use oblique views but did use head tilted back so was he correct? or wrong? Any advice from this matter would help.

Answer:

The photos are really inconsequential. Many different surgeons use different views and different views for different patients. It does not reflect on the surgery being performed. I have never heard of that Mexican group. Yes it is very possible to belong to both ASPRS and ASAPS but the latter is more important for your purposes.

Question:

I recently had eye surgery done, double eyelids, last friday. The next morning I had a blood vessel that popped in my eye. The surgeon told me that while who was putting in anesthesia in my eye that I had strained my eye too much causing the blood vessel to pop. So I was wondering when this would go away and are there any ways for it to heal a little faster, more water? more sleep? vitamin C? Thank you. Please email me.

Answer:

Dear Judy, This is not an unusual occurrence. We, of course, hope that it rarely happens but a blood vessel in the front of the eye can break at the time of surgery leading to the redness that you see. There is no way to hurry the resorption of that blood and it will take about 7 to 10 days to disappear.

Question:

Thanks for answering my first question I appreciate it. I did not know that x-rays were not used (except for broken bone)for the surgery. My cousin just had a rhinoplasty (right now has his cast on) and saw a personal website from a board certified plastic surgeon giving the positions of shots taken for a rhinoplasty.It had: 1.Full frontal with the head directly at the camera. 2.Left and Right direct Lateral(side views with the ear pointing straight towards the camera). 3.Left and Right oblique views(side views with the tip of the nose lined up with the edge of the cheek). 4.Chin up view(from front view with chin tilted up until the tip of nose lines up between the eyebrows). When my cousin compared this to the photographed shots taken by his surgeon he became worried. His surgeon took 3 of the shots the same but did not take left and right oblique views. Did the plastic surgeon mess up? My cousin had his nose broken by the plastic surgeon to straighten it and had his tip raised just a little bit because it was droopy. The surgeon awkwardly asked for x-rays when nothing was broken.My cousins plastic surgeon is from Mexico. He is from "EL Consejo Mexicano de Cirugia Plastica, Estetica y Reconstructiva",I think is the main board for plastic surgeons in Mexico which I think might be like the American Board of Plastic Surgery in the U.S. The answer to this question is important to me because I am also thinking about getting a rhinoplasty and will learn from his experience whether good or bad. Sorry that the question is so long.Thanks

Answer:

The shots taken before surgery should be appropriate for the procedure. If there is no work being done on the nasal tip, oblique views or the head tilted back view may be omitted. The photographs bear little reflection on the surgery. There are many excellent surgeons trained in Mexico. The surgeon should be a member of the ASPRS (American Society of Plastic and Reconstructive Surgeons) or a member of ASAPS (the American Society of Aesthetic Plastic Surgeons) even if trained elsewhere. Hope this helps.

Question:

This is concerning my mother that lives in PA, I live in Nashville. My question and worry is, she had a back operation in Sept. to fuse some vertabra's ( sorry about the spelling), she came out of the operation with flying colors and felt better than ever for a long time. Two weeks after the operation she got very ill, an infection of some sort set in. She was deathly sick. The doctors did another operation to clean the area of the first operation. Since this second operation she has gone down hill and can't recover. She has lost her motor skills, can't walk without an aid and a walker, her memory has gone, she shakes uncontrolably. No one has identified the infection or at least that is what they are saying. They have her on a durogesic patch (75mg) I am looking for answers to why and how could she go from the first operation and being healthy to losing all control and her mind from the second. Is it the patch? Is it damage of the spinal cord or something in that area? Please help with any advice you can offer. Thanks, Gary

Answer:

Dear Gary, Sorry to hear this. It is possible if she is losing her motor skills that the surgery could have caused some damage. I would suggest an MRI of the area. the patch i am unsure but many mental problems may occur from medications. Memory loss may be one of them. Ask your pharmacist. He will definitely know. I would take your mom quickly to another neurosurgeon not an orthopedist. Once again sorry. Unfortunately i do not have the privelege to see her chart. Dr. Sambursky

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

Question:

I would like to know if there is corrective surgery for slack vaginal muscles after childbirth (8 years ago) I have tried everything else and am too embarrassed to ask my doctor any more questions. My husband has very little sexual pleasure because of this problem. I really need help with this frustrating problem please help.

Answer:

Yes, there are tightening procedures which can be performed. Usually, in your case, there is a combination of muscle laxity and vaginal wall loss of turgor. The muscle laxity is usually repaired with sutures which actually tighten the supporting structures and the vaginal wall is resurfaced with a CO2 laser which not only gives a new surface but also tightens the inner mucosal lining. I would suggest that you look on the internet for futher information on the subject. There are few of us who perform this type of sexual enhancement surgery.

Question:

Hi! I am 22 years old ,have a -4 vision on both eyes and wish to perform a lasik eye surgery.What are the chances that problems may occur after the surgery? will i have a permanent 6/6 vision?

Answer:

Major problems are rare. Minor ones occur but are usually managed without longterm problems. Some problems can be permanent.

Paul Zwiebel, MD
Littleton, CO

Question:

I have used contact for 30 years, before that I was wearing glasses starte at 9 year old. Now I wear contact -9.50 and glasses with 2 points higher and can see. I want to have this surgery so I can only wear contacts.. I don't think I could be corrected enough to not wear them. But don't know where to begin. So guess that is my question.

Answer:

Dear Georgina, You are within the range that can usually be corrected with Laser Vision Correction. You should find the doctor in your area with the best reputation --not the lowest price -- for a consultation. Andrew Caster, MD

Robert Joseph, MD
Danville, KY

Question:

I have had breast augment 3 times,my most recent in Oct 2000. The last time was for capsular contracture. My question is..why can I not have breasts that are soft and move normally? They are always tight(even now). My docs say it's because of developed chest muscules. I also have a wide chest bone and am told that's why i don't have a lot of clevage. I was a B cup prior to my 1st surgery, not flat. Do I have any hope of haveing the chest I want??? FYI, I have seen several plastic surgens in the Dallas area prior my 3rd surgery.

Answer:

Dear Angela, The reason you cannot have the breasts that you want, truthfully, is because of the currently available implants. These saline filled bags do not act like normal breast tissue. Because of this, it sounds as though your surgeons placed the implants beneath the chest muscle. This does not allow them to be placed centrally due to the width of the breast bone and chest muscles. They could be placed above the muscles but, when this is done, ripples are often seen over the implants. Better implants are on the way but they will all be prone to capsular contracture as you have experienced. There is no good solution at present.

Question:

I am near-sighted, and I was wondering if laser eye surgury is for me.

Answer:

Laser eye surgery treats nearsightedness. To determine if it may be for you, you need to see a specialist for a consultation. Andrew Caster, MD

Robert Joseph, MD
Danville, KY

Question:

When me and my husband make love my secretion has an odor to it. It never was like that before i had my hysterectomy.I am a 32 years old woman. It has been 1 year since my surgery. Should this be checked by a doctor. I do not have a odor other than when i have intercourse.

Answer:

It sounds like you have a bacterial infection in your vagina. You should see your doctor.

Next Step

• Learn about Ear Surgery (Otoplasty) in the Articles Section
• Ready for a consultation? See qualified Facial Plastic Surgery doctors in your area

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