Ear Surgery (Otoplasty) Questions and Answers

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Question:

I have a devieted septom that gave me a problem with my sinus( inflomation). Surgery wos not a success, seems to me that doctors do not know how to get read of inflomation that now gives me problems with my ears and eyes. Please, please help, help, help!!!! Thank you!!! God bless you!!! Nelly

Answer:

You need to talk with an ENT MD.

Question:

I thought I would add that my son also went to an ENT as well. He has had this pain for a couple of years. The oral surgeon said he does not believe in surgery for tmj and there are no follow up appointments. The doctor also doesn't believe in mouth guards at night. The ENT couldn't find anything wrong with his ears and dentists couldn't find anything wrong with his bite, except wear on his molars from grinding his teeth. My son is desperate for any advice!!

Answer:

Find a dentist who will evaluate your son for bruxism. Although I agree TMJ surgery is a last resort, and not an indication in your son's case from the information you provided, it does have its benefits, as does splint therapy.

Question:

I am a 20 year old girl with a big problem--make that 2 big problms. I am 5'1", 110 pounds--and my breast size is 32 DD. I've been a DD since I was 16 years old. Having large breasts effects every aspect of my life, I dread going up and down stairs, running, etc. I am a college sophomore who is claimed as a dependent by my parents. My mother is highly opposed to a breast reduction--and I've wanted one since I was 14 years old. I have constant back pain, neck pain, shoulder pain, etc. I know that I might not be able to breast feed and I know that there will be scars. But I also know that getting a breast reduction is something that I WILL do eventually. I just need some advice. Should I go ahead and do this now or should I wait? And if I do decide to wait, are there any options to help with the symptoms of having large breasts?? Thank you!

Answer:

Dear Carrie, You are in college and should be able to make decisions for yourself. I do not wish to make a rift between you and your mother, but it certainly sounds as though you would benefit from breast reduction surgery. I suggest that you visit with two or more plastic surgeons and then make your decision. In your case, insurance may be able to help with the cost. I would not suggest any interim measures before having the proper procedure performed.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

i had a hsg done what is next. I had to have surgery

Answer:

Dear Sitonia You need to discuss your future management with your doctor. It all depends what the HSG showed.

Question:

I am considering plastic surgery but my mom brought up the point that I am very allergic. She said that she thought some people who had bad allergies have died while in anesthetize, she said they would just not wake up. I was just wondering if I could get any information on this. Thanks so much!

Answer:

Dear Lauren, There is a huge range of medications which can be used to safely provide you with anesthetic care. I would suggest that you find out exactly what medications you are allergic to and, for safety sake, have a board-certified anesthesiologist perform your anesthesia care during the procedure. It will be up to them and your plastic surgeon if it needs to be done in a hospital for even more safety.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

What is your opinion of the facial procedure, exoderm? Can this procedure be used on the chest and breast area to tighten those areas? Please provide me with names of doctors who specialize in this procedure. Thank you

Answer:

Dear Joyce, I do not know what you are referring to. It may be the tightening and rejuvenation from a whole host of new lasers which do not resurface but stimulate new collagen formation. I would suggest that you seek a laser specialist in your area, preferably one who is either board-certified in laser surgery or who is at least a member of the American Society of Laser Surgery and Medicine. Call around to varios dermatologists and plastic surgeons in order to find one who can guide you.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

I am a 41 year old female. I just recently had 2 impacted lower teeth removed 1 week ago. I have been in pain since that day. on a pain scale of 1-10 , 10 has been everyday since surgery. Returned to the surgeon to find I have 2 dry sockets. I have been seeing them daily to have sites packed. The one side has responded. The other has responded a little but there is 1 area that is terribly sore when they touch. it is still #10 scale. I would think by now the pain factor should ease. There is a constant tingling and pulsing. I am trying to stay away from the heavy duty meds(narcatics) I have been using 200 -400 mg. of motrin to help releave. It lessens the pain but doesnot take it away. How long should I have Pain? Or should we be looking for something else. There is no sign of infection. Signed - need some relief.

Answer 1:

Adult dry sockets are often more difficult to treat when they occur. Keep your appointments with the doctor and keep changing the dressings as needed.

Answer 2:

It unfortunately is a waiting game but it will get better. This can sometimes last for a few days to a week or so. Continue with your follow-up visits.

Question:

My questions regards bad achne scars. I have had bad achne problems through out my teenage years and now it has somewhat scared my back with dark pigments that's obvious when i take off my shirts. Its very embarassing around friends and I would like to know if there are any treatment of resolving it. Lazer treatment ?? Its an embarrassing fact and i can't seem to find someone to ask these personal problems. Where should i start looking and who can help me? Thank you much for your time...

Answer:

There are a few potential treatments: microdermabrasion, mild chemical peels, and laser treatments. I would start by seeing a dermatologist who is affiliated with the American Society of Dermatological Surgery by going to www.asds-net.org and seeing if you can locate someone in your area by clicking on where it says "find a dermatologic surgeon". These are dermatologists who are more oriented towards cosmetic problems and hopefully can find a solution for you. Good Luck!

Question:

I am interested in laser surgery as I have both myopia and astigmatism, and am unhappy with the amount of correction I get with glasses. However I have read that poor night vision and sensitivity to glare are side effects of laser surgery. I already am quite sensitive to bright lights and have always had poor night vision. Would laser surgery make this situation even worse?

Answer:

Bear in mind that LASIK cannot be expected to give you better acuity than can be achieved with glasses or contact lenses. Realistic expectations are essential to a happy outcome. Having an evaluation with a LASIK surgeon could give you a more definitive answer.

Question:

Hello, i wonder if you can help me i had a full tummy tuck operation 3- yrs ago, i did not think i would want any more babies. I have just found out i am pregnant with twins, my abdomial muscles had seperated last pregnancy and were sown up, i am worried i may not be able to stretch enough for the babies. Any advice would be greatly appreciated, Regards Rose.

Answer:

Dear Rose, Congratulations on the pregnancy. Your muscles will stretch and no harm will come to the babies but a lot of what was done at the original surgery may be undone. You may require another procedure in order to re-correct the problem.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

Following a free tram flap reconstruction surgery and subsequent hysterectomy, I developed abdominal laxity which was unsuccessfully repaired without mesh. Would a second repair procedure using mesh fix the protrusion ? What are the pros and cons?

Answer:

Dear Jules, Yes, you should be able to have the abdominal hernia repaired with mesh. There are very few risks other than possible extrusion or infection of the mesh if the covering provided by your abdominal wall tissues is insufficient. Any reconstructive plastic surgeon well versed in abdominal wall procedures would be able to guide you as to what your particular risks and benefits would be.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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