Ear Surgery (Otoplasty) Questions and Answers

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.

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.

Scott Urban, MD, DMD, PC
West Jordan, UT

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.

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.

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:

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.

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.

Question:

My 14-year old daughter needs scar revision for a scar that runs from temple to temple just behind the hair line. The scar is a remnant of surgery at 4 months of age to correct craniosyntosis(fusing of the plates of the skull on the right temporal side). She had corrective surgery at age 11 to try to revise the scar and fill in a concave area on the right temple with porex. The scar is instead wider and the porex implant may need to be trimmed back to give a more symmetrical appearance. I am looking for a surgeon or surgical group that has extensive experience with this type of problem. Thank you for any information or referral you can provide. This is covered by our insurance which has a nationwide network so we are willing to travel wherever it takes to get the proper attention to this problem.

Answer:

Dear James, The scar revision and skull contouring should be able to be corrected by any plastic surgeon with additional training in craniofacial procedures. I would suggest that you contact Dr. Henry Kawamoto in Santa Monica, CA (310) 829-0391 who may be able to refer you to someone competent closer to your home.

Question:

One year ago, I had surgery to repair my pectus excavatum. It was extremly asymmetrical and it gave me difficulty with breathing, etc. Currently, I am still experiencing trouble with breathing. The doctor only repaired the very middle of my chest. Therefore, the lower and upper ribs of my right side stick out a lot. I went back to him with this concern and he told me that my left side is sunken in, causing the right to look like it's sticking out. He also told me that I am only concerned with how I look and he won't perform any further procedures on me. I was wondering if there is another surgeon in Colorado who could give me a second opinion. Also, do you think it would be worth it to have another procedure done?

Answer:

Dear Erin, It is impossible for me to determine this by email. I would suggest that you seek another opinion with a plastic surgeon. Respiratory function tests would determine whether you are having trouble breathing and if the procedure should be covered by insurance. There is also nothing wrong with having a correction performed for cosmetic purposes.

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• Learn about Ear Surgery (Otoplasty) in the Articles Section
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