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facial plastic surgeon a question
thank you for the question. this is truly not an easy answer. i think you should probably be safe with some fillers in the lips but i would always defer this question first to your rheumatologist/internist. after they assent to this possibility and you are properly evaluated in person by a qualified facial plastic surgeon or other cosmetic provider then your candidacy can be more accurately established.
First of all, your word choice of “keloid” needs to be clarified. A keloid is a thick thick scar that occurs only on the neck, ears, scalp, and body NOT face of individuals particularly Africans and some other ethnicities but can occur in white individuals as well. What you are probably referring to as a lump is a nodule that can occur with Sculptra product particularly in areas of high mobility like around the mouth or if the product is not placed with proper dilution. In the old days this was far more common because of low dilution of Sculptra. Today with proper dilution and proper technique and choice of facial area, the chances are far lower. I would speak with your physician about what his or her experience level is with the product and what problems he or she has encountered in the past.
The best thing to do is to go to the section of this Web site that lists surgeons in New York City who are members of the American Academy of Facial Plastic & Reconstructive Surgery. This Web site cannot specifically endorse a surgeon. However, you can find Facial Plastic Surgeons in the NYC area by going to that part of the site.
The term genioplasty should first be clarified. If you are talking about a procedure known as “sliding genioplasty” in which bone is moved to push the chin forward, then my understanding is that the bone could be moved back and refixated although i do not perform this procedure myself. Alternatively, if you mean that this is a chin implant that you have then it should be removable. some types of implants are easily removed like silicone or silastic, some more difficult like Gore-Tex (expanded polytetraflouroethylene, ePTFE) and some are very difficult to remove like Med-Por.
Question:
Hello~ I am writing this morning because I need to find out some information. I was molested tramatically as a child for 13 years and what he did to me, came to the conclusion that I needed like a reconstructive surgery at UCLA of my anal and vagina. When you looked at it, it was one hole, so the doctor went at made it two. Well here we are 12 years after the surgery and I and very insecure about the outcome. I never really worried about it before, because I was married and my husband was with me through the whole process and the aftermath. I am now going through a divorce and this issue is causing a problem with me dating. I am very insecure with what everything looks and feels likes. The main problem seems to be the huge lump towards the back. Another huge concern and this is so embarrassing, but my anal hole is inside a deep pocket. This can also be a sanitary problem…..OMG so embarrassing. I think this is why I have not pressed the issue earlier cause of the embarrassment of everything. My question is I would like to know if it is possible to make me look normal down there like a woman should. I am almost 40 and just beginning to live a happy life after a miserable marriage. If you don’t do this kind of work, can you refer someone that might. They need to be good lol…..see the results from a doc I thought was going to be marvelous from the get go. Please get back to me, for I am hopefully looking to get this started right away.
Answer:
hi,
thank you for your very sensitive question regarding your past trauma and reconstruction. unfortunately, two things: 1) the rules do not permit me to give direct medical advice to an individual. 2) this Web site is dedicated only to face and neck cosmetic and reconstructive surgery questions. you need to ask your question to a body plastic surgeon, an OB-GYN, or a colorectal surgeon. good luck in finding the right person to help you with your delicate situation.
Question:
Should I have a rhinoplasty?
Answer:
That question is a bit open ended. Obviously, rhinoplasty is not something you just dive into. You should base your decision upon long-term thinking and desire rather than a short-term whimsical idea. If you have functional breathing problems or other issues, you might get part of the procedure covered by insurance. The best thing to do is to discuss this desire with a board-certified facial plastic surgeon who is skilled at helping you achieve your cosmetic desires but also by either improving or maintaining your nasal airway. Since facial plastic surgeons have as much knowledge inside as outside the nose, they are well skilled to help you achieve all of your nasal goals.
Question:
Would you be willing to look at my MRA and MRI’s on the neck jaw. I’ve been in debilitation, excruciating pain for the past couple of years. My head was twisted, repeatedly and cheeks on and pulled forward repeatedly at the same time my mouth was jarred opened beyond it’s capability. The upper jaw – cheeks were pushed up at the same time the lower jaw was pushed down on excessively. The radiologist cannot seem to find anything that would cause that much pain, but the pain is excruciating from the cheek, running down through the face and ear and into my collar bone and shoulder. Thank you for any help.
Answer:
hi,
thanks so much for the question. although i would really like to help you, the point of this forum is to answer general questions and not directly to dispense medical advice to a particular person. hope that you find your answer to help you.
Question:
I’m 30yrs Old,Had an accident when I was 8yrs old and in d process,a left facial nerve palsy occurred which made my mouth to shift to one side whenever I laugh or smile.I’ve undergone a neuro-surgery to correct it.Though,there’s an improvement but not exactly what I want.I want to know if there’s any facial procedure dat can b done to make ma mouth and lips straight again so dat it can come back to it’s normal position because I’ve lost my Confidence ever since the accident,I hardly smile in Camera because of it. Pls kindly tell me what to do and if u can refer me to any Facial reconstructive surgeon over there.Thank you for ur Understanding.
Answer:
thank you for your submission. the one negative truth is that with any facial nerve injury that is permanent, there will never be a procedure that can entirely make the face work like normal. there are only degrees of improvement but always less desirable than you would like. i would recommend finding a qualified facial plastic surgeon who specializes in reconstruction of nerve damages to see what your personal options would be. the other thing that i have found that works very well is botulinum toxin (Botox, Dysport), which can help do the opposite which is to control the good side of movement so that the two sides are more symmetrical. in addition, sometimes nerves on the bad side can have something called synkinesis in which the nerves all move in clusters like if you smile you blink. BTX can soften the areas of synkinesis as well over repeated injections. hope that helps.
Question:
Is it better to use a facial plastic surgeon for facial procedures? Or is a general plastic surgeon acceptable?
Answer:
It is important to find a surgeon who is very experienced with the facial procedure that you are wanting to have performed. Not every facial plastic surgeon performs every facial procedure, and the same is true for plastic surgeons who do body work in addition to facial work. I believe a consultation with a qualified surgeon who is recognized in the field for the quality of his work for what you are wanting to be done is important. Word of mouth and referrals are clearly good indications as to who could do the best work for you.
Question:
Can I have a facelift and rhinoplasty at the same time?
Answer:
In short yes. It depends on the health of the patient to have a longer procedure performed and if the surgeon is qualified to do both procedures and is willing to spend that time doing both procedures. Some surgeons may elect to split the procedure into two separate procedures; whereas some may desire to do both at the same time.
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