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Featured Question of the Week
How soon can I get a tummy tuck and a breast lift after having a baby?
This is a great and very common question. The answer is a bit different for the two procedures as the tummy and breasts return to their pre-pregnancy state at different times. In terms of the tummy tuck, I would suggest waiting at least 6 months after a standard vaginal delivery to allow for the uterus to shrink back to its pre-pregnant size and to allow for the muscles and skin to recoil as much as possible. Re-draping the skin over an abdomen that is still enlarged will lead to residual loose skin once the abdomen flattens again. In the case of a caesarian section I would strongly urge anyone to wait a full year to allow for the scarring of the abdominal wall to fully mature, allowing for better visualization and dissection of the skin from the muscles below.
As for the breast lift, I would suggest waiting at least 6 months, ideally one full year, after completing breastfeeding (if you are planning to breastfeed) to allow the breasts to settle into their final shape. The hormones associated with pregnancy and breastfeeding cause significant changes in the shape, size and texture of the breasts so in order to get the best, and most long-lasting, result with your breast lift it is important for your hormone levels to have stabilized so that the breasts don’t change significantly after the procedure.
When getting liposuction, do most doctors require compression garments?
While I can’t speak for every surgeon, I personally have my liposuction patients wear the garment 24/7 except to shower for 3 weeks post op followed by another 3 weeks during the day only for 3 main reasons:
1. Controlling swelling: the compression on your tissues helps your body to reabsorb the edema fluid that accumulates in the tissues after any procedure. This can take quite some time to happen without help from the compression garments
2. Improving contour: the compression helps to keep the tissues adherent to the underlying structures while healing, this can help prevent the wrinkled skin appearance that can happen when the tissues heal in ways we don’t want them to.
3. Improving scarring: pressure has been shown to improve the appearance of scars. Although liposuction scars are fairly small, no one has ever complained about having a scar that is too invisible.
For those reasons many of us would argue that the compression is every bit as important as the liposuction itself in determining the final outcome.
What is the recovery like for Belkyra?
Excellent question. Belkyra (Kybella in the USA) is not like Botox in that you should expect to go back to life right afterward. The recovery is definitely not anywhere near the recovery for surgery though. The common side effects include swelling (87% of patients), bruising (72% of patients), pain (70% of patients), transient numbness (66% of patients), redness (27% of patients), and areas of hardness in the treatment area (23% of patients). Less common side effects include tingling, nodule formation, itching, skin tightness, and headache. These side effects typically resolve without treatment and do not commonly result in patients discontinuing treatment. I try to do all of my Belkyra injections on a Thursday or Friday so that my patient can recover over the weekend and get back to life by Monday. I also have my patients take Arnica for 2 days before and for several days after to minimize and resolve the bruising.
Can an abdominoplasty be performed without permanent stitches?
ABSOLUTELY! In my opinion, permanent sutures should never be used for an abdominoplasty. If your muscles are being tightened or a separation is being repaired, you will need sutures that last a while in the muscle layer, so the body can heal in the way we want it to, but the permanent sutures that were used historically aren’t necessary any more. We have long-lasting, absorbable sutures that will hold things where they need to be long enough for your body to heal, and then dissolve so nothing is left behind. Between 6 weeks and 3 months you should be able to return to full activities depending on how active you are, and by 1 year, everything has completely dissolved!
How do I know if I need a breast lift or a breast lift with augmentation?
Will the loose skin after liposuction improve in appearance?
This is a constant concern for liposuction patients and unfortunately, there is no real catch-all answer to this. There is always some contraction of the skin after liposuction and the research seems to show that it takes about a year for this contraction to complete. The amount of contraction varies wildly amongst patients depending on the elasticity of their skin. Skin also loses elasticity as we age, so someone who might have been a good candidate for liposuction when they were younger may not still be. When I evaluate someone for liposuction I always pull a bit on the skin in the area to see how much resistance there is as well as how quickly the skin recoils to get a sense of whether they will be a good candidate for liposuction, or will likely need some sort of skin excision surgery to remove the excess skin. Another thing to look at is stretchmarks. Skin that has stretch marks has by definition lost a significant amount of its elasticity, so it would not contract well after liposuction.
Can someone with mild asthma get a breast augmentation
Yes, absolutely. Asthma alone is not an absolute contraindication to breast augmentation surgery (or any other elective surgery for that matter) and mild asthma in particular shouldn’t be a problem. I would have a patient with asthma meet with my anaesthesiologist ahead of time to make sure that everything is optimized for surgery and that my anaesthesiologist is comfortable with the severity of the asthma, but it would be rare that an otherwise healthy person be denied surgery for mild asthma.
Is waiting 6 months after breastfeeding sufficient before getting my Breast Augmentation?
Natrelle Inspira Silicone Soft Touch vs. Responsive Touch Implants Are these considered gummy implants?
Although there is a slight difference in the texture between these implants, all silicone gel implants available in North American today belong to the 4th or 5th generation of silicone breast implants, and all would be considered “gummy bear” implants. In reality, there is little difference in the feel of these two implants once they are actually inside a patient’s breasts. However, a consultation with a board-certified plastic surgeon can help aide you in the process of choosing the ideal implant for you, based on your physical anatomy, desired results, and many other factors.
Is 50 too old for a mommy makeover?
Age and plastic surgery is a common question. Your age doesn’t matter so much compared to your overall health. A lot of people in their 50s and 60s are having cosmetic surgery, in particular mommy makeovers, so there is no reason that you should be overly concerned about your age. The only way to know for sure is to book a consultation with a board-certified plastic surgeon to see what your best options are, and whether your health will impact the results of your surgery.
Tightening abdominal muscles from a tummy tuck - is it permanent?
Great question. Once the abdominal muscle tightening has healed, generally after 6 weeks it is considered permanent unless you have an injury or become pregnant, in which case the muscles will stretch as is natural with pregnancy. Whether the sutures stay for life depends on what your surgeon uses. Some people will use a permanent suture, which will be there forever. I use a dissolving suture that takes a long time to dissolve, leaving a stable scar holding your muscles together but no foreign material that can cause problems. In general, a normal amount of heavy lifting should not be an issue once you have healed, in order to tear the muscles apart you would need to do something significant that would likely result in an injury whether you have had a tummy tuck or not.
Can a breast augmentation be performed without scars?
Unfortunately, there is no way to get a breast implant in without making some sort of scar. Scars can be small and inconspicuously located but there will always be something. There are different options for breast augmentation incisions, however, the most common is the inframammary crease incision, which follows along the bottom of the breast crease. With the meticulous help of a board-certified plastic surgeon, scars will heal properly and fade over time. Click here to view breast augmentation before & afters.
Does Botox® Cosmetic stop working after multiple treatments?
While it is rare to develop a tolerance after just a few sessions, it is possible to build up a tolerance for Botox® Cosmetic making it ineffective. Usually this occurs after years of treatment if at all. You may want to try switching to Dysport or Xeomin to see if those work as the molecule for each is slightly different.
I recently found out I'm pregnant. Can I still breastfeed with a breast augmentation, or will it cause distortion?
It’s really impossible to predict how your breasts will look once you are done breastfeeding but if you want to breast feed your child then you should just go ahead and do it. If things change afterward it’s not that hard to revise your breasts but you certainly don’t want to miss out on something as special as breastfeeding because of aesthetic concerns. In terms of safety, there is at least one study I’m aware of that shows breast milk has negligible levels of silicone in patients with implants, less than what is found in commercial formula so it’s certainly safe.
Learn more about Breast Augmentation in Toronto
What does a Mommy Makeover include?
A “Mommy Makeover” isn’t a set combination of procedures but rather a customized suite of surgeries to reverse the changes to a woman’s body after pregnancy, childbirth and breastfeeding. It commonly includes a tummy tuck and a breast procedure, but that could be an augment, a lift or a combination of the two. Liposuction, labiaplasty, vaginal tightening are also common additions. The only way to know what’s right for you is to book a consultation with a board certified plastic surgeon near you to see what your options are.
Can I use Kybella for the inner thigh gap?
There is a good chance it will work there, and will eventually be approved for that location, however at this point it is only approved for use under the chin. The best solution for medial thigh fat is still liposuction.
How Does a Compression Garment Help After Liposuction?
I personally have my liposuction patients wear the garment 24/7 except to shower for 4 weeks post op for 3 main reasons:1.) Controlling swelling: the compression on your tissues helps your body to reabsorb the edema fluid that accumulates in the tissues after any procedure. This can take quite some time to happen without help from the compression garments2.) Improving contour: the compression helps to keep the tissues adherent to the underlying structures while healing, this can help prevent the wrinkled skin appearance that can happen when the tissues heal in ways we don’t want them to.3.) Improving scarring: pressure has been shown to improve the appearance of scars. A tummy tuck scar is quite long and right on the front of your body so anything that can help make it flatter, softer and less visible is to your advantage.For those reasons many of us would argue that the compression is as important as, if not more important than, the method of liposuction used in determining the final outcome. While a commercial product like spanx will be ok later in the healing process, the surgical compression garments your get from your surgeon have a higher level of compression and should be worn for the first 3-4 weeks at least.
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