Question 1

What is the Sientra LPP breast implant?

Accepted Answer

The Sientra LPP is a new breast implant that patients are encouraged to discuss during their consultation to determine if it's suitable for their desired outcome.

Question 2

What does breast rejuvenation surgery involve?

Accepted Answer

Breast rejuvenation typically includes breast augmentation (to add volume, often with implants) and/or breast lifting (mastopexy) to reshape the breast, lift and reposition nipples, and reduce excess skin. A breast lift alone does not add volume. The best approach depends on individual goals and is determined during a consultation.

Question 3

Why is smoking a significant risk for plastic surgery patients?

Accepted Answer

Smoking, including vaporizers and nicotine products, significantly increases the risk of complications like tissue necrosis (tissue death) due to vasoconstriction, which reduces blood supply. This can lead to longer recovery, extensive dressing changes, and potentially revision surgeries. Patients are generally not good candidates for many plastic surgery procedures if they are currently smoking, with some studies showing up to a 13x increased risk of necrosis. It is recommended to quit smoking before scheduling a consultation.

Question 4

What is the typical recovery timeline and activity restrictions after a tummy tuck?

Accepted Answer

Dr. Freeman generally recommends taking about two weeks off work, though some desk job patients might feel ready at ten days. Most patients feel good for general activity around four weeks post-op. However, it's recommended to wait about six weeks before engaging in any heavy lifting or strenuous activity. When resuming activities, start slowly and listen to your body, avoiding immediate high-intensity exercises.

Question 5

Can I breastfeed after breast reduction surgery?

Accepted Answer

Yes, in general, patients are able to breastfeed after breast reduction surgery. The proportion of women who may need to supplement with formula is similar to that in the general population, which is approximately 20%.

Question 6

What are the potential changes to nipple sensation after a breast lift?

Accepted Answer

Approximately 5-10% of patients may experience changes in nipple sensation after a breast lift, which can include becoming hypersensitive, less sensitive, or rarely, losing sensation entirely. While permanent loss is rare, temporary changes are common. Almost all patients regain full sensation, though it can take up to a couple of months for sensation to return.

Question 7

Do non-surgical nose lifter devices work?

Accepted Answer

Dr. Freeman's review of 'nose lifter' devices indicates they are ineffective and uncomfortable, showing no noticeable change or even worsening appearance. There is no scientific literature supporting their efficacy. The practice emphasizes evidence-based plastic surgery, using only techniques well-established in literature and proven to work.

Question 8

What are the different facelift techniques, and what matters most for results?

Accepted Answer

There are various facelift techniques, including those that address skin, fat, muscle, and the deep plane (under the muscle). A deep plane facelift involves extensive dissection under the muscle, and while it's a valid approach that has been around for decades, there's no data indicating it's significantly better than other techniques. What truly matters for optimal results is having a highly experienced facelift surgeon who performs many facelifts, does them very well, and selects the technique most appropriate for your individual facial anatomy and goals.

Question 9

Why is fall considered an excellent time for a facelift?

Accepted Answer

Fall is an excellent time to consider a facelift due to several factors: the proximity to holidays allows for recovery time, there's generally less sun exposure, and cooler weather makes recovery more comfortable. This timing also allows results to settle beautifully before the holiday season. A mini facelift, for example, offers a quick recovery, addressing areas like jowls and the anterior neck effectively.

Question 10

How long before surgery do I really need to quit smoking, and does vaping or nicotine patches count as smoking?

Accepted Answer

Smoking, including vaporizers and nicotine products, significantly increases the risk of complications like tissue necrosis (tissue death) due to vasoconstriction, which reduces blood supply. This can lead to longer recovery, extensive dressing changes, and potentially revision surgeries. Patients are generally not good candidates for many plastic surgery procedures if they are currently smoking, with some studies showing up to a 13x increased risk of necrosis. It is recommended to quit smoking before scheduling a consultation.

Question 11

Are these 'nose lifter' devices actually dangerous or just ineffective? Can they cause long-term damage to cartilage?

Accepted Answer

Dr. Freeman's review of 'nose lifter' devices indicates they are ineffective and uncomfortable, showing no noticeable change or even worsening appearance. There is no scientific literature supporting their efficacy. The practice emphasizes evidence-based plastic surgery, using only techniques well-established in literature and proven to work.

Question 12

Is it normal to still have significant swelling 3 months after a tummy tuck, and when can I safely start lifting weights again?

Accepted Answer

Dr. Freeman generally recommends taking about two weeks off work, though some desk job patients might feel ready at ten days. Most patients feel good for general activity around four weeks post-op. However, it's recommended to wait about six weeks before engaging in any heavy lifting or strenuous activity. When resuming activities, start slowly and listen to your body, avoiding immediate high-intensity exercises.

Question 13

Why is fall considered the best time for a facelift? Does the weather really make a significant difference in healing or comfort?

Accepted Answer

Fall is an excellent time to consider a facelift due to several factors: the proximity to holidays allows for recovery time, there's generally less sun exposure, and cooler weather makes recovery more comfortable. This timing also allows results to settle beautifully before the holiday season. A mini facelift, for example, offers a quick recovery, addressing areas like jowls and the anterior neck effectively.

Question 14

What does Dr. Freeman say about their approach?

Accepted Answer

It's because we want you to have a good outcome from your surgery. The Center for Cosmetic Surgery practices evidence-based medicine and evidence-based plastic surgery.

Question 15

What does Dr. Freeman say about their techniques?

Accepted Answer

And now we have many different types and sizes of breast implants. All techniques used by surgeons at the Center for Cosmetic Surgery are well-established in literature and have been shown to work over many years.

Question 16

What does Dr. Freeman say about consultations?

Accepted Answer

And when you do, give us a call here at the Center for Cosmetic Surgery and we'll schedule you for a consultation. It is recommended to have a discussion with the practice to determine the most suitable procedure for an individual. A consultation is necessary to determine the best implant type and size to fit an individual's desired outcome.

Question 17

What does Dr. Freeman say about recovery?

Accepted Answer

I usually recommend patients take about two weeks off of work so that they feel comfortable doing their normal jobs.

Question 18

What does Dr. Freeman say about their training and credentials?

Accepted Answer

What matters is you have a facelift surgeon who does a ton of facelifts, who does them very well, and is using a technique that is appropriate for the face in front of them.

Dr. Matthew D. Freeman, MD

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