Cosmetic Surgery FAQs

dallas plastic surgery faqs tummy tuck breast augmentation

Cosmetic Surgery FAQs


Dr. Gibby answers your plastic surgery questions


Breast Augmentation

Q. I’m worried about losing nipple sensation after Breast Augmentation.

A. While there is always a small risk of nipples becoming numb or oversensitive after breast surgery, usually any lost sensation is regained within 3 months.

Q. I am considering breast implants but am concerned about Capsular Contracture. What causes this condition and how common is it?

A. Virtually every body will respond to the presence of an implant by forming a capsule of scar tissue around the implant. In most cases the presence of this scar capsule is not detectable and the breasts look and feel very natural. In about 5 percent of patients, however, the capsule contracts around the implant causing the breast to feel hard and in some cases the shape of the breast will be distorted, often requiring additional surgery.

Q. I am considering a breast augmentation but am nervous about deciding on a flattering size and then conveying that decision to my doctor without any miscommunication. Any suggestions?

A. I suggest that my patients come to the office with photographs of the size breasts they wish to have, as well as pictures of breast sizes that they do not want. This helps eliminate all but a certain range of sizes and also give me a good visual idea of what my patient’s goals are for surgery.

Q. I am ready to schedule my breast augmentation, but am nervous about outpatient surgery. Is it safe?

A. It is important that the outpatient facility, including the physician’s office, is accredited to perform the type of surgery you are requesting. Ask for these credentials, including information about the person performing your anesthesia. At the Women’s Center, board certified anesthesiologists are involved with your surgical care.

Q. I am interested in having a breast augmentation before my beach vacation in three weeks. Will this allow for enough recovery time?

A. You may be tired or sore but should be up and around within 24 hours. While recovery time varies from patient to patient and depends largely on pre-surgery health, you should be fine to travel three weeks after surgery.

Q. Do breasts with implants experience sagging over time?

A. All breasts relax as time passes, because the weight stretches the skin, elasticity is lost with age and the amount of breast tissue often decreases as a woman get older. These factors mean that breasts can be expected to sag slightly whether or not there are implants present.

Breast Lift

Q. What can I do for sagging breasts?

A. An outpatient procedure called “mastopexy” can remove excess skin and tighten sagging skin on the lower half of the breasts. Sometimes an implant is used to fill out the lifted breast.

Q. Babies, breastfeeding and hitting the big 4-0 have taken a toll on my breasts. Is there a procedure that can reshape my sagging breasts?

A. An outpatient procedure called “mastopexy” can remove excess skin and tighten sagging skin. Sometimes an implant is used to fill out the lifted breast.

Breast Reconstruction

Q. What is considered the best placement for breast implants, above or below the muscle?

A. Although once exclusively placed over the chest muscle, many doctors today prefer the “submuscular” approach. Where the implants are placed depends largely on the amount of existing breast tissue, breast shape, type of implant used and the desired end result.

Q. I am confused about my skin type and what products I need to be using, and also have some questions about skin care that I would like addressed. Where can I find this information?

A. It’s no wonder you are confused with all the skin care advice available today.

Q. What can I do about the blotchy brown areas on my skin caused by sun damage?

A. A skin care program using Retin-A and products containing alpha hydroxy acids often help to reduce the look of sun damage. If sun damage is severe, laser resurfacing or chemical peels may bring the best results.

Q. I am in my mid-twenties and want to begin a skin care regime that will keep my skin looking its best throughout my life. What should I use?

A. Products such as Aesthessence, a skin care line I developed, which contain sunscreens, alpha hydroxy acids (AHAs) to stimulate cell rejuvenation and botanical ingredients to moisturize and clarify the complexion, will keep your skin looking its best as you age.

Q. What exactly is ‘healthy beauty”?

A. The staff at the Women’s Center promotes a philosophy of overall health and vitality referred to as “Healthy Beauty”. Our patients are encouraged to live a healthy lifestyle, which will contribute to maintaining or even improving their surgical results. We offer post-operative incentives such as complimentary sessions with a personal trainer or nutritionist, as well as pre-operative mammograms before breast surgery.

Breast Reduction

Q. I am embarrassed by my extremely large breasts, but have heard that a breast reduction leaves bad scars. Is this true?

A. Anchor-shaped incisions that follow the natural contour of the breast often remain visible for up to a year and then will fade with time.

Q. My large, sagging breasts have always made me extremely self-conscious. Is breast reduction the answer?

A. The decision to have any cosmetic surgery is always a personal one and should be considered carefully. Breast Reduction can often provide relief to women who have endured physical discomfort as well as emotional distress due to oversized breasts.

Arm Lift

Q. Even in the summer I refuse to wear sleeveless tops because of the fat on the back of my upper arms. Is there a procedure that will get rid of this?

A. Thick or fatty upper arms can be a problematic area for many women. If diet and toning exercises have not helped, liposculpture can be performed to remove the fat on the upper arms.

Q. Help! My baby is a year old and although I’ve lost all my pregnancy weight, my breasts sag and I still have a tummy. What are my options?

A. Pregnancy and breast-feeding often changes the shape of a woman’s body. If a consistent exercise program doesn’t achieve the desired results, there are several body-contouring procedures that can reshape the breasts and abdomen. The type of surgery best for you will depend on your age, size and skin elasticity.

Q. Should I get a mammogram if I have breast implants?

A. Mammograms are critical in detecting cancer, and women over 40 with implants should have them yearly. Make sure your mammographer has experience imaging breasts with implants and knows the special views needed to screen for cancer.

Q. What is the advantage of using a textured breast implant as opposed to a smooth one?

A. Some studies show a decreased risk of scar tissue with textured implants. However, textured implants may increase the risk of visible rippling, particularly when implants are placed above the muscle or in women with very thin skin.

Q. How will I know if my breast implant has ruptured?

A. It is usually obvious when a saline implant ruptures because the breast will become smaller as the water in harmlessly absorbed. A ruptured silicone implant can be more difficult to detect and may require radiological tests, such as a sonogram or MRI.

Central Body Lift / Thigh Lift

Q. Is there a procedure to get rid of loose skin on my rear and thighs?

A. A buttocks or thigh lift can eliminate excess skin but may leave long, visible scars. This is effective surgery, but should be used as a last resort after trying diet, exercise and even liposuction.

Q. Over the years I have lost and regained the same 25 pounds many times and now the skin on my thighs and buttocks has lost its tone and just “hangs”. Is there a procedure to correct this?

A. All tissue relaxes with time, and yo-yo dieting certainly contributes to this process. A Lower Body Lift will remove fat and tighten loose skin, which will result in more youthful contours.

Liposuction

Q. I’ve exercised most of my 50+ years, but I still have fat around my hips and thighs. Am I too old for liposuction?

A. Absolutely not! Women of all ages can benefit from liposuction. You may be a candidate for Ultrasonic liposuction that uses high-frequency sound waves to liquefy fat while minimizing bruising and blood loss.

Q. What exactly is cellulite and can liposuction get rid of it?

A. Cellulite is fat trapped close to the skin between tight, fibrous bands. While liposuction can improve contour, it cannot eliminate cellulite. In some cases liposuction may lessen the appearance of the dimpling.

Q. Can I expect to loose any weight after undergoing liposuction?

A. Liposuction is not meant for weight loss, but rather for reshaping the body by getting rid of stubborn and unappealing deposits of fat. The difference will be seen primarily in the way your clothes fit. You will, however, probably loose inches and look slimmer.

Q. Is there a way to keep fat from returning after liposuction?

A. The best way to maintain the results from liposuction is through proper health, nutrition and exercise. While fat cells won’t return once removed, they will increase in size if you gain weight after the procedure.

Q. I have always heard that fat won’t return to an area that has undergone liposuction, is this true?

A. The number of fat cells in the adult body is fairly constant. These cells swell or shrink depending on weight gain or loss. Once they are removed via liposuction they do not return, but the remaining fat cells can expand with a significant weight gain.

Q. What kind of anesthesia is generally used with liposuction?

A. They type of anesthesia that would best suit you, such as local, intravenous sedation, or general anesthesia, depends on the area to be suctioned as well as your thoughts about the method used. As always, safety and comfort are critical goals in this decision making process. Our board certified anesthesiologists can help you with your final decision.

Q. It’s summertime but I refuse to wear sleeveless tops because of the jiggly fat on the back of my upper arms. Can liposuction improve this area?

A. Thick or fatty upper arms can be a problematic area for many women. If diet and toning exercises have not helped, liposculpture can improve the contour of your upper arms.

Q. What kind of anesthesia is generally used with liposuction?

A. They type of anesthesia that would best suit you, such as local, intravenous sedation, or general anesthesia, depends on the area to be suctioned as well as your thoughts about the method used. As always, safety and comfort are critical goals in this decision making process. Our board certified anesthesiologists can help you with your final decision.

Q. I recently lost some weight and want to reward myself with liposuction to tackle those areas that I could not minimize with diet and exercise. I am concerned about staying motivated and maintaining my new figure. Any suggestions?

A. At the Women’s Center we offer post-op incentives such as complimentary sessions with a personal trainer or nutritionist. This encourages our patients to live a healthy lifestyle, which will contribute to maintaining or even improving their surgical results.

Tummy Tuck

Q. My friend had liposuction performed on her stomach. Isn’t a tummy tuck the standard surgery for a “poochy” stomach?

A. Liposuction alone is performed when the underlying abdominal muscles and skin are fairly taut. A tummy tuck however, which can be done in conjunction with liposuction, tightens the skin and repairs weakened abdominal muscles.

Q. How soon can I have a tummy tuck after having a baby?

A. “Abdominoplasty” can be done as early as 6 weeks after pregnancy, but unless you have someone reliable to help with the baby, it’s best to wait 6 months to give your body time to recover from the pregnancy and delivery.

Q. I have always wanted to wear a bikini, but am self-conscious about my “poochy” stomach. Is getting a tummy tuck the answer?

A. If diet and exercise have not helped flatten your stomach, a tummy tuck can dramatically reduce the appearance of a protruding abdomen, giving you flatter and firmer stomach.


Do not submit any private health related data to this web site as it is not set up for Hippa compliance.