Atlanta Plastic & Reconstruction Specialists

Q: My belly button is burning after a tummy tuck. Is this normal?

A: You should be evaluated by your surgeon to determine the source of your pain.

Q: I had a tummy tuck, but I am working to lose more weight. Will this affect my results?

A: You should try to achieve your ideal weight prior to your tummy tuck to obtain the best result from the procedure. If you do not, you may need additional skin excision with the further weight loss.

Q: Following a breast augmentation I have severe swelling due to a seroma/hematoma. Can that be absorbed by the body on its own or should it be drained?

A: I would recommend drainage of the affected side. This will hopefully restore form and symmetry.

Q: I had a rhinoplasty a year ago. My nose looks lumpy, and one side is indented, giving the nose an off-centered appearance. My doctor says the cartilage graft placed over the nose has shifted, with the lumpy area being the shifted cartilage. I’m scheduled for a revision, where he will remove the graft and put silicone on the indentation at the top side of nose. I’m afraid of silicone; Could the shifted cartilage be used to fill the indentation?

A: I prefer to use the patient’s own tissues vs silicone. Sometimes you can use the cartilage present in the nose if it is workable and reposition it. Other times ear or rib cartilage may be used. I prefer these over silicone any day.

Q: I had an augmentation rhinoplasty with my own rib cartilage and the surgeon purposely over-augmented the graft to compensate for absorption. I think it looks too big now at 10 days post op. So, I was wondering what factors determine how much rib cartilage is absorbed?

A: Usually you do not over-augment the nose with the expectation of resorption. Autologous rib grafting like you had usually has very low resorption. Your nose is probably still very swollen at ten days post op and may take longer than with a non-augmented rhinoplasty to settle down. Discuss this with your surgeon.

Q: Six months after a full facelift, I still feel tight around my face, ears and neck. Is this normal? I also still feel itchy and puffy. When will this go away?

A: The symptoms you describe are normal with both the tightness and unusual sensations. These should disappear over time and may last up to a year.

Q: What is a wound vac?

A: A wound Vac is a device that creates negative low atmospheric pressure at a constant rate. It is used on open wounds to remove fluid secretion and enhance granulation tissue and wound healing. It decreases the length of time for wound healing in open wounds and decreases the need for dressing changes.

Q: After a rhinoplasty, how long will I feel stuffed up?

A: Usually it takes about a month for the internal nasal swelling to improve. Saline nasal spray may also help if crusting is contributing to the blockage. Have your surgeon evaluate your nose internally if your symptoms are not improving after 4-6 weeks.

Q: What is the best way to improve a deficient chin?

A: Either a chin implant or an advancement genioplasty will work. I personally like the genioplasty due to its versatility and no foreign body other than the titanium plate. It also allows correction of vertical dimension problems and asymmetry. All incisions with the genioplasty are intraoral.

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