Q & A |

Frequently Asked Questions

Last update : October 2016

Q : I'm taking oxycodone and another medication for muscle spasms along with antibiotics, Bromelain and Arnica. Not all at once just when I'm supposed to. Is the elevated heart rate just from the medications and surgery or is this a concern?

Answer: Thanks for your question. Your elevated heart rate may result from the tummy tuck procedure. However, the degree of elevation is not much. Pain from the surgery also cause your heart rate to increase, whereas the elevation is nothing to do with oxycodone.
Supposing that your heart rate does not go up over 100, you don’t have to worry.

Q: : I'd like to enhance my breast as natural as possible . Im currently a 34 B but my bras have some space in them . Ideally would like to be a small C . Any help would be appreciated.

Answer: I suggest you select 250-300CC, gummy bear, Anatomic shaped implant with moderate profile in order to achieve your small C cup and better breast shape. The placement supposes to be under the muscle to get the most natural look.Based on your photo, you have a brown skin color type, which is more likely to get a visible scar. You also have a big areolar. I would recommend you do a breast implant with an areolar incision, as your scar would be blended up with the color of your areolar and would become less visible.

Q: I wonder if there is an osteonecrosis of a jaw resulting from taking Bisphosphonate, will it cause any effect to the chin implant? Vice versa, will the chin implant cause/ relate to the osteonecrosis of a jaw for person taking Bisphosphate? Thank you, Doctors!

Answer: Any chin implant including silicone and goretex has a chance of getting a misshaped chin; however, this is not difficult to fix and does not result in biocompatability of the bone. In conclusion, if you do not any underlying bone disease, an implant placement on your regular chin bone wouldn’t cause any problem.

Q: I was told by many people who have had breast augmentations in Thailand that after the surgery they give very low strength pain killers that dont help much. Im getting the implants inserted through my armpits so I know after the surgery i will be in a lot for pain. I was told by these people i need to go to the chemists there and buy strong pain killers myself. Does anyone know of some that would help with the pain?

Answer: It depends on which surgeon or which hospital/clinics you got a surgery done with. Not every surgeons would offer you the same kinds of pain killers. There are various kinds of pain killers offered in Thailand; some are strong, whereas some are weak.There are a number of board-certified surgeons with ISAPs and OSAPs certificates in Thailand. These doctors are highly qualified and have a long experience in performing plastic surgery. There are a plenty of hospitals with JCI accreditation or other internationally certified hospitals in Thailand with a reasonable surgical price offer.

Q: I'm 26 years old , no children 130 pounds and 5'2. I'd like to enhance my breast as natural as possible . Im currently a 34 B but my bras have some space in them . Ideally would like to be a small C . Any help would be appreciated .

Answer: I suggest you select 250-300CC, gummy bear, Anatomic shaped implant with moderate profile in order to achieve your small C cup and better breast shape. The placement supposes to be under the muscle to get the most natural look.
Based on your photo, you have a brown skin color type, which is more likely to get a visible scar. You also have a big areolar. I would recommend you do a breast implant with an areolar incision, as your scar would be blended up with the color of your areolar and would become less visible.

Q: Should my breasts be further apart? (photos)

Q: I had a BA in January 2016 and went from a A cup to 520/460cc XHP round textured implants. Symmetry issues. I am happy with my results however I feel as though they are close together and I find myself looking at other womens breast and finding the wider look more appealing. My question my surgeon advised that the placement of my breast is correct and my nipple is entered. I would just like confirmation if this is true and is there a way to widen them?

Answer: Your breast shape still can be changed up to 1-2 year after surgery!
You may massage your breast and wear a support bra in order to enlarge your cleavage and make your breast further apart. This has to be done within 12 months after surgery as the shape of the breast is still not steady.

However, 2 years after surgery if you find that your breast shape does not meet your requirement still, you may consult a board certified plastic surgeon for a revised procedure.

Q: I heard if u place implants under the muscle it is more safer but you're less likely to see the results, is that true?

Answer: The Implant placement under the muscles is not always safer than that over the muscle. Under Muscle placement may also cause numbness or movement problem, supposing that the implant size is too big. However, the over muscle placement could get you more obvious changing result.

I would recommend you go to a board-certified plastic surgeon. An experience surgeon can give a good advice which pocket placement best suits you.

Q: My buttock measurements are width 14 cm and height 16 cm. I would like to have buttock implants but I am not sure what shape to use. round or oval? I can not have fat transfer at the same time so which shape is better for achieving my goal pics? I would like to know if round implants could give some volume on my hips as oval does. Thank you for your help!

Answer: Based on your photos, I would recommend you go for 350-500CC round shape implant which is best suit you

Q: my breasts growth started differently and my left breast is larger than the right one which is grown first so please suggest.

Answer: Based on the info provided, it is difficult to determine the right treatment. More info about the size of each breast is required. Whether the difference in size arises from any diseases or only a physical appearance is another mandatory question.

If the problem is only the appearance of the breast, breast augmentation is your right choice. However, the size of the both implants may vary in order to get both sides of your breast the most similar in size. Alternatively, fat transferring to breasts may be another combined option for the better shape.

Can you still have a tummy tuck done if you have Fibroids?

I spoke to my GYN dr and he said that it would be fine. I would like to hear from people that perform These surgeries. He said mine is about 12 wks big.

Answer: Based on your information, you can undergo tummy tuck surgery. Fibroid removal and Tummy Tuck is totally different procedure. However, both procedures can be safetly done at the same time – a Gyn surgeon will perform fibroids removal, whereas a plastic surgeon will perform a tummy tuck.

Crease above belly button after lipo?

I had lipo 2 weeks ago but I have a line crease above my belly button. Why is that? Could it be because i’m swollen still? I get really paranoid

Answer: After Liposuction, your incision would be swollen and your skin around incision area might not be smoothed yet. This will be better by wearing a compression garment around 6-12 months. However, you might consider getting a revised Liposuction procedure again after 1 year if your problem still exists.

I am 1 month post-up from facelift. I have numbness in the lower part of my left ear. At this point I do not think any of the normal feeling in the lower part of the left ear has returned. Please advise as to what might be done to enhance the return of the normal feeling to the lower part of my left ear.

And, the right side of my face looks good — I am pleased with this look. However, the left side of my face has a fuller or fatter look to it which is different from the right side. It is not that the left side looks bad — it is just somewhat different. I am saying there is a lack of symmetry between the left and right sides of my face. I am saying the difference is significant enough to be noticed in photographs and by people with whom I am having conversations. The lack of symmetry in my face has not as yet met my expectation. My expectation was that my face would look the same on both sides. Please advise as to what might be done to enhance the symmetry between the left and right sides of my face.

———————————–

Answers: I would recommend you take Vitamin B1-6-12 three times a day after meal for 3 month. This is to help stimulate your nervous system.

From your photo, the surgeon see your two sided-face is not much different. However, this difference will be subsided by using a bandage to tie around your face. This would help supporting your face. You may do this when you are at home. Pls keep using the bandage up to 3-6 months, you swellings will be subsided and you face will get firmer.

Seizure disorder & breast reduction/lift

Hi! I have ?epilepsy, would that stop me from having a reduction/lift?- I know I would need to have my neurologists clearance & have them under control. I have one E cup breast that is really saggy & the other is a small B cup that is relatively saggy (so, obviously they’re hard to buy bras/swimwear to fit properly for & uncomfortable). Thank you for your time & reading my question!

Answer: Thanks for you questions. Based on your info, as a plastic surgeon, I would say that you are a good candidate for the breast reduction/lift. This kind of operation takes about 3 hours and with 1-2 night hospital stay.

Deflated breasts, do I need a lift?

I’m a 22 y/o whose lost 30 kgs, I’ve never really been happy with my body so I’ve booked to get a ba at the cosmetic institute in qld. I’m so worried I’ll get there and I’ll be turned away for a ba, or I won’t get what I’m looking for – a fuller look, but don’t want them too big, just after a natural look. I’ve been approved for a ba, but I’ve heard of girls being turned away. Thank you!

Answer: Thanks for your questions. Based on your photos, I would recommend you do breast lift+breast implant. I would say 300CC highly cohesive silicone breast implant is proper for you as it is not too big and will give you natural look. For more details, you have to get a persoanl consulation with a highly qualified plastic surgeon.

Tummy tuck: Is Fat Transfer Possible?

If I’m getting a tummy tuck but I want fat added to my hips to sculpt my body? Can they still they do that?

Answer: It is not a common procedure to do fat transfer altogether with a tummy tuck. However, fat transfering to hip could be done if there is a plenty of excess fat left in the abdomen area after tummy tuck surgery.

What are the limitations of rhinoplasty?

I have a log, thin nose and would like to change the same. It’s unsymmetrical, and sort of goes of to one side. Can this be treated? Also, can the nostrils be shorted and the bridge of the nose changed to a more feminine shape, that curves instead of being straight? Can the overall nose be shortened? I just want to know what can and can’t be done as I would really love a shorter and more curved nose, if this is possible.

Answer: Based on your info, it is possible for you to get a shorter and more curved nose. Your nose tip will be turned up for a shorter nose shape and your nose will be fixed to get a more curved-shape. Your requirement and expectation can be absolutely achieved. You may check with a highly qualified plastic surgeon in your area for a personal consultation to discuss more details about surgery and your expectation.

Is it necessary to remove breast tissue when performing a mastopexy?

Recent mastopexy with fat grafting to one breast (approx. 1 cup size smaller due to lumpectomy for bc. Wanted breast lift (mild ptosis) and told areolae would need to be moved up slightly. Was very clear, I did not want the other breast reduced, at all. Post op learned surgeon removed 30 gms from that breast, said “it was just what was attached to the skin” yet no tissue was removed from the smaller breast receiving fat transfer. Why would it have been necessary to remove any tissue?

Answer: It’s not neccessary to remove breast tissue . Whether to remove depends on the shape of your breast. The operating surgeon will be the person who determines whether to remove it and the pathologist will perform biospy. I would recommend you go to see your operating surgeon to double check for breast tissue or you may go to another plastic surgeon for a second opinion.

Is my hymenoplasty a success?

I underwent a hymenoplasty surgery along with vaginal tightening 7 days ago and yesterday when I checked the vaginal area, I could see a blue color thread hanging out of side of the lower bottom of my vagina. Also the lower 2/3 of the vagina looks like split. I have attached images. Does it look like my sutures have come off? Pls let me know whether I need to redo the surgery?

Answer: Based on your info and your photo, you do not have to redo the surgery. Your operating surgeon used a dissolvable stitch which will be dissolved within 30 days. The suture can split a little bit after surgery. Do not worry. Be patient and wait for 3-6 months for the result. Do not forget to clean the suture with normal saline and subsequently dry to the incision. Avoid having sex upto 3 months.

I would like to have cosmetic surgery to change my breasts. I am not familiar with the terms augmentation and lift. What is the difference between them? When do you use augmentation and when lift?

Answer: Breast augmentation is a procedure where some materials was placed into the breast area for the enlargement purpose. Material used are implant or fat. This procedure is proper for patients who don’t have much breast tissue and whose breasts are not much sagging.

Breast Lift is a procedure aimed at tightening breasts and modified them into a good shape. This procedure is proper for those who have moderate or a lot of breast tissues with much sagging condition.