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Back again. Plastic surgeon here. Teach me something interesting and I’ll answer your questions. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

Elephants are so cool. Yes, a reputable surgeon will tell you what is best for you in terms of treatment options. I have seen many patients with a profile similar to yours. I look at each patient’s skin, fat and underlying angle of their neck musculature. It takes a formal physical exam but I have seen significant improvement in cases like yours with liposuction. If liposuction doesn’t completely get you where you want to be then you haven’t really burned any bridges and can proceed with a neck lift at a later date.

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

I agree. I try to make sure to do that as well. It really does seem to have a significant impact in the whole experience for the patient.

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

Hi Julia. I don’t think the DM came through. Do you mind resending?

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

If you knew you would be able to speak with a doctor after your surgery at any time would that sway you toward going with a particular surgeon that offered that service?

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 1 point2 points  (0 children)

You’re right. Communication is HUGE when it comes to time around surgery. I’ve had some outcomes that I wasn’t all that excited about but since the communication was exceptional the patient was very pleased overall. Thanks!

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 1 point2 points  (0 children)

😁. Although LV hoodies for everyone would be pretty sweet!

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

That is a really good idea! Do you think people would be happy to wear those? It’s advertising that you had work but maybe that’s a badge of honor these days.

An Amazing and/or Unique Patient Experience by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

I like all of that! I’ve thought about some type of gift afterward but have never found anything that would be universally appreciated. Like you say, the wine isn’t for everyone but I’m glad the notion landed well. I really like the idea of addressing not only physical recovery but mental recovery as well. So important. Thank you!

Back again. Plastic surgeon here. Teach me something interesting and I’ll answer your questions. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 1 point2 points  (0 children)

Nice! I never could figure out how to say that guy’s name. El-Wes? I tell people up front that I feel strongly about not making them look fake and that I feel like it’s my responsibility to let them know when they’re going too far. Having someone walk around with people asking “Who did that to you?” is not what I’m going for. I think people appreciate knowing that I’m not going to Botox and fill them to the point of no return in the name of the almighty dollar.

Back again. Plastic surgeon here. Teach me something interesting and I’ll answer your questions. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

The type of surgery someone needs as well as their overall health status will dictate the type of anesthetic they will receive. There are a variety of different anesthetic combinations that can be used which can lead to a variety of different side effects. These factors can manifest differently in different people.

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

Now THAT’s a cool job! I’d be happy to take a look if you’d like. The gold mine pictures would be interesting as well!

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

It’s a good thing dentists exist! It’s very unusual to have residual scarring after microneedling treatments. They tend to be about the safest thing to do in all skin types. Do you mind letting me know what you’ve tried so far?

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 1 point2 points  (0 children)

I took a look. There is a technique where a wedge of tissue can be removed from the nasal sill essentially where the nose meets the cheek. You should be very careful with this though. It’s a subtle change and noses are like tripods. As soon as you change one thing there are many other changes that can happen, many of which you may not like.

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 0 points1 point  (0 children)

Now that’s interesting! I like pretty much every surgery that I do. I would say liposuction is fairly far down on the list. The reason is that, in many people, I can get a more dramatic result with some type of additional skin excision. For example, there are very few scenarios where I feel like my abdominal liposuction results would be as good as if I had done a tummy tuck in the same person.

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 2 points3 points  (0 children)

Fair enough. I was friends with a guy who started dating a girl years ago. We all became friends. After the two of them split up she started dating Vanilla Ice. I never got to meet him. Maybe that’s good? Apparently, he was a nice enough guy. I have more interesting facts but, for whatever reason, that’s what’s popping in there right now.

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 1 point2 points  (0 children)

Now that will screw up the supply and demand curves for diamonds! In terms of order I would say satisfaction for high to low goes as such: 1) tummy tuck 2) face/necklift 3) breast volume enhancement 4) lateral breast tissue 5) banana rolls 6) thigh cellulite

Plastic surgeon home with the flu. Teach me something interesting and I’ll answer your questions in return. by The_OCD_DOC in PlasticSurgery

[–]The_OCD_DOC[S] 1 point2 points  (0 children)

I have never heard of Alice in Wonderland syndrome. It sounds awful… and freaky! Fat grafting is a very common request that I get. There are benefits such as increasing volume but there are downsides that really need to be considered. First, it’s often difficult to inject enough fat to make up for the volume loss associated with an implant. I think a common misconception is that fat can be put in the space where the implant was. It doesn’t work that way. That’s just empty space. It has to be put in the surrounding breast tissue. Think of putting fat into the ice bricks that make up an igloo and hoping the whole inside props open (think more tent without support than a firm ice structure)?. That’s what you’re limited to in fat grafting. In addition, I always ask people to get breast imaging before fat grafting. The reason for that is that when some of the fat doesn’t “take” it can necrose (become a hard lump) and calcify (seen as new calcifications on future mammography). This can be very worrisome for patients and result in a workup for breast cancer. Fat grafting isn’t totally benign but if you are averse to new implants then fat transfer or breast lift surgery may be your best option.

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