Robert C. Silich, DO
Specialty: Plastic/reconstructive Surgery
Location and Office HoursOlivia H Z Hutchinson MD
121A E 83rd St
New York, NY 10028
- BlueCross BlueShield
- Capital District Physicians' Health Plan (CDPHP)
- Empire BlueCross BlueShield
- First Health
- United Healthcare
- Jamaica Hospital Medical Center
- Lenox Hill Hospital
- Manhattan Eye Ear & Throat Hospital
- New York Presbyterian, Weill Cornell Campus
What are my options if I am unhappy with my tummy tuck results?
Erik Hoy, MD, Plastic/reconstructive Surgery, answeredThe first step in dealing with any unpleasant result in plastic surgery should be to consult with your surgeon. Find out if this is truly a problem, or if this is temporary and will resolve postoperatively. Problems with bruising, swelling, discomfort, etc will resolve, whereas incomplete removal of fat, inappropriately located scars, and the like, will not. If you are unhappy with aspects of the scar such as texture, width, or color, it is best to wait until the scar matures, in 9-12 months, before having it revised. Sometimes, the scar softens and flattens with time, and is no longer an issue of concern. As always, if you are truly unhappy, do not hesitate to seek out a second opinion. However, it is best to realize that your surgeon knows your particular procedure best, and has a vested interest in helping you achieve the best possible result. You should also help one another stay patient and positive about your result.
What does it mean when a cosmetic treatment is used "off label?"
Ellen Marmur, MD, Dermatology, answered
Using drugs or medical devices off label is common and considered legal and safe when a medical doctor does it. Botox is classified as a drug and has gone through all the trials that a pharmaceutical requires. FDA approval is based on scientific studies with exact hypotheses and conclusions. These trials must define the parameters and details regarding the safety of using a product in a very specific way. Botox is expressly approved "on label" for reducing frown lines between the eyebrows.
But dermatologists use it all the time elsewhere on the face - on crow's feet, under the eyes, all over the forehead, even on the neck. It's also used under the arms and on the palms of the hands to decrease sweating (and it works!). These are all "off-label" uses, meaning it's used for an indication that's not specifically FDA-approved.
Find out more about this book:Simple Skin Beauty: Every Woman's Guide to a Lifetime of Healthy, Gorgeous Skin
What should I expect after a tummy tuck?
Arthur Perry, MD, Plastic/reconstructive Surgery, answeredAt the end of the tummy tuck procedure, the breathing tube is removed and the patient is moved onto a bed in a flexed position and rolled into the recovery room. A new technique is the continued infusion of anesthetic into the wound through a pump for a few days after surgery to help with the pain. After a few hours, the patient is brought to a hospital room, her home for one or two nights.
After leaving the hospital, you really need to take it easy for a few weeks. The abdominal muscles will spasm when they flex, causing pain. Most patients need narcotic pain medicine for about a week after this surgery. The drains will be removed by the surgeon two to five days following surgery, depending on the amount of drainage.
You cannot lie on your belly or exercise in any way for a month following this surgery. No sex for about two weeks. No football for six weeks.
Find out more about this book:Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)
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