Dr. Susan Downey | Pasadena
Weight Loss Surgery | Pasadena
Facelift | Eyelid Surgery | Pasadena
Breast Augmentation | Breast Reconstruction | Pasadena
Liposuction | Tummy Tuck | Pasadena
Botox | Restylane | Pasadena
Ear Pinning Surgery | Scar Revision | Pasadena
ON-Q System | Dr. Downey | Pasadena
Cosmetic Surgery | Pasadena
Dr. Susan Downey: 1301 Twentieth Street | Suite 470 | Santa Monica, CA | Tel: 310.401.2929
Female Plastic Surgeon | Pasadena

Archive for July, 2009

Breast Lift or Breast Reduction?

Tuesday, July 28th, 2009

Patients who have lost significant amounts of weight often are concerned about the appearance of their breasts.  For many patients they are unclear if the best procedure for them would be a breast reduction or a breast lift.  A breast lift (also called a  Mastopexy) repositions the breast on the chest wall but does not change the size of the breast. A breast reduction not only repositions the breast higher on the chest wall ( a lift) but also removes some of the breast tissue to make a smaller breast.  In some cases if a large enough amount of breast tissue is being removed a breast reduction may be covered by insurance.  A breast lift is not usually covered by insurance as it is considered a cosmetic procedure.  In some cases during a breast lift a breast implant will be placed in order to restore breast volume lost by pregnancy or weight loss.  If you are unclear about which procedure is best for you try and pinpoint what bothers you most about your breasts ( for example -   I don’t like the droopiness but I am happy with the size) and then the best procedure to address those issues can be chosen.

What is a Brachioplasty or Arm Lift?

Friday, July 24th, 2009

Loose skin of the upper arms is of great concern for many women after weight loss.  An arm lift (Brachioplasty) can remove the excess skin but it does leave a scar.  The scar extends from the armpit to the elbow and may even extend onto the forearm if the excess skin extends there as well.  The scar is placed on the inner surface of the arm in order to hide it but it will be visible when one’s arm is raised.  For many women however the scar is a very acceptable alternative to the excess loose skin.  The scar and the amount of excess skin should be discussed before deciding on an arm lift to see whether the procedure is right for you.  Some women who still have very heavy arms despite weight loss may require a two stage procedure with removal of the fat first with liposuction and then removal of the excess skin at a later time.

Tummy Tuck or Lower Body Lift ?

Friday, July 24th, 2009

For most patients after a large weight loss their abdominal area is of the most concern.  For these patients an abdominoplasty or Tummy Tuck is the first procedure they consider.  If the patient also has a lot of loose skin on their thighs and buttocks they may consider a belt Lipectomy or Lower Body Lift (LBL).  In these procedures the removal of skin and fat continues all the way around the body lifting the buttocks and lateral  thigh areas as well as removing the excess  skin and fat of the abdominal area.  The LBL can be done in two stages as well -  first doing the abdominal area and at a later time doing the back area.  The decision on whether a LBL or a tummy tuck is the right procedure for you depends on many factors including the looseness of the skin and what other procedures you are considering.

Planning Plastic Surgery after Weight Loss

Friday, July 24th, 2009

Plastic surgery after weight loss can involve several stages and the question patients often ask - is how many procedures can be done at the same time?  Several procedures can be done at the same time.  For safety sake most plastic surgeons try to plan for what can be accomplished in a time period of six to eight hours.  This seems to be a good time frame within which patients can recover well from both the anesthesia and the surgery.  For patients who want to push and try to do more - I will explain - lets face it - after six to eight hours I will also be tired and not doing my best work! 

The second question is : how long do I have to wait in between procedures?  The goal is that a patient gets back to their good health before they proceed on to the next surgery.  For most patients this is a minimum of three months.  For some patients it might even be longer.  of course life has a way of getting in the way of our plans so that even if initially one might want to do everything as quickly as possible something might come up that would delay the process.  There is no advantage as far as the final result  to doing everything quickly and no disadvantage to spreading things out over time .  What is important is what works for you and your life.