...about laser treatments in summer
Dr. Gregory LaTrenta answers questions frequently asked about laser treatments.
Is there a type of laser treatment I shouldn’t use during the summer?
In general, laser treatments should not be done on tanned skin, but the only type I strongly advise against in summer are short wave length lasers, or “IPL”. These lasers primarily address color issues like pigmentation, rosacea and vascular lesions. If you are the type of person who spends a great deal of time outdoors, it is best to reserve your IPL laser treatments for the months when the sun is not so intense.
Which laser treatments can be used during the summer?
Fractional long wave length lasers, fractionated lasers, or “Fraxel”, can be used during the summer. These lasers primarily address photo aging like wrinkles and loss of dermis. However, you must always apply and reapply sunscreen before and after the treatment.
Although I don’t recommend other IPL treatments in summer, IPL hair removal can be done on parts of your body that aren’t tanned, such as the groin, axillary region or areola.
What is a “long wave” VS a “short wave” laser?
Technically speaking, IPL lasers are visible light lasers (400-700 nm), i.e. short wave lengths. Clear+Brilliant and Fraxel are above the visible light spectrum ( 1400-1900 nm), and are long wave lasers .
Can previous breast augmentations be re-done?
Yes. Many people wish to change their implants for a variety of reasons. Although the procedure to repair prior work is often more difficult than the initial procedure, revisional breast surgery is something that I do all the time.
Can you explain what exactly “Revisional Breast Surgery” is?
Revisional breast surgery is used to correct changes that may have occurred subsequent to past breast implant surgery.
Many women seek secondary breast enhancement after implant-related or natural changes in the breast tissue such as after childbirth and breast-feeding.
Common reasons for seeking revisional breast surgery are implant deflation, a desire to change the size or type of implant, capsular contracture, implant malposition, double-bubble deformity, or a combination of those things.
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Who are good candidates for revisional breast surgery?
As with any surgery, the best candidates are in good health and non-smokers.
Those who have had a previous breast implant placed which needs to be replaced for reasons such as a leak, tightening of the scar tissue surrounding the implant, or a shift in the shape or position of the implant.
Those who feel their previous implant surgery no longer meets their satisfaction and that are no longer satisfied with their breast shape and/or size. Perhaps they wish to have them removed altogether.
The best candidates are also those with a positive attitude and realistic expectations.
How long is the procedure?
Surgery can be performed in the office under general anesthesia and the amount of time depends on what kind of revision I am making. Generally, it takes about 2-3 hours.
What is the recovery time?
After secondary breast surgery, it is often possible to return to work within just a few days or a week, depending on your job.
Vigorous activities and exercises, especially those involving arm movement, may be restricted for two to three weeks.
Will this surgery leave scarring?
Yes. The degree of scarring varies from individual to individual. When I consult a patient, we discuss various incision options and which is optimal for them to achieve the desired result.
What are the cons to having revisional surgery?
The pros almost always outweigh the cons, but a woman must realize
that gravity and aging will continue to alter the size and shape of her breasts and the weight of the implants will also affect this in time.
....about tummy tucks
What exactly is a tummy tuck?
Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles of the abdomen. The result is an abdominal profile that is smoother and firmer.
Who are good candidates for tummy tucks?
You might want to consider a tummy tuck if you have excess abdominal fat, sagging abdominal skin, or an abdomen that protrudes and is out of proportion to the rest of you body.
Its best if you’ve completed all your pregnancies before proceeding with surgery so that the results will be preserved.
(You may require revisional abdominal surgery to enhance your results if you do have an additional pregnancy afterward.)
As with most plastic surgery, patients should be within 20-30 pounds of their ideal body weight and in good general physical condition to optimize results.
Is there an age restriction as to who can get tummy tucks?
No. However, medical clearance will be required. So, especially if you are older than 65 years of age, its best to see your M.D. in advance to make sure you don’t have any issues.
How long does the procedure take?
Depending upon your specific case, a tummy tuck should take between 2 to 3 hours. Abdominoplasty is usually performed under general anesthesia.
Is there a lot of bruising/swelling after surgery? If so, how long will it last?
Bruising and swelling are minimal after abdominoplasty, however, they can be expected after most surgeries. The extent of bruising varies from individual to individual, however you should anticipate mild bruising. It usually clears up in 5 to 7 days.
Will there be scars from the surgery?
Yes. The woman considering abdominoplasty surgery should be aware that this procedure often results in hip to hip scars. However, these usually heal well and are placed in an inconspicuous location (such as the bathing suit line).
If you have scars after your surgery, you should realize that they will get worse before they get better. Your incision will heal relatively quickly, but your scars will go through a series of changes before they are completely healed and that can take months. Scars will look their worst at about 3 months after abdominoplasty surgery. They tend to get very red, thick and raised, but after about 6 months, they lighten and smooth out.
On rare occasions, scar revision surgery may be necessary.
How much weight will be lost from having tummy tuck surgery (if any)?
First, I want to point out that Tummy Tuck surgery is not intended to be a method for weight reduction.
However, a recent study does provide preliminary evidence that many patients have lasting weight loss after abdominoplasty- especially those who are overweight or obese before the procedure.
Satiety appears to be a prominent contributing factor, as does the amount of fat removed. Removing fat cells from the abdomen may lead to reduced levels of hormones affecting appetite, which are secreted by fatty tissues.
However, this has not been proven yet and I would not encourage anyone to have a tummy tuck purely for weight loss purposes. Its not a replacement for diet and exercise.
What is this?
'Ask Dr. LaTrenta' is an archive of interviews with Park Avenue Plastic Surgeon, Gregory LaTrenta. The doctor answers patients' questions about the latest cosmetic procedures and helps us separate fact from myth.