Introducing Myself

[Dr.JLo 1]

Ill answer as many of these ??s as I can, although for the future its best to post your questions as separate threads so all can choose which ones to read, and I won't miss any!

I am going for a High Lateral tension Tummy Tuck in 3 weeks and I am worried that with the Lipo that I will be having to my thighs and hips that I wont acheive as much of an hourglass shape as I want ( the one advantage to having a big butt is that it makes my waist look smaller!) Is there any way to avoid the straight up and down and get more definition to the waist?

A lot of this depends on your basic anatomy, hip-to-chest ratio, etc. Muscle tightening plus lipo can go a long way to get the more curvy shape. See case #21 at http://www.drlomonaco.com/tummy.htm

I am having a breast lift/augmentation in May but I am worried about the scarring round the nipples and the change in sensations, also I have seen someone on this board who had a wedge lift that didnt involve the scar running down from the nipple.Is this a common procedure and how successful is it? Do only certain people qualify for it?

No way to tell without seeing you what is best, and your PS has to give you his own numbers and experience on nipple sensation. I do a LeJour lift (lollipop shaped scar) and rarely have sensation loss.

DR!!!!!!! THANK YOU SO MUCH FOR JOINING THIS FORUM

I am a huge fan of the show. I really appreciated the visual on Claudia last week with her port.

I know ps is in my future as my stomach is fast deflating.. I've ALWAYS had arm issues, so I would love to get them done first......

My question. Is is normal to get a breast lift and the arms done at the same time?

Hi. I often do the "upper body lift (arms, bra roll, and breast lift) as one stage.

Also, I have large areola's (HUGE) what happens to them when the extra skin is removed and your nipples are replace?

They can be downsized if you like...

Hi Dr. JLo,

I live in Toronto, Canada and know I will be needing plastic surgery (minimum of BL & TT). How do I find a really good PS in the Toronto area? Do WL patients pose a special challenge to a PS?

Im not too familiar with the board certification up there, but find the F.R.C.S. website and see if they list plastic surgeons. This certification ensures they have the proper credentials.

Are you aware of anyone in Toronto who specializes in PS on WL patients or anyone whose work stands out as really good? Other than board certified PS, what else should I look for?

A dedicated interest in post-bariatric plastic surgery, lots of good referrals from other patients, and an extensive library of "before and after" photos.

Dr. JLo, do you recommend that your patients reach goal before considering PS, or that they just get close to it?

I recommend early consultation (even before goal) so you can learn about the procedures, costs, and plan your time off work/school.

Also, do you recommend that if a women is getting a breast lift and thinking about augmentation, she should get the breast lift first and let it heal before augmenting, or do you recommend the lift and augmentation as one surgery?

Highly variable....I will not augment a paient wth a very long breast. I do a lift first, then the implants 3 months later.

Hope these help !

Let me say I rarely return to older posts and if you post as a separate thread, Ill have a better chance of getting to it plus others who ahve the same question can also see it and learn. Many folks have the same questions !