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Darrick E. Antell, M.D., FACS

Recent Answers to Questions

Q:

I have a titanium chip marking a "problem" area in my right breast where microcalcifications were removed and tested and came back fine. I have to have mammograms every 6 months. My grandmother on my mother's side died of breast cancer at 38. I have very saggy breasts that have shrunken considerably due to weight loss and breast feeding. Would I be a candidate for breast lift and/or augmentation, or should I avoid these procedures because of my breast health "issues"?

A:

It's difficult to give an accurate response without actually examining this patient. For example is the "titanium chip" in an area outside the proposed surgical site? If it is, then one might proceed with the surgery. However, without a more complete history and exam, my inclination would be to recommend against this patient having surgery, because of the "breast health issues" described.

Q:

I am considering a jowl lift. I have contacted numerous plastic surgeons who all said that a jowl lift is a facelift. I don't need a complete facelift. Do you have any suggestions as to how I could get a jowl lift done without a complete facelift or do you agree that all patients who want this require a full facelift?

A:

I generally try to avoid absolute terms like “all”……..

You need to be examined, and there are a variety of options depending on the severity of your problem, your overall health history, and how much correction you are trying to achieve.



The following options may be appropriate in certain circumstances, depending on the quality of your tissues, the experience of the surgeon and the desired goals:

- liposuction of the excess tissue/jowl

- addition of your own fat (or another material) to the low points around the jowl to fill it in.

- an extended chin/jowl implant to smooth the transition along the jowl

- a "short scar" facelift

- a traditional incision lift

- a combination of the above procedures.

Be sure to clearly state your goals and your plastic surgeon will examine you and make a recommendation that is appropriate.

Q:

I am interested in surgery in order to alter the shape and size of my ears. Is this possible?

A:

Plastic surgery can improve the shape or position of the ears. Most commonly, the ears are positioned closer to the head so that they do not protrude as much. Incisions are behind the ear to keep them concealed in a natural skin crease. Sometimes earlobe reduction is required to reduce the size of the earlobe. Torn (or split) earlobes can also be repaired under local anesthesia as an outpatient.

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