I'm more than happy to answer questions and usually get online every 2-3 days. My practice is quite busy, so I'm sure you'll understand if I can't get you an immediate response.

The best way to get a question to me is to include my name in the Title (i.e. "Question about TT recovery for Dr. JLo") Tha way I can see it and others interested in that topic can refer to it and earn too!

i Am Currently 25 Lbs. Away From My Goal Of 150 Lbs. I Know That I Definitely Want A Breast Lift, But Am Trying To Figure Out Whether To Get A Tummy Tuck Or Just Lipo. I Carry Most Of My Fat Around My Mid-section. I Am Wondering Which Procedure Would Benefit Me The Most. Also, I Would Like To Have Ps Sometime Around The Beginning Of June. I Am Off All Summer Long. I Am Sure That By Than I Will Be At Goal. Should I Begin Talking To A Surgeon Now, Or Should I Wait Till I Am Closer To Goal? Also, I Am From The San Antonio Area. Any Awesome Surgeons That You May Know About From That Area? I Don't Even Know Where To Begin. Any Advice From You Would Be Highly Appreciated.

Hi. Congratulations on your accomplishments!

What you would like improved is largely a matter of personal choice. What bothers you most ?

If there are several areas, you may consider combined procedures.

I have found that liposuction rarely benefits weight loss patients as they have lots of skin and very little fat.

Look over my website photos at patients who may look like you, and you can get an idea of what is possible.

John LoMonaco M.D., P.A.

What if anything can be done at the time of surgery for skin that tends to form hyprotropic scares?

OR

Is this something that is dealt with post surgery with injections?

Honestly, I have no idea, but we hear of surgeons who are specialists dealing with hypertrophic scaring or true keloid patients.

Thanks in advance.

I have hypertrophic scaring from my breast reduction 3 years ago and one of my band incisions is still red and rope like, 2 years out. I am considering a tummy tuck.

During surgery using meticulous and gentle technique, not using surface stitches (we use glue), and closing the skin under minimum tension may help prevent HTS.

Afterwards, silicone gel sheeting, steroid injections, and even laser therapy may be helpful.

Best

John LoMonaco, F.A.C.S.

Plastic Surgery

Houston, Texas

Bodylifthouston

opening movie

Thank you for responding. I appreciate knowing the details.

I used the silicone sheeting on my breasts, I think it worked on all but two areas at my side. But the laser therapy is news to me.

I will ask about that when I go for my consult in October. Because for people who scar like me, we have to weigh the benefits. Saggy skin - huge ugly scar......

It also makes me sad that I will probably have to give up on any idea of face work in the future, until someone invents a skin-shrinking-no-scar laser machine. :redface: