Dr MacKenzie in Santa Barbara, California

Name: Douglas J. Mackenzie, MD
Last name: MacKenzie
Gender: male
Began aesthetic medicine in: 1997
Years experience: 26
Primary Specialty: Plastic Surgeon
Business: Pacific Plastic Surgery
Address: 1722 State St.
Address suite: Ste. 102
Phone: +1 805-898-0700
City: Santa Barbara
State: California
Zip Code: 93101
Country: US
Consulting Fees: 100$
Has Sponsored Offer : No

Special Offers:

Offer #1: Galderma Offer
Special Offer Treatments: All treatments
End Time: 12/31/2023
Detail: Sign up for Aspire Galderma Rewards prior to your appointment to receive $20 off on each treatment listed below: Dysport®, Restylane® family, Sculptra® Aesthetic.

Clinical Privileges:

Cottage Hospital, Goleta Valley Cottage Hospital

Douglas J. Mackenzie, MD

Education:

Undergraduate: BS, Engineering, Colorado School of Mines, 1985
Medical: MD, Johns Hopkins University School of Medicine, 1989

Postdoc Training:

Residencies:
General Surgery, Cedars – Sinai Medical Center, Los Angeles, 1994
Plastic Surgery, New York Hospital, Cornell University Medical Center, New York City, 1996
Fellowship: Hand surgery, Oregon Health Sciences University in Portland, 1997

Member of:

American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)

Board Certification:

Douglas Joseph Mackenzie (ABMSUID -554436)

Viewed: 7/25/2008
Day of birth: 8/9/1963

Status: Alive
Certification: American Board of Plastic Surgery
Plastic Surgery – General

Status: Certified
Active Time-Limited Recertification: 12/1/2009 – 12/31/2019
Active Time-Limited Initial Certification:
9/18/1999 – 12/31/2009 Surgery of the Hand – Subspecialty
Status: Certified
Active Time-Limited Initial Certification:
8/28/2

– 12/31/2010}
American Board of Surgery
Surgery – General

Status: Not Certified
Expired Time-Limited Initial Certification:
2/11/1997 – 7/1/2007
Education: 1989 MD (Doctor of Medicine)
Location: 225 W Pueblo St Ste ASanta Barbara, CA 93105 (United States)

GPS coordinates on map: 34.4288594,-119.7115745

Primary location:

Location name: Santa Barbara
State: CA
Country: US
Map point: 34.4234,-119.7040024

Treatments:

African American Rhinoplasty
Arm Lift
Asian Rhinoplasty
Belly Button Surgery
Biocorneum
Blue Peel
Body Lift
Body-Jet Liposuction
Botox
Botox for Hyperhidrosis
Brazilian Butt Lift
Brazilian Butt Lift Revision
Breast Augmentation
Breast Fat Transfer
Breast Implant Removal
Breast Implant Revision
Breast Implants
Breast Lift
Breast Lift with Implants
Breast Reconstruction
Breast Reconstruction Revision
Breast Reconstruction with Fat Transfer
Breast Reconstruction with Latissimus Flap
Breast Reduction
Brow Lift
Buccal Fat Removal
Butt Augmentation
Butt Lift
Calf Reduction
Cellulaze
Cheek Augmentation
Cheek Lift
Chemical Peel
Chin Filler
Chin Implant
Chin Liposuction
Clitoral Hood Reduction
CO2 Laser
Cyst Removal
Derma Roller
Dermal Fillers
Dimple Surgery
Double Eyelid Surgery
Dysport
Ear Surgery
Earlobe Repair
Embrace Scar Therapy
Eyelid Surgery
Facelift
Facelift Revision
Facial Fat Transfer
Facial Reconstructive Surgery
Forehead Reduction
Fractional Laser
Genioplasty
Gynecomastia Surgery
Hand Reconstructive Surgery
Hand Rejuvenation
Hyaluronidase
Inspira Breast Implants
IPL
Jessner Peel
Jeuveau
Juvederm
Kybella
Labia Puffing
Labiaplasty
Laser Hair Removal
Laser Liposuction
Laser Resurfacing
Latisse
Lightsheer Laser
Lip Fillers
Lip Lift
Lip Reduction
Lip Repositioning
Lip Surgery
Lipoma Removal
Liposculpture
Liposuction
Liposuction Revision
Liquid Facelift
Lower Facelift
MACS Facelift
Male Tummy Tuck
Masculinizing Top Surgery
Microneedling
Mini Facelift
Mini Tummy Tuck
Mole Removal
Mommy Makeover
Monsplasty
Natrelle Breast Implants
Neck Lift
Nipple Reduction
Nipple Surgery
Nonsurgical Facelift
Nonsurgical Nose Job
Panniculectomy
Photodynamic Therapy
PicoSure
Power-Assisted Liposuction (PAL)
PrecisionTx
PRP for Hair Loss
PRP Injections
Qwo
Radiesse
Restylane
Restylane Defyne
Restylane Lyft
Restylane Refyne
Restylane Silk
Retin-A
Revision Rhinoplasty
RHA Collection Fillers
Rhinoplasty
Scar Removal
Sclerotherapy
Sculptra
Septoplasty
Sientra Breast Implants
Silicone Injection Removal
Skin Lightening
Skin Rejuvenation
Skin Tightening
SkinPen
Smart Lipo
SmartSkin
SMAS Facelift
Subcision
Tattoo Removal
TCA Peel
Thigh Lift
Tumescent Liposuction
Tummy Tuck
Tummy Tuck Revision
Umbilical Hernia Repair
Voluma
Xeomin

RealSelf Info

Rating: 4.3
Profile views: 30073
Answer count: 580
Review count: 38
1 star count: 1
2 star count: 1
4 star count: 2
5 star count: 6
Total star count: 10
Star rating: 3.1221152871338
Anonymous votes: 74
Offer count: 1
Profile created: Feb 16, 2010
Profile modified: Aug 27, 2021
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Pro
Linked url: https://www.pacificplasticsurgery.com
RealCare Promise: No
Directory link: Board Certified Plastic Surgeon
RealSelf’s PRO: No
Doctor Designation Start Time: Mar 22, 2019
Doctor Designation End Time: Jan 1, 2033

Locations

Camarillo, CA, US. GPS coordinates: 34.2126,-119.0360031
San Luis Obispo, CA, US. GPS coordinates: 35.2696,-120.6699982
Santa Barbara, CA, US. GPS coordinates: 34.4234,-119.7040024
Ventura, CA, US. GPS coordinates: 34.2659,-119.2580032

Latest ratings of treatments

Earlobe Surgery (Dec 2015) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Breast Augmentation (Jul 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Breast Implant Removal (Apr 2017) – Overall rating: 5/5
Lower Facelift (Feb 2018) – Overall rating: 5/5
Eyelid Surgery (Jul 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Breast Lift with Implants (Dec 2013) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Blue Peel (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Dermabrasion (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Sientra Breast Implants (Jul 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Breast Augmentation (Jun 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 3/5, Answered questions: 5/5)
Breast Implant Revision (Jan 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Facelift (Dec 2014) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Mommy Makeover (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Breast Augmentation (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 3/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Breast Augmentation (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Dermabrasion (Sep 2023) – Overall rating: 5/5
Radiesse (Sep 2023) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Dysport (Sep 2023) – Overall rating: 5/5
Latisse (Sep 2023) – Overall rating: 5/5
Rhinoplasty (Sep 2023) – Overall rating: 1/5
Breast Lift (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Facelift (Sep 2023) – Overall rating: 1/5
Breast Augmentation (Sep 2023) – Overall rating: 1/5
Facial (Sep 2023) – Overall rating: 2/5
Mommy Makeover (Sep 2023) – Overall rating: 5/5
Breast Implant Removal (Sep 2023) – Overall rating: 5/5
Earlobe Surgery (Dec 2015) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Latisse (Jul 2022) – Overall rating: 5/5
Breast Implants (Dec 2011) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 4/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 4/5, After care follow-up: 4/5, Staff professionalism & courtesy: 4/5, Answered questions: 5/5)

Latest Prices

Other Prices

$6701 – Aug 16, 2013 – Santa Barbara, CA

Earlobe Surgery Prices

$1500 – Dec 30, 2015 – Santa Barbara, CA
$1500 – Dec 30, 2015 – Santa Barbara, CA
$1500 – Dec 30, 2015 – Santa Barbara, CA

Breast Augmentation Prices

$6500 – Jul 31, 2013 – Santa Barbara, CA
$8000 – Jun 3, 2015 – Santa Barbara, CA
$6900 – Sep 2023 – Santa Barbara, CA
$11001 – Sep 2023 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$6900 – Oct 2018 – Santa Barbara, CA
$11001 – Oct 2017 – Santa Barbara, CA
$7100 – Jul 1, 2016 – Santa Barbara, CA
$7100 – Jul 1, 2016 – Santa Barbara, CA
$7100 – Jul 1, 2016 – Santa Barbara, Ca
$8000 – Jun 3, 2015 – Santa Barbara, CA
$8000 – Jun 3, 2015 – Santa Barbara, CA
$8000 – Jun 3, 2015 – Santa Barbara, CA
$8000 – Jun 3, 2015 – Santa Barbara, CA
$7200 – Nov 7, 2014 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$8200 – May 1, 2013 – Santa Barbara, CA
$6900 – Aug 2012 – Santa Barbara, CA
$11000 – Jul 2011 – Santa Barbara, CA
$11000 – Jul 2011 – Santa Barbara, CA

Breast Implant Removal Prices

$9100 – Aug 29, 2012 – Santa Barbara, CA
$9100 – Aug 29, 2012 – Santa Barbara, CA
$9100 – Aug 29, 2012 – Santa Barbara, CA
$9100 – Aug 29, 2012 – Santa Barbara, CA
$9100 – Aug 29, 2012 – Santa Barbara, CA
$9100 – Aug 29, 2012 – Santa Barbara, CA
$6700 – Aug 29, 2012 – Santa Barbara, CA
$6700 – Aug 29, 2012 – Santa Barbara, CA

Breast Lift with Implants Prices

$11000 – Dec 27, 2013 – Santa Barbara, CA
$11000 – Dec 27, 2013 – Santa Barbara, CA
$12000 – Jan 1, 2015 – Santa Barbara, CA
$12000 – Jan 1, 2015 – Santa Barbara, CA
$11000 – Dec 27, 2013 – Santa Barbara, CA

Blue Peel Prices

$500 – Sep 2023 – Santa Barbara, CA
$500 – Mar 2019 – Santa Barbara, CA
$500 – Dec 2011 – Santa Barbara, CA
$500 – Dec 2011 – Santa Barbara, CA
$500 – Dec 2011 – Santa Barbara, CA
$500 – Dec 2011 – Santa Barbara, CA

Dermabrasion Prices

$95 – Sep 2023 – Santa Barbara, CA
$95 – Sep 2023 – Santa Barbara, CA
$95 – Oct 2017 – Santa Barbara, CA
$95 – Apr 2017 – Santa Barbara, CA
$95 – Jan 2011 – Santa Barbara, CA
$95 – Jan 2011 – Santa Barbara, CA

Sientra Breast Implants Prices

$7100 – Jul 1, 2016 – Santa Barbara, CA
$7100 – Jul 1, 2016 – Santa Barbara, CA
$7200 – Nov 7, 2014 – Santa Barbara, CA
$7200 – Nov 7, 2014 – Santa Barbara, CA
$7200 – Nov 7, 2014 – Santa Barbara, CA
$7200 – Nov 7, 2014 – Santa Barbara, CA

Breast Implant Revision Prices

$12000 – Jan 1, 2015 – Santa Barbara, CA
$12000 – Jan 1, 2015 – Santa Barbara, CA
$12000 – Jan 1, 2015 – Santa Barbara, CA
$12000 – Jan 1, 2015 – Santa Barbara, CA
$10000 – Sep 2012 – Santa Barbara, CA
$10000 – Sep 2012 – Santa Barbara, CA

Facelift Prices

$15000 – Dec 4, 2014 – Santa Barbara, CA
$15000 – Dec 4, 2014 – Santa Barbara, CA
$15000 – Dec 4, 2014 – Santa Barbara, CA

Mommy Makeover Prices

$10000 – Sep 2023 – Santa Barbara, CA
$10000 – Oct 2018 – Santa Barbara, CA

Radiesse Prices

$550 – Sep 2023 – Santa Barbara, CA
$550 – Oct 2018 – Santa Barbara, CA
$550 – Jan 2011 – Santa Barbara, CA
$550 – Jan 2011 – Santa Barbara, CA

Dysport Prices

$500 – Sep 2023 – Santa Barbara, CA
$500 – Nov 2016 – Santa Barbara, CA
$500 – Nov 2010 – Santa Barbara, CA

Latisse Prices

$99 – Sep 2023 – Santa Barbara, CA
$99 – Jul 2022 – Santa Barbara, CA
$100 – Nov 2010 – Santa Barbara, CA

Rhinoplasty Prices

$15000 – Oct 2018 – Santa Barbara, CA
$15000 – May 2013 – Santa Barbara, CA

Breast Lift Prices

$13000 – Sep 2023 – Santa Barbara, CA
$13000 – Oct 2012 – Santa Barbara, CA
$13000 – Oct 2012 – Santa Barbara, CA

Breast Implants Prices

$7100 – Dec 15, 2011 – Santa Barbara, CA
$7100 – Dec 15, 2011 – Santa Barbara, CA
$4800 – Feb 6, 2015 – Santa Barbara, CA
$4800 – Feb 6, 2015 – Santa Barbara, CA

Cheek Augmentation Prices

$6700 – Aug 16, 2013 – Santa Barbara, CA
$6700 – Aug 16, 2013 – Santa Barbara, CA
$6700 – Aug 16, 2013 – Santa Barbara, CA
$6500 – Aug 16, 2013 – Santa Barbara, CA
$6500 – Aug 16, 2013 – Santa Barbara, CA

Tummy Tuck Prices

$6700 – Dec 18, 2013 – Santa Barbara, CA
$6700 – Dec 18, 2013 – Santa Barbara, CA
$6700 – Dec 18, 2013 – Santa Barbara, CA
$6700 – Dec 18, 2013 – Santa Barbara, CA
$6700 – Dec 18, 2013 – Santa Barbara, CA

Breast Reduction Prices

$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA
$9500 – Nov 28, 2012 – Santa Barbara, CA

Liposuction Prices

$10000 – Nov 28, 2012 – Santa Barbara, CA
$10000 – Nov 28, 2012 – Santa Barbara, CA
$10000 – Nov 28, 2012 – Santa Barbara, CA

Other Prices

$15000 – Dec 4, 2014 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$6500 – Jul 31, 2013 – Santa Barbara, CA
$95 – Jan 2011 – Santa Barbara, CA

Dermaplaning Prices

$95 – Jan 2011 – Santa Barbara, CA

Practice Locations

Name & Website

Pacific Plastic Surgery & Spa On The Pacific – Santa Barbara, https://www.pacificplasticsurgery.com/

Address

1722 State St.Ste. 102, Santa Barbara, California, US, 93101 (GPS coordinates: 34.4288205,-119.7114539)

Phone

+18058980700

Working Hours

Created / Modified

May 12, 2017 / Jan 25, 2021

Special Offers

Heading
Start Time / End Time

Detail

Treatments

Galderma Offer
Nov 1, 2019 /
Dec 31, 2023

Sign up for Aspire Galderma Rewards prior to your appointment to receive $20 off on each treatment listed below: Dysport®, Restylane® family, Sculptra® Aesthetic.

Specific treatments

Doctor's answers

Question

Answer Header & Date

Answer Snippet

Best treatment for this type of cellulite?

Cellulite treatment
Sep 5, 2019

I like Cellulaze and it doesn't create the many small scars that Cellfina does that can be a problem with some persons' skin. You would likely also benefit from some targeted fat injections for the deeper contours.

Will 600 cc be too big for me?

Big breast implants
Jul 23, 2019

Big implants on a small frame need consideration of the implications and risks. The look will be obviously augmented and not natural. There is a somewhat higher risk of short and long term problems, such as bottoming, symmastia, stretching, and ptosis. The inevitable future surgery may come sooner than later.

3.5 wks post op TT, middle of tummy is open. Is there something else I should be doing? (photo

Open wound after tummy tuck
Apr 2, 2019

Sometimes a debridement will help clean the wound and facilitate healing. This can usually be done in the office for a small wound like this. There might be necrotic fat that will delay healing and removing it is a good thing. Your surgeon may consider this.

Why does my belly button look unnatural?

Shape of belly button after tummy tuck
Mar 4, 2019

You are now at the point where scars tend to look the worst - 3 months. Things will improve as time goes on, but I do agree that the shape of your belly button is not ideal. If you are not satisfied you will likely need a revision, but will need to wait at least another 3 moths.

Where are my nipples? 2 months post op FNG.

Breast reduction with free nipple graft
Feb 13, 2019

It seems you had some superficial slough of your nipple areola graft. How thick the slough, or necrosis was, is difficult to tell by the photos at this point. With more time, the coloration will likely improve although I wouldn't be surprised if you're left with some permanent hypopigmentation. A medical tattoo artist can help in this situation. The projection of the nipple after a FNG is usually minimal, and with some necrosis will be even worse. To regain some projection, there are ...

My TT is on 2/27. Do I still need to take Vicodin if I have Exparel?

Pain control with Exparel
Feb 5, 2019

I like Exparel, I was involved with some of their clinical trials and I use it occasionally. I don't use it routinely because most patients don't want to pay extra for it (it's expensive) and using straight bupivicaine works quite well, although for less time obviously. I find the Exparel reduces the need for narcotics, but doesn't eliminate it, particularly with a big procedure like a TT.

How often should a Seroma be aspirated after Gynescastia surgery?

Placement of seromacath
Jan 11, 2019

One option is for your surgeon to place a Seromacath. It's basically a percutaneous drain placed in the office that will stay there for a few days, probably no more than a week. This may allow the seroma to stay collapsed long enough for the space heal together.

Chills and sweating bouts 11 days post TT and liposuction. Is this menopause issues or somethi

Chills and sweating after surgery
Jan 3, 2019

You should go back to your surgeon without delay. Chills, sweating, and a leaky wound equals wound infection until proven otherwise.

Can a belly button revision fix my keloided and almost closed belly button?

Belly button problems after tummy tuck
Dec 18, 2018

Your ongoing wound drainage 7 months after surgery probably means you have permanent stitch material at the base of the wound, from where the surgeon tightened your abdominal wall. This stitch material is now acting as a chronically contaminated foreign body. The solution is to surgically explore the wound and remove the offending sutures and debride the cavity under the skin. Antibiotics, imaging studies, or referral for endless treatments at a wound management center are all terrib...

Can I make my nose thinner and symmetrical non surgically?

Nonsurgical nose job has its limits
Dec 18, 2018

Based on your single photo only, I don't think nonsurgical rhinoplasty will accomplish your goal. Nonsurgical rhinoplasty involves putting in injectable filler. So it's filling something - actually making it bigger, or wider, or higher, whatever the case may be. It works to fill in areas that are indented, or low, or to raise and enhance the dorsum. Its not going to make a prominent dorsum lower, or a wide tip narrower, in fact it will do the opposite. It could perhaps improve your s...

Would you be able to do an implant removal en bloc even if it is under the muscle?

En bloc implant removal from under the muscle
Dec 17, 2018

Yes, an en bloc breast implant/removal can be done with an implant under the muscle. Options after that depend on your desires and situation. These could include mastopexy, breast augmentation with fat, etc. Make sure you consult with a surgeon who is comfortable with these procedures.

Is there any connection with breast implants or capsular contracture and hair loss?

Many things can cause hair loss
Dec 17, 2018

I wonder how old your implants are and if you've had any recent imaging (MRI or high resolution ultrasound) of the implants to determine rupture/leakage. But there are many things that can cause hair loss, and you should first rule out the more common things, with the help of your primary care physician. Hormonal changes, hypothyroidism, vitamin/mineral deficiencies, stress (you have a 15 month old child!), others. If your doctor's office is a patient mill, you may want to seek out an ...

Should I get en bloc for ruptured implants?

En bloc capsulectomy and removal of ruptured implants
Dec 17, 2018

A best effort should be made by the surgeon to get all the silicone out, preferably with an en bloc capsulectomy. But if that is not possible because of a thin capsule (particularly on the rib cage), getting as much out as possible and curettage of the rest is the next best (and safer) alternative. If there is extra-capsular silicone, usually from an unrecognized long-term rupture (note: follow the guidelines for periodic non-contrast MRI follow-up for silicone gel implants to catch thi...

What could’ve caused my Inverted V, and how should I fix it?

Revision Rhinoplasty: Correcting an Inverted V Deformity
Dec 14, 2018

The can happen if the nasal dorsum is taken down too aggressively, and can indicate a separation where the cartilage and bone usually connect. You will likely need a secondary procedure using cartilage grafting to improve it. Make sure you see a surgeon who is comfortable doing revision rhinoplasty,

Should I space out my breast implant removal and fat transfer to breasts for best results? (Ph

Implant removal and fat transfer to breasts
Dec 7, 2018

It would be good to have more of an idea what's going on, but based on your photos I'm going to guess you'll be having a capsulectomy. It seems that your right breast may have a capsular contracture. Fat must be injected into tissues - it cannot be injected into the empty space where the implants used to be. And this space will be even larger if a capsulectomy is done, rather than a simple implant removal. So the amount of fat injected may be more limited if you combine the proc...

Latest Before And After Photos

Last updated on 11/24/2023