Doctor insights on:
What Kind Of Surgery Can Be Done To Fix My Small Chin
Neck Lift : A "wobbly" chin typically results from changes in your tissue over time that result in loss of elasticity of the skin and tissue of the neck. Excess, loose neck skin must be removed and tightened in order to create a more sharp contour along your neck and chin. This is achieved with neck lift surgery, and requires a long incision around your ear and into your hairline to achieve that goal. ...Read moreSee 2 more doctor answers
Had a small umbilical hernia repair (no mesh) done a month ago. The lump above my belly button is still kind of squishy, like it was pre-surgery.
I had a small bowel obstruction surgery that was done by a general surgeon. What type of specialist /doctor do I see after for consultation?
Surgeon and PCP: It is important for you to follow up with the surgeon who operated on you because he/she will be able to recognize if your bowels have returned to normal function. It will also be important for you to see your primary care doctor who will have the greatest continuity of care with you. In the event of a re-obstruction, be sure to return to the same surgeon. They will know your anatomy details. ...Read moreSee 1 more doctor answer
I had a sleep study done and my AHI was74.7 is this considered bad and can I have surgery based on these results? Also what kind of surgery is it?
Sleep Apnea: Not sure what the number should be, but surgery results are disappointing in my experience. It is worth any amount of trouble and persistence to get comfortable with CPAP (Continuous positive airway pressure) for relief of this condition. It changes people's whole lives for the better if they are willing to go through the adjustment. ...Read moreSee 1 more doctor answer
I am having my gallbladder removed. Which kind of surgery is best? I was told to either do the 1 cut through the bellybutton or the 1 cut plus 3 additional small cuts on my right side. Which one will be less painful and have less issues?
The : The other 2 answers are good but would fall under the "politically correct" heading. The "traditional" laparoscopic procedure with 4 small holes is the best operation. There is not a single good reason to have a single incision laparoscopic cholecystectomy. The beg proponents of the single incision (sils) keep coming up with good sounding theories as to why this should be better. The two reasons that they keep hanging their hat on are that there will be better cosmesis with only one incision and that since there are fewer incisions there will be less pain. So far, neither of these have actually been proven true. In the most recent study that was done comparing post operative pain between these two techniques the patients who had the single incision procedure actually reported more pain than those with the standard four incisions. As for the cosmetic advantage, the incision that has to be made at the umbilicus (belly button) to accommodate the instruments for the surgery is larger than any single incision that would be made during the standard technique. This means that there is a greater chance of developing a hernia at this incision later on, which will require another surgery, and with that more scarring. This effectively eliminates the cosmetic advantage of the single incision. The sils procedure has only been around for a couple of years, but there are reports coming out already demonstrating a hernia rate at that incision that is 5x greater than what it would be using the more traditional approach. I've personally done over a thousand laparoscopic cholecystectomies and have not had a single patient ever complain about the size or appearance of their incisions. Most people can't even see them after a few months. ...Read moreSee 2 more doctor answers
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