Las Vegas Plastic Surgeon - Henderson, Summerlin, Green Valley

Ask Dr. Edwards - Archives

All questions and responses are listed below.

Nickname: Kimmy
Subject: Leg numbness from my tummy
Procedure: Tummy Tuck
Question: I lost 150 lb from bariatric surgery from 10 years ago. I have the fold in my tummy that no amount of exercise will get rid of it. My legs fall asleep when I sit because of the excess weight on my lap. Would insurance cover the tummy tuck? Would it stop my legs from falling asleep when I sit?

Nickname: princess E
Subject:
Procedure: Breast Lift w/ Augmentation
Question: How long would i have to be off work ? Recovery time? and if i have a child in the future would i be able to breast feed?

Nickname: Hank S.
Subject: "buried penis"
Procedure: General Question
Question: Hello, I really hope you can help me with my situation. I'm a male, 42yrs. old, and overweight. My problem is sort of hard to talk about or describe, but I guess the best name for it is a "buried penis or trapped penis". I'm sure you probably have heard of it. The area around the base of my penis (abdominal fat pad area) has made it so it retracted. It's getting very painful. I would need that area worked on I guess. I hope you know what I'm talking about. And I hope that would be a type of surgery you perform. Can you please get back to me? I'd appreciate any information or help that you can give. Thank you and take care.

Response From Dr. Edwards:
Hank, Please refer to the correspondence we had earlier this week. I wish you well. Dr Edwards

Nickname: ceci123
Subject: Labiaplasty
Procedure: General Question
Question: do you do Labiaplasty?

Response From Dr. Edwards:
Ceci, Sorry it has taken a couple of days to get back to you. Our e mail has been acting up. Yes, I do perform labiaplasty. I would need to meet with you and after I examine you we could come up with a plan to hopefully meet your goals. Please call my office at 702-248-8989. I look forward to meeting with you. Dr Edwards

Nickname: ethjr
Subject: male breast reduction
Procedure: General Question
Question: I have Klinefelter Syndrome, which means I have male breasts. I would like to have them reduced & wondering if you do that, cost & do you accept medical insurance. Thank you for your time

Response From Dr. Edwards:
I do not currently work with any medical insurance plans. I do perform male breast reduction (gynecomastectomy) and we would need to make sure you were clear from an endocrinological standpoint prior to surgery. If you would like to schedule a consultation, please call my office at 702-248-8989. Dr Edwards

Nickname: Hazel
Subject: Chemical peel
Procedure: None Specified
Question: I do not like the scars ans blemishes i have on my face. I am looking into getting a chemical peel. Can you tell me what the cost of a light chemical peel costs? Thank you

Response From Dr. Edwards:
Hazel, We do not currently have a skin care specialist in our office. This may change after the New Year. Take care. Dr Edwards

Nickname: Mrs.B
Subject: Cost
Procedure: Breast Augmentation
Question: I am interested in coming in for a consultation for a first time breast augmentation. I am 5'6, 130pounds, 32B, with absolutely no health problems. I would like to go to a full C. I know breast implants range from $4000-$8000. What do you charge for everything (including anesthesia, surgery/dr/hospital fees). I just want to make sure I can have a ballpark figure in my mind so I can be prepared. Thanks!

Response From Dr. Edwards:
Dear Mrs. B, Thanks for your e mail. I would be happy to meet with you in consultation to discuss breast augmentation. The approximate cost of the procedure is $5400 for saline implants and $6400 for silicone implants. This is an inclusive cost aside from medications. At your private consultation we will review your goals, go over your medical history and examination, and then I will describe what the options are to help your reach your goals to include using saline or silicone implants. I encourage you to write any questions down that you may have and bring them with you to your consultation so that we can make sure they all get answered. I also have information available on my website under the Frequently Asked Questions (FAQ) tab to help educate you before your appointment so that you get the most out of it. I see patients on Mon-Wed-Fri in the office from 9-5. To schedule your consultation appointment, please call my office at 702-248-8989. My staff can also answer your questions about costs and financing options available to you as well at this time. I look forward to meeting with you. Michael C. Edwards, MD, FACS Edwards Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. Communications through our website or via e mail are not encrypted and are not necessarily secure. Use of the internet or e mail is for your convenience only, and by using them you assume the risk of unauthorized use. You hereby agree to hold Edwards Plastic Surgery, its doctors or affiliates harmless from any hacking or any unauthorized use of your personal information by outside parties.

Nickname: valerie
Subject: cost
Procedure: Breast Lift w/ Augmentation
Question: I would like to know approximately how much a procedure like this runs. I had a gastric bypass and now have the after effects of it. YUCK

Response From Dr. Edwards:
Dear Valerie, Thanks for your e mail. I would be happy to meet with you in consultation to discuss breast lift with augmentation. At your private consultation we will review your goals, go over your medical history and examination, and then I will describe what the options are to help your reach your goals to include using saline or silicone implants. I encourage you to write any questions down that you may have and bring them with you to your consultation so that we can make sure they all get answered. I also have information available on my website under the Frequently Asked Questions (FAQ) tab to help educate you before your appointment so that you get the most out of it. I see patients on Mon-Wed-Fri in the office from 9-5. To schedule your consultation appointment, please call my office at 702-248-8989. My staff can also answer your questions about costs and financing options available to you as well at this time. I look forward to meeting with you. Michael C. Edwards, MD, FACS Edwards Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. Communications through our website or via e mail are not encrypted and are not necessarily secure. Use of the internet or e mail is for your convenience only, and by using them you assume the risk of unauthorized use. You hereby agree to hold Edwards Plastic Surgery, its doctors or affiliates harmless from any hacking or any unauthorized use of your personal information by outside parties.

Nickname: bunny
Subject: tummy tuck
Procedure: Tummy Tuck
Question: hi, have you ever heard of the buried row stitches instead of drainage tubes?

Response From Dr. Edwards:
The concept of quilting sutures to sew down the abdominal skin is not new but drains are often time still needed for a few days. The average duration of time that drains are in varies from 3-6 days. I hoe this has been helpful. Dr Edwards

Nickname: bunny
Subject: tummy tuck
Procedure: Tummy Tuck
Question: hi, have you ever heard of the buried row stitches instead of drainage tubes?

Nickname: KC
Subject: Breast Implants
Procedure: Breast Augmentation
Question: A couple of questions: I currently live in a smaller city (and I have not heard great things about the surgeons here) and I am wondering if you perform surgery on people who do not live in Vegas? I assume if I am willing to travel to my post-op appointments, you would perform the surgery? My next question is regarding when a woman gets older (as in 65, 70, 80) I assume that one would remove the implants. What will be the result at that point? I have only found one piece of information on the internet about a feeling of having a "tennis ball"on your chest. I assume that the scar tissue that forms around the implant would be felt? Is there any information out there about what it is like after you remove your implants? Thank you so much for your time!

Response From Dr. Edwards:
KC I do commonly see patients from out of Las Vegas. This can be accomplished with a safe outcome with proper planning. I also appreciate you knowing the importance of follow-up which I feel is crucial to a good result. You don't have to automatically have your implants removed when you are older. They look of your breasts if you do remove your implants depends on the changes that have occurred in your breast tissues. I encourage you to schedule a consultation and we will review all of your questions. If you would like to do that, please call my office at 702-248-8989. I ope this helps. Dr Edwards 12 Oct 09 1850

Nickname: Holly
Subject: Implants gone wrong
Procedure: Breast Augmentation
Question: I know it will be hard for you to answer this without a consultation, but I would to get an idea if I could be 'fixed' or not. About 3 years ago I had surgery to correct severe asymmetry. I had an implant placed in my right breast and a lift for my larger C-cup left breast. The augmentation turned out ok, except that the implant wasn't large enough to match the left side. But the breast that was lifted was lifted way too high and my nipples are no longer in line (they were to start with). The nipple is now so high that it tends to show over the tops of some of my shirts. The incision also tore back open after the stitches were removed and I had a hole the size of a 50-cent piece that has now healed over into a horrible scar. Based on this information do you think this can be repaired? If so I'd love to meet with you.

Response From Dr. Edwards:
Holly, Breast asymmetry is quite common but some are more noticeable than others like sounds as though yours was. I think there are things we can do to improve your nipple position and scars but as you mentioned, I would need to see you before I could give specific possible solutions. I'lll answer with more detail through an e mail. Dr Edwards

Nickname: Tiny
Subject: BA - safety
Procedure: Breast Augmentation
Question: You are amazing to answer all the questions - thank you so much for informative answers and not uninformed hear-say!! I really would like a BA, but my long term health is more important to me, so the following questions if you can help- 1.Is there a correlation between BA and auto immune illnesses, lupus, etc or is it just a very small percentage? 2. What % of patients get capsular contract - big or small risk? 3.Will almost half of silicon implants rupture after 10 or more years? So, must I be prepared to get a new set of implants in my life (I am 35) if I get a BA now? 4. If gummy-bears get approved by the FDA, do you think it will be within a year, or must a 5 or more year study first be done? I'd like to wait for that. And I assume you will also implant gummy bears once they are approved? 5. If I do a BA, must I go for a MRI every 2 or 3 years or is it not neccesary? THANK YOU SO MUCH!!

Response From Dr. Edwards:
Tiny, These are great questions and I'll answer them in details via e mail at info@medwardsmd.com. Dr Edwards

Nickname: dee
Subject: Tummy tuck after c-suction
Procedure: Tummy Tuck
Question: I was wondering how long should I wait to get a tummy tuck after having a c-section?

Response From Dr. Edwards:
Dee, This is a relatively common question. I feel as though you should wait at least 6-12 months after delivery to consider a tummy tuck. It is important to allow your body to recover from pregnancy first before undergoing this body contouring procedure. I hope this helps. Dr Edwards 20 Sep 09 0730

Nickname: toly
Subject: dermabrasion
Procedure: General Question
Question: Do you preform dermabrasion and if so how much does it cost?

Response From Dr. Edwards:
Toly, Mary Rose in my office is a licensed skin care specialist who does perform microdermabrasion as a part of comprehensive skin care. To schedule an appointment with Mary Rose and me as well, please call us at 702-248-8989. We look forward to meeting with you. Dr Edwards 7 Sep 09 1200

Nickname: jillybean
Subject: breast implant removal
Procedure: General Question
Question: I have a lot of pain in my left breast and underarm area. I currently have saline implants, and being that my Mammograms always come out fine, I think my implants may be the problem. Having larger breasts is no longer important to me. Do you perform breast implant removal surgery, and if so, what is the cost?

Response From Dr. Edwards:
Jillian, The best place to start would be to see you in consultation, go over your history and then examine you. At that point we could review all of your options and we would provide you with the costs involved. I do perform implant removal surgery if that is what we decide is best for you but there may be other options. It will be helpful at your appointment if you have any information at all about your surgery to include implant information. If you don't have that, we can usually track information down. At your private consultation we will review your goals, go over your medical history and examination, and then I will describe what the options are to help your reach your goals. I encourage you to write any questions down that you may have and bring them with you to your consultation so that we can make sure they all get answered. I also have information available on my website under the Frequently Asked Questions (FAQ) tab to help educate you before your appointment so that you get the most out of it. I see patients on Mon-Wed-Fri in the office from 9-5. To schedule your consultation appointment, please call my office at 702-248-8989. My staff can also answer your questions about costs and financing options available to you as well at this time. I look forward to meeting with you. Dr Edwards

Nickname: Camilla
Subject:
Procedure: Breast Augmentation
Question: Hi, Can i have a beast augmentation, if i 16?, I from Denmark -skandinavien - europa and like to fly from Denmark to the U.S. to get bigger breasts.

Response From Dr. Edwards:
Camilla, It is mandated by our FDA that unless it is for breast reconstruction, a woman must be at least 18 years old to have a breast augmentation. Your breasts will continue to change as you grow and may or may not get larger but we cannot tell. I hope this helps. Dr Edwards 31 August 2009 0800

Nickname: KB
Subject: tummy tuck
Procedure: Tummy Tuck
Question: I have a huge"apron" that I would like taken care of via tummy tuck. How big is too big to achieve good results through plastic surgery. Also is there any way to reduce keloid scarring. In general, how much is the total cost for a tummy tuck procedure? Thanks. KD

Response From Dr. Edwards:
KB, The apron of lower abdominal skin is referred to as a pannus and is treated in general with a panniculectomy. Every patient needs to be evaluated individually but I do not offer abdominoplasty to women who have a body mass index of greater than 30 due to the increased risk of complications. You con find out what your BMI is at http://www.findmybmi.com/?OVKEY=bmi&OVRAW=Google. It is based upon your height and weight. If your apron is as a result of weight loss, a panniculectomy may be your best option but the only way to tell is by examination and reviewing your medical history. I hope this has been helpful.Dr Edwards 30 Aug 09 1125

Nickname: Confused
Subject: Breast Implant and Areola reduction
Procedure: Breast Augmentation
Question: I am trying to get a BA and have my areola reduced. I have ask other Surgeons who say no due to the screth of skin. Is the true?

Response From Dr. Edwards:
Confused, Most certainly it is possible to do both of these procedures at the same time but it depends on your anatomy. I would need to see you or you are welcome to forward photos to info@medwardsmd.com. There is an instruction sheet on how best to do this on my website under forms. I'd be happy to meet with you in consultation to go over your options if you'd like. Dr Edwards

Nickname: Ms.Curious
Subject: Breast Lift
Procedure: General Question
Question: I chose to ask a general question because Im not sure what category I fall under. My issue is Ive never been happy with my breast. After, having a baby, pregnancy made them worst. I would love for them to sit perfectly perfect as they were suppose to at 12-16 and which they did not. I would also like to close the space in between them. My question is, instead of adding silicone or implants if the doctor would remove the fat from my stomach and place it into my breast giving them fullness I am longing for?

Response From Dr. Edwards:
I'm pretty sure I answered this question through regular e mail. Please let me know if I didn't. Dr Edwards

Nickname: frownlines
Subject:
Procedure: None Specified
Question: I want botox in the vertical frownlines that appear between my eyebrows!!! Other than that I am more than happy with my appearance. How much can I expect to pay for that? I came to you for a breast augmentation and I loved my results and I more than trust you and your staff.

Response From Dr. Edwards:
Dear Frownlines, Botox is the most common non-surgical procedure we do. We have a 40 unit minimum and with a cost of $10/unit, that is $400. The effect takes about 3-4 days to take effect and can last from 3-6 months. Please let me know if you have any questions otherwise we can review them at your appointment. I look forward to seeing you soon. Dr. Edwards

Nickname: impatient
Subject: breast implant revision
Procedure: Breast Lift w/ Augmentation
Question: Hi Doctor. I had a breast lift with augmentation. First few months they looked great, but now almost at 6 months they have dropped considerably with a lot of rippling on one of them. My doctor said he'll probably have to close the pockets but that I have to wait an additional 3 months to do that. Is this common with breast implants and how invasive is it to have this other procedure done? Why didn't he make the pocket smaller to begin with? Also, why do I need to wait all this time. I am so upset about this. Any insight into this would be greatly appreciated. Thank you.

Response From Dr. Edwards:
Dear Impatient, It is much easier to advise you if I were to see you in consultation but your breasts do go through changes after surgery and it is difficult to completely predict how much laxity can occur after breast surgery. It depends on your tissues, the size and type of implant used, the surgery to some extent, etc. I encourage you to follow up with the surgeon who you trusted in the first place to perform your surgery. I do perform a lot of revision breast surgery but you are still in your first year post-op. The reason that you would need to wait is for the capsule or scar that forms around the implant to mature so that if the pocket needs to be made smaller, there is a strong tissue to sew to. I hope this helps. Dr. Edwards

Nickname: Heather
Subject: weight loss/breast augmentation
Procedure: Breast Lift w/ Augmentation
Question: I am 40 years old and I have 3 children. Add to that I have lost almost 60 pounds. Needless to say, I am not happy with the way my breasts look. They are saggy and they don't fill out my C cups like they used to. What I'm wondering is should I wait to be at my ideal weight before I have anything done? I'd like to loose another 50 pounds. Maybe less. Also, can I have a tummy tuck done at the same time that I have my breasts done? Thank you.

Response From Dr. Edwards:
Heather, There is no question that if you plan on decreasing your weight by 50 additional pounds that you should wait on any elective surgery. You wouldn't want to have the surgery and then have recurrence of skin laxity after losing the weight. All things considered, you can have the 2 surgeries at the same time. Once you are closer to your goal weight, I would be happy to see you in consultation where we can review all of your options. Take care. Dr Edwards

Nickname: Paul
Subject: Breast Lift/ Augmentation
Procedure: Breast Lift w/ Augmentation
Question: Dr Edwards, I am currently stationed in Iraq and ham trying to get some information. My wife and I reside in between LA and San Diego and we have been looking in the local area but not finding anyone whose quality and price meet our needs. She has been dealing with a loss of tissue and sagginess due to child birth and breast feeding. I am trying to get a rough ballpark idea of procedure cost. She will be in Las Vegas next month and I suggested to get a consultation then but in the mean time could you give us an idea of what we would be looking at. Thank you very much for any information you could provide.

Response From Dr. Edwards:
Paul, The best way to see what procedure your wife will need would be at a consultation or she can forward photographs. I have an instruction sheet on how to do this under the forms section of my website. The approximate costs for breast lift with saline implant augment is $9,500 and 10,500 with silicone implants. I encourage you to not make your decision solely on the costs although I know this is important and we do offer a 10% military discount ( I was AD for 19 years). Let me know if there are other questions I can answer. You can also e mail to info@medwardsmd.com. Take care and stay safe. Dr Edwards

Nickname: M.L.
Subject: Nipple Reconstruction
Procedure: General Question
Question: Hi, I'm a male. My nipples have had several piercings and I've worn a variety of different sized rings/jewelry. Now they are scarred and deformed looking. I would like to have them reconstructed to look normal. Can you help me and what should I expect to pay? Thank you

Response From Dr. Edwards:
ML, I would need to examine you to see what could be done for you. It most likely could be accomplished in a minor surgery setting with local anesthesia which would help with costs but I could tell you more after examining you. If you would like to schedule a consultation, please call my office at 702-248-8989. Dr Edwards

Nickname: Liz
Subject: c-section and tummy tuck
Procedure: Tummy Tuck
Question: Dr. I was wondering if I can get my tummy tuck done the same day of my c-section, I'm 17 weeks pregnan.

Response From Dr. Edwards:
Please see my previous post

Nickname: Liz
Subject: c-section and tummy tuck
Procedure: Tummy Tuck
Question: Dr. I was wondering if I can get my tummy tuck done the same day of my c-section, I'm 17 weeks pregnan.

Response From Dr. Edwards:
Liz, As appealing as the idea may be I think it would be ill-advised to do this. We need to allow your body to return to a pre-pregnancy state to let you get the best possible result from a tummy tuck. I would be happy to see you in consultation to discuss your options at least 3-6 months after delivery if you would like. Please call my office at 702-248-8989. I hope this helps. Dr Edwards

Nickname: Q&A
Subject: breast appearance
Procedure: Breast Augmentation
Question: Natural breast come in many different shapes and sizes, which I believe has a major impact on the appearance of the breast after surgery, is the doctor able to predict and to show me (by using other patient’s photos) what my breast would look like after breast augmentation?

Response From Dr. Edwards:
You are right that every woman's breasts are different in their own way so most often what you see as a result of a straight forward breast augmentation is an enhanced version of what they started with. At your consultation we can review your options and then try to give you an idea of what to expect. I encourage you to take a look at my before and after photos on the web site to try to find someone who looks similar to you. Please call 702-248-8989 to schedule your private consultation. I hope this helps. Dr. Edwards 31 May 09

Nickname: C.C.
Subject: Breast Aug.
Procedure: Breast Augmentation
Question: I am 35 and very petite. I suffer from a slight case of "sucken chest" (sorry, I do not know the medical term), and after breastfeeding 2 babies, I need new breasts. This condition is slight, not severe, and actually was helpful when I was younger to make my cleavage appear larger than it really was. I am now a saggy A cup. I am terrified that they will not be placed right on my chest or will be too big. All I want is a full B or smaller C, and would like to know if you have ever worked on someone with this condition. And do you encourage strongly that your patients go always go BIGGER??

Response From Dr. Edwards:
CC Thanks for your question. It is common that women have rib cage asymmetry (prominence or sunken) and that the way your breast augmentation is done is a little different. I treat each women individually and the size we chose depends on your anatomy and what you are hoping to achieve. Not all women require large implants. We will have you size with the implants in a sports bra so you can look at yourself in a mirror to see what to expect from surgery. I hope this helps. Dr Edwards

Nickname: Patty
Subject: fillers
Procedure: General Question
Question: I wanted to make an appt. with you to have some type of filler done. I just turned 37 and I'm thin with a petite frame so unfortunately while my body is good, my face has begun to look hollow around the cheeks. I want my lips a little plumped also but what can you offer in the way of filling my face out a little? If I gain weight it will just go other places, not my face, so I feel the fillers are my best option. I don't want to end up looking like Lisa Rinna or Meg Ryan though. Thank you!

Response From Dr. Edwards:
Patty, My preference for the use of fillers is a conservative approach and I do not typically get an over done look. The way I do it is to have you look intermittently as I am performing the procedure to allow you the input that you should have. Please do not take any medication that can thin your blood (aspirin or motrin) for 2 weeks before treatment. I look forward to meeting with you. Dr. Edwards

Nickname: islandgirl
Subject: breast implants
Procedure: Breast Augmentation
Question: hi u didnt do my previous procedure. i had breast implants less then a year and im not happy wit the size. it seemed good til i healed. i wanted to go with 425cc silione and doctor put 340cc. i was wonder if u do the armpit procedure. i would like to get my 425cc. how much will it cost.

Response From Dr. Edwards:
IslandGirl, I perform a lot of revision breast surgery and would be happy to see you to review your options for increasing your implant size. I do not prefer the transaxillary approach for a variety of reasons which I would be happy to review with you at your consultation. I would encourage you to contact my office staff at 248-8989 and they can set up your consultation and review with you potential costs of the procedure. I wish you well. Dr Edwards

Nickname: Haven
Subject:
Procedure: General Question
Question: I just wanted to Know if there was anyway you can make the buttocks bigger without surgery

Response From Dr. Edwards:
Haven, I believe that other than wearing some form of garment to "lift" your bottom or perhaps exercising the "buttock" muscles, there isn't a good way to do that. Dr Edwards 25 Mar 09 1800

Nickname: E
Subject: BREAST IMPLANTS
Procedure: Breast Augmentation
Question: ARE U BOARD CERTIFIED? IM REALLY INTERESTED, BUT IM A LIL SCARED

Response From Dr. Edwards:
E, This is a great question that you should ask of your plastic surgeon. I am board certified by the American Board of Plastic Surgery. I encourage you to take a look at the frequently asked questions (FAQ) tab on my website. Here you will find the answer to this and many other very important questions about breast augmentation. The best way for you to be as educated as you ca would be for you to come in for a consultation. To schedule your private unhurried consultation, please call my office at 702-248-8989. I hope this helps. Dr Edwards 24 Feb 09 2100

Nickname: mary
Subject: hips
Procedure: General Question
Question: did work on hips and if do what is the cost

Response From Dr. Edwards:
Mary, I'm not sure what your question is. If you are asking about liposuction, I do perform liposuction but the only way to properly discuss what you would benefit from would be to meet with you in consultation. To schedule a consultation, please call my office at 702-248-8989. Dr Edwards 4 Feb 09 0940

Nickname: dichu
Subject: Push up bras
Procedure: Breast Augmentation
Question: Hi Dr. Edwards, in your opinion is it safe/ok to wear a padded push up bras everyday after 3 months of the surgery? Can this cause an implant to change it's shape?

Response From Dr. Edwards:
At 3 months after surgery my patients have been released to wear a good supportive bra and with underwire for the most part. The bra should not, cause the implant to change shape. Dr Edwards 30 Jan 09 1030

Nickname: dichu
Subject: change of size
Procedure: Breast Augmentation
Question: Hi Dr. Edwards, do u offer any discounts for patients that is not happy with the size they received and if the surgery was done less than 6 months ago?

Response From Dr. Edwards:
I assume that I did not perform your breast augmentation. I try to follow my patients as closely as I can in terms of healing and satisfaction. If I did not perform your initial breast surgery, I would need to see you in consultation to discuss what would need to be accomplished to help you reach the goal you are after. I have patients size with implants in a sports bra which is the closest approximation I can make with you as to what you would expect from surgery. I tell my patients that their breasts will be a little smaller than what they see in the mirror with implants in a sports bra and truly the only promise I can make is that you will not be larger than what you see. I would be happy to see you in consultation to discuss your options. I encourage you to call my office at 702-248-8989 or e mail me at info@medwardsmd.com. Dr. Edwards 28 Jan 09 1100

Nickname: ant
Subject: wondering about tummytuck
Procedure: Tummy Tuck
Question: i have had a c-section and i want a tummy tuck, can you use the same cut as my c-section? also is the cut a big cut or small cut? and i was wondering the price of your tummy tuck. thank you

Response From Dr. Edwards:
In order to properly describe to you where the incision and subsequent scar will be, I would need to see you in consultation and examine you. In general, our goal is to remove a c-section scar with a tummy tuck. The length of the scar depends on your particular anatomy and how much loose skin that you have. In order to get an estimate of costs, I would ask you to contact my office and speak with my staff at 702-248-8989. Dr. Edwards, MD 28 Jan 09 0830

Nickname: zz
Subject: Compression Garment
Procedure: Liposuction
Question: How long do I have to wear the compression garment after liposelection? The duration I was told ranges from 2 weeks to 3 months!! Is this confused with the traditional liposuction? Thanks.

Response From Dr. Edwards:
There are many terms used to describe liposuction> I would ask the doctor you chose to specifically tell you how the liposuction they perform is different than traditional tumescent liposuction. I ask my patients to wear a garment for 6 weeks after surgery. Some chose to wear it longer but that is their choice. Dr. Edwards 20 Jan 09 0950

Nickname: quiche
Subject: arm lipo
Procedure: Liposuction
Question: Dr. Edwards, I did not see any photos of anyone who has gotten lipo of the arms. Do you get many patients that ask for this procedure? I am interested in thatprocedure as well as lipo of my abdomen and thighs.

Response From Dr. Edwards:
I do perform arm liposuction in some patients. My practice is focused on plastic surgery of the body and breast to include tumescent liposuction. If you would like to schedule a consultation, please call my office at 702-248-8989. After meeting with you I can best review the options for treatment that would help you reach your goals. Dr Edwards 20 Jan 09 0830

Nickname: heidi
Subject: migraine
Procedure: General Question
Question: I get migraines from holding a ton of tension around my eyebrow area. Would botox help? How many units are needed for something like this?

Response From Dr. Edwards:
Heidi, I have a number of patients who tell me that the severity and frequency of their migraines does diminish with Botox treatment. To my understanding this is not an FDA-approved use of the product and so, like many uses of Botox, it is considered off label. The use of Botox in the state of Nevada is such that only one patient can be treated with one vial and therefore my office policy is that there must be a 40 unit minimum purchase of a 50 unit vial. The basic costs is $12/unit, therefore $480. My office has special offerings on Botox on occasion so it would be best to speak with my office staff to get the details. You can reach them at 702-248-8989. I hope this has been helpful. Dr. Edwards 19 Jan 0800

Nickname: CAT
Subject: TUMMY TUCK/breast lift
Procedure: Tummy Tuck
Question: How much weight is lost & inches removed when a full tummy tuck is done??? Also is there a procedure to do a breast lift that does not leave the vertical scar down the front of the breast. I am 5'4", 188(about 30 lbs away from my ideal weight). I had breast augmentation in 2002(under muscle) & have noticed some sagging. I have friends that have had breast augmentations, over the muscle & say they have little to no sagging. I was wondering which procedure is best. Thank you in advance for you assistance. Cat

Response From Dr. Edwards:
Cat, Every woman's body is different in what changes result from either a breast augmentation with or without a lift as well as with abdominoplasty. Therefore I couldn't venture to guess what your post-op measurements would be, most certainly without meeting with you and examining your tummy. With regards to your breast, depending on the degree of skin and tissue laxity over your implants, there are different lifts that can be performed from around the areola all the way to a full lift. Again, I would need to see you to give you a better idea of what procedure(s) I think you would best benefit from. I hope this helps. Dr Edwards 3 Dec 08 0820

Nickname: halfpint
Subject: tummytuck
Procedure: General Question
Question: I have had gastric bypass, its been almost 10 years. I didnt do the correction surgery (breat lift an tummy tuck) I have gained 40 pounds, have i waited to long to have the stuff done, Now i would need lipo, but im 5'9 and 220 now, i carry the weight in the lower belly, thighs , the usual places, i have battled weight issues my whole life and im curious, im trying to lose but have been unsuccessful, its the view i see every day that sets me back, because i know that its going to take MORE surgery to fix MY VIEW,,,,,, i been to several docs in the past ,but not recently. Thanks Karen

Response From Dr. Edwards:
Karen, Based on your height and weight your Body Mass Index is almost 33kg/m2. This is too high for elective liposuction surgery in my care. Have you been back to your gastric surgeon to see if the pouch has stretched or if something can be done. Liposuction is not a means of weight loss so that is where I would start. Dr Edwards

Nickname: MIGHTYMOUSE
Subject:
Procedure: Tummy Tuck
Question: hELLO. i'M 53, NORMAL WEIGHT, WITH A GROSSLY EXTENDED BELLY DUE TO BENIGN FIBROID TUMORS THAT HAVE NOT REGRESSED 3 YEARS AFTER MENOPAUSE. tOLD THAT i NEED AN ABDOMINAL HYSTERECTOMY DUE TO UTERUS SIZE, i WOULD LIKE TO HAVE A TUMMY TUCK AT THE SAME TIME, BECAUSE i'M SURE TO HAVE A LOT OF EXCESS SKIN WHICH PROBABLY WILL NOT RETRACT GIVEN MY AGE. i SPOKE TO YOUR STAFF TODAY, AND WAS TOLD THAT YOU WILL DO THAT. i LIVE IN UPPER wA STATE, AND WE WILL BE WINTERING IN THE sUMMERLIN AREA, HENCE THE QUEST TO FIND EXCELLENT SURGEONS. cAN YOU RECOMMEND A gyn SURGEON THAT YOU HAVE PREVIOUSLY WORKED WITH? tHANKS FOR YOUR TIME.

Response From Dr. Edwards:
Mightymouse, This can be accomplished with careful preparation and planning. First and foremost would be the importance of your safety so I would need to know more about your medical history. You would need to forward photos as well as a medical history. Instructions on how to do this are on my website. I am away from the office now but once I return I could inquire with my OB/GYN colleagues about the combined case. The issue of medical insurance (if used) would need to be worked out as well. We can begin with your history and photos and when I am back in the office Monday, we can address all of the other questions. It will be better to correspond through the e mail address through the website, info@medwardsmd.com. I look forward to talking with you soon. Dr Edwards 31 Oct 08 1030

Nickname: sugar22
Subject: breast enlargements
Procedure: General Question
Question: i had breast enlarge ments 3year ago and lost the feeling in my right breast ,but now i have started to get pain in my right breast and some times some a funny feeling and it feels like a burning sensation inside , i am now starting to get worried are they anything wrong or is this normal

Response From Dr. Edwards:
Loss of sensation after breast augmentation can occur if the nerves are injured. The pain you are having could be due to the injured nerves or if your breast is becoming more firm, it may be due to a capsular contracture. The best way to evaluate your condition would be to be seen by a board-certified plastic surgeon. It will be helpful if you have records about your first surgery. I hope this helps. Dr Edwards 19 Oct 08 1500

Nickname: aubrianne
Subject: more like a comment... than question!
Procedure: Breast Augmentation
Question: Your an amazing surgeon! I've read through every last question and answer. Seen all the before and after photos, watched all videos... And i can proudly say, i look forward to have you as my doctor!! aubrianne

Response From Dr. Edwards:
Aubrianne, Thanks very much for your nice comments. I look forward to meeting with you to discuss breast augmentation. Dr. Edwards 26 Aug 1230

Nickname: ciganka
Subject: acne scars
Procedure: General Question
Question: Dr. Edwards, I have body acne scars on my shoulders and back. Acuttane is not an option for me. Can you help? Thank you, KZ

Response From Dr. Edwards:
The treatment for uneven acne scars are geared towards trying to even out the skin/scar edges. I would recommend that you find a dermatologist or plastic surgeon that can treat these for you. I do not currently participate in any managed care plans. I wish you well. Dr Edwards

Nickname: afghanistan
Subject: about my breast
Procedure: General Question
Question: Hey Doc it's Allison I'm currently deployed right now and my right breast is painfull. I've been running alot. But I'm still concerned because of what happened before. Do u think I should be concerned? Hope to hear from u soon.

Response From Dr. Edwards:
Allison, The things you can do are wearing the best supportive bra that you can that minimizes jostling. You can also try a proper dose of Motrin for the pain but make sure and stay well hydrated, especially where you are. It is most likely the capsule that is uncomfortable but it is hard to tell. I do not think the risk of deflation is greater though. Let me know that you got this. Take care Dr Edward3 15 Aug 08 1700

Nickname: andra
Subject: procedure
Procedure: Liposuction
Question: Im interested in but lift with adding implants too if possible.I can do liposection but I have too much skin left from pregnancies although I weigh only 112 pounds. I look forward to hearing from you. Any suggestion or recommendation to a different doctor or town should be grately appreciated Thank you for your time, Andra

Response From Dr. Edwards:
Andra, Thanks for your message and question. I do not perform buttock augmentation or fat grafting to the buttocks. There are procedures that can help remove some of the extra skin from pregnancy but the best way to give you advice would be to see you in consultation. If you would like to schedule a consultation, please call my office at 702-248-8989. I hope this has been helpful. Dr. Edwards

Nickname: Cameo
Subject: Abdominoplasty
Procedure: Tummy Tuck
Question: Dr Edwards...I am 38 years old and often think I have waited too long to be concerned with my looks. However, I have had 3 beautiful daughters (all teenagers now) and I don't plan on having anymore. My weight has gone up and down over the years...topping out at over 270 lbs or more. In the past few years I have changed my eating habits, started a new career, and I am down to 230 lbs ....and still loosing! The "extra" abdominal skin that has been severely stretched is loose and sagging; for the longest time I said it was just "fat" . With diet and excercise, does this area ever "flatten" ? I am considering cosmetic surgery...and I know it is suggested I loose MORE weight....but this is a BIG problem area that is becoming a nucense! I feel that by having this removed now will make a positive impact on my success. Also, do you do a breast lift at the same time as an abdominoplasty? I know a consultation is needed but I don't want to waste your time before I am ready ...physically. Thank you, Cameo

Response From Dr. Edwards:
Cameo, It sounds as though you may be a candidate for what is referred to as a panicullectomy. This surgery is to remove redundant lower abdominal skin to allow you to continue to exercise and lose weight.. In order to decide if additional surgery can be accomplished at the same setting, I would need to meet with you so that your care can be as safe as possible. Please call 702-248-8989 to schedule your consultation. Dr Edwards

Nickname: Alicia
Subject: Bad back pain
Procedure: Breast Augmentation
Question: Dr. Edwards, My name is Alicia and I 'm 21 years old. I'm a full-time student who is constantly struggling. I have been searching around trying to find someone who could help me. See I have severe back pains and lower back spasms and I believe it has to do with my breast. I am 5'0 even and My breast size is 38DD. I been struggling because the cost is so expensive but I'll do anything to relieve me from this pain. I love my breast size but they have already lost elasticity. I fear any form of augmentation. I need someone to help any suggestion would be great. Thanks.

Response From Dr. Edwards:
Alicia, Thanks for your question. Large breasts can many times be difficult, especially in a woman who stands 5 foot tall with 38DD breasts. Other than wearing a good supportive bra, there are not many options for changing breast size and therefore the weight of them on your back and shoulders. You did not mention your weight. If you are a little overweight, loss of weight by a good diet and exercise regiment may also decrease the volume of your breasts. I would be happy to meet with you in consultation to discuss breast reduction. I see patients on Mon-Wed-Fri in the office from 9-5. At your private consultation we will review your goals, go over your medical history and examination, and then I will describe what the options are to help your reach your goals. I encourage you to write any questions down that you may have and bring them with you to your consultation so that we can make sure they all get answered. To schedule your consultation appointment, please call my office at 702-248-8989. I look forward to meeting with you. Michael C. Edwards, MD, FACS Edwards Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: ping2624
Subject: Breast Implant/Reconstruction
Procedure: Breast Lift w/ Augmentation
Question: Good Morning Dr Edwards: My question is: I am 41 y/o female who had breast reduction surgery approx 10 years ago. I had the surgery since my breasts were uneven, and the surgery was supposed to correct that problem. My breasts are still uneven and alot of breast tissue was removed, therefore, I will be coming to see you to have some reconstruction. I would like implants with a lift. My main goal is to have 2 breasts that are the same size, symmetrical. Can you help me? Thank you

Response From Dr. Edwards:
Dear Ping, Thanks for your question. I would be happy to meet with you in consultation to discuss breast reconstruction. I see patients on Mon-Wed-Fri in the office from 9-5. At your private consultation we will review your goals, go over your medical history and examination, and then I will describe what the options are to help your reach your goals. I encourage you to write any questions down that you may have and bring them with you to your consultation so that we can make sure they all get answered. To schedule your consultation appointment, please call my office at 702-248-8989. I look forward to meeting with you. Michael C. Edwards, MD, FACS Edwards Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: srd
Subject: responsed
Procedure: Tummy Tuck
Question: dr edwards the answer to how tall i am 5 10 and how much weight you suggested that i lose before getting the contouring procedure and thank you for your help and honesty and hope i get to see you and use your service soon

Response From Dr. Edwards:
SRD, Using your height and weight that allows us to calculate your BMI (Body Mass Index). Your's calculates to 37kg/m2. This may not mean anything to you but it allows me to guesstimate if you are at a higher risk for complications. I prefer not to perform an abdominoplasty on a patient who's BMI is greater than 30. For your BMI to be at 30, you would need to decrease your weight to approximately 210#. There are many other factors to consider but this is most certainly an important one to start with. I hope this helps. Dr. Edwards 1 July 08 1615

Nickname: SRD
Subject: TUMMY TUCK
Procedure: None Specified
Question: DR EDWARDS I'M 36 YEARS OLD AND WEIGHT ABOUT 260 LBS I'VE TRIED ALOT OF DIET TO LOSE THE WEIGHT BUT IT'S NOT WORKING I WANT TO GET A TUMMY TUCK BUT JUST FOUND OUT THAT I HAVE A FIDBRO TUMOR ON MY LEFT OVARY AND A SIC ON MY RIGHT OVARY WOULD IT BE SAFE FOR ME TO GET A TUMMY TUCK.

Response From Dr. Edwards:
Dear SRD, I don't what your height is but with your weight being 260#, you would not be in the best position to have a tummy tuck (abdominoplasty). After you have had the issues of your GYN problems cleared or corrected, you would do best with a good weight loss regiment. Once you are down to a lower weight you will be a better candidate for body contouring surgery. I realize this is probably not what you want to hear but I would rather be truthful and have you have a better long term result than only partial results. I hope this helps. Dr Edwards 30 June 08 1200

Nickname: italia
Subject: breast explantations
Procedure: Breast Lift w/ Augmentation
Question: hi, I'd an car accident the 14 of may,left mr with liver lacerations number 3, and fractured ribs only on my right side, I have had breast implant for ab 3 or 4 years , under the muscle(saline), my right brest is deflating for the trauma,my questions are when can i have done again? how long I have to wait? do I have to wait for my ribs to be ok? thank you

Response From Dr. Edwards:
Italia, Your overall health and safety are the most important things to consider. It will be up to a number of things as to when you can have implant exchange surgery but once your trauma doctor gives you clearance, you can consider it. I hope this helps. Dr. Edwards

Nickname: Tiff
Subject: Tummy
Procedure: Tummy Tuck
Question: Hey doc, i'm 32 yrs old now. In 98 I had a partial hysterectomy and in 2002 i had a full. I also had my appendex out in 95. I have 2 different scars on my stomach. After my hysterectomy and when i was sewn back up then didn't pull the skin around my pubic hair very tight, I really don't know how else to describe it other than to say I have a fatty, flabby private area. Also, I have a big stomach, I always have, sometimes i think it is due to scar tissue. Will a tummy tuck fix all of this? Would it get rid of the scars other than the one on like my panty line that i see on other tummy tuck pictures? What does it cost for this procedure and is there a fee for a consultation? I think you may have done my moms boobs and tummy a few years ago. Thanks

Response From Dr. Edwards:
Tiff, The only way to say what a tummy tuck could accomplish for you would be to meet in consultation. We will go over your history and exam and then I can go over your options for treatment. Basically a tummy tuck serves to removes excess lower abdominal skin and scars if they are low enough and to tighten the abdominal wall. There is a $100 consultation fee which is applied to the costs of your surgery if you do schedule. Please call my office at 702-248-8989 to schedule your consultation. I look forward to meeting with you. Dr Edwards 21 May 08 1410

Nickname: L
Subject: procedure
Procedure: None Specified
Question: I was wondering if you were able to perform a tongue bifurcation? and if so, how much would it cost?

Response From Dr. Edwards:
This is a procedure that I do not perform. Dr Edwards

Nickname: rosebud
Subject: acne
Procedure: General Question
Question: my daughter is 30 years old and has had two treatments with Acutane for cystic acne in the past, and continues to have terrible cysts and breakouts. She has been told she cannot take another course of the Acutane. What can be done or recommended for her, she does have some scarring, but, essentially wants to get rid of the constant break outs, as they are painful. Thanks for you help.

Response From Dr. Edwards:
Rosebud, Thanks for your e mail. Active cystic acne is something best cared for by a Dermatologist and if she has had 2 courses of acutane, further treatment could result in worsening of the scars, at least in the first year. I'd recommend continued care by her dermatologist to try to keep the acne under some degree of control. I hope this helps. Dr Edwards

Nickname: james
Subject: lipo or tummytuck
Procedure: Tummy Tuck
Question: my wife is 22 years old we have had 2 kids and dont plan on having anymore for a while but i wanted to get her either a tummy tuck or lipo for her bday 23rd bday i wanted to know the average price range to see if i can afford it...thank you

Response From Dr. Edwards:
James, This forum is best to review options for treatment but for prices I would ask you to contact my office at 702-248-8989 and my staff will be more than willing to give you those numbers. Dr Edwards 31 Mar 08 1935

Nickname: siggy
Subject: how long should I wait?
Procedure: Breast Augmentation
Question: Dr. Edwards, If i were to have a breast augmentation done, how long should I wait before I try to have another baby? Is something like a month after the procedure too soon? Thanks

Response From Dr. Edwards:
Siggy, I do not recommend you becoming pregnant that soon after a breast augmentation for a variety of reasons. It takes weeks to months to see the final results of a breast augmentation and it is possible that skin stretching that can occur with pregnancy, especially so soon after augmentation, could make your result not the best. I would be happy to see you in my office in consultation if you would like. To schedule that appointment, please call my office at 702-248-8989. I hope this helps. Dr Edwards 27 Mar 08 1315

Nickname: McKenna
Subject: Breast lift, augmentation, or both?
Procedure: Breast Augmentation
Question: Hello Dr. Edwards, I am wondering if I would be a candidate for a breast lift or augmentation? My breasts have gone from a B cup to a VERY small A if not AA since having four children. I was wondering if a lift would do anything for me at all. I am young, 5"6, and 128 lbs. and I am just interested in having my normal breasts back. If a lift would not bring my breast tissue back up where it belongs, I was considering implants. I would like a very natural looking C cup. I have ZERO breast volume left. Any info would be great, I have no way to call your office so email is preferred. Thank you!

Response From Dr. Edwards:
McKenna, Whether someone needs a breast lift with their augmentation depends on the laxity of your breast tissue and the position of your nipple on your breasts. Basically if you were to place a pencil under the fold of your breast and then look at that level, if your nipple sits at or lower than the nipple, you most likely will need an accompanying breast lift. Really the only way I can properly tell you what you need would be to see you in consultation. You can send a few photos of you breast to info@medwardsmd.com and we can correspond this way. If you are able to call the office number is 702-248-8989. I hope thi helps. Dr. Edwards 26 Mar 08 2045

Nickname: shay
Subject: question about silicone
Procedure: Breast Augmentation
Question: Dr Edwards, i have some concerns about silicone implants, i have been reading on these type of implants and was wondering what type of silicone do you use. Soft filled semi liquid or firm filled cohesive gel? Also do you use the "gummy bear" type of implant that i have been reading about which is suppose to be more safe?

Response From Dr. Edwards:
Shay, The only currently FDA-approved implants are cohesive gel implants that were studied under FDA protocols for 14 years before they were approved as safe. The "gummy bear" implants are not yet approved and are firmer than the ones being used now. I think the FDA would not have approved them if they did not feel they were safe but I tell my patients if they still have concerns about them, they should probably use a saline-filled implant instead. I would be happy to see you in consultation where you can see and feel the difference between saline and silicone. To schedule a consultation appointment, please call my office at 702-248-8989. I look forward to meeting with you. Dr Edwards 25 Mar 08 0600

Nickname: gv patient
Subject: Activation Deformity
Procedure: Breast Augmentation
Question: I had submuscular augmentation done a year ago, and one breast had a severe crease from the center of the cleavage about 3/4 of the way across the breast when the peck was flexed. My doctor referred to it as an "activation deformity" and said it's not uncommon, but most of my friends have implants and none have anything like that... Have you experienced this in your patients, and how did you address it? I am looking at obtaining 2nd opinions, but wanted to know your thoughts on the issue before I start scheduling anything.

Response From Dr. Edwards:
I think this is simply a way to describe a change in the shape of your breast which occurs as a result of contraction of your pectoralis (chest) muscle. I have seen on a number of occasions that this may be able to be improved with a release referred to as a dual plane release but that only way to be able to properly tell you would be to see you in consultation. It will be very helpful at that time to have any information on your surgery that you have otherwise records can be requested from your surgeon. If you would like to schedule a consultation, please contact my office at 702-248-8989. I hope this helps. Dr. Edwards, 20 Mar 1945

Nickname: melissa
Subject: general
Procedure: General Question
Question: I had heart surgey in 1997 and it left me with this terrible scar and I was wondering if there was any way that I can get the visibility of the scar reduced or smaller. Is there anything possible that you can do to help me out?

Response From Dr. Edwards:
Melissa, The only way to see what if anything could be done to improve your scar would be to see you in consultation. This is a difficult area due to it being thin skin in an area of potential tension. If you would like to schedule a consultation, please call my office at 702-248-8989. I hope this helps. Michael C. Edwards, MD, FACS Edwards Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: bap
Subject: mthfr with breast aug
Procedure: Breast Augmentation
Question: I have mthfr and I am considering breast augumentation, what are my added risks for blot clots with surgery like this, are YOU familiar with this? have you preformed surgery on anyone with this condition?

Response From Dr. Edwards:
To my knowledge I have not performed a breast augmentation on a patient with MTHFR. I performed a search and there are some associations with certain medical conditions but I did not find anything that noted a contraindication to elective surgery. I would need to consult with your doctor and further research to make sure that everything was as safe as possible for you. I would be happy to see you in consultation to review all of your health history and together make a decision about what course of action would be best for you. To schedule your consultation please call my office at 702-248-8989. I look forward to meeting with you. Dr Edwards 23 Feb 0730

Nickname:
Subject: liposuction
Procedure: Liposuction
Question: I had liposelection less than i year ago ( april will be a yr.) At first it looked good as i was healing. I also had to keep going back to the doctor once a week because i kept filling up with fluid (seroma) the problem now is that i am getting full in the same area's that were treated. (abs and flanks). I have only gained maybe 5 lbs . but it looks like alot more in my mid section. I was told that if you gain weight after lipo it would be in other areas not treated. I excercise faithfully 4-5 times a week and try to eat healthy. I cannot seem to lose weight either. I wonder if it is a metabolism problem or hormones. maybe insulin resistant. I now need a tummy tuck the lipo left loose skin. would you recomend i see my doctor for tests to see why i cant lose weight and continue gaining belly fat? What is the cost for a tummy tuck ?

Response From Dr. Edwards:
I'm not sure what you are referring to when you say liposelection. Was it aplastic surgeon who performed your surgery or a cosmetic surgeon. Dr Edwards

Nickname: Flat in Ks
Subject: Brease Aug
Procedure: Breast Augmentation
Question: My husband & I are in the process of moving to Nevada and I am researching my options to have breast augmentaion done. It is something I have wanted done nearly all of my life. My question is, what kind of risk is there if I am a smoker and I do take medication for hypertention, my husband & I have been argueing about this for sometiome now. I told him surely he does'nt think that I am the only woman in the world that smokes and takes medication that wants to have this procedure done.......I realize it would be best if I not smoke, but the fact is I am a smoker....

Response From Dr. Edwards:
Dear Flat in KS, There are many factors to consider in a purely elective surgery such as breast augmentation. I ask all of my patients to not smoke or be exposed to tobacco products for AT LEAST 2 weeks before and after surgery. Smoking or being around smoke increases your risk of infection and other post-operative complications. If you take medication for your blood pressure you would need to have additional pre-operative testing (EKG, extra lab tests, and probably medical clearance from your primary care Dr.). Before your surgery you would need to have an initial consultation with me to review thoroughly your medical history before a plan can be made. The primary concern should be for your safety first and foremost. If you would like to schedule a consultation, please call my office at 702-248-8989. I hope this has been helpful. Dr. Edwards 11 Feb 08 1600

Nickname: Tara J
Subject: Pre Wedding Procedures
Procedure: General Question
Question: Hello Dr. Edwards, After a wonderful consultation in your office, I thought I would pick your brain for my wedding segment on the MORE show on Fox5. As you know my sister and I own All About You Bridal in Henderson and we often have brides that plan on some sort of cosmetic procedure prior to their wedding. Here are a few questions that I would like to touch on for my segment next week. How much time prior to her wedding should a bride plan for breast augmentation or liposuction to allow for healing and be sure she has the look she wants. There are many skin care treatments that can make your face look more youthful, what are some procedures that you recommend to make the wedding photos stunning....and how much time would you allow prior to the wedding. If there is anything you would like me to touch on during this brief segment, let me know. I'm hoping this will be on my next segment Thursday, February 14th at 9:30ish...if not, I will be sure to get it on somethime in March.

Response From Dr. Edwards:
Thanks Tara. I answered you directly to your personal e mail. Call me in the office if you do not receive it. Dr Edwards

Nickname: All Ears
Subject: Earlobe surgery
Procedure: General Question
Question: Dr. Edwards, I'm not sure if you do this procedure, or know anyone who does, but my earlobes are "attatched" and I would like to unattatch them so they are more "free". Do you have any recommendations? Thanks

Response From Dr. Edwards:
All ears, I'm not sure of what you mean by your earlobes being attached but the only way to see if there could be a change would be to see you in consultation. I cannot guarantee that I could offer you a procedure but you are welcome to send a photo of what concerns you to my website through www.medwardsmd.com. To schedule a consultation, please call my office at 702-248-8989. Dr. Edwards

Nickname: nicole
Subject: tummy tuck
Procedure: Tummy Tuck
Question: Dr.Edwards i am wanting a tummy tuck after i have one more baby do u think 19 is to young to have a tummy tuck done and can you tell me an average cost of a tummy tuck please and would you be able to take the lose skin above my belly button off is it possible its from pregnancy

Response From Dr. Edwards:
Nicole, 19 is pretty young to have an abdominoplasty (tummy tuck). I also think it is very important to wait until you are through having children before having the tummy tuck surgery as well. Once you are through having your children I would be happy to meet with you to discuss the surgery or, if you would like to have a consultation so you can learn about all of your options, I would be happy to meet with you. If you would like to schedule a consultation, please call my office at 702-248-8989. I hope this helps. Michael C. Edwards, MD, FACS Michael C. Edwards, MD, FACS Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: Band geek
Subject: Body Fat
Procedure: Liposuction
Question: I am 17 and over 300 pounds. No matter what I do I can’t seem to lose weight. I want to be the person I Know I can be. I need help losing the weight. I am on a diet now and exercise regularly. I’m trying to lose the weight and I would like your advice on what to do.

Response From Dr. Edwards:
The best advice I can provide is follow a proper diet and exercise regularly. If you feel as though you may have medical issues you should see your family physician to have them examine you and make their recommendations. I wish you well. Dr. Edwards

Nickname: 1sttimelooking
Subject: Crescent lift
Procedure: Breast Lift w/ Augmentation
Question: Hello, I am 45 and have had 3 children and have experienced little sagging since having my children over 20 years ago. Since I am looking for a small lift I am wondering if you do a crescent lift with augmentation and if it is possible to do both at the same time. If the crescent lift can also take an implant at the sametime is this limited to only a saline implant or is silicone an option?

Response From Dr. Edwards:
In my opinion the creascent lift does not lift the breast to any appreciable difference. In order to see what would benefit you, it would be best to see you in consultation. It is possible that an implant alone will suffice. To schedule a consultation, please call my office at 702-248-8989. I look forward to meeting with you. Dr Edwards 9 Jan 08 1030

Nickname: Techy
Subject: Arthritis
Procedure: Breast Augmentation
Question: I have Junior Rheumatoid Arthritis and am now an adult. Recent blood work has shown even shown that it is not active currently and I have not been on drugs in over 10 years. I read in a previous post that you feel some arthritic people could be considered a candidate. I also already have a hard silicone chin implant that has been there for over 6 years without a problem. I do not want to schedule a consultation unless you feel that you could see me as a good candidate. Please advise. Thanks

Response From Dr. Edwards:
Techy, Based on current science and the FDA's recent approval of current generation silicone gel implants, you could be a candidate for breast augmentation. As with any patient seeking a consultation for elective breast surgery, I would need to meet with you, examinine you and review your options before saying you are a candidate for surgery. You other health conditions, medications, allergies, history and previous surgeries also play a role. I would be happy to see you in consultation for breast surgery. To schedule this consultation, please call my office at 702-248-8989. Dr Edwards 8 Jan 08 1500

Nickname: J
Subject: Breast Repair
Procedure: General Question
Question: I have one breast that has encapsulated in the 5 years since my breast aug- I am 35 years old- my implants are silicone, the other breast is perfect- I do not want to change my size- what is the procedure for repairing the hard, encapsulated breast- do I need a new implant as well? what is the approximate cost ?

Response From Dr. Edwards:
J, Capsular contracture can occur after breast augmentation and the reason isn't usually known. Treatment of an establich capsule typically involves surgery to either remove or open the capsule. In order to give you the best idea of what would help you would be to meet with you in consultation where your history and exam can be reviewed. To schedule a consultation please call my office at 702-248-8989. Dr Edwards

Nickname: lacyshae
Subject: breast augmentation
Procedure: Breast Augmentation
Question: when I was 24 I had my breast enlarged here in Las Vegas. The doctor has a bad rep left town and has a new identity. I have severe nerve damage and I have developed fibermagalia and other problems for the past 3 years I have not been able to find a doctor who will take this out of me and put in something better I am a bikini model and my looks are important to my career. Could you please help me? We aren't sure what this doctor placed in me under xray it's shreded all through out my chest and I have been coughing up plastic for 2 years now. My back is in pain 24-7 and im depressed over the unknown of what is inside of me. Your work is truly incredible please contact me if you can help me Thank you

Response From Dr. Edwards:
The only way to see what your options are would be to meet with you, examine you, and then make a potential plan to hopefully help improve your situation. I could never promise a patient that removing their implants would improve on the symptoms you describe though (i.e. fibromyalgia, severe pain or your cough, etc.). If you would like to schedule a consultation, please call my office at 702-248-8989. Any information on your previous surgery would be helpful for us to review at that time as well. Dr. Edwards

Nickname:
Subject: tummy tuck
Procedure: Tummy Tuck
Question: Hi Dr. Edwards, I am a 44 year old women. when I was 21 I had cancer and had 3 abdominal surgeries in 7 months. Eight weeks after that I had 8 weeks of radiation therapy. This was done at Sloane-Kettering in NYC. I am 5'4 116lbs and the skin on my lower stomach does not tighten with excercise. I work out 3 to 4 times a weeks and eat very good and I don't smoke. My question is having had the radiation and the other surgeries is it possible to have a tummy tuck with having alot of scar tissue. Thank You for your time in reading this.

Response From Dr. Edwards:
Thanks very much for your question. There is a lot more informaaton I would need to know before before I could answer your question. It depends upon where your radiation treatment was given amongst many other questions. The only way to be able to answer your question would be to meet with you in consultation. To schedule a consultation, please call my office at 702-248-8989. Michael C. Edwards, MD, FACS Michael C. Edwards, MD, FACS Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: leena
Subject:
Procedure: Breast Augmentation
Question: what is the approximate price to do breast augmentation

Response From Dr. Edwards:
Leena, I believe my office staff responded to you about costs of breast augmentation. If not, please call at 702-248-8989. Dr. Edwards

Nickname: leena
Subject:
Procedure: Breast Augmentation
Question: what is the approximate price to do breast augmentation

Response From Dr. Edwards:
Leena, I believe my office staff responded to you about costs of breast augmentation. If not, please call at 702-248-8989. Dr. Edwards

Nickname: SR
Subject: Breast Augmentation Prices
Procedure: Breast Augmentation
Question: What would the approximate price be for silicone implants and what is the lead time for an appointment for surgery. We are coming through Las Vegas soon.

Response From Dr. Edwards:
SR, To get current price quotes, please call my office at 702-248-8989. At that time my staff can review options with you and set a consultation time if you would like. Dr Edwards

Nickname: mikash
Subject: impact on breast implant
Procedure: Breast Augmentation
Question: Looking for literature on amount of impact the breast implant can with stand. I am an athlete so my concerns are important

Response From Dr. Edwards:
Thanks for your question. I do not have specific impact studies performed on breast implants readiliy available and a search of the web failed to yield any good data. I know that current breast implants are designed to withstand 25 times the force of a standard mammogram which is significant. I have performed breast augmentation on many female atheletes who participate in different sports (running, tennis, golf, bikin, weight-lifting) Although I did not perform her surgery I have a female friend who partcipates in contact sports. I'm not sure what kind of impact you are expecting to experience after surgery but I would be happy to meet with you to discuss what your goals are and what procedure would best help you meet those goals. I hope this has been helpful. Michael C. Edwards, MD, FACS Michael C. Edwards, MD, FACS Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: Lea
Subject: Can you help?
Procedure: Tummy Tuck
Question: Hi Doc, I have 4 beautiful chidren and even after having my three boys, still had a 36 26 36 body, (145lbs). They did leave some stretch marks though. It didn't really bother me. After I had my daughter, she distroyed my body. Now 44 36 44... augh!.I was restricted to bed for the last 4 months of my pregnancy. I have tried every diet in the book, stuck with it and cant lose the weight. I even went to get tested for metabolism,etc. and everything came back normal. I am now 185lbs and eat like a mouse. I know my age has alot to do with it, over 39, and had my daughter at 37. Can you help me? Can you get me down to my 145? I would like lipo on my thighs,stomach, hips,and a tummy tuck.

Response From Dr. Edwards:
Lea, Your's is a common concern with patients that I see. The inability to lose weight gained with pregnancy is mutifactorial and having 4 months of bedrest most certainly didn't help. I would be happy to meet wit h you to discuss your options. I on occasion will combine lower extremity liposuction with abdominoplasty but the first and foremost consideration is your safety. To scheule an appointment for consultation, please call my office at 702-248-8989. I look forward to meeting with you. Dr. Edwards

Nickname: geminigirl702
Subject: tummy tuck
Procedure: None Specified
Question: i had a c section 24yrs ago. would you reopen in the same place? also how long after a tummy tuck can you comfortably resume sexual activity?

Response From Dr. Edwards:
A tummy tuck is typically performed by removing existing C-section scars. Resumption of activity after abdominoplasty has to be done carefully to include resumption of sexual activity. I hope this helps. Dr Edwards

Nickname: bj
Subject: should I wait?
Procedure: Breast Lift w/ Augmentation
Question: I am 32yrs old. I have had 2 kids. I couldn't breastfeed so I pumped for both kids. My breasts are saggy and smaller than before my kids. I also have one bigger than the other. I still want to lose 20 more lbs. Should I wait till after I reach my goal weight or can I go ahead and get the surgery done? Can you remove a bump on the breast? Every Dr has told me that it is nothing to worry but I am tired of looking at it. What is the fee for a consult?

Response From Dr. Edwards:
BJ, Weight loss affects each individual differently. I have met women who drop 5 pounds and there is a tremendous effect on their breast and others not. 20 pounds is a fair amount of weight though so the prudent thing would be to decrease your weight by perhaps 10 pounds and note the effect. To get more information and to schedule a consultation, please call my office at 702-248-8989. Michael C. Edwards, MD, FACS Michael C. Edwards, MD, FACS Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: jillian
Subject: out of town patients
Procedure: Breast Augmentation
Question: Dr Edwards, I am a 33 year old, mother of 2 who is considering a breast augmentation. My breasts have dropped in size and location since nursing 2 children. I have seen 2 surgeons in my home state and have been declined by 1 and accepted by the other. I have no tissue or room under my nipple to accomodate the implant and was told I would need to have the nipple removed and moved up in order to make room for the implant. Is this something you do? What is the time frame needed in order to meet with you for a consultation and then perform surgery and recover for an out of town patient? What is the price range for this prodecure? Thank you for your help.

Response From Dr. Edwards:
Jillian, Thanks for your question. It sounds from your derciption like you have lost breast volume after breast-feeding your children but you have laxity of the breast skin. This is a common question and many times a breast augmentation alone is the wrong choice because of the extra skin. It sounds like you would be a possible candidate for a breast augmentation combined with a breast lift but the only way to tell if this would be your best option would be to meet with you, examine you, and then review your options. You are more than welcome to send a photo (like the photos you have seen on tmy website without your face or other identifying features) to info@medwardsmd.com. You can also call my office at 702-248-8989 and my office staff can answer any other questions you might have. Michael C. Edwards, MD, FACS Michael C. Edwards, MD, FACS Plastic Surgery 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: Lis
Subject: Painful Skin
Procedure: Tummy Tuck
Question: I am 24, had a son and weight loss. My belly now has stretch marks, 2 loose skin rolls and it comes down over my pubic area. I have lost almost 50 lbs and have more to go, but the skin rubs together, gets really bad rashes, itches and has a smell to it if I don't wash it every few hours. When I try to do my exercises now it hurts because the skin gets in the way...it gets caught or I put a knee into it and it bounces around. My question is would you do any sort of tummy tuck on a patient like me that still has weight to lose as well as having 1 more child in 2 years? I am wanting to have the procedure done because the skin is getting in the way of me losing weight, not to look perfect and I know having another child will require me to have more of the same work done. Could you still preform the procedure if the patient knew and understood all the consequences of doing it early? Thank you very much for your time.

Response From Dr. Edwards:
Lis, It sounds as though you would be a candidate for a panniculectomy which is a procedure designed just to remove lower abdominal skin and not be considered a tummy tuck, especially if you are considering having more children. To schedule a consultation, please contact my office at 702-248-8989 Dr Edwards 196 Sep 07 1540

Nickname: dom
Subject: breast aug.
Procedure: Breast Augmentation
Question: hello! i was wondering if you perform silicone breast aug. through the underarm? i really do not want any scars on my chest because i scar easily. thank you!

Response From Dr. Edwards:
Dom, I prefer not to use the armpit incision to place a silicone implant. These implants have to be placed at the volume the are filled too. The typical insicion for a silicone gel-filled implant is 4.5cm in length. If you would like to be seen in consultation to discuss your oprtions, please contact my office at 702-248-8989. Dr Edwards 13 Sep 07 1530

Nickname: nic
Subject: liposuction
Procedure: Liposuction
Question: I have been wanting to get liposuction on my thighs and behind. How long would I be out of work? Also, I want to get the botock or remove my sweat glands from under my arms. What would that cost? Is it possible. I see you have a lot of financing option available. Thank you, Nic-

Response From Dr. Edwards:
Nic, I do not perform liposuction on the behind (buttocks) but do care for patients having liposuction on the thighs. I can also see you for Botox treatment of hyperhidrosis (excessive sweating). To schedule a consultation, please call my office at 702-248-8989. Dr Edwards 13 Sep 1530

Nickname: Cinster
Subject: augmentation and MTHFR
Procedure: Breast Augmentation
Question: Dr. Edwards, I have been dreaming of a breast augmentation for a while now, but I have MTHFR (heterogygous type). I have been taking baby aspirin and Metanx to keep my homocysteine levels fine.since the dx 2 years ago. Am I able to have a breast job with the MTHFR? Thank you for answering my question.

Response From Dr. Edwards:
Dear Cinster, I had to do a Google search to learn a little about MTHFR (Methylese-Terta-Hydro-Folate-Reductase). It sounds as though it is a very common mutation, one source I found said that 44% of the population is heterzygous. By my quick research it is a dosorder that can make you more prone to forming a blood clot and the concern with any surgery would be a blood clot forming in your deeper veins formin a Deep Vein Thrombosis (DVT). I believe that you could still have breast augmentation surgery but I would want you to be off the baby ASA for 2 weeks before surgery to decrease the risks of bleeding and bruising due to the effect on your platelets. I would need some guidance from your hematologist for how best to handle your per-operative care. If you would like to schedule a consultation, please call my office at 702-248-8989 to set up a good time for you. I hope this helps. Dr. Edwards 31 Aug 07 1700

Nickname: Tammie
Subject: capsulectomy with implant exchange
Procedure: Breast Augmentation
Question: What would you charge for this procedure? I have saline implants which were implanted 10 yrs ago this September by Dr. Hodnett (who has since moved to Beverly Hills). They are a little firm but not disfiguring and I'm contemplating some of the newer implants as I can feel the implants (I was a A now a D) and would like a more natural feel and to go a little bigger. Any suggestions would be greatly appreciated as well as a ballpark cost. Thanks

Response From Dr. Edwards:
Tammie, In order to really be able to see what you would benefit from I would need to see you in consultation so I can examine you and then carefully describe what I think your best option would be. It will be very helpful if you have the information about your implants so we can make a good decision about what size to increase to. If you would like a price estimate and to schedule a consultation, please call my office at 702-248-8989 and my staff will be able to do that you for you. I look forward to meeting with you. Dr. Edwards 25 Aug 07 1900

Nickname: ic u
Subject: eyelid tic
Procedure: General Question
Question: i have a chronic tic in my left eyelid and i was wondering if botox could help, the tic has increased in severity, duration, and frequency in the last few years, i am now thirty six. it is a condition that is harmless but annoying and is making me more self conscious with age.

Response From Dr. Edwards:
I would recommend that you have an evaluation by an opthalmologist to eva;uate the "tic" and possible causes. It may be that Botox may be beneficial but a formal eye exam will be important for you to have first. Dr Edwards

Nickname: sarafin
Subject: blood pressure
Procedure: General Question
Question: I was on diavan 160-25 and my blood pressure was high at times so y d. put me on benazepril 4 days ago. Here are some of my redings. 138/64 173/82 206/80 Does it take more than 4 days for it to work?

Response From Dr. Edwards:
Sarafin, I am a plastic surgeon and I do not treat patients for high blood pressure or other medical problems. I encourage you to seek advice from your personal physician or if you feel that you have an emergency, you need to either call 911 or seek care at your closest emergency room. Dr Edwards This e mail is informational only. It is not intended for diagnosis or treatment of any health condition, nor is it a substitute for in-office, professional medical advice. This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: go_katie
Subject: Upper Arm Lift
Procedure: General Question
Question: I have issues with my upper arms. They hang down and sag very noticeably. Is there a procedure, like an upper arm lift, that would alleviate the problem?

Response From Dr. Edwards:
Katie, There is a procedure called a brachioplasty that is designed to remove excess upper arm skin that most often occurs as a result of weight loss. Not everyone is a candidate and you must be aware that it typically involves a scar that travels the length of your upper arm and sometimes onto your chest. I encourage you to look online and search the term "brachioplasty" where you can view the scars of some patients. I hope this has been helpful. Dr Edwards 20 Aug 07 0905

Nickname: firegal
Subject: Redo questions
Procedure: Breast Augmentation
Question: I currently have saline implants, over the muscle, have had them for 6 years. I do have some rippling as I am lean and muscular. I would like to switch to silicone and wonder if submuscular would be better? I have a very physical job and rely heavily on upper body strength (why I chose overs). I am also tested on push-ups, pull-ups, etc, yearly so loss of strenght would be noted. Is it contraindicated to do heavy upper body lifting with unders? Will repeated pectoral contraction compromise the reluts? I love the way the overs have not interfered with my lifestyle, but wonder if unders might work as well. Your opinion is greatly appreciated.

Response From Dr. Edwards:
Dear Firegal, It sounds as though you should stay with your implants above the muscle. There are a number of well-conducted studies that show no decrease in strength with submuscular implants but since you have a pocket above your muscle now that would have to be closed with a site change surgery, and you are very physically active, I would tell you that there may be some motion of your breasts with weight lifting, etc. The best way for me to be able to recommend a course of treatment would be to meet with you, examine you and then go over options. If you would like to meet to discuss your options, please call my office at 702-248-8989. I hope this is helpful. Dr Edwards 20 Aug 07 0900

Nickname: LUCY
Subject: cost
Procedure: Breast Augmentation
Question: I am wanting to do a breast augmentation, right now i am a 36 A i am wanting to go to a 38 C can you give me an estimate on how much it would cost....i have no health problems, never smoked,....thanks your answer and time is appreciated

Response From Dr. Edwards:
Lucy, Thanks for your e mail. I would be happy to see you for evaluation for breast augmentation. The costs of the surgery will vary with the type of implants you have so I encourage you to call and speak with my office staff at (702) 248-8989 and they will answer any financial questions you might have. I look forward to meeting with you. Dr Edwards 13 Aug 07 1400

Nickname: erica
Subject: going bigger
Procedure: Breast Augmentation
Question: hey i just wanted to know the average price of removing the implant then replacing bigger ones there a small c cup , i had them for almost a year . can u please give me a estimmate quote !! thank u for ur time !!

Response From Dr. Edwards:
Erica, I'm not sure when you wrote so if it has been awhile, I apologize because I was not notified. The best way to see what you would benefit from would be to see you in consultation. I need to know if you have a tightness around your existing implants or if you may benefit from other procedures. If you want a price quote or to schedule a consultation, please call my office at 702-248-8989. I look forward to meeting you. Dr Edwards 1800 23 Jul 07

Nickname: charis
Subject: scars
Procedure: Breast Augmentation
Question: hi Dr. Edwards: i want to get a breast augmentation but i don't want any scars on my breast,not under the breast or on the nipples. i'm size 34a i want to be a c cup. do you do operations tru the belly bottom? or what other choices do i have? i don't want the scar to be to big.please send me an answer i really want to look better but the scars really scare me what if they look really bad! thank you so much for your help.

Response From Dr. Edwards:
Charis, I do not perform the TUBA procedure (transumbilical). I believe I can create an accaptable scar on the area under the breast and I have much better control of my dissection. I encourage you only to see Board-Certified plastic surgeons if you insist on this method. If you would like to schedule a consultation, please call my office at 702-248-8989. Dr Edwards

Nickname: Brit
Subject: tummy issues
Procedure: Tummy Tuck
Question: I am a 20 year old mother and I have had a hard time losing weight in my mid section since my son's birth in January of 2005. I would like to have a tummy tuck but is this something that you would recommend for people my age? Also, my breast have always been big, 36D, they are now 36DD. Now they are pointing straight to the ground. I like my size and want them to be full and perky. Would you recommend just a lift or an aug? I have noticed that with some of the pics I have seen of just a lift, some look like all they did was move the nipple.

Response From Dr. Edwards:
Brit, Thanks for your questions. You are young to be considering an abdominoplasty, especially if you may be considering more children. It may be that liposuction could be a help but I would need to examine you to tell you what would be best. Regards your breast, you may be a candidate for a breast lift alone or a breast lift with breast implants. It sounds as though you may have enough breast volume that you may not need an implant. Again, the best way to tell you is to meet with you, go over your history and exam, and then review your options. To schedule a consultation, please call my office at 702-248-8989.

Nickname:
Subject:
Procedure: Breast Augmentation
Question: Hi Dr. Edwards, I was looking online to compare my breast aug with other breast augumentations because I noticed that that side profile, and general shape of my breast did not look right. It has been 4 1/2 month since my surgery and the term I found online that best describes the aftermath of my surgery is called "bottoming out" I can see the outline of the bad on the sides of my breast when lifting my arms and at normal position. I also see that the outling of the bag is separate from my nipple causing a double effect. It is obvious but not as severe as some online pictures. It is a concern and I want to know what my options are? Why did this happen? How do you fix these problems? What are the general cost? You may email me directly.

Response From Dr. Edwards:
I just pulled your chart and I've not seen you since 19 Feb 07 and I don't have any post-operative photos to look at. My last note indicates that your implants were dropping as expected but to see what may need to be done, if anything, I need to see you in the office. Remember that your breast were more narrow or tuberous and it takes time to see the final results. Please set up a time to come see me so we can review progress and possible options. Michael C. Edwards, MD, FACS

Nickname:
Subject:
Procedure: Breast Augmentation
Question: Hi Dr. Edwards, I was looking online to compare my breast aug with other breast augumentations because I noticed that that side profile, and general shape of my breast did not look right. It has beed 4 1/2 month since my surgery and the term I found online that best describes the aftermath of my surgery is called "bottoming out" I can see the outline of the bad on the sides of my breast when lifting my arms and at normal position. I also see that the outling of the bag is separate from my nipple causing a double effect. It is obvious but not as severe as some online pictures. It is a concern and I want to know what my options are? Why did this happen? How do you fix these problems? What are the general cost? You may email me directly.

Nickname:
Subject:
Procedure: Breast Augmentation
Question: Hi Dr. Edwards, I hope you are well. I was your patient on Jan 26 my name is **** I had breast aug and lipo. I have some questions regarding my breast surgery. Is this your direct emai?

Response From Dr. Edwards:
The best e mail address to use is info@medwardsmd.com. I'll watch for your e mail. Dr Edwards

Nickname: chinkchick
Subject: liposuction
Procedure: Liposuction
Question: Dr. Edwards, i am 30 years old and have always has trouble areas in my inner and outer thighs since i was 16 and i am now a manicurist for 12 years and finally fed up with diet pills and working my thighs out. i want to have this procedure but i have been told because i sit 8 to 10 hours a day, after time it will return back and double the mass. please help!!!!!!!!!!!

Response From Dr. Edwards:
Thanks for your question. There is no substitue for proper diet and exercise to trim and tone your body. Liposuction is not a means of weight loss but is useful in contouring. The results you get depend upon the tone and health of the skin overlying the areas to be treated. I'm not sure why someone would tell you it would return in double the mass but if you had surgery and then didn't care for yurself in terms of sensible diet and exercise, you can most certainly gain weight. I hope this helps. Dr Edwards

Nickname: demi
Subject: cost
Procedure: Breast Augmentation
Question: how much for a virgin breast augmentation - non smoker no health problems, salene, under the muscle, under the breast cut?? thanks!!

Response From Dr. Edwards:
Demi, Thanks for your question. All things considered, the fees for a saline implant breast augmentation is approximately $5,000. The best way to see what is right for you is to come in for a consultation. I encourage you to not let the cost of the procedure be the deciding factor in where you chose to have surgery. I hope this helps. Dr Edwards

Nickname: Dri
Subject: skin
Procedure: General Question
Question: I have issues with scars, my face, back and legs, is there a procedure to help remove or reduce the appearance especially on the back and legs, some type of laser maybe?

Response From Dr. Edwards:
I think your best bet would be to seek someone out who performs laser skin resurfacing or dermabrasion if these turn out to be appropriate to your needs. I do not currently perform any facial surgery. Best of luck. Dr Edwards

Nickname: Andrea
Subject: Stretchmarks
Procedure: General Question
Question: Sir, Are there any procedures you can perform to minimize or rid of stretchmarks on the back of the lower legs? Thanks!

Response From Dr. Edwards:
Andrea, To date there isn't any good treatment for stretchmarks other than surgical removal that can sometimes be accomplished with a tummy tuck. I have to admit it is fairly uncommon to have stretch marks on the back of the lower legs though. There may be a breakthrough in medical technology in the future in the form of a laser, etc., but to my knowledge, it does not yet exist. I wish you well. Dr Edwards 30 May 07 1000

Nickname: Lisa
Subject: Implant removal
Procedure: General Question
Question: I have 17 year old silicone implants that I would like to have removed. I will need a lift since I do not want large breasts anymore. I am a 36C/D. I want to go back to my B size I had prior to the mistake I made 17 years ago. Do you do remove implants this old? (I have capsular contracture on one breast)

Response From Dr. Edwards:
Lisa, It is possible to remove older implants but what will be required to give you an acceptable shape and feel can only be determined by examining you and reviewing your options. Please call my office to schedule a consultation at 702-248-8989. Dr. Edwards 28 May 07

Nickname: nickiestone22
Subject: Neck Liposuction
Procedure: Liposuction
Question: I have a double chin that I hate with a passion, even thought I am slender built I still have this issue. This problem is caused by my over bite I thought braces would correct this problem but I still have the same results. I was wondering can liposuction be used to fix this problem if not what procedure can fix it?

Response From Dr. Edwards:
I have limited my practice to aesthetic plastic surgery of the body and breast and I do not perform and neck and facial procedures. I would recommend visiting a board-certified plastic surgeon who does do this procedure who can evaluate you and give you their opinion. I hope this helps. Dr Edwards 18 May 07 1540

Nickname: angie
Subject: breat augmentation
Procedure: Breast Augmentation
Question: Hello Dr, I have a general question, I received breast augmentation about 6 months ago in another institude. Of course knowing my bad luck i did not received the results a wanted. the breast agumentation i received were extremly large for my pettie size, the nipples are not centered corretly and there is not gap in between the two breat. Is this a hard procedure to fix? I'm very frustrated with this stituation is there something be done. please respond!

Response From Dr. Edwards:
Angie, The only way to really answer your question would be to see you in consultation and examine you. Whether you can decrease the size of the implants and make the changes you are interested in depends a lot on your tissues. I would be remiss if I did not recommend you return to your plastic surgeon to discuss your concerns as well. We would be happy to see you after you have done this if you would like. Dr. Edwards 18 May 07 1015

Nickname: issy
Subject: breast explantation
Procedure: General Question
Question: What is the difference in looks between a totally deflated saline breast and a breast after explantation surgery without revisions? will the breast look worst after surgery or pretty much the way it looks in its deflated state?

Response From Dr. Edwards:
Issy, What you see after a few months with a fully deflated bsaline breast implant should be a fairly good representation of what your breast would look like if the implant were removed. I hope this helps. Dr. Edwards 16 May 07 1000

Nickname: Jingle
Subject: How soon of appointment for surgery
Procedure: Breast Augmentation
Question: What would be your recommendation for an ideal amount of time of scheduling before going under the knife? Thank you. Jingle

Response From Dr. Edwards:
Jingle, It depends upon the time of year but you can always have a consultation to gather you information which will make you better able to plan the time that is right for you to have surgery. Dr. Edwards 1 May 1416

Nickname: crystal
Subject: self breast exam after augmentation
Procedure: Breast Augmentation
Question: are self breast exam's effective after augmentation, what about mammograms? Are there studies where significant amount of woman with breast augmentation miss early detection due to implants? Thank you for your time

Response From Dr. Edwards:
Crystal, Most certainly self breast exams and mammograms are effective and necessary after breast augmentation. I believe it helps if the implant is under the muscle but you always need to let the mammographer know that you have implants. There is some literature to support that breast implants may obscure the imaging of a small area of the breast often times requiring additional views. Dr. Edwards 1 May 1415

Nickname: Dany
Subject: Hello
Procedure: Tummy Tuck
Question: Hey Doc, Can you please decrease the price fo rtummy tuck as I am very poor and have several kids to support but I do want the tummy tuck from you a syou are very famous. Please email me if you can, Thank you so much, Diamond

Response From Dr. Edwards:
Diamond, The purpose of this section of the website is to answer clinical questions about surgery, recovery, etc. The best way to see what would benefit you would be to have a consultation but you can also call my staff at 702-248-8989 and they can review cost ranges with you. Thanks for your kind words. Dr. Edwards 25 Apr 07 0715

Nickname:
Subject:
Procedure: Liposuction
Question: Is this time of the year not a good time for Liposuction since it summer?

Response From Dr. Edwards:
The reason it would be a bad time for liposuction is the need to wear a compression garment for 6 weeks after your surgery and it can tend to get warmer. Dr Edwards 25 Apr 07 0700

Nickname: Becky
Subject: Tummy Tuck
Procedure: Tummy Tuck
Question: Dear Dr. Edwards, I am looking into getting a tummy tuck and a breast enlargement with lift. I have two questions that worry me the most. One is the scaring factor for the tummy tuck.. I noticed that in a lot of patients the scar tends to be very red. Does that eventually tone down? And with the breat enlargement and lift.. is it true that in order to get say a size D cup that a lift would have to be preformed first then another surgery for the enlargements? I would love to set up a time to see you. Becky

Response From Dr. Edwards:
Becky, The best way to see what surgery or combination or combination of surgeries would be to meet with you and go over options. Everyone does scar in a different way but hopefully as the scar matures, it will fade. Whether your breast surgery would require 2 stages depends on how much breast tissue and skin you have. This again would be best determined at consultation. To schedule a consultation, please contact my office at 702-248-8989. Dr. Edwards 7 Apr 1100am

Nickname: smiley
Subject: smoking/ breast augmentation surgery
Procedure: Breast Augmentation
Question: I am considering breast augmentation. I was told i would have to quit smoking and I have. Some say quit 6 weeks before some say 2 weeks and some say even cutting back...when should I try to schedule? And just curious ...How would the surgeon know if I actually quit or not? Would he be able to tell when the incision is made? Thank you for your time.

Response From Dr. Edwards:
Smiley, The issue of smoking and surgery is an important one. The resone to not smoke for at least 2 weeks before and after surgery is to minimize your risks of post-operative complications such as infection and poor wound healing. The carbon momoxide and nicotine in all tobacco products (to include first and second hand smoke) causes the blood vessels to spasm decreasing the blood flow to the area healing. There is a blood test that can be run to determine nicotine levels and I have cancelled surgery in the patient who continues to smoke only because I want you to have a great result and there is no sense in gambling with your results. I hope this helps. Dr. Edwards 21 March 07 1740

Nickname: breast fetishf
Subject: male breast enhancement
Procedure: Breast Augmentation
Question: I am 58 yr old man that has developed AA breast due probably to gynocomastia? In the past year, I went from an AA to almost an A cup by using some supplements and breast creams for about 9 months. I think the products contributed but have no way of knowing for sure? I have come to love my breasts and find them very sensitive and stimulating even though I am a virile man.Because I am an avid breast lover, I want to enlarge what I have to the fullest extent possible. Can this be done for a man? If so, do you perform this type of surgery?

Response From Dr. Edwards:
This is a surgery that I personally do not perform but I encourage you to check around with other offices because I believe there are other local plastic surgeons who may be able to help you. Dr Edwards

Nickname: sexy
Subject: arm lift
Procedure: General Question
Question: do you do arem lifts...

Response From Dr. Edwards:
I do perform arm lifts in the proper setting. The best way to see if you are a good candidate is to examine you and fully describe your options. Dr Edwards

Nickname: Amanda
Subject: Breast Augmentation
Procedure: Breast Augmentation
Question: I've recently stopped breast feeding my 3rd child-needless to say I need a breast augmentation... How long after I stop breastfeeding should I schedule a consultation? Thank you.

Response From Dr. Edwards:
Amanda, I typically ask my patients to have not breast fed for at least 3 months before undergoing a breast augmentation. This is for a couple of reasons. First, to make surge that you are no longer lactating andm second, to allow your breasts to come down to a size where you can feel like there won't be a signinfcant change so you have a better idea of what to expect after surgery. You can schedule your consultation at any time to be able to learn about the surgery and review any other questions you have. To schedule that consultation, please call my office at 702-248-8989. I look forward to meeting with you. Dr. Edwards 25 Feb 07 0900

Nickname: jellyfish
Subject: auto immune disorders
Procedure: Breast Augmentation
Question: I have rheumatoid arthritis that's under control. Can I be a candidate?? I want breast implants badly, but I do not know if I can have them.

Response From Dr. Edwards:
Dear Jellyfish, It is possible that you could be a candidate for breast augmentation. Since this is a purely elective prodcedure, your health and safety are the most important things to consider. I would be happy to meet with you in consultation. Depending upon the findings of a thorough medical history and examination I would ask you to obtain clearance from at least your rheumatologist. If there are other issues I would want those cleared as well. If you take steroids on a regular basis, this may affect if you are a candidta because they are wonder drugs for your arthritis, they may interfere with your ability to heal. If you would like to schedule a consultation, please call my office at 702-248-8989. I hope this helps. Dr. Edwards 19 Feb 07 1320

Nickname: meigy
Subject: scars
Procedure: General Question
Question: i have been this scars on my legs since i was 11 years old.and i want to undergo surgery to remove them.what effective laser surgery that you can advice me.

Response From Dr. Edwards:
Dear Meigy, The role of a laser in scar revision is to decrease the redness. There is typically not much excess skin of the legs and so we need to be careful in attempted scar revision there. I hope this helps. Dr. Edwards 19 Feb 07

Nickname: fairies
Subject: breast augmentation correction
Procedure: Breast Augmentation
Question: Dear Dr, I recently in sept 06 had a breast augmentation with a different dr. He was well credited and I knew many clients. As I healed I noticed my breasts began to look as if my muscle had cupped half the implant. I under went a second local procedure and had stitches put in all under both breasts on Jan 5 07. I am beginning to notice again the same thing is beginning to happen, not quite as bad, but it makes me very self concious. My dr said no biggy, we will do it one more time if we have to.I was very upset. What advice can you offer me as far as redoing the whole surgery with him, or how long would I have to wait before going to a different dr? Can anyone fix what he messed up? I am very sad, and scared. Thankyou

Response From Dr. Edwards:
Dear Fairies, You are relatively close to your previous surgeries and I frequently advise patients to stay under the care of the surgeon they developed a trust with. I do a fair amount of revision breast surgery but would recommend you meet with your surgeon, explain your concerns and go into your appointment with your questions written down. I would be willing to see you in consultation but could not offer any surgery until at least 6 months has passed to allow some healing to occur. I appreciate your concerns but I think allowing time to pass can hopefully give you a better feeling about your result. Dr. Edwards

Nickname: mocha
Subject: peeling
Procedure: None Specified
Question: dear doctor: I have acne blemish on my face, do you do chemical peeling so I can have clean skin again how much do you charge for consultation and treatment thank you

Response From Dr. Edwards:
Mocha, I do not currently perform and plastic surgery on the face but in some cases a peel may help with scarring but often times a more agressive approach towards resurfacing is required. I hope this helps. Dr Edwards

Nickname: TeeTee
Subject: lipo w tummytuck
Procedure: Tummy Tuck
Question: Hi I would like to have full abdomen w/tummy tuck and have the fat transfered to my butt what are the costs. I live in the Bay Area

Response From Dr. Edwards:
Dear TeeTee, I typically do not perform liposuction of the abdomen at the same setting as a tummy tuck due to concern over the blood supply to the healing abdominoplasty. I also do not perform fat transfer. This is a fairly extensive procedure and you would probably be better served finding a plastic surgeon close to you where you can be closely followed as you heal. I wish you well. Dr. Edwards

Nickname: CiCi
Subject: Costs
Procedure: Breast Augmentation
Question: Hi. Can you tell me the price range for a BA using silicone gel implants? Thanks!

Response From Dr. Edwards:
CiCi, Please call my office at 702-248-8989 and my staff will review costs with you and answer any questions you might have. Dr. Edwards

Nickname: Cy
Subject: Post Appointment
Procedure: Breast Augmentation
Question: How long after breast augmentation would I need to see you again for a check up?

Response From Dr. Edwards:
Cy, I like to see my patients the day after surgery and then about 1 week later to start implant massage. There is still additional follow-up after this as well. Dr Edwards

Nickname: Susan
Subject: Bst Agmtation & Tummy Tuck
Procedure: Breast Augmentation
Question: Dear Dr. Edwards- My question is twofold: 1) I underwent a sub-muscular breast augmentation 8 years ago after the birth of 2 children. Unfortunately, my results were less than anticipated (a small 36C). After 8 years, I am ready to have the implants switched out. Not only do I want a fuller result this time, I want to switch from saline to silicone. Insomuch as the first procedure involved placing the implants through a 4 inch incision on the underside of each breast, would you follow the same protocol for removing/re-augmenting w/silicone? Additionally, would the silicone be placed sub-mammary or sub-muscluar? 2) Could/would you perform a mini tummy tuck concurrent w/the breast augmenation so I would not be subject to general anesthesia twice? Susan

Response From Dr. Edwards:
Susan, All things considered you could undergo a removal and replacement of your saline implants with larger silicone implants with a mini-abdominoplasty. There are limited indications for a mini-abdominoplasty depending on what you anted to correct. I would approach your breast surgery through the same scar under your breast but it would not need to be 4 inches in length. There are many variables to consider as to what exact surgery would work best for you. I would need to see you in consultation to best inform you. If you would like to schedule an appointment, please contact my office at 702-248-8989. Dr. Edwards

Nickname: christina
Subject: small size
Procedure: Breast Augmentation
Question: i am a very tiny and petite woman. and i am also underweight. im 5"2 and 86 lbs. im 28 yrs old but my body looks like a 13 yr olds and i am interested in getting breast augmentation. is it gonna be difficult to be operated on?

Response From Dr. Edwards:
Christina, Every woman is different in what they would benefit from. As long as you are healthy you can undergo breast augmentation with an appropriate sized implant. I encourage you to schedule a consultation so that we can review your options to include implant size/style and type. I have many patients who are very small framed who are very happy with their breast augmentation. Please call my office at 702-248-8989 to set a time for consultation. I look forward to meeting with you. Dr. Edwards

Nickname: Lisa
Subject: Portrait
Procedure: General Question
Question: Hello, Do you offer the Portrait procedure? Approximately what is the cost for a full face and neck? If not, what do you do that is similar? Thanks. Lisa, age 55.

Response From Dr. Edwards:
Lisa, Thanks for your message. My practice is limited to plastic surgery of the body and breast so I don't currently perform any facial procedures. Take care. Dr Edwards

Nickname: Mark
Subject: scar breakdown
Procedure: General Question
Question: Dr. Edwards, what methods do you use to break down scar tissue? Specifically, I am interested in internal scar tissues (rather than surface scars) such as those left by incisions to muscles. Any information you can provide will be greatly appreciated.

Response From Dr. Edwards:
Mark, The science of scars, healing and modification is a growing science with breakthroughs coming often. Revising problematic scars is a vexing issue that has yet to be conquered. The options for scars in the skin are, topical treatments, silicone gel sheeting for pressure, pressure treatment, steroid injection and revision. Each has its potential place. I believe you are referring to a scar that is attached to the muscle which can cause tethering and sometimes discomfort. Some of these can be improved by revising the external scar but many times scar massage and time will suffice. I hope this helps. Dr. Edwards

Nickname: Laura
Subject: discoloration in skin
Procedure: General Question
Question: Dr. Edwards, I am 39 years old I get dermabrasions one per month I have bad discoloration on my cheeks and starting to get fine lines around my eyes and mouth. What procedure would you suggest. Thanks, Laura

Response From Dr. Edwards:
Laura, Do you get dermabrasion or microdermabrasion? Microdermabrasion removes a shallow amount of superficial cells and is good in preparation for other skin procedures such as peels or laser treatment. Dermabrasion requires some degree of anesthesia and is typically not done monthly. You sound as though you would benefit from a visit with a medical aesthetcian who can get you started on a good regimine of skin care to possibly include some form of bleaching cream. There are lasers that can help tighten you skin as well to help with the fine lines but your best bet is a proper skin evaluation by someone who really knows what they are doing. Dr. Edwards

Nickname: KimberLee
Subject: current implant /replace/lift
Procedure: Breast Lift w/ Augmentation
Question: I currently have implants (done 12/96) in Atl. currently the ladies are sagging more then regular (ob./gyn said this) I am 36, no children, will have no childern in future. I would like to have the old out and new ones in and a lift. Do you use Mentor H/S? What manufacture(s) do you use? Do they have a high profile implant? I have Mentor H/S smooth, round doctor ordered 2-425's, filled to L-430cc R-430cc under muscle. can you give me the high profile? Will i have to go bigger or stay the same (size D)? went from B to D. I know it is alot too ask. Removing and replacing is that common after 10 years? Thank you for you time Dr. I eargerly await your reply? consult fee? The ladies want to wake up, stand up high and say "HELLO WORLD". Thank you again.

Response From Dr. Edwards:
KimberLee, Thanks for your e mail. You have a great sense of humor. I perform a lot of revision breast surgey to include removing and replacing with a breast lift. I use all types of implants trying to tailor the result to the patient specifically. It is very helpful to have the information on your current implants too. We will have to look at you to see what size and style implant you would benefit from. There is a $100 consult fee for revision surgery which can be applied to the surgical fees if you chose to have surgery. I would ask you to have a mammogram before any surgery but you sound as though you are healthy otherwise. If you would like to set up a consultation time, please call my office at 702-248-8989. We will be out of the office until Monday morning but I check e mail frequently so I would be happy to answer any other questions you might have. I look forward to meeting you. Dr. Edwards

Nickname: Rebbecca
Subject: Breast Augmentation
Procedure: Breast Augmentation
Question: Hi, Dr. Edwards: I had a baby 4 months ago and my breast size (which was a B cup before the baby) has decreased to about training bra size! I am considering breast augmentation, however, I was diagnosed with ITP in December 2005 after finding out I was pregnant for the second time. My platelet count did not resume to a normal count afterwards and currently hovers at 30,000 or above. I do not take any medication for it (I was previously on Prendisone) anymore, I just have my platelet count checked twice a month. Would you perform this surgery on me with this blood disorder? Also, what is the cost of breast augmentation at your office? Do you make incisions thru the belly button, as well? Thanks a bunch!

Response From Dr. Edwards:
Rebecca, To have an elective operation we would need your platelet count to be higher. The risk of bleeding would be too high at 30. I also would like you to not have been on prednisone for awhile as well but please do remember to bring that up at consultation in the event we need to give you stress dose steroids. I would need you to see your hematologist before surgery and we would need to decide together what we want you platelets to be and how best to achieve that. It may be by steroids or a platelet transfusion (this is most certaily the second best choice). Your hematologist will also be a better person to discuss the role of electievly removing your spleen as well. I am just drawing on my general surgery days so please realize that your hematologist is the ITP expert. I do not recommend the TUBA (trans-umbilical-breast-augmentation) for any of my patients. If you were to have bleeding, you would end up with an incision on your breast anyway to treat it. I would be happy to see you in consultation where we can review surgical options and answer your other questions. Please call my office at 702-248-8989 if you would like to schedule a consultation. Take care. Dr Edwards.

Nickname: shoe_gal
Subject: augmentation w/chestwall implant?
Procedure: Breast Augmentation
Question: Do you have any experience in performing breast augmentation on ladies with chestwall implants? I had a moulage and implant placement performed last year for a congenital chestwall deformity and moved prior to completing the augmentation portion of the surgery (the surgery was intentionally planned as a 2-step process). My surgeon is on the East coast and I am trying to find a surgeon closer for easier post-op follow-up. Any recommendations would be appreciated.

Response From Dr. Edwards:
Dear shoe_gal, It all depends upon where your chest wall implant was placed, how he procedure went, and what your tissues are like now. I would need to review the operative note from your previous surgeon and meet with you to go over the procedures you have had and the plans for sizing, etc. If you would like to schedule a consultation, I would be happy meet with you. Please call my office at 702-248-8989. Dr Edwards

Nickname: Sharon
Subject: Sagging Jowls eyelids
Procedure: General Question
Question: I have aged in my opinion is the last 1 yr. This is due to the sudden loss of my 14 yr old son. I havd wrinkles around mouth & eyes. What would be the best procedure for me.

Response From Dr. Edwards:
Sharon, Our climate in the high desert as well as genetics and life stressors can affect our faces and skin in general. The only way to see what is best for you is for you to meet your plastic surgeon in consultation. I have limited my practice to plastic surgery of the body and breast but there are many well-trained, board-certified plastic surgeons in the Las Vegas area who should be able to help you. I hope this helps. Dr Edwards 14 Nov 06 1630

Nickname: Christina
Subject: Breast Augmentation
Procedure: Breast Augmentation
Question: Dr. Edwards, I just had a baby 3 months ago (he currently weighs 12 pounds) and am considering getting a breast augmentation. Will I still be able to take care of and pick my baby up after a couple of days after the procedure? Thank you.

Response From Dr. Edwards:
Christina, Thanks for your e mail. There are a couple of things to consider when you want to have a breast augmentation after having a baby. I ask patients to wait at least 3 months after they have stopped breast-feeding to allow your breasts to return to a pre-pregnancy size. It also allows us to note if there s any laxity in the breast skin and tissue to ba accounted for. Regards lifting, I typically ask patients not to lift greater than 10 pounds for 6 weeks after surgery but that would make it difficult with your new baby. What it boils down to is using good body mechanics which we could go over with you before surgery. If you would like to schedule a consultation, please call my office at 702-248-8989. Dr. Edwards 20 Oct 06 1915

Nickname: loose skin
Subject: Tummy Tuck and thigh lift
Procedure: Tummy Tuck
Question: Dr. Edwards: I have lost 150 pounds after gastric bypass, and am left with quite a bit of skin. Do you do thigh lifts? And I have had a couple of consults where the physicians have recommended having an anchor incision as well as vertical in order to get rid of all of that skin. Do you do this procedure? Thank you.

Response From Dr. Edwards:
Thanks for your e mail. Skin reduction procedures for patients who have lost weight after gastric by-pass are becoming more and more common. ou should be stable at your weight for at least 6 months before undergoing surgery to get a good result. Thighlift scars can be in the crease of the thigh and in some cases run down the inner aspect of the thigh. Abdominoplasty incisions vary as well. I assume the anchor scar you are referring to in to remove excess skin in the middle, called the fleur de lis pattern. Dr Edwards 7 Oct 06

Nickname: Bethany
Subject: Age
Procedure: Breast Augmentation
Question: I am 18 Years old and was just wondering if you do breast augmentations on women my age. I've talked to different doctors, some do and some dont. I'm not looking to get Huge implants, just a little more plump. i am currently 5'3 and 135 lbs with a B cup. My breasts just blend in too much with the rest of my body . thanks so much!

Response From Dr. Edwards:
Bethany, Thanks for your e mail. You should be 18 years old at least to have a breast augmentation for cosmetic reasons. I have patients who have waited until they were 18 because they didn't develop much breast tissue and wanted, like you, a proportionate enlargement. I would be happy to see you in consultation to discuss your options. You can schedule a time by calling my office at 702-248-8989. I look forward to meeting with you. Dr Edwards

Nickname: Chloe
Subject: inverted nipple
Procedure: General Question
Question: I have inverted nipples, which has made my sex life very uncomfortble also when I had my daughter I couldn't breast feed. Is there a surgery that can be done to correct this problem? Thank you

Response From Dr. Edwards:
Chloe, An inverted nipple is typically caused by a shartening of the ducts that connect the nipple to the breast tissue therefore the mainstay of treatment is to make a small incision at the base of the nipple and divide those fibers. The downside is that there is a high liklihood that you would not be able to breastfeed in the future and there is a chance of decreased sensation after the procedure. I hope this helps. Dr. Edwards 25 August 2006 1700

Nickname: Erica
Subject: Breast implants
Procedure: Breast Augmentation
Question: HI Dr. Edwards, I was looking into possibly getting silicone implants. Is that covered by insurance? Are there any noticeable differences between silicone and saline implants? Are there different risk issues involved? Thanks, Erica

Response From Dr. Edwards:
Erica, Thanks for your e mail. Unless an implant is used for reconstruction, they are not typically covered by insurance. Silicone implants are still under what is referred to as an Adjunct Protocol and they have not been released by the FDA for general use. I recommend visiting the website www.breastimplantsafety.org to get the most up to date info on silicone. If you would like to schedule a consultation to see what your oprtions are, please call my office at 702-248-8989 and we would be able to review the choices in implants and techniques that would be best for you. Dr. Edwards 10 Aug 06 1445

Nickname: divya
Subject: chin surgery
Procedure: General Question
Question: hi edward, I am suffering from acne and pimples for the last 10 years, now my cheek is too thing and it has full of dots and marks, because of this i am facing so many psychological problems, i cannot write in words what kind of mental problems i am facing. i want to change my face but i scared to do surgery as well, if it goest wrong suicide is the only option infront of me, can you please tell me what should i do. thankyou

Response From Dr. Edwards:
Divya, The first important step in caring for acne is to get the active process under control. Your best bet is to see a dermatologist who can evaluate you and prescribe a course of treatment which may include topical or oral antibiotics or even acutane. Once the acne is under control, then you can explore avenues of treating the scars if need be. This will also depend upon a number of factors. I do not personally perform any facial surgery in my practice to include chemical peels, dermabrasion or resurfacing. You would need to locate a board-certified plastic surgeon who does to care for you at that point if it is deemed necessary. I strongly think any thought of suicide should be discussed with a counselor sooner rather than later. Most patients outgrow their acne as your body changes. I hope this helps. Michael C. Edwards, MD, FACS 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: ali
Subject: hands
Procedure: General Question
Question: Do you perform chemical peels on hands and wrists for creapy and fine wrinkled skin?

Response From Dr. Edwards:
Ali, I do not currently perform any chemical peels on the backs of the hands. Michael C. Edwards, MD, FACS 653 N. Town Center Drive, Suite 214 Las Vegas, Nevada 89144 Office (702) 248-8989 Fax (702) 243-7923 www.medwardsmd.com This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. You are also requested to please notify the sender immediately by email and delete the original message.

Nickname: tiabear
Subject: tear drops
Procedure: Breast Augmentation
Question: Hello, Could you tell me how, looking at your before and after pics, I can tell which patients have the tear drops? It looks to me that everyone opts for the round but I'm not for sure. Thanks a lot :>

Response From Dr. Edwards:
Tiabear, I haven't used a teadrop implant for over the past 7 years. I feel that they yield too much upper breast fullness and actually less of a natural result. All of the patients whos photos I have posted are smooth round either saline or silicone. I hope this helps. Dr Edwards 12 Jul 06 2030

Nickname: curly
Subject: tummy tuck
Procedure: Tummy Tuck
Question: After having two kids the skin in my belly is very wrinkle and loose. I want to have a tummy tuck to gain the young looking apperance in my belly, however I don't want to have liposuction none. I am a small petite woman and I don't like the Idea of liposuction. Do I have to have liposuction done to get a tummy tuck? Height 5'3/ Weight 115

Response From Dr. Edwards:
Dear Curly, I rarely do perform liposuction when I do a tummy tuck. By your measurements it sounds as though the abdominoplasty is the best means of removing your excess skin or at least some of it. I would be happy to see you in consultation. Please contact my office at 248-8989 to schedule a convinient time. Dr Edwards 12 Jul 2006 1700

Nickname: Ambie
Subject: Implants and Fat Burners
Procedure: Breast Augmentation
Question: hi i have had implants for 2 months just moved from cali to vegas, looking for a new PS, i am wondering if its safe to take fat burners with implants? i have gained about 6 lbs since my surgery and would like to lose that plus tone up, i heard that fat burners like stacker 2 give great results, but will this harm my new breast?? Ambie

Response From Dr. Edwards:
Dear Ambie, As long as your breast are healing well and your health is good, there is no reason from a post-operative standponit not to take a fat burner. I cannot endorse one of the products over another. It would be best to discuss this with your plastic surgeon though as well. I wish you well. Dr Edwards 7 Jul 06 2000

Nickname: redoncue
Subject: Stria/Stretch Marks
Procedure: General Question
Question: I am a 25 year old female, who does not drink or smoke. On July of 2005 I was diagnosed with SLE. As a result I was found to be in stage 4 out of 5 kidney failure and anemia. Almost a year later I'm in full remission and off predisolone. My endocrinologist tested and found my adrenal glands are responding well and my weight in slowly returing to normal. However, I'm left with some terrible striae/stretch marks over my stomach and breasts. They range in width and length from 1in maximum wide to 6 inches long maximum. Also there are striae on the top and bottom of my breasts. I have been figure skating about 12 hours total a week and reducing my diet to 1200 calerioes a day--it's been working however my skin in those areas I fear will always be loose and will never return to the way I remember it. In addition, they can be rather uncomforable if pinched between the band of my jeans. My husband is an active military officer and supports my desire to seek plastic surgery. However, I have two questions. One, could someone having been diagnosed with Lupus undergo plastic surgery? Two, what procedure is recommended? Many thanks, -Trish M.

Response From Dr. Edwards:
Trish, The issue of whether you are a candidate for surgery can only determined after meeting with you to see what areas of concern you have and if there is something that be done to improve them. Regarding your Lupus, we would need to make sure that you were absolutely as healthy as could be and given full clearance for an elective operation by your medical doctors. The best way to try to put all of this together would be to see you in consultation. If you would like to schedule a consultation, please contact my office at 702-248-8989. I hope this helps. Dr. Edwards 19 June 06 2100

Nickname: whitney
Subject: breast augmentation
Procedure: Breast Augmentation
Question: I am considering breast augmentation. I have two children whom I breastfed and my cupsize went from a B to an A cup. I am 5'9 130 lbs. I would like to have a cup size that would be able to look natural and still be able to fill out shitrs that I would like to wear since the shirts for taller women appear baggier on me. What cup size would you reccommend? Is it true you have to have the implants "traded out" every couple of years?

Response From Dr. Edwards:
Whitney, Thanks for your question. Every woman is different in terms of which implants help them achieve their augmentation gooals. In my office we have you actually place the implants in a sports bra and view yourself in a mirror to give you a guestimate of what they would look like. I try not to make recommendations re cup size because there is such a difference in bra manufacturers and how they fit patients. Implants only need to be changed if they deflate, if you want yo change to a different size in the future of sometimes if you develope a capsular contracture (tight scar around the implant). There is no set schedule for when they should be removed. I hope this helps. Dr Edwards 18 May 06 0600

Nickname: Bobbi
Subject: Is it too soon.
Procedure: Breast Lift w/ Augmentation
Question: Hi I have lost 65 lbs going from 265 to 199 I want to have a tummy tuck and boob job, is it to soon, or could I do it now and continue to lose 40-45lbs? I am 5'9" -large frame female. Any info would help. Thank You

Response From Dr. Edwards:
Bobbi, If you plan on continuing to lose weight, it is bet to complish that first and then be stable at that weight for at least 3 months. Imagine if you had a tummy tuck and or breast lift and augment, and then you lose 40+ pounds, I'm sure you would have more sagginess possibly causing you to want/need more surgery. I would encourage you to continue to lose the weight as your doing and then make plans to have the surgery that you want to get the best result. I hope this helps. Dr. Edwards 11 May 06 1515

Nickname: Shanna
Subject:
Procedure: Breast Augmentation
Question: My step mother referred me to you. You did her surgery about 5 years ago. I just recently found out she had them done. They look amazing. This is something i have wanted for a few years now, and i was just wondering what is the best way to put them in, with the least amount of scarring? I want something that looks natural and where my chin doesn't touch my chest. Please let me know what you think and thank you for your time.

Response From Dr. Edwards:
Dear Shanna, The best way for me to tell you what is best for you would be to see you in consultation. There are a number of options available but my preference is for using an incision under the breast and most often the implants are placed under the muscle. I also prefer to use an implant size that yields a natural look but you are very incolced in the size implants that are used. If you would like to schedule a consultation, please call my office at 702-248-8989. I look forward to meeting with you. Dr Edwards 27 Apr 06 2030

Nickname: shell
Subject: choosing plastic surgeon
Procedure: Liposuction
Question: HI, how are you? I really appreciate you taking time for me. I wanted to know I found a doctor that seems to be good I did a little bit of research and it shows that he is "american board of surgery" not "american board of plastic surgery" So I wanted to know is this ok I live on orange county ca. so if you this is ok I want to know I have an appt. with him this fri. or if you can reccomend a doctor that does power-assisted liposuction. Thank you!!

Response From Dr. Edwards:
Dear Shell, When you are certified by the American Board of Surgery, this means your are a general surgeon (gall bladders, hernias, etc.).The only way to know that someone is truely a Plastic Surgeron is if they are certified by the American Board of Plastic Surgery or if they are board elgible. You are wise to pay attention as you did. I do not know who your doctor is but they may have completed a plastic surgery residency and have not yet taken their plastic surgery boards (board elgible) or, they may be what is referred to as a cosmetic surgeon. Virtually anyone can call themselves a cosmetic surgeon and, in fact ,be a member of the American Board of Cosmetic Surgery (this board is not recognized by the American Board of Medical Specialties). You need to find out what your doctor's training is in before signing on the line for surgery. You can visit http://www.plasticsurgery.org/ to see who the plastic surgeons are in your local area. I hope this helps. Dr Edwards 17 Apr 06 1430

Nickname: hellen
Subject: PRICES
Procedure: Breast Augmentation
Question: I WOULD LIKE TO KNOW WHAT IS THE LOWEST PRICE YOU EVER CHARGED FOR BREAST AND THE HIGHEST PRICE EVER.

Response From Dr. Edwards:
Helen, The purpose of this portion of my website is to answer clinical questions about the surgical procedures I perform. For questions about fees, financial options, etc., I would refer you to my office staff. You can contact them at 702-248-8989. I highly encourage you to not chose a surgeon to operate on you based upon price. You need to be careful to ascertain if they have the proper credentials, i.e. board certification, training and experience, and lastly, do you feel comfortable in the office where you will be taken care of. I hope this helps. Dr. Edwards 15 Apr 06 1500

Nickname: andrea
Subject: breast aug before kids?
Procedure: Breast Augmentation
Question: I have been taking about getting a breast augmentation ever since I had my son. My question is should I wait intill I finish having kids? If I get a breast aug. and then I decide to have another kid will my breast sag, and will I be able to breast feed if I chose to?

Response From Dr. Edwards:
Andrea, This is a commonly asked question. It really depends on many factors but an implant placed partially below the chest muscle for augmentation has a low risk of interfering with future breast feeding however there cannot be 100% guarantee. Depending upon how much change there was in your breasts after your first pregnancy, you may have minimal change after breast augmentation. It depends on the tightness of your skin, how much breast tissue you have and the size implant you have placed. The bottom line is that you certainly can undergo breast augmentation safely in-between pregnancies. I would be happy to meet with you to discuss your best options. Dr Edwards 9 Apr 06 1830

Nickname: bunny
Subject: Breast Implant
Procedure: Breast Augmentation
Question: I work with many girls who have implants, so I have seen quite a few. I often see the ripples on either side of the breast, not pretty, and too often I see breasts that look as though they were glued onto their chest, not natural at all. I want mine to look natural with no ripples, of course. What causes the ripples and how can you avoid it? And is the "boulder, glued-on" look typically from going too big?I have thouroughly looked at your website and have seen the pics, nice jobs. Thank you for your time.

Response From Dr. Edwards:
Bunny, The 2 issues you have conerns about, rippling and a "stuck on" look are things I try to avoid. Like you mention, going too large is a major contributing factor as well as placing implants above the muscle. I place virtually 99% of the breast implants in the partially sub-muscular position which helps to give a more natural upper breast look and minimizes upper pole rippling. Rippling in the lower outer aspect of the breast has everything to do with the thickness of your tissues and the size of the implant. I evaluate my patients and we come to a decision together taking all of the above things into consideration. I would be happy to meet with you in consultation. Please call my office at 702-248-8989 toset up an appointment time. Dr Edwards 9 Apr 2006 1420

Nickname: Curly
Subject: Being petite
Procedure: Tummy Tuck
Question: I have a small frame and after I had children you can imagine what happen to my stomach. Is recovery time long? Is the surgery less complicated on a small frame. I am a little scared I never had any type of surgery, but after having children my stomach appears wrinkled. I want the apperance of young looking skin is this realistic? Thank you...

Response From Dr. Edwards:
Dear Curly, Unfortunately there isn't an exercise that you can do to tighten your tummy skin. Once skin has been stretched from pregnancy, the only treatment is an abdominoplasty. It is important to know that you do not want to have any more children before undergoing surgery. though I would be happy to see you in consultation where you can learn about the procedure to see if it is right for you. If you would like to schedule a consultation, please contact my office at 702-248-8989. I encourage you to write down questions that you have to ensure you get them answered at your appointment. I look forward to meeting you. Dr. Edwards 16 Mar 06 1630

Nickname: Terry
Subject: Breast Reduction
Procedure: Breast Reduction
Question: Does the nipple have to be repositioned during the breast reduction procedure? Or can it be done with out repositioning the nipple? I am concerned about scars. I have an olive complexion & I am afraid my skin will scar more than usual. My skin is susceptible to leaving obvious scars. Can you give me any insight? I would like to decrease the size of my breast's from a 36 D to a high B cup. I have insurance, but I am not sure if this type of cosmetic surgery is included on the plan; however, I have back ache and an increasing curveture in my back. I had x-rays taken four years ago and I belive the curve is due to the amount of weight I carry in my breast. It is hard for me to maintain straight posture because of the pain I feel after forcing myself to stand up straight. I am barley 5'2" and breast are practically bigger than my face!?

Response From Dr. Edwards:
Terry, Breast reduction surgery is one of the most gratifying procedures that a plastic surgeon performs. This is based upon the comments the patients make afterwards. The trade off though is the scars. There are photos of patients on my website of women who have had breast lifts and reductions for you to see. There are different techniques but I would need to examine you in order to see what would work best for you but most all involve repositioning the nipple and areolar complex. I do not currently participate in any insurance plans but there are some plans that will cover a breast reduction if they (your insurance company) feels that you are a good candidate and you have exhausted conservative treatment. I would be happy to meet with you in consultation to discuss you options. If you would like, please contact my office at 702-248-8989. I wish you well. Dr Edwards 9 Mar 06 0600

Nickname: Kitten
Subject: Breast Intfo
Procedure: Breast Augmentation
Question: dear Dr . Edwards, how many breast augmentations have you done with NO complications? have you ever had any women that you augmentated that had CC or deflation? how many surgeries do you do in a month?

Response From Dr. Edwards:
Dear Kitten, I have performed breast augmentation in over 850 patients to date. I have had patients who have experienced complications. I wish I could state that I had a 100% 1-5 year follow up with all of my patients but many move away or don't return after 1-2 years, presumably because they are doing well without problems. The number of patients I have had to treat for capsular contracture that I have performed their initial augmentation is very low, most likely due to the fact that I place virtually 100% of my patient's breast implants under the chest muscle. I can recall 2 patients of mine who have have saline implants deflate. In an average month I perform 28-35 operations per month. I hope this helps. Dr. Edwards 3 March 2006 1610

Nickname: Katherine
Subject: Breast Info
Procedure: Breast Augmentation
Question: Dear Dr EDwards, i want breast implants more then anything, but i am terrified of the horror stories that i have heard about women with implants.. can you please tell me the truth? can woemn get deadly sick from saline implants? looking for facts to ease my mind, please help me...

Response From Dr. Edwards:
Katherine, I have performed breast augmentation on over 850 women and to date have not had one of my patients become ill from their implants. The issues surrounding the "horror stories" are more likely related to problems some women were said to have had with the older silicone gel implants. The FDA has never placed any restrictions on the use of saline-filled implants. For more answers on the safety of silicone gel-filled implants, please visit www.breastimplantsafety.org. Dr. Edwards 3 March 06 1600

Nickname: jan
Subject: breast lift "again"
Procedure: Breast Lift w/ Augmentation
Question: 11 years ago I had a breast lift (anchor incision). My breasts are again sagging (11 years and one child later). I have been to two surgeons. Both suggested considering implants w/lift, but one said he would not consider doing this during the same surgery due to prior breast lift. I currently wear a 34C bra, would not mind being a B...just want a very different shape .....mounds, not slopes.

Response From Dr. Edwards:
Jan, A revision or redo breast lift must be undertaken with care especially if you are considering breast augmentation as well. It would help to be able to review the operative note from your initial surgeon to verify the technique used in addition to the anchor scar. The most important thing is to protect the circulation to the nipple and areola. I would be happy to meet with you to discuss your options. Please contact my office for a consultation at 702-248-8989. I look forward to meeting with you. Dr Edwards 1 Mar 06 1520

Nickname: Rae
Subject: price and place
Procedure: Breast Augmentation
Question: I am from North Dakota and I was just inquiring about the price. There is only one facility here in town that does breast augmentations and there price is very high. I know I want to go through with this but I want them to look as good as possible and at a reasonable price. What would you recommend?

Response From Dr. Edwards:
Rae, It is not uncommon for a patient to travel to our office in Las Vegas to have surgery. It is important to know that you would need to be able to stay in town for a few days after surgery to make sure that you are healing well prior to heading home. The cost of the procedure depends on the type of implant you have (saline or silicone if you are a candidate) and whether you would need a lift with your procedure. I encourage you to call my office at 702-248-8989 during the day to speak with Denese who can go over those figures with you. I look forward to meeting you. Dr Edwards 27 Feb 06 2000

Nickname: Tab
Subject: Breast & Lipo
Procedure: Liposuction
Question: Hello Dr Edwards, I had a tummy tuck with MR almost a year ago and now I need something done with my upper abs, everything seems to settle there so I would like some lipo. Most doctors seem to have a set price for the first area and additonal for each area. Could you please inform me of yours? Also I was wondering if it is possible to remove some of my breast tissue and ad a small implant in order to give them the fresh look LOL. I dont really want a lift because of the scare so any help you can offer would be great. Thanks and have a great day!!!

Response From Dr. Edwards:
Liposuction in the upper abdomen is not an uncommon request after abdominoplasty. This is because it is difficult to do this at the same time as the tummy tuck due to possible compromise of the abdominoplasty blood supply and subsequent wound healing problems. Realize the liposuction does not tighten the abdominal wall, but will remove only some of the fat under the skin. To remove breast tissue and place a breast implant without a lift is rarely possible, not to mention you probably wouldn't be happy with the result. I would need to see you to tell what you need or whether an implant alone would meet your needs. I hope this helps. Dr. Edwards 21 Feb 2006 1050

Nickname: Ava
Subject: implant options
Procedure: Breast Augmentation
Question: I had saline breast implants put in 13 years ago. One has ruptured and the other one I think will rupture soon. I have seen two Doctors about getting them fixed. The first Doctor told me that since I have them over the muscle I absolutely could only get them redone that way. He also told me that the teardrop implants will turn and are no good. The second Doctor recommended silicone high profile teardrop implants, and that he recommends putting them under the muscle. Can I get implants under the muscle if I have them over the muscle now? What is your opinion of the teardrop or the high profile implants? Also how much more do you think silicone should cost over saline? Thank You

Response From Dr. Edwards:
Dear Ava, The vast majoriy of breast augmentations I perform are partially under the muscle and rarely above the muscle. I think this produces a more natural and longer lasting result as well it helps to cover up the top of the implant. What would benefit you depends on your breast size, shape, tissue thickness, etc. Also important is the size of your current implants. Do I understand you to say that one of your implants has deflated? Depending on these factors, it may be possible to place new implants partially under the muscle (site change)but it would impossible to say without the benefit of examining you. Unless you have good thickness of the tissues over your current implants, I think placing new implants in the same pocket above the muscle is not what I would recommend. I hope this helps. Dr Edwards 16 Feb 2006 1500

Nickname: MaryAnne
Subject: Implant size
Procedure: Breast Augmentation
Question: Can you help me decide which type and size of implant would look good for me?

Response From Dr. Edwards:
MaryAnn, The size implant to be used depends on many factors, your anatomy, what size you would like to be, the quality of your skin, etc. As part of your consultation you will place different implants in a sports bra and look in a full length mirror to get some idea of what result you might achieve. I always tell every patient that the look you see is larger than your end result. I hope this helps. Dr Edwards 3 Feb 06 1810

Nickname: alina
Subject:
Procedure: Breast Augmentation
Question: Dr. Edwards, i would like to know what is the average cost to enlarge breasts from size A to B? thank you.

Response From Dr. Edwards:
Alina, It is very impotant to not let the cost of a surgery be the deciding factor in where you have surgery. You need to be knowledgable about the training of the surgeon, are they board certified by the American Board of Plastic Surgery, do they perform surgery in an accredited surgical center, is their anesthesiologist board-certified, etc. I cannot count the number of times a patient has come in to see me for an evaluation for a revision procedure and they tell me they didn't check all of these things out before having surgery. If you have questions about fees, I encourage you to call my office at (702) 248-8989 and my staff will be able to answer your questions and send you information on the procedure, about our office and about my certifications. I hope this was helpful. Dr. Edwards 3 Feb 06 1020

Nickname: Cindy
Subject: Augumention
Procedure: Breast Augmentation
Question: Dr. Edwards, I had breast implants put in about 5 years ago at the base. Although I have adjusted to them I still think I picked too big of a size. I would like to know if it is possible to have the have the old implants removed - and either pick a smaller size implant or have them removed all together. Not sure what else would be required but I believe in connection with either process I would definately need a lift. Can this be done and what is the approximate cost.

Response From Dr. Edwards:
Dear Cindy, To change from a larger implant to a smaller one, especially after 5 years, often times means that you may have to have a lift of some kind (as you mentioned) due to skin and muscle relaxation. The same would be even more true if you wanted the implants removed and not replaced. I would need to see you in consultation and examine you to see what would help you attain the goal you are seeking. If you would call my office at (702) 248-8989, my office staff can discuss approximate fees with you as well as to schedule a consultation. I look forward to seeing you again. Dr Edwards 1 Feb 06 1015

Nickname: Kyle
Subject: Ear pinning
Procedure: General Question
Question: Do you perform ear pinning? How long would I need to be off of work to recover?

Response From Dr. Edwards:
Kyle, I do perform ear pinning, also known as otoplasty. You will need to wear a dressing over your ears for approximately 7-8 days and then ear protection for 2 weeks afterwards. It would be best to reserve 7-10 days off from work to properly begin you recovery. Dr Edwards 31 Jan 06 1450

Nickname: Pam
Subject: Appointment times
Procedure: General Question
Question: Do you ever see patients on the weekends?

Response From Dr. Edwards:
Dear Pam, On occasion we will see a patient on the weekend for a new consult although we would prefer to see you during the week when all of the staff is in the office. Thanks Dr Edwards

Nickname: Jennifer
Subject: Breast implant replacement
Procedure: Breast Augmentation
Question: I had breast implants placed about 5 years ago in Southern CA and I have not been happy with the results since that time. Do you see patients who need additional surgery or newer implants.

Response From Dr. Edwards:
Jennifer, I perform a lot of breast implant revision surgery. I'm not sure from your e mail why you are unhappy with your implants but there are a number of options available to hopefully improve your breasts. The only way I would be able to see what you would benefit from would be to meet with you in consulatation. If you would like to schedule a consultation to discuss your options, please contact my office at (702) 248-8989. It will be very helpful if you could bring the data from your previous surgery, primarily the implant style, size and type. If you don't have this information, we can request it from your previous surgeon's office. I hope this helps. Dr. Edwards 29 Jan 06 2000

Nickname: pam
Subject: breast augmentation
Procedure: Breast Augmentation
Question: I have 2 children and my cup size has decreased one full size since they were born. I have a couple questions: Will I still be able to breastfeed if I decide to ahve more children in the future? Is it true you need to have the implants "replaced" every 5 years? What is the normal recovery time after a breast augmentation? How long will the procedure normally take?

Response From Dr. Edwards:
Pam, It is not uncommon to lose breast volume with pregnancy and subsequent breast-feeding. I prefer to place the incision under the breast in the inframammary fold and the implant partially under the muscle. This serves to minimize any disruption of the nipple and breast tissue. This, anatomically, should not decrease the ability to breast feed but no one can guarantee that you could with your next pregnancy. There is currently no recommendation for how often a breast implant needs to be replaced. It depends on what the fill material is of the implant. A saline implant should be changed if it deflates, the patient wants to change sizes or if there is a capsular contracture. If you have the implants for 10 years and they are soft, there is no need to perform any surgery. You do need to continue self breast exam and mammography in the appropriate settings. The normal recovery time is varied from patient to patient. I want you moving about the evening of surgery and then slowly increase your level of activity. I ask you not to lift anything greater than 10 pounds for 6 weeks after surgery. The operative time for a standard breast augmentation is typically 45 minutes. Please let me know if you have any other questions. Dr. Edwards 23 Jan 06 1910

Nickname: Sue
Subject: Tummy tuck
Procedure: Tummy Tuck
Question: I also asked about having breast surgey once I was through with having my children. My tummy just isn't the same since having children. What is involved in having a tummy tuck procedure?

Response From Dr. Edwards:
Sue, A tummy tuck, also called an abdominoplasty, will help to remove excess skin and some fat from the lower tummy as well as tightening the abdominal wall muscles. Depending on your body, the incision and subsequent scar typically runs low across the hips. You need to be able to ensure you have plenty of time to recover and have someone around to help care for you for at least the first couple of days. Your activity will be restricted for awhile to help you heal properly to get the best result that you can. Although your tummy contour will not return to what it was pre-babies, marked improvements can be obtained. It is important to feel confident that you are not planning on any further pregnancies. Please look at the before and after photos on my website to see some examples of what results can be obtained. Dr Edwards 21 Jan 06 1145

Nickname: Sue
Subject: Breast surgery after children
Procedure: Breast Lift w/ Augmentation
Question: I am 28 years old and do not plan on having any more children. My breasts are smaller and saggier. What can be done to improve them?

Response From Dr. Edwards:
Dear Sue, This is a very common question that I hear in my office. Whether you need a breast lift alone, a breast augmentation alone or a combination of the two procedures can only be determined after examining you. There are many variables to consider. If you look through the patient photos on my site you can see the results of a combined approach. I would be happy to meet with you to discuss your goals and desires. Dr. Edwards 21 Jan 06 0700

Nickname: Jen
Subject: cc
Procedure: Breast Augmentation
Question: Dr Edwards, A year ago I had silicone breast implants. My left side turned out beautiful but my right side developed capsular contracture- I had a capsulectomy on this side but within a couple of weeks this side "broke through" the skin and was removed. It has been 4 months since this has healed; 6 months after the implant was removed. Can you help??

Response From Dr. Edwards:
Dear Jen, It is important to follow up with your initial plastic surgeon if that is possible. If you have moved or for some reason unable to see them, I would be happy to see you to evaluate how best to help you obtain symmetry. Although thankfully a rare complication, exposure of an implant can occur typically necessitating the need for it to be removed for at least a 3-6 month period of time. This allows for your tissues heal heal and in doing so, become softer. If you were treated for an infection, it is very important to not undergo re-implantation for at least 3-6 months after all of your wounds have healed. If you would like to schedule a consultation, please contact my office at (702) 248-8989 and it will be important to have as many records from your previous care, at the least the details about the implant that you have in place. I look forward to meeting with you in my office. Dr Edwards 19 Jan 06 1300

Nickname: vicki
Subject: breastlift
Procedure: Breast Lift w/ Augmentation
Question: Thank you for answering my question, I just have a couple more questions. #1 What is the recovery time for this procedure? and will it be less for me because I have already had implant surgery? Thank you for your time. I will be scheduling a consultation in the next couple of weeks. What is your fee for consultation?

Response From Dr. Edwards:
Dear Vicki, The specific procedure that would benefit you will depend upon the degree of breast sagginess or "ptosis" that you have of your breasts with your existing implants. By and large it does not sound as though you need any alteration of your implants, the pocket of the implant or the chest muscle. However, I will be able to tell you with more precision at the time we meet. In terms of recovery, it depends upon the amount of surgery you will need. It is typically 7-10 days of down time but you are not healed enough to get back to any exercise regimine for at least 4-6 weeks and that is a gradual process which is highly individualized. I look forward to meeting with you. Dr. Edwards 15 Jan 06 1550

Nickname: vicki
Subject: lift
Procedure: Breast Lift w/ Augmentation
Question: Is it possible to do a breast lift using my existing implants? i am 2 years post op and i need a areola reduction and a lift. And i know you can't give me a price untill you see me, but can you give a price range? I really need this done soon, before summer. I feel as if i am constantly tightening my bra strayps and trying to push up my nipples because the are too low and It's really embarrassing. I live in bullhead city 90 miles away and would like to know what kind of price range i am looking at so I can schedule a cosultation. Thank you

Response From Dr. Edwards:
Vicki, If your implants are only 2 years old and they are still soft, it may be possible to perform a mastopexy (breast lift) which would narrow your areola in addition to accomplishing a lift. I would need to examine you in order to see what procedure you would help you achieve the results you are after. If you would like to schedule a consultation, please call my office at 702-248-8989. My office staff will be able to discuss a price range with you at that time. I look forward to meeting with you. Dr. Edwards 12 Jan 06 2200

Nickname: shalyn
Subject: acne scars on black skin
Procedure: General Question
Question: what new techniques or products have been developed that what help reduce the acne scars, I have

Response From Dr. Edwards:
Dear Shalyn, Care of acne scars depends upon their location and how deep they are. By and large though treatment is by either some form of resurfacing or by excision of the scar. Dr Edwards 12 Jan 06 2140

Nickname: Debbie Faulkner
Subject: Breast surgery
Procedure: Breast Augmentation
Question: I am a travel agent in the UK and I have a client who is interested in travelling to Las Vegas for breast augmentation surgery. My client would like to know whether a 7 day trip or 14 day would be necessary to undertake the initial interview, procedure and to recover sufficiently for her return flight. I have not yet contacted any airlines but would appreciate your advice. She is planning to increase her bust by one cup size only. We would of course book the hotel and flight around your appointment schedule so that the entire procedure could be completed within 14 days. This trip is planned for during Easter time this year (1.4.06 to 16.4.06). Once I know the above information, I will ask my client to contact you direct for any personal information you may require. Thank you for your help.

Response From Dr. Edwards:
Dear Debbie, Thanks for your e mail. All things consiidered, once long distance plans have been made by an exchange of phone calls or e mails, this could be accomplished. I could see her on an early Monday morning office appointment in preparation for a Tuesday surgery time. I would feel more comfortable with her staying long enough so that I feel comfortable that she is properly recovering before I release her to travel home. She may be able to travel home by the following Saturday , all things considered, but she would need someone to help with luggage, etc. It would be important to have a traveling partner to keep watch over her and help with getting from one place to another (my office, the operating suite and the place where they will be staying). If she is interested in discussing speicifics, she can either call (702) 248-8989 or e mail info@medwardsmd.com. I hope this has been helpful. Please note that I will be traveling to a meeting from 20-26 April 2005. Dr. Edwards 6 Jan 06 2000

Nickname: becky
Subject: breast agumentation
Procedure: Breast Augmentation
Question: What techniques do you use to insert the breast implants? Is it belly button, nipple or under arm?

Response From Dr. Edwards:
Becky, The incision used to place a breast implant varies from surgeon to surgeon. The two most common incisions are under the breast (inframammary) and through the nipple (peri-areolar). Less commonly is the armpit incision (transaxillary) route used. I do not advocate the belly button (TUBA-transumbilical) approach because it is frought with problems such as malposition of the implant and increased risk of bleeding or bruising. I caution you on picking a surgeon based upon the incision they use. Not all doctor's advertising that they perform breast augmentation are plastic surgeons so you should do your homework first. If you look at the before and after photos on my website, you will note that more than 95% of them are placed through the inframammary incision. I believe this approach gives me excellant visibility for proper placement of the implant and allows for a scar that is concealed after they have healed. I hope this helps. Dr. Edwards 12-17-05 1815

Nickname: Irina
Subject: Breast augmentation
Procedure: Breast Augmentation
Question: I am a dancer and interesed in getting breast implants. My question is how long will I realistically out of work before my breast are healed enough? I am wondering if its worth it to do it now or wait until the end of the season but it depends on the healing time.

Response From Dr. Edwards:
Irina, You are smart to think about this important aspect of breast augmentation. I ask my patients not to lift anything greater than 10 pounds for approximately 6 weeks after surgery, especially if your implants are placed partially under the muscle. The risks of going back to dancing too soon are that it could allow your implants to settle too low due to minimal support, incisional healing problems and an overall less than great result. To answer your question, I think you should avoid dancing, without a bra or support, for at least 4 weeks as long as your healing is on track. You will get different answers from different surgeons but keep in mind that you want your end result to be as good as possible for as long as possible. I would be happy to see you in consultation to see what would help you best meet your expextations. Please call the office at 248-8989 to schedule your personal consultation. I hope this helps Dr Edwards 4 Dec 05 0915

Nickname: Conne
Subject: explantation
Procedure: General Question
Question: Do you also explant silicone gel implants? Mine are 40 years old and collapsed inside. How many explants have you done? How old were the oldest implants you have removed? How can I find out about your procedure for removing these implants? Do you operate in your own theater? Do you also have hospital privileges? Are you qualified to do the explantation? I know there are several questions here, but I would like to phone your office and make an appointment for a consultation. if you could answer these few questions first it would save both of us a lot of time. Please email me at the above address. Thank you, Conne Franklin

Response From Dr. Edwards:
Dear Conne, When were your breast implants placed? What symptoms if any are you having? The best way to see what you would benefit from would be a consultation. I do remove silicone implants. Implants placed 40 years ago most certainly should be examined by mammogram/MRI and physical exam. I'm not sure what you mean when you say they are collapsed but it sounds as though someone has told you they were ruptured or leaking. I operate only in fully accredited same day surgery centers. As far as my qualifications, I am board-certified in plastic surgery. I would be happy to see you. If you would like to schedule a consultation, please contact my office at 248-8989. I hope this helps. Dr Edwards 11-29-05 2140