Ask Dr. Jeff

Top 5 Plastic Surgery Innovations of the Decade

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.


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1.  Face Transplantation.
With refinement of microsurgical techniques and immunosuppressive therapy protocols, facial transplantation has become a reality. In 2005, Dr. Bernard Devauchelle and Dr. Jean-Michel Dubernard performed the first face transplant in Amiens, France after Isabelle Dinoire's face had been ravaged by her dog.
 
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Isabelle Dinoire, the world's first face transplant patient.   

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Plastic Surgery Secrets - Unveiled!

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

For those of you with questions about plastic surgery but who resist the alluring temptation to contact Dr. Jeff directly, I encourage you to peruse my new book, Plastic Surgery Secrets, 2nd Edition, which just rolled off the presses and hit bookstores everywhere last week.  More than 300 contributors from 14 countries have joined forces to produce the newly-minted edition that contains 155 chapters on virtually every aspect of plastic and reconstructive surgery.

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10 Fingers & 10 Toes

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

I have neither been abducted and transported through a wormhole to another dimension nor have I taken a leave of absence to circumnavigate the globe in a hovercraft.  But I have been quite busy and offer my sincerest regrets for any semblance of a departure from my dutiful role as Dr. Jeff on ChicagoNow.  Allow me to explain.

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Komedyplast screening in Lima, Peru.

At the end of February, I returned from Lima, Peru where I take a surgical team and entertainment team each year to operate at the only children's hospital in the country.  We perform complex craniofacial reconstructions for children with congenital skull abnormalities. This was the 6th mission of Komedyplast, the nonprofit foundation I established in 2002, and a major milestone for us as we treated our 100th child during this mission.

Five weeks after returning from Peru, my wife was to deliver our son.  Instead, that occurred just two weeks later -- 3 weeks ahead of schedule!  The threat of preeclampsis necessitated induction and early delivery.  Fortunately, that all occurred uneventfully and my son was born just two weeks ago.  However, the problem with any divergence from the anticipated plan with something as important as childbirth is the recurring question, "Is anything wrong?"

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Can Sex Increase Breast Size?

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.


Dear Dr. Jeff,

i had breast reduction surgery last year.  If you have sex will they grow back again? i really don't want them back; the left one is starting to also feel heavier. i lost a lot of weight; now I'm gaining weight again. i was reduced to a small C cup.  i became sexually active with my last boyfriend. I'm turning 23 this year and i really don't want the DD's back!! 

Preet

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Surgery to Help You Sleep? Sounds Like a Snoozer

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.


Dear Dr. Jeff, 

I have severe sleep apnea and use a CPAP machine at night to help me breathe.   I also have a very short thick neck with fat below my chin and at the bottom of my neck.  Would any type of cosmetic surgery on my neck/face to remove the extra fat around my neck help with the sleep apnea ?  Or will the procedure just make me look fabulous on the outside, like I told my husband ...

LM

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Recuperation After Liposuction

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff,

What is the recuperation period for liposuction for a 50-year-old woman who is in relatively good shape and who exercises frequently? How long should the process take for liposuction of the stomach region, hips, and flanks?

Thank you.

Feeling Fat

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The Truth About Keloids

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

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What exactly are keloids?

Not every ugly scar is a keloid.  Only specific ugly scars are actually keloids.  The term has become much too commonly used and misused.  Alibert coined the term "cheloide" in 1806 from the Greek word meaning "crab claw" to describe the lateral expansion of keloid scarring onto surrounding normal tissue. Hypertrophic scars, in contrast, remain within the confines of the original wound border whereas keloids invade adjacent normal skin.  Hypertrophic scars generally arise after several weeks, are present for many months, and then regress.  Keloids may arise much later after wounding and may enlarge indefinitely. 

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Life After Massive Weight Loss

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff

I lost 85 pounds 4 years ago. I exercise daily and have not been able to lose the stretched skin. I am 48-years-old. What would you suggest to lose the stretched skin around my waist?

Thank you.

CBH

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Fat Cells After Liposuction: Gone For Good?

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff

I have heard that if you have liposuction and you regain the weight that you will gain it in other places.  Is this true?


Erika

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Are They Real???

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

It's hard to believe that more than a decade has passed since Terri Hatcher stammered, "They're real and they're spectacular!" to a curious and dumbfounded Jerry Seinfeld. 

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Terri Hatcher informs Seinfeld in no uncertain terms that, "They're real and they're spectacular!"

In that time, breast augmentation has become the most common cosmetic plastic surgery procedure  performed in the United States with approximately 307,000 women receiving implants in 2008.  With such a high prevalence of breast augmentation, the inevitable question arises equally frequently: "Are they real?"  The best plastic surgery is that which is undetectable - natural in appearance.  So, how does one distinguish the actual natural breast from the augmented breast?  A number of tell-tale signs are demonstrated in the gallery below:

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Attached at the Hip

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff,

There's been so much talk in the media over the last several years about separating "conjoined twins".  Can you tell me how this condition differs from "Siamese twins"?

LP

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Plastic Surgery on The Big Screen

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

The fascination with plastic surgery has pervaded the media over the past decade with a multitude of "extreme makeover" and reality shows.  However, this preoccupation with self image and personal transformation is not new.  A myriad of films have focused on one aspect of plastic surgery or another over the years, touching upon concepts that range from breast implant invention to species transformation to body image perception to facial transfer to comedy Mel Brooks style.  The gallery below showcases a dozen or so of the best of these films.

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Hitting the High Notes

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff,

My music teacher told me my voice is really nasal.  I have a really big nose and want to know if getting a nose job will make me a better singer?

Thanks.

TLL

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Dear TLL,

better singer? Possibly. But probably not. 

Take a look at some famous singers in the gallery below.  You'll note that for many of them their noses actually became their trademark over time.  For others, nasal surgery down the road became a preoccupation, and, for one particular star, an obsession.  

Analyses are based on assessment of photos only without the benefit of direct examination.

Gallery sneak peek (14 images):

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A Beautiful Corpse is Still A Corpse!

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Bad judgement and good outcomes are generally mutually exclusive barring unpredictable strokes of luck. The surgeon and the patient often share the responsibility, perhaps to greater and lesser extents, when any compromise of an optimal plan is agreed upon.  
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In The Studio

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Question: What could better than joining Bill Leff, ChicagoNow Radio Host, and Ashley Bond, Miss Illinois USA 2009, in the WGN radio studio on a beautiful Saturday morning to exchange banter?

Answer: Nothing!
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On The Air with ChicagoNow Radio - LIVE!

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Join Dr. Jeff THIS SATURDAY as he goes LIVE with ChicagoNow Radio from 11:00 - 11:30am!!
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Moley, Moley!

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff

I have beauty marks everywhere but I have a big mole on my lower back.  What can I use to make it go away or smaller, at least without having surgery or anything expensive like that?

Moley

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Pre-op or Post-op? You Be The Judge!

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

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In an industry dominated by appearances, and plagued by obsession with body image, is it really that surprising that so many starlets and fading stars resort to image-enhancing plastic surgery?  Of course, not!  So, why the big mystery?  More often than not it's the public's insatiable curiosity to determine if someone has had plastic surgery that is of far greater interest than the facts themselves.  Like an itch that just needs to be scratched, it forces speculation, accusation, pontification, and the generation of rumors. As I have not treated any of the stars in this gallery, am not privy to the details of their actual surgical histories, nor could I reveal such details if I were, they are presented for your assessment, scrutiny and entertainment.  You be the judge!

Gallery sneak peek (15 images):

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Top 5 Ways to Determine if You're Too Young for Cosmetic Surgery

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.


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1.  Are you skeletally mature (i.e., done growing)?
Rhinoplasty or any bony or cartilaginous procedure performed prior to the completion of growth can have adverse consequences on subsequent growth and development.
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Breast Feeding After Breast Augmentation

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.


Dear Dr. Jeff,

Can you breast feed if you have breast implants?

Erika

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Damn You Stretch Marks!

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff

I have lost a lot of weight and, unfortunately, I have stretch marks on my inner thighs and stomach.  Is there something I can do about them?

Thank you.

KK

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Facelifts for Fetuses - How Young is Too Young?

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Aesthetic enhancement and rejuvenation are the two main objectives of cosmetic surgery. Improved self-esteem and body image are the goals. Should we perform liposuction on the cherubic newborn and do away with that baby fat or, perhaps, a rhinoplasty (nose job) on a 14-year-old girl so she can enter the dating world with greater confidence? Where do we draw the line?
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Sex After Surgery

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Dear Dr. Jeff,

I am having breast reduction surgery soon and was wondering if there is a period of time where I will be required to abstain from sexual activity?

Also, for how long must I wear a surgical bra?

Thanks!

Allison

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In Search Of ... A Real Plastic Surgeon

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

One would think it wouldn't be necessary to enlist the services of Leonard Nimoy (aka Mr. Spock aka Paris aka "In Search Of ..." host dynamo) to identify a fully trained, board certified, bona fide plastic surgeon - but it might. After all, the specialty is so diverse that it is alluring not only to potential patients who seek a myriad of services for as many diverse reasons, but also to those who would potentially offer such services. So, where does one commence their search?

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Plastic Surgery - What's That?

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Jeff Weinzweig, MD

Board-certified plastic and reconstructive surgeon who offers advice and information on all aspects of this specialty.

Derived from the Greek word plastikos, meaning to mold, form, or give shape, the field of plastic surgery encompasses both cosmetic and reconstructive surgery.   

Cosmetic surgery is performed to reshape and modify normal structures of the body with the goal of improving the patient's appearance and self-esteem. However, reconstructive surgery is performed on abnormal structures of the body, the result of congenital defects, developmental abnormalities, trauma, infection, tumor or disease. Reconstructive surgery is generally performed to improve function, but may also be done to restore a normal appearance.

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