Posts Tagged ‘bad plastic surgery’

Former French TV Heart-throbs look Freaky after Plastic Surgery

May 20th, 2010


Thirty years ago they were the heart-throbs of French television with their own prime time series on science fiction.

Now Igor and Grichka Bogdanoff look more like the alien life forms they used to report on.

The twin brothers have had so much plastic surgery they are barely recognizable.

Daily Mail

These two gents seem to have fallen into the trend of soft tissue fillers and implants as opposed to traditional rejuvenating procedures and look pretty freaky now. It is likely that here we have poor results stemming from too much work using the a poor combination of procedures.

When I see outcomes like these I wonder who did the work and what they were thinking.

Best Regards,

John Di Saia MD

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Reader Laura on “New Advertised Liposuction”

December 30th, 2009

Reader Laura’s Comment:

The ladies in this story have had a “new” form of lipo instead of a tummy tuck. Their stomachs do look thinner but their skin in wrinkly. Would they have been better served by having a tummy tuck and then lipo? Is it just their age that has their skin looking that way?

DailyMail

VASER liposuction has been around for a while. I have used it and it is effective. The main question with newer lipo technologies is: “Are they worth the expense and can they increase problems?”

Many of them (VASER included) make it even easier to take out more and more fat. As we have discussed here before of course more fat removal is not always desirable.

The concept of “oversuctioning” has been around far longer than these newer tweaked lipo technologies. It can happen with liposuction in any of its forms as each technique requires a judgment call. When a surgeon over suctions an area it can lead to a increased tendency for the skin sag unattractively making some of these women almost look like prunes. In the UK they are calling it “Turkey Tummy.” The age of the patient and any previous surgery are part of the story making the judgment call harder at times. Of course some patients will not agree to a tummy tuck even if it offers real skin tightening and this might also be part of the problem. I can do the “right” operation but only if the patient allows it.

Best Regards,

John Di Saia MD

Related:

Tara Reid – Booty Slide?

Reader Laura on a UK Plastic Surgery Complications Story

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Bad Tummy Tuck? – Maybe

November 18th, 2009

People e-mail occasionally or ask on some of the forums at which I participate whether they are the victims of a “bad tummy tuck.” I found these images on one such forum. There is a pre-op and a several week post-op image. I would like to think a real plastic surgeon did not do this:

When you go to a doctor for a consultation and he comes back with a quotation that is half of the others you are getting, consider that you may be in the presence of a novice. If a non-plastic surgeon says he will fix your hernia only, you aren’t having a tummy tuck, so don’t expect it to look like one.

If you have the wrong surgery or only part of the right surgery, the result might not be entirely fixable later. This lady probably needs an extended tummy tuck and with that maybe she can get to look somewhat normal again. In her first operation, the tissue planes were likely not separated adequately to allow redistribution the skin after repairing the problem on the muscular layer. This just looks like much less than a tummy tuck to me.

Best Regards,

John Di Saia MD

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Posted in tummy tuck pre-op tutorial

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Not My Thigh Lift Patient – Check Your Surgeon Before Surgery.

April 21st, 2009

IReport

This lady apparently had a thigh lift and brachioplasty from an uncertified doctor after massive weight loss. While I’ll admit that these operations can be challenging, his results are not so great. He closed with staples and placed drains in very visible places. His incisions are placed in not-so-great positions too. You really need to check out your surgeon at least a bit before you let him (or her) operate.

Best Regards,

John Di Saia MD

Related:

Dr D’s “Basic Online Surgeon Check”

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Posted in Sloppy Plastic Surgery

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Unsatisfied Patient After Plastic Surgery – Forum Question

June 13th, 2008

A recent question from my MMH forum tells of a woman unhappy with her plastic surgery after weight loss:

The Question:

Hi there! I am 3 weeks PO today and am still seeing loose skin at the top of my abdomen (more on the right side vs. the left side, but definitely enough to grab from each side) I had a TT with MR, breast lift with implants and arm lift with lipo 3 wks ago. I saw my PS on Monday (and was released from all of my garments: abdominal binder, ace wraps for my arms and surgical bra) and he said that he wants to wait at least another month to see how my skin settles. Needless to say that I am just feeling very discouraged. I lost 100 lbs and wanted to see the body that was under all of that skin, but think he could’ve taken more skin than he did because I am still not happy because I still see loose skin.

An Answer:

Hello,

You can’t really expect a surgeon who has never seen you to magically know what happened in your case knowing so little of what happened to you medically. Let me take a shot anyway. You sound like an extreme weight loss patient who had plastic surgery following that weight loss. You had a lot of surgery in one sitting from the sounds of things.

What people don’t understand about plastic surgeons is much of what we do really has more to do with our philosophy than anything else. My philosophy is to do one large scale operation at a time starting with an extended tummy tuck or lower body lift on an extreme weight loss patient. I find that when surgeons do less patients tend to be unimpressed with the results. My way is more expensive and takes more operations to get things done but my results are better. Then again extreme weight loss patients frequently see “loosening” of their results. Revisions in this patient group are not uncommon.

Other surgeons do multiple procedures in one sitting and don’t extend them as much. It is the only way to get through longer operations in less time. This is less expensive and gets things done faster.

At this point you need to have along “sit down” with your surgeon to figure what to do from here.

Best Regards,

John Di Saia, MD

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Posted in cosmetic surgery pre-op tutorial

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A "Dr Quickie" Story

July 28th, 2007


- THIS IS NOT A DR DISAIA PATIENT -

As many of you know, I contribute online at a few forum boards answering some general plastic surgery questions. At a MakemeHeal.com thread today, I ran into a post by the husband of an extreme weight loss patient who had had a tummy tuck and a breast reduction by another surgeon both in 2 1/2 hours. They are both unhappy with how she looks. They did not post pre-op images. A six week post-op is above.

As we have discussed before, extreme weight loss plastic surgery is more extensive than similar operations on a normal patient. 2 1/2 hours is very rapid for surgery of this type. I can safely say I would take much longer on each of these procedures and would likely do them in two different operations.

Another post in the thread indicated the surgeon’s name. I searched it. He is not board-certified by any ABMS board (American Board of Medical Specialists.)

Just looking at the surface, it is really irregular and the closure was with staples. The surgeon appears to not have re-implanted the belly button and a good deal of looseness of the tissues still exists above the closure. I hope she didn’t pay much for this.

STAY AWAY FROM THE DR QUICKIES OUT THERE.

Best Regards,

John Di Saia MD

P.S. I am taking the information I have been provided as true. I will update this if the story changes.

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