Multiple Plastic Surgery Experience and Outcomes
Multiple plastic surgeries is not an uncommon experience for people who are very satisfied with their initial outcomes. Stories and experiences of plastic surgery patients in Northern Virginia, D.C. and Maryland are shared in this most recent interview with Doctor Widder of Widder Cosmetic and Plastic Surgery Center in Vienna, VA.
Q: How common is it in your practice for patients to request multiple plastic surgeries?
Lots of people do it. Many people lose a lot of weight as a result of gastric bypass surgery. One of the consequences is a lot of loose skin. Sometimes after gastric bypass, people are interested in further surgeries for the abdomen and the breasts. Then they may want me to take care of the arms, the thighs, and sometimes the face and the neck. I always remember one particular patient who had gastric bypass surgery. I gave her a tummy tuck after the gastric bypass surgery. The tummy tuck went well, so she did breast augmentation with a lift after that. She was so happy with that surgery that she sent me a picture – the picture was of her breasts and on it, she wrote “Thank you, Dr. Widder!” That’s a funny one.
Q: After the tummy tuck, why did she choose breast augmentation?
When women who have gastric bypass and/or a tummy tuck and lose a great deal of weight, the breast size goes down. The breasts are made of breast tissue and fatty tissue. The breast tissue doesn’t change after those operations, but the fatty tissue does. The breast can become deflated – It will appear as loose skin without a significant amount of volume. You can take care of it with just the lift procedure. I usually use the keyhole mastopexy. It will improve the shape of the breast, but then she’ll have about an A cup. For some women, an A cup is ok. I had a large breasted patient who wanted to be an A cup, so I gave her a breast reduction. But the majority of women want to be in the C range. Maybe a small C or full B if they are athletic, or a full C to small D if they aren’t athletic and just want to look good in their clothes and bathing suit. I had a woman patient who had an A cup size breasts before surgery, so she requested the implant and I combined it with the mastopexy or keyhole lift. It’s called the keyhole lift because the incisions take the shape of a keyhole: there is a round incision around the areola, a vertical incision, and a horizontal incision at the crease area. With that technique, you remove all the excess skin and achieve a very nice shape. You get a perky, beautiful breast. To add the volume, I use the implants. So her situation was a common one; it is very rare that a patient with such small breasts will go for just a lift. Most of them do also want the implants.
Q: Since you specialize in buttock augmentation, would you say there is an additional operation that tends to go with that?
Well the butt augmentation can go very naturally with liposuction to enhance it’s shape. Liposuction is more common with the fat injection procedure. Unfortunately the fat injection to the butt does not last beyond 6-12 months. With the butt implants, the change stays intact, so those patients look very good permanently. As a result, I don’t do as many liposuctions associated with the butt implants.
I do sometimes see patients that have me redo a procedure they already had done by someone else previously. One woman came in for a redo tummy tuck and breast augmentation with a lift. You can imagine how unhappy she must have been if I had to redo the surgery, because the tummy tuck surgery in particular isn’t a walk in the garden . Yet, she was motivated to go through it again. She was very, very happy with those procedures, so next we moved on to liposuction of the thighs. She was so pleased with the liposuction that the week after next we were doing the butt implants. The whole sequence has been at a very fast pace, all done in only six or eight months. After the butt implants, she wants to do liposuction of the hips and waists. She seems ecstatic with the changes – you can hear it in her voice.
Q: Do you have any other memorable stories about two or more surgeries?
Yes. There is a woman who works in my office – she’s on my staff. She has had multiple surgeries and looks phenomenal. She’s a 65 year old African-American woman, and she’s beautiful. She looks like she’s 40. I’ve done her tummy tuck, breast lift, eyelids, chin augmentation, liposuction in multiple areas, and calf implants.
Q: Which one started her journey with plastic surgery?
She started with the tummy tuck. She just came in as a patient. She had a very nice result and we at the practice thought she had a nice personality, so we offered her a position in the office. Once she joined the team, we continued with the process of improvement. After the tummy tuck, I gave her the calf implants. Her breasts were a nice size naturally though droopy, she chose to go for a breast lift next. These were followed by eyelids surgery, chin implants, then liposuction of the abdomen, hips and waist, and finally liposuction of the thighs. I think we did 8 or 9 surgeries in all. She looks fantastic.
Widder Cosmetic & Plastic Surgery Center provides multiple plastic surgery options as well as single procedures for those looking to improve their appearance in one area. Stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com. Office Phone: 703.506.0300.
*Individual results are not guaranteed and may vary from person to person. Images may contain models.