Surgery, Plastic Surgery FAQ

Understanding Axillary Hematomas After Surgery: Symptoms and Management

About axillary hematoma? Hello, I recently underwent a curettage of the apocrine glands and have had my stitches removed. However, before the stitches were taken out, I noticed that the left side of my armpit seemed swollen, but the doctor said it was fine. In the past few days, ...

Dr. Lu Daokuan Reply:
Hello: The hard swelling near the wound may be a phenomenon during the healing phase. You can return to the clinic to consult with the surgeon for confirmation. Thank you! Wishing you a speedy recovery!

Managing Joint and Nail Issues: Solutions for Finger Deformities

Nails and joints Dear Doctor: I have a habit of frequently cracking my finger joints, which has caused them to become quite thick over time. What should I do about this? Is surgery the only solution? Additionally, I used to have a bad habit of biting my nails as a child, which ha...

Dr. Lu Daokuan Reply:
Hello: Long-term joint cracking from finger manipulation can indeed lead to a thicker appearance, but there are no indications for surgery. The habit of biting fingers may also cause deformity of the nail bed, which might be difficult to correct.

Understanding Post-Thyroid Surgery Complications: What to Know

Could you please clarify what you are puzzled about? Doctor, I would like to ask about a concern. Last June, I underwent surgery to remove one side of my thyroid. After the original surgical wound healed, I now have a raised, red line that resembles a centipede. Sometimes it feel...

Dr. Lu Daokuan Reply:
It is likely hypertrophic scarring. After the surgery, there was no application of artificial skin or silicone gel for a period of time. Currently, if there is pain or itching, local corticosteroid injections are needed.

Is Nipple Reduction a New Term in Plastic Surgery?

Is "nipple suturing" a new term in plastic surgery? Is there a term for plastic surgery? I've only heard of breast reduction, breast lift, and areola reduction, but I haven't heard of this term... Is it a new plastic surgery technique? Please let me know.

Dr. Lu Daokuan Reply:
Nipple suturing should be considered a type of areola shaping, rather than a new technology.

Do You Need an Anesthesiologist for General Anesthesia in Plastic Surgery?

General anesthesia Is an anesthesiologist necessary for general anesthesia? If a urinary catheter has already been inserted, can the physician administer anesthesia on their own? If an anesthesiologist is required, does the patient need to sign a surgical anesthesia consent form,...

Dr. Lu Daokuan Reply:
Currently, regulations state that intubation under general anesthesia must be performed by an anesthesiologist. For intravenous anesthesia and regional anesthesia, it depends on whether the primary surgeon is available to assist, but an anesthesia consent form must be completed i...

Understanding the Side Effects of Septoplasty for Rhinoplasty

Complications of Septal Rhinoplasty What are the complications of septoplasty rhinoplasty?

Dr. Lu Daokuan Reply:
Using septal rhinoplasty is a more invasive procedure that requires a larger incision. The purpose of harvesting tissue from the internal septum is to utilize the patient's own tissue, which allows for better results through a more extensive surgery. The risk of complication...

Rhinoplasty: Can Plastic Surgeons Perform Nasal Bone Realignment?

Nasal correction surgery Is orthopedic surgery involved in performing nasal bone reduction surgery, or is it exclusively done by otolaryngology?

Dr. Lu Daokuan Reply:
Yes! Plastic surgeons who specialize in craniofacial surgery are also very skilled!

Understanding Fractional Laser Treatment for Scar Improvement

Fractional laser Hello, Doctor. I previously underwent scar revision surgery on my face due to a burn injury. If I want to undergo fractional laser treatment to make the scar smoother, should I wait until the scar has turned white and matured before proceeding? The scar is curren...

Dr. Lu Daokuan Reply:
Laser treatment for scars primarily focuses on pigment reduction. There are many variables involved in treating facial scars with laser therapy, including tissue irregularities and fibrosis. Regular follow-up is reasonable, but frequent treatments may actually be harmful.

Can Liposuction Be Used for Multiple Lipomas? Expert Insights

Liposuction for lipomas Hello, doctor. I have multiple lipomas, with about twenty of various sizes on my limbs. Some have grown quite large, and I am concerned that surgical removal will leave me with numerous scars. I have seen reports suggesting that liposuction can be used to ...

Dr. Lu Daokuan Reply:
Multiple lipomas are often associated with strong oxidative stress in the body, smoking, lack of sleep, insufficient vitamin intake, and individual constitution may all be contributing factors. Liposuction to remove lipomas is not technically unfeasible, but it may not be economi...

Consulting for Mole Removal: Dermatology vs. Plastic Surgery

Mole removal issues I have a raised mole on my back about the size of a red bean. The surface and surrounding area are not very regular, and it feels a bit soft and watery to the touch. I would like to ask: 1. Which department should I visit, dermatology or plastic surgery? 2. If...

Dr. Lu Daokuan Reply:
Soft moles on the back usually do not show any changes and have likely been present for many years. If there are symptoms such as irregular pigmentation, bleeding, or oozing, a biopsy is recommended. It may not be possible to schedule the excision on the same day, so it's be...

Understanding Pulsating Facial Vessels: Causes, Treatments, and Concerns

Pulsatile vascular point on the face? 1. Hello, doctor: About 2.5 cm from my mouth, a slight protrusion suddenly appeared 3 to 5 months ago. I thought it was a pimple or comedo, so I ignored it. However, two weeks ago, it suddenly started pulsating, measuring approximately 1 cm x...

Dr. Lu Daokuan Reply:
In adults, a pulsatile mass should be classified as a vascular malformation (a type of hemangioma). Sclerotherapy is generally not recommended, as the one-year recurrence rate can be as high as 50%. Additionally, sclerotherapy can result in the formation of a hard lump. Surgery (...

Understanding Lipomas Below the Ear: Risks and Surgical Options

Lipoma located beneath the ear? Hello, Dr. Lu. I have a lipoma measuring 2.2 x 3 cm located just below my ear. It is considered superficial and does not currently affect my appearance. Initially, the doctor advised me to leave it alone and not take the risk of surgery. Recently, ...

Dr. Lu Daokuan Reply:
The removal of tumors located beneath the ear is not an indication for endoscopic surgery; direct surgical intervention is generally preferred. Typically, lipomas on the face larger than 2 centimeters are uncommon, and it is important to differentiate whether the issue beneath th...

Understanding Philtrum Surgery: Risks, Scarring, and Solutions

Philtrum issues Previously, my philtrum was not very long. After pouting my lips twice, my philtrum became longer. I want to shorten my philtrum. Will there be any scarring?

Dr. Lu Daokuan Reply:
The philtrum area is prone to scarring, and surgery is not recommended.

Swollen Pinky Joint: When to Seek Orthopedic Care?

Swelling of the little finger joint? Hello, I have a question regarding my finger. When I was in sixth grade, I sprained my right pinky finger while playing dodgeball. At that time, I was young and didn't pay much attention to the issue. Later, the joint of my pinky finger b...

Dr. Lu Daokuan Reply:
Typically, deeper contusions in the joints may exhibit a phenomenon of hyperplasia. If it does not affect mobility, treatment may not be necessary. However, if it impacts movement, surgery may be required to excise the excess bone tissue, and there is no guarantee that the origin...

Can Nail Bed Deformity Be Corrected Through Plastic Surgery?

Can the nail bed deformation be restored to normal? Reason: Ten years ago, I had my toenail removed due to paronychia, and during the procedure, a tumor was accidentally discovered. I then consulted an orthopedic surgeon who excised the tumor. Although the toenail has grown back,...

Dr. Lu Daokuan Reply:
Chronic injury has led to nail bed deformity and a fungal nail infection. Treatment for the fungal infection should be addressed by a dermatologist first, before consulting an orthopedic surgeon to determine if nail bed reconstruction is necessary.

Do Hsinchu Provincial Hospital Offer Non-Surgical Aesthetic Treatments?

Do you offer minimally invasive cosmetic procedures? 1. Does Hsinchu Provincial Hospital offer minimally invasive cosmetic procedures? I am looking to improve signs of aging without surgery, such as Botox, hyaluronic acid fillers, and micro-needling. 2. Are the fees at the provi...

Dr. Lu Daokuan Reply:
1. You can directly inquire whether Hsinchu Hospital offers minimally invasive cosmetic procedures. Non-surgical methods to improve aging are the appeal of minimally invasive aesthetics, although the results may be somewhat limited. 2. Public hospitals are generally expected to b...

Understanding Nerve Repair After Thumb Injury: Key Concerns and Recovery

Injury to the digital nerve of the index finger in the thenar region of the palm? Hello Doctor, On January 19, I accidentally cut my thumb while slicing fruit, resulting in a wound approximately 10 cm long, and I was urgently taken to the hospital for surgery. My first follow-up...

Dr. Lu Daokuan Reply:
Nerve repair in the fingers does take time, and after the follow-up appointment at the end of March, rehabilitation should be actively pursued. Whether the cast needs to be fixed for six weeks should be determined by the attending physician. You can discuss the rehabilitation sch...

Forehead Cyst Removal: Post-Op Care and Scar Prevention Tips

Forehead subcutaneous cyst excision treatment Hello, doctor: I would like to undergo surgery in the plastic surgery department to remove a subcutaneous cyst approximately 1.5 centimeters on my forehead. Could you please advise me on how to care for the area post-surgery to avoid ...

Dr. Lu Daokuan Reply:
Postoperatively, artificial skin can be used to care for scars. Hypertrophic scars are more likely to occur in areas subject to tension, such as joints, shoulders, and the chest and abdomen, while they are less likely to occur on the forehead.

Post-Operative Care for Hematoma After Knee Lipoma Surgery

Postoperative hematoma after lipoma surgery on the knee? About three days ago, I underwent a lipoma excision in the popliteal region. During my follow-up appointment yesterday, the doctor mentioned that there is a hematoma present. However, due to the nature of my work, I am unab...

Dr. Lu Daokuan Reply:
You can use a larger size knee brace to avoid it being too tight.

Cost of Surgery for Axillary Odor: Tissue Glue vs. Gland Removal

Bromhidrosis? How much do tissue glue and apocrine gland curettage cost in axillary odor surgery?

Dr. Lu Daokuan Reply:
The cost of a curettage procedure for the endometrial glands ranges from 20,000 to 40,000 TWD. The glandular tissue is not always necessary; if it is required, it typically costs around 10,000 TWD per CC.

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