Surgery, Plastic Surgery FAQ

Seeking Solutions for Nasal Reconstruction After Failed Surgery

Remedy for the Nose~ Hello Doctor: I am a victim of a nasal procedure performed by a traditional Chinese medicine practitioner ten years ago. Due to improper handling by the physician, I have developed adhesion and deviation of the nasal septum, resulting in uneven thermal injury...

Dr. Zhou Hongzhang Reply:
Our hospital is currently unable to provide this type of rhinoplasty. You may seek consultation and assistance at a larger medical center in Taipei.

Addressing Asymmetrical Nipples: Options and Costs for Students

Nipple issues Hello, Dr. Lu: I have noticed that one of my nipples is larger than the other since middle school. I am quite thin and I feel self-conscious about it, often not wanting to walk with my head held high. I would like to know if there is a way to make the protruding nip...

Dr. Lu Daokuan Reply:
It is possible to correct asymmetrical nipples; however, due to the high sensitivity and numerous nerves in the nipples, there may be significant pain before and after the surgery. The cost for nipple correction is approximately $10,000.

Understanding the Differences Between General and Staged Flap Repairs in Plastic Surgery

Inquiry Regarding Disease (Forwarded from the Director's Mailbox) What is the difference between "primary flap reconstruction" and "staged flap reconstruction"?

Dr. Zhou Hongzhang Reply:
What is "staged flap reconstruction"? Is it a stage operation? Often, plastic surgery flap procedures require multiple surgeries to achieve wound healing or treatment. Dr. Chou Hong-Chang, Plastic Surgeon, April 7, 2010.

Scar Revision Surgery: What to Expect and Costs Involved

Scar revision Hello: I have a surgical scar on my left arm that resembles a zipper. This scar has been present for 15 years, measuring 6 cm in length and 1 cm in width, and it is flat. I would like to ask: 1. What is the best possible outcome for the appearance of this scar? Is i...

Dr. Zhou Hongzhang Reply:
1. Scar revision surgery is a procedure that aims to improve the appearance of unsightly scars, transforming them into "more aesthetically pleasing" scars, with the hope that they will be less noticeable from a distance. 2. The cost is approximately NT$3,000 to NT$5,000...

Effective Treatments for Asymmetrical Eyes: Costs and Options

Symptoms of anisocoria? Hello, doctor. I have congenital asymmetry in my eyes, with one eyelid drooping. Due to the significant difference in eye size, it is very noticeable and unattractive. What treatment options are available for asymmetrical eyes that are the most effective a...

Dr. Zhou Hongzhang Reply:
The patient may have congenital ptosis and requires surgical treatment, which may involve upper eyelid blepharoplasty combined with levator muscle suspension (shortening) surgery. The estimated cost is approximately 22,000 to 26,000 NTD. A consultation at a cosmetic center is rec...

Concerns Over Unauthorized Macrolane Injections in Cosmetic Surgery

Administering Macrolane directly to the cheeks without the patient's consent? My sister went to a medical aesthetics clinic on December 3, 2009, to purchase a treatment for cheek augmentation and tear trough filling. The treatment consisted of SubQ 2 c.c. x 2 and Touch 0.5 c...

Dr. Lu Daokuan Reply:
Basically, legal and approved medications should be used domestically. Of course, unapproved drugs in the market cannot be completely eliminated, possibly due to lower costs. Whether your sister's face has issues may not be absolutely related to legality; after all, her firs...

Understanding the Risks and Complications of Rhinoplasty

Complications of Rhinoplasty Hello, Doctor: I have researched on the internet about rhinoplasty with artificial nasal bones, and I found that there are possibilities of capsule contracture, displacement, and calcification. Will these complications cause damage and deformation to ...

Dr. Zhou Hongzhang Reply:
1. If the cartilage and nasal mucosa are not damaged during surgery, theoretically, there will be no destruction or deformation of the nasal cavity tissue, unless the implant is too large or heavy, causing compression. 2. In addition to silicone, other materials or the patient&#x...

Expert Recommendations for Orbital Fracture Surgery in Taiwan

Surgical recommendations for orbital bone fractures? Hello, I would like to ask Dr. Zhou to recommend a renowned surgeon for orbital bone fractures. I previously underwent endoscopic surgery, but my eye is still sunken, and my double vision has not completely resolved. I am not f...

Dr. Zhou Hongzhang Reply:
In Taiwan, Linkou Chang Gung Memorial Hospital has a Craniofacial Center that specializes in addressing complex facial bone and cranial issues. You may consider consulting them for assistance.

Botox for Migraine Relief: Efficacy, Costs, and Treatment Areas

Migraine & Botulinum Toxin 1. I apologize. Previously, I received Botox injections at a clinic for cosmetic reasons and unexpectedly discovered that I had not experienced a migraine for over six months! Is there a certain efficacy of Botox for migraines? 2. Additionally, if ...

Dr. Zhou Hongzhang Reply:
1. Botulinum toxin can be used to treat certain specific neuromuscular disorders; for detailed information, a consultation with a neurologist is recommended. 2. Cosmetic surgery centers only perform botulinum toxin applications for aesthetic purposes, such as glabellar lines. 3. ...

Managing Hemangiomas in Young Children: Surgical Options and Care

Hemangiomas in children Hello Dr. Zhou, I would like to ask about a 6-year-old boy who has developed a hemangioma on his foot, which has broken the skin and resulted in a wound with signs of proliferation. He has been seen at other clinics, and the doctors informed us that due ...

Dr. Zhou Hongzhang Reply:
1. A 6-year-old can still undergo surgery. 2. According to the letter, this young boy appears to have a superficial hemangioma, which should be amenable to excision for complete healing. 3. It is best to consult in an outpatient setting and have the physician examine the affected...

Understanding Orbital Fractures: Recovery and Complications After Surgery

Orbital bone fracture Hello, I would like to ask about my situation. I was in a car accident and suffered a fracture of the right orbital bone. It has been 20 days since the accident until the day of surgery, which was performed using an endoscope by an otolaryngologist. However,...

Dr. Zhou Hongzhang Reply:
It sounds like a complex facial fracture, which may involve multiple fracture sites. Orbital fractures can affect the position of the eyeball (either protruding or recessed) and may even lead to diplopia (double vision). These complex situations require careful evaluation before ...

Understanding Eyelid Surgery Risks: Concerns About Ectropion at Age 60

Under-eye bags issue? Dr. Lu: Thank you for your response. I would like to ask if, for a 60-year-old, undergoing external blepharoplasty for bags under the eyes is likely to result in ectropion, and if the failure rate is higher. I am concerned about this.

Dr. Lu Daokuan Reply:
Males are more prone to the phenomenon of eyelid ptosis, resulting in a lower improvement rate. Individuals with hypertension are more likely to experience recurrent bags under the eyes, but the failure rate does not exhibit the same phenomenon as observed in Shanghai.

Understanding Post-Surgery Pain and Potential Complications After Finger Reattachment

I'm sorry, but I need content to translate? Hello Doctor, I apologize for bothering you again with this question, as I asked you a few days ago and perhaps you were too busy to notice it. I am having difficulty understanding your previous response. My question is: My friend ...

Dr. Zhou Hongzhang Reply:
At the injection site of anesthetic drugs, it is generally expected that the anesthetic will be completely absorbed within 1-3 days without any symptoms. If the injection site continues to be red, swollen, warm, and painful, it may indicate a bacterial infection at the injection ...

Understanding Craniofacial Surgery: Risks and Considerations for Facial Aesthetics

Craniofacial surgery This surgery is for individuals with less than severe facial shape issues. If one insists on undergoing this type of surgery, is the risk very high? Is this surgery a combination of orthognathic surgery and zygomatic bone surgery? The photos suggest that ther...

Dr. Zhou Hongzhang Reply:
1. Orthognathic surgery is typically performed on patients with cleft lip and palate or congenital facial deformities. 2. All surgeries carry certain risks, and the risks are higher for individuals with poor health or multiple medical conditions. 3. An oval face is generally ...

Understanding Eyelid Surgery: Choosing Between External and Internal Approaches

Under-eye bags issue? Dr. Lu: Hello, thank you for taking the time to answer my questions. I am 60 years old and considering eyelid bag removal surgery. I would like to know: 1. Should I opt for external or internal incision? 2. How long after the surgery can I take a long-haul f...

Dr. Lu Daokuan Reply:
At 60 years old, the presence of bags under the eyes along with skin laxity makes lateral canthoplasty a reasonable option. Postoperatively, it is advisable to rest for 5-7 days before taking a long-haul flight. Lu Dao-Kuan.

Understanding Post-Anesthesia Pain and Swelling After Finger Reattachment Surgery

I would like to ask the doctor, the area where the anesthesia was administered is swollen and painful? Hello Doctor, a couple of days ago I asked you a question. My original message was about a friend of mine who had three fingers severed at work about ten days ago. After surgery...

Dr. Zhou Hongzhang Reply:
1. The inability to flex the thumb properly and apply force years after an injury may be due to: (1) the tendon cannot be reattached as described, (2) scar tissue contraction, (3) adhesive capsulitis of the joint, or (4) adhesion of ligaments and tendons. 2. Given that several ...

Post-Trauma Facial Reconstruction: Surgery Options and Insurance Coverage

Follow-up treatment issues??? Dear Doctor: I have a 20 cm long scar on my face from a car accident, and after healing, there is still a hypertrophic scar present. During the accident, glass penetrated my face, causing deep internal nerves or tissue to become necrotic. I would lik...

Dr. Shi Wenbin Reply:
Hello, internet user: A 20 cm wound on the face is indeed quite long, and even after suturing, it is likely to leave a noticeable scar. To improve this, you can apply silicone tape for three to six months after the stitches are removed. If, after that time, the scar still appears...

Can I Get Muscle Tissue Checked After Gallbladder Surgery?

excuse me? Dr. Zhou: Hello, thank you for taking the time to answer my question. I underwent gallbladder removal surgery in July 2005. After three years, I have experienced discomfort due to the scabbing of my abdominal wound after healing. After trying some folk remedies, I feel...

Dr. Zhou Hongzhang Reply:
1. "Examination of muscle tissue?" - Muscle tissue can usually be biopsied, but this is only necessary in certain specific diseases, such as sclerosis or amyotrophic lateral sclerosis (ALS). 2. Based on the condition, it may simply be abnormal proliferation of scar ti...

Is Swelling Normal After Lipoma Surgery? Insights on Recovery

Liposarcoma surgery? I went to the hospital on July 18 (Saturday) to have a lipoma on my forehead, which was over 1 cm (the sutured area is 1.5 cm), removed. It has been about four to five days post-surgery, and the swelling around the wound has not significantly subsided (compar...

Dr. Zhou Hongzhang Reply:
To determine whether it is normal or not, it may be necessary to examine the condition of the wound in order to make an accurate assessment (after visual inspection). Typically, a wound is expected to be most swollen on the third day, after which the swelling should gradually sub...

Effective Treatments for Keloids: Options and Insurance Coverage

Keloid I accidentally injured my arm while working part-time in my sophomore year, and now I have a 2 cm long keloid. I had surgery, but it has grown back. I have been using beauty tape to cover it. What methods can I use to remove it? Will health insurance provide any subsidies?...

Dr. Shi Wenbin Reply:
Hello: Keloids are generally not treated with surgical excision, as surgery may worsen the condition. If the treatment is solely for symptoms (itching or pain), local corticosteroid injections can be considered (covered by health insurance). If significant improvement in appearan...

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