Surgery, Plastic Surgery FAQ

Why Does Skin Near Surgical Scars Turn Yellow After Open Fracture?

The skin around the wound has turned yellow? I would like to ask the doctor, after an open fracture surgery on the lower leg, why does the skin near the scar turn yellow? Will it return to its original color?

Dr. Zhou Hongzhang Reply:
It will return to its original skin color.

Understanding Mild Gynecomastia: Causes, Treatment Options, and Costs

Mild gynecomastia Hello Dr. Lu, I have mild gynecomastia and I have some questions to ask you. 1. If there are no hard lumps when I press on my chest, is it correct to say that it is fatty gynecomastia? 2. Can fatty gynecomastia be eliminated through fat loss? Is it possible t...

Dr. Lü Mingchuan Reply:
Hello; 1. A clinical reassessment visit may be necessary. 2. Fat reduction occurs throughout the body and cannot be targeted for localized elimination. However, at 22 years old, you may still experience natural changes due to puberty, although the likelihood is low. 3. It is reco...

Effective Scar Removal Solutions for Post-Surgery Confidence Boost

Scar removal Hello Doctor: A few years ago, I had an accident that resulted in a humeral fracture, leaving me with a surgical scar of about 10 centimeters. Sometimes I feel it's very unattractive and it affects my confidence, making me hesitant to wear short sleeves. I would...

Dr. Lü Mingchuan Reply:
Hello: It can be used for scar treatment... It is recommended to visit Changhua Hospital's plastic surgery department for management.

Understanding Male Gynecomastia: Insurance Coverage, Costs, and Recovery Insights

Gynecomastia Hello, doctor. I would like to know if general surgery is covered by health insurance. To what extent can it be covered? (Does it only include breast tissue excision or does it also include liposuction?) I just want to have a flat chest like an average male, so I can...

Dr. Zhou Hongzhang Reply:
1. Generally, there is no health insurance coverage. 2. Either breast removal or liposuction can be performed as needed. 3. The costs vary by clinic or physician, ranging from approximately $60,000 to $200,000, depending on the type of surgery. 4. You will need to purchase ...

Addressing Post-Surgery Concerns: Issues with Foreskin Surgery

Prepuce issues Hello Doctor: 1. After the circumcision surgery, a doctor diagnosed me with symptoms of a subcutaneous cyst, but why did the doctor advise me to consult the original surgeon for the procedure? 2. There is too much remaining inner foreskin and frenulum, resulting in...

Dr. Zhou Hongzhang Reply:
1. Postoperative wound issues are best understood by the primary surgeon who performed the procedure. 2. Scar reconstruction can sometimes be quite challenging. Most of the time, new scars replace old ones, and the appearance may not achieve perfection. It is advisable to consul...

Anesthesia Options for Gender Confirmation Surgery: Local vs. General

Anesthesia concerns for gender-affirming surgery? Doctor, I saw online that for anesthesia during surgery, one can choose between local anesthesia and general anesthesia. Is this true? Can a large and time-consuming surgery be performed with only local anesthesia?

Dr. Zhou Hongzhang Reply:
1. Anesthesia for surgery can be either local anesthesia or general anesthesia, which is true. 2. Such large and time-consuming surgeries cannot be performed with only local anesthesia. 3. This type of surgery can only be performed at National Taiwan University Hospital or Taipei...

Can You Safely Engage in Extreme Sports After Zygomatic Fracture Surgery?

Can a person engage in extreme sports after surgery for a zygomatic bone fracture? Hello Doctor: I sustained a fracture of the right zygomatic bone (the fracture is located at the zygomatic bone, lateral to the nasal wing, and next to the eyebrow) due to a car accident. I underwe...

Dr. Lü Mingchuan Reply:
Hello: For extreme sports, outpatient CT scans are required for follow-up. The Ministry of Health and Welfare Changhua Hospital cares about you.

Understanding Gynecomastia: Surgery Options, Costs, and Recovery Time

Gynecomastia Hello doctor, I am 19 years old, 174 cm tall, and my breast size is approximately a B-C cup with some sagging. I would like to ask what type of surgery I would need, as well as the costs and recovery time involved?

Dr. Lü Mingchuan Reply:
Hello: Generally, liposuction is sufficient between A and B. For B to C, if there is skin sagging, a small portion of the skin may need to be excised. The key focus for breast ptosis treatment is the appearance and shape. It is recommended to visit an outpatient clinic for an on-...

Does Titanium Alloy Implantation Weaken Bone Strength After Surgery?

Will the titanium alloy implant make the bone weaker after a fracture? Hello, doctor. I previously had a car accident that required reconstructive surgery on my face and nose, and I believe the material used was titanium alloy, though I'm not entirely sure. I remember that t...

Dr. Lü Mingchuan Reply:
Hello: Generally speaking, the strength of a fracture can recover by 7% per year, and it is important to avoid re-injury. However, the relative condition between the soft tissue and the bone should be evaluated, and a facial CT scan is recommended for further confirmation. Follow...

Improving Facial Asymmetry: Non-Surgical Options Beyond Plastic Surgery

Facial asymmetry? Doctor, my face is asymmetrical; the right side is much higher than the left. I have a double chin, so it's very noticeable that the left side of my face appears to be sagging, whether by touch or sight. Aside from surgical cosmetic procedures, are there ot...

Dr. Lü Mingchuan Reply:
Hello, asymmetry should first be investigated to determine the underlying cause (whether it is skeletal, neurological, or soft tissue-related). However, most cases still primarily focus on surgical or minimally invasive procedures. It is recommended to visit the outpatient clinic...

Understanding and Managing Sebaceous Cysts on the Nose

There is a sebaceous cyst on the tip of the nose? I would like to inquire about a condition I previously had. I visited a surgeon who drained it, and it became smaller. The doctor mentioned that surgery was not necessary to avoid scarring, but it has grown larger again after a sh...

Dr. Lin Zhemin Reply:
The presence of sebaceous cysts on the nose and oily skin are related. If there is a persistent inflammation and recurrence, it is advisable to undergo surgical removal to prevent ongoing inflammation, which can lead to scar formation.

Concerns About Rhinoplasty: Orange Nose Bridge and Nasal Septum Issues

Nasal bridge appears orange, with small protruding granules on the nasal septum? Hello Doctor: I underwent I-shaped cartilage rhinoplasty using ear cartilage about 5 years ago. Since then, my nasal bridge has developed an orange hue, and there is a protrusion on my nasal septum t...

Dr. Zhou Hongzhang Reply:
1. This situation is indeed a bit tricky. The nasal model (Carmela) and the transplanted cartilage may be causing this phenomenon (skin discoloration and protrusion of the nasal septum). 2. The difficulty of removing the Carmela is indeed higher, but it does not necessarily dama...

Managing Numbness and Misalignment After Jaw Surgery: A Recovery Guide

Tingling or numbness in the mouth? At the end of 2018, I was involved in a car accident and was treated for an open comminuted fracture with displacement of the left mandible, accompanied by malocclusion. I underwent facial internal fixation surgery. After the surgery, I experien...

Dr. Zhou Hongzhang Reply:
1. The recovery period after nerve damage can range from 2 months to 1-2 years. 2. It is possible that complete recovery may not be achieved. 3. The more severe the injury, the higher the likelihood of nerve discontinuity. 4. You can consult your original plastic surgeon or...

Challenges and Solutions for Nonunion Fractures in Hand Surgery

Nonunion of fractures (Hand Surgery) Hello Doctor: Last October, my finger was crushed by a metal plate. Except for my thumb, the other fingers suffered from bone fractures, as well as vascular and nerve damage. After the first surgery, my middle finger still had poor blood flow,...

Dr. Zhou Hongzhang Reply:
1. This condition may require a complete medical history or a consultation with the original treating physician for a better prognosis. 2. Poor fracture healing can have many causes, such as severe injury, compromised circulation, wound infection, and so on. 3. Hyperbaric oxy...

Is Swelling Normal After Mole Removal Surgery on Nose and Lips?

Surgical mole excision? Hello doctor, two days ago I had surgery at a plastic surgery clinic to remove moles, one on my nostril and one on my lip. Is it normal for the area around my nostril and lip to be swollen? The wounds are not painful, but one side of my face is a bit swoll...

Dr. Zhou Hongzhang Reply:
1. Swelling after surgery is inevitable. 2. The swelling may last from several days to several weeks. 3. Follow-up treatment can be done in the outpatient clinic.

Effective Solutions for Correcting Bowed Legs: Surgery and Recovery Insights

Improving bow legs (genu varum)? I visited a doctor who said that the curvature of my foot is greater than average, but there is no issue. However, I am really concerned about it. Are there any methods to correct it? If surgery is required, how long is the recovery period? What a...

Dr. Lü Mingchuan Reply:
The factors influencing the appearance of the thighs and calves can primarily be divided into soft tissue (fat, muscle) and hard tissue (bone). Generally, if the factors are determined to be related to soft tissue, procedures such as soft tissue contouring (for example, calf lipo...

Understanding Finger Separation Injuries: Healing and Recovery Insights

Due to a machine crushing, there is a separation of the bone and soft tissue in the finger? I would like to ask the doctor about a finger bone separation. The nerves and bones were not injured. After I compressed it, I underwent surgery for suturing. It has been four days since I...

Dr. Zhou Hongzhang Reply:
This is not very normal; some tissues may be necrotic and require further observation for a few more days. It is advisable to consult a physician for further evaluation.

Understanding Gender Confirmation Surgery: Key Considerations and Insights

I purely want to understand gender-affirming surgery? Hello, Doctor: I have the intention to undergo gender-affirming surgery, but please disregard my psychological state and focus solely on the surgical aspects. Thank you. First, I would like to ask whether every procedure is ...

Dr. Zhou Hongzhang Reply:
1. If there is no sexual activity, one may consider removing only the testicles or penis without performing vaginal surgery. 2. Currently, in Taiwan, it seems that only two hospitals (National Taiwan University Hospital and Veterans General Hospital) are capable of performing g...

Understanding Knee Bruises and Treatment Options for Soft Tissue Injuries

Bruising on the side of the knee due to a contusion? Hello, doctor. About a year ago, I was in a car accident, and I developed a bruise on the side of my right knee, which gradually faded to a light gray mark. However, a lump formed in one area that is very painful to the touch. ...

Dr. Zhou Hongzhang Reply:
1. This is a scar issue; if the injury was severe initially, the scar may appear more unsightly, and both atrophic and hypertrophic scars can form. 2. It is important to care for the scar during its initial formation, for at least three months. If it still looks unsightly afterw...

Can You Undergo Scalp Tumor Surgery During Your Period?

Surgical Procedure for Scalp Tumor During Menstrual Period Hello doctor, I am scheduled for scalp tumor surgery the day after tomorrow. My tumor is approximately 0.5 centimeters in size, but I just started my menstrual period today. Is it safe to proceed with the surgery? (This m...

Dr. Lin Zhemin Reply:
It is advisable to discuss this with your attending physician.

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