Submitted by Cecy from Miami,Fl

Q: I am a healthy 55 years old. I am considering having a breast lift and a tummy tuck in the next few months. I have 3 questions. Having a breast lift was my initial idea, but now I am unsure if I should consider a breast lift with a small implant. My breasts size are a full size C cup small D and I don't want to loose the size. When you do a breat lift do you loose some of the cup size? should I consider doing a small implant to maintain the size and fullness of the breast? My mother had breast cancer, and although I have not had a problem with my breasts and I have regular mamograms, in your opinion having an implant be more risky for someone like me? I am also exercising daily and eating very healthy and trying to loose around 30 pounds of weight, do you recomend to wait until I loose the weight before I do the surgeries? Lastly how do you find a doctor that specializes in these two procedures? most plastic surgeons seems to me that they do a whole bunch of procedures, but how do you find a plastic surgeon specializing in breast lifts and tummy tucks?

Answered 09/08/08 14:09:39 by Dr. Carlos Wolf

A: You certainly have alot of good questions. First let me tell you that my partner Dr Kelly specailizes in the operation that you want to do.You can reach him at 305-595-2969, Now to answer your questions. You should be examined by a physician because often times patients are not correct in their diagnosis. You will not necessarily loose a cup size if you did the surgery. You are not at added risk fo cancer as long as you continue yor mammography and follow up. And as far as you weight loss, if you do loose weight after the surgery you will probably look better. These are answers that you should discuss with whoever you choose for your surgery as many physicians have differences of opinion. Good luck

Submitted by mucha from miami,

Q: Tengo bolsas debajo de los ojos. Tengo arrugas también, pero por ahora me gustaria solamente, sacarme las bolsas. Me gustaría saber mas o menos cuanto cuesta la operación y cuanto tiempo lleva hacerlo?

Answered 09/08/08 14:00:57 by Dr. Carlos Wolf

A: La cirugia de los ojos normale es para sarar las bolsas intaambien un poquito de las arrugas. Depende en que cirujano hace la cirugia por el costo. Si quere saber el costo llame a mi ofician al 305-595-2969. Daludes

Submitted by Cary Perez Fernandez from Miami, Florida

Q: Where is your office? Phone number please?

Answered 09/05/08 13:58:46 by Dr. Carlos Wolf

A: Carlos Wolf md 8940 N.Kendall Dr E 903 Kendall Fl,33176 305-595-2969 www.miamiplasticsurgery.com

Submitted by Fany De Jesus from Ridgewood, NY

Q: Hola Dr. Carlos, yo lo vi esta manana en despierta america, hablava de las sirugias en los adolecents. Yo tengo 34 anos y ya me opere para no tener mas hijos. Yo quisiera saber si se pueden hacer las siguria de reduccion de los senos y el tomytop al mismo tiempo y cuanto cuesta, me encantaria que fuera usted que me hagas este procedimiento. Soy una mujer de pocos recursos y que quiero verme bien pero por mas dieta que hago y ejercicios la flacides en el estomago no se me quita. Muchas gracias por su amabilidad de leer esta pequena carta y tomarme en cuenta. Que Dios lo vendiga.

Answered 09/05/08 13:56:59 by Dr. Carlos Wolf

A: Gracias por tu nota. Yo no opero pacientes de los senos y bariga. Mis socios lo hacen, Si, se puede hacer al mismo tiempo. Si queres puedes llamar al 305-595-2969 y pregunte a una de las chicas para el precio. Saludes

Submitted by Susie from Dana Bch, Fl.

Q: Dr. Wolf, I am a healthy 54 year old woman. Eleven weeks ago I had blespharoplasty performed by a board certified plastic surgeon on my upper and lower lids. Now that the swelling has almost completely disappeared and the skin has smoothed out I am beginning to see what I consider to be issues with my left eye. On the upper inside corner is raised scar tissue. It is visible and the doctor recommends massaging the area with the tip of my finger. The lid on this eye also has a wrinkly appearance, while the right lid is perfectly smooth. On the outside corner of the left eye, skin covers the tip of my eye so that it is hidden. It looks like the skin was stitched too far over the eye. The skin pulls down in a straight line, giving a blunt look to the tip. It also gives the appearance of a small entrance at that corner. There are 2 lashes inside which cause some itchy discomfort. I have discussed these concerns with my plastic surgeon; his response was to tell me that A. He didn’t see the small hole at the corner of the eye. B. In his ten years of practice he has never done a revision. I understand that it takes six months for the healing process to complete its cycle. Is it too early to consider getting a second opinion from another plastic surgeon? I would like to add that I recently saw my eye doctor regarding a vision problem that has occurred since surgery. He did see the hole with the lashes inside. What is your opinion? Thank you, Susie

Answered 09/02/08 17:34:40 by Dr. Carlos Wolf

A: If your doctor tells you that he has never had to do a revision in his ten years of practise...he is either ignoring his problems or just plain not telling the truth. From what you are telling me, you should probably get a second opinion. It is not unusal to have wrinkling and mild assymetry initially after surgery. This however, usually improves over the next few months. I think that if you are not getting the feeling that your doctor understands your issues it is imperative to get that second opinion. Sometimes patients find out that they actually did get a good operations. Good luck.

Submitted by Roxana del Risco from Miami, FL

Q: Hello Doctor. I went to my country to have a surgery. The doctor recommended to do a face liposuction and also take the Bichat Balls (Bolas de Bitach) I did what he told me however after my surgery, my acne scars became more visibles. Please let me know if there is any surgery to remove or decrease the apperance for the scars.

Answered 08/29/08 12:52:53 by Dr. Carlos Wolf

A: I DO NOT LIKE the operation where the fat pads are removed. I think what you need if volume to improve your scars. You could have fat injections or you could be injected with Restylane.Perlane.Sculptra or Radiessse. Your doctor would have to evaluate you.

Submitted by aracely from lima - peru

Q: hola dr. wolf me es un placer saludarlo..pero a la vez me gustaria hacerle una pregunta..yo desde hace 1 año atras me quiero hacer una operacion a la nariz pues tengo una montura..y quisiera saber cuanto es el costo de esa operacion.. si no es molestia claro.. me gustaria que la respuesta me la mandase a mi correo para q sea un poco confidencial aqui tiene mi correo.. brigitte_sz89@hotmail.com , escribame por favor.. gracias.. por todo.. y muchos exitos.. espero su respuesta lo mas pronto posible.. gracias..

Answered 08/29/08 12:49:52 by Dr. Carlos Wolf

A: Por favor llmame a mi oficina y pregunte por GIGI. Ella te puede ayudar con todo los detalles. Saludes

Submitted by mary dejesus from tampa fl

Q: HOLA DR CARLOS MEGUSTARIA SERME UN AUMENTO DE BUSTO SOY A YQUISIERA C COMOCUANTO SERIA MAS O MENOS EL PRECIO DE ESTA CIRUGIA.

Answered 08/29/08 12:48:32 by Dr. Carlos Wolf

A: Por favor llame a mi oficina al 305-595-2969. Mis socios hacen los senos. Yo solo opero el cuello y la cara. Saludes

Submitted by susan from ft lauderdale

Q: I had my nose done about 30 years ago. I am not happy with my nostrils from a side view I feel they need to be made smaller, sometimes you can see the insides and they appear red.I like my nose and shape otherwise. What is involved to correct this and is it worth fixing?

Answered 08/25/08 20:12:16 by Dr. Carlos Wolf

A: It is worth fixing if it bothers you enough to think about it. Now, the question is, can it be fixed. In order to determine that you would have to be evaluated either by pictures or in the flesh. Choose someone who is very experienced in nasal surgery and shows you before and after pictures of revision nose surgeries. Good luck.

Submitted by VERONICA from maryland

Q: hola dr, me es un placer saludarle mi pregunta, es verdad k el botox sirve para las ojeras y si es asi cuanto eso dura?

Answered 08/25/08 20:09:51 by Dr. Carlos Wolf

A: Realmente, el Botox no es para las ojeras, es mas para las arrugas y para levantar las cejas. Normalmente Botox dura de 3 a 4 meses.

Submitted by Mirna from Miami, Florida

Q: I would like to know what other type of surgery there is besides the tummy tuck to get rid of the kangaroo pouch after one has kids; that would not require the reconstruction of the belly button

Answered 08/25/08 20:08:33 by Dr. Carlos Wolf

A: If you are a real kangaroo there is really no other surgery. Just kidding. If you have a significant amount of skin above the belly button, the traditional tummy tuck is the way to go. If most of your skin is below the belly button you may be able to undergo surgery without moving the belly button( a mini tummy tuck) You would have to be evaluated in order to determine what the best course of action would be for you.

Submitted by Zenny Hernandez from Indio, California

Q: Hola Dr. Wolf lo mire a usted en un programa por la cadena de univision y me intereso su informacion sobre Biopolimeros. Mi pregunta es la siguiente: En el ano 2002 me injectaron supuestamente colagano en los labios,mas bien fue silicon, pero con el tiempo mis labios se ven inflamados, con bolitas, nada bonitos. Yo se que usted me puedo correjir ese problema. Que tanto es el proceso? Tengo que reposar despues, y cuanto timpo? Si me gustaria correjir este problema. Se le agradece de antemano su atencion a la presente. Gracias

Answered 08/25/08 20:05:13 by Dr. Carlos Wolf

A: Gracias por tu nota. Esto si es un problema que mucha gente tiene. Para saber esa informacion que queres por favaor lllame a mi oficiana 305-595-2969. Una de mis assitente te puede ayudar. Saludes

Submitted by ROSARIO LOZANO from DETROIT, MICHIGAN

Q: ME GUSTARIA SABER SI HACE LA SIRUGIA DE LOS PARPADOS PARA DISMINUIR LA APARIENCIA DE LAS ARRUGAS ALREDEDR DE LOS OJOS Y ME GUSTARIA SABER CUANTO COSTARIA. GRACIAS

Answered 08/25/08 20:02:56 by Dr. Carlos Wolf

A: Si, eso es uno de mi especialidad! Saludes

Submitted by agarsua

Q: mire yo tengo una cita para la proxima semana soy de white plains ny y no se nada por favor llameme o dejeme un mensage en mi correo por favor digame ecxatamente el dia

Answered 08/25/08 19:59:43 by Dr. Carlos Wolf

A: Fue un placer verte en el consultorio. Tenga un buen viaje. Saludes

Submitted by Chris from Ft Lauderdale

Q: Dear Dr Wolf. A little over a week ago I had lipo done on my abdomen & hips & breast enlargement surgery. While I am still a bit sore & uncomfortable, I am worried at what I have done! My stomach & hips looks worse than I started out with. I am bruised, which I realize will go away, but I am so swollen & puffy there that I dont notice any improvement at all. My doctor said all went well & it is fine! Also, after getting up in the morning my breasts hurt. Is all this "normal" & will it get better? How soon can I really expect to see improvement? Thank you

Answered 08/25/08 19:58:21 by Dr. Carlos Wolf

A: Patience is a virtue...you have alot of swelling and you are expected to have some discomfort!!We unfortunately live in a society of instant gratification. I think the biggest problem you have is that you may not have been informed of what to expect. We try to tell our patients everything that we think is important to know, before ,during and after surgery. The take home lesson here is that "YOU SHOULD ASK AS MANY QUESTIONS FROM YOUR SURGEON AS YOU CAN" that way you will know what to expect. If you are having pain and you have reddness,with unusual swelling you should contact your doctor immediately. If after a few weeks you are not content with the results or do not see some improvement talk with your surgeon about how you feel. When and if you do not get satisfaction you should get a second opinion. I think however, you will be fine if you just wait for the swelling to go away.

Submitted by Gene Racond from Pembroke Pines, FL

Q: I have Bell's palsy. Do you do Treadlifts?

Answered 08/25/08 19:51:03 by Dr. Carlos Wolf

A: I do not do thread lifts because I think they are inherently not good. In your case of having Bells palsy, there may be some use for it or something similiar. For more information you can contact my office at 305-595-2969.

Submitted by Tina from Victoria

Q: I am considering laser lower blepharoplasty, can you please let me know if this is the right and safest procedure, as I have asked my local doctor and he has told me there is no such think as laser blepharoplasty. The cosmetic surgeon I had a consultation with said this is the best procedure. Thank you

Answered 08/09/08 19:47:11 by Dr. Carlos Wolf

A: When a doctor tells you its the greatest and only way ...run for the hills!! There is No advantage of doing a blepharoplasty with laser. About 10 years ago it was a great marketing tool for surgeons to get patients in for surgery. The most important objective is to get great results. Ask your surgeons if you could see pictures of their patients and if you could talk to a patient of theirs who you could see their results. Ask how many eye surgeries they do on a regular basis and approximately how many they have done. If you are not comfortable with your doctor there are plenty to choose from so keep searching. Having a bad results can make your life very unhappy. Good luck.

Submitted by Hilary from Miami, FL

Q: I have had spider veins in my legs since I was a teenager. I have had a dermatologist do sclerotherapy with some success. Some areas improved, but others got worse. Is sclerotherapy still considered the most successful treatment for spider veins in the legs? Does success depend more on the doctor doing the procedure or the legs of the patient. I do lots of running and weights and my legs are in good health besides these unsightly veins. My mother had terrible varicose veins, so perhaps I should consider myself lucky. Any thoughts?

Answered 07/26/08 12:31:19 by Dr. Carlos Wolf

A: Like anything that requires experience...its all about the technique(ie the injector in this case). There are some lasers that can help and should be done by experts who do this all the time. Sclerotherapy is still the treatment of choice for spider veins. You should have an evaluation by a vascular surgeon to determine if you have any deep venous insufficiency. Good luck.

Submitted by Christy from Key Biscayne, FL

Q: Dr. Wolf, I have researched the face lift procedure on your website and throughout the web extensively. I believe I am a great candidate for the surgery but work very long hours and can't seem to find the time to come in for a consult. Do you offer a virtual consultation process or is there a way I can send you pictures rather then coming in person?

Answered 07/18/08 11:36:34 by Dr. Carlos Wolf

A: Yes we do offer a virtual web consultation. A virtual web consultation is a method where a patient can upload their pictures on a physician's web site and get an opinion if they are candidates for the type of surgery they want to have. Its a great way for patients who are out of the city to get an unbiased opinion from a doctor. Usually there is not fees associated with the patient consultion therefore the patient can have various opinions without leaving home. Naturally there are procedures which may not be condusive to this type of evaluation. Each doctor has their own preference. If you want to check out a virtual consult you can see one on our weeb site. www.miamiplasticsurgery,com.

Submitted by rulya armindia vera from merida yucatan mexico

Q: ANTE TODO UN SALUDO DR.WOLF QUIERO EXPRESAERLE MI ADMIRACION HACIA SU TRABAJO AQUI EN MEXICO PASAN UN PROGRAMA DE USTED Y SUS CIRUGIAS Y DEJEME DECIRLE QUE TIENE USTED UN TRABAJO MAGNIFICO, QUE E VISTO RESULTADOS EN SUS PACIENTES Y ES REALMENTE MAGNIFICO EL RESULTADO FINAL QUE SUS RINOPLASTIAS SON PERFECTAS Y QUE MAS QUICIERA QUE USTED PUEDA REALIZARME UNA CIRUGIA PERO MIS POSIBILIDADES NO LLEGAN A TANTO PERO ESO NO ME QUITA EL PRIVILEGIO DE SALUDARLO Y FELICITARLO, POR QUE POR LO QUE E PODIDO VER ES USTED UNA MAGNIFICA PERSONA, AQUI PASAN FRAGMENTOS DE USTED Y SU FAMILIA PERO LA QUE A SALIDO MAS ES SU MUY ESTIMABLE MADRE. PRESENTANDOLE MIS RESPETOS SE DESPIDE DE USTED SU SERVIDORA. RULYA VERA DE BURGOS

Answered 07/18/08 11:27:35 by Dr. Carlos Wolf

A: Muchas gracias por todo lo que me dices. Saludes de Miami.