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BREAST
FACE & NECK
BODY
120 Spadina Road
Toronto, Ontario, Canada M5R 2T8
PHONE: 416.966.3223
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Q & A with Dr. Bill Middleton
REVIVE MAGAZINE,
December 2009
Leading edge cosmetic surgery requires years of advanced surgical training with an artistic appreciation for the human form. Dr. Bill Middleton has been expertly trained to manage a wide variety of aesthetic problems related to the face, body and breast. He is frequently quoted in the media and has been featured on such television programs as Style By Jury, Plastic Makes Perfect, ET Canada, Skin Deep and Cityline. Dr. Middleton is a Fellow of the Royal College of Surgeons of Canada. For more information please visit www.middletoncosmetic.com or email your questions to askanexpert@revivemagazine.ca
Q: Not knowing who is who in the cosmetic world, I have been a bit stand offish with getting any cosmetic procedure done. After reading Revive for a while now I feel more comfortable. I have been very interested in the content and feel that I may be ready to finally do something about my neck. I have very little volume in my neck along with a fair amount of sagging and excess skin. I am in my mid fifties and would like to know what procedures may be available to me? Because of my age would I have a greater risk for complications?
A: Necklifting surgery is a common procedure amongst patients in their fifties and it is an excellent way to treat the loose sagging skin of the neck, often referred to as a "turkey Neck" or a "waddle". Utilizing incisions that are discreetly placed below and behind the Ear and underneath the chin, the neck muscles are tightened and the excess skin and fat is excised and removed. The remaining skin is then smoothly draped across the neck, and the incisions stitched closed, resulting in a naturally rejuvenated look that can take years off of your appearance.I would not be concerned that your age is a factor, as 50 - 55 is an excellent age for necklifting surgery, and complications are rare amongst healthy patients. Most patients return to work in two weeks or less and report very little pain associated with their procedure.
Q: After taking time to think things through, I have decided that I would like to have breast implants. However my husband and I would like to have a child and I would like to have my implants before children. I am concerned about breast feeding! Will I be able to breastfeed if I have implants?
A: Breast augmentation has recently surpassed liposuction surgery as the most popular procedure performed in my office. The operation takes between one and two hours, and is performed on an outpatient basis with women frequently returning to work within days. It appeals to a wide variety of women of all ages, including younger women who still plan on having children and breast feeding. It is widely accepted that women can still breast feed following this procedure with no evidence that implants affect breast feeding in an adverse fashion. The surgical approach, however, can be customized to optimize successful breast feeding. The choice of incision site is important because although breast feeding is still possible, incisions placed around the nipple and areolar complex can disrupt the milk ducts. The type of implant that is used may also play a factor, as trace amounts of silicone have been found in breast milk secondary to silicone gel bleed in older implants. There are no known detrimental effects to infants associated with ingestion of this milk; however, if the perspective patient wants to feel perfectly reassured; a saline implant should be employed. The Saline fluid that fills this type of implant is the same as that given intravenously during surgery and is perfectly harmless in the event that implant does ever leak. I usually recommend placing the saline implant submusculary using either the transaxillary (underarm), transumbilical (belly button) or inframmary (below the breast) incision approach. Regardless of a woman's stage in life, the decision to pursue Breast Augmentation surgery can safely and positively enhance her self-esteem, confidence and outlook on life.