Dr. Abhay Gupta

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    132
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About Dr. Abhay Gupta

  • Rank
    Plastic Surgeon

Contact Methods

  • Website URL
    http://www.GuptaPlasticSurgery.com

Profile Information

  • Gender
    Male
  • Location
    10672 Wexford Street, Suite 275, San Diego, CA 92130

Information

  • Surgery Type
    NA
  1. Hello VicWytch, Thanks for your question. Yes I have encountered your situation before. I agree with your breast surgeon's recommendation. You are correct that enough fat is crucial for a good result with autologous (tissue flap) reconstruction and that available fat is significantly diminished after massive weight loss, which usually means implant reconstruction is a better option. But your plastic surgeon will be the best person to make that determination after he/she has a chance to consult with you and examine your tissues. Good luck with your surgeries. Sincerely, Abhay Gupta MD, FACS
  2. Hi Grandma, Thanks for your question. Age is not a factor if you are healthy. What is more important is what other medical problems you have, such as diabetes or heart disease. To find an experienced plastic surgeon, I would first start with your bariatric surgeon. Dr. Kim has likely worked with a few plastic surgeons in your area or sent his other patients to them, and he may have a recommendation to help you choose. Check with family and friends who may know of someone else who has had the surgery and can recommend a good plastic surgeon. Otherwise just consult with a few board certified plastic surgeons in your area and ask them about their experience with bariatric reconstruction and review their before and after photos to help make your decision. Good luck! Sincerely, Abhay Gupta, MD, FACS.
  3. Hello Grandma, Thanks for your question. Every insurance company is different regarding coverage for reconstructive surgery after weight loss. This is also highly variable depending on location on the body. I recommend you seek consultation with a board certified plastic surgeon who can discuss your surgical options with you and then submit to your insurance company to see which procedures, if any, they would cover. Good luck! Sincerely, Abhay Gupta, MD, FACS
  4. Hello rds, Thanks for your question. For the best results from weight loss reconstruction, it is best to wait until your weight is stable for several months. You are the best judge of when you are at a comfortable weight that you can maintain long term. Any fluctuation in weight after your reconstructive surgery can significantly compromise your result and most plastic surgeons would therefore not perform any surgery until your weight is stable. Sincerely, Abhay Gupta, MD, FACS
  5. Hello Madison2015, Thanks for your question. I do not see any problem with combining your breast and tummy procedures if you have no other medical problems. This is something that is routinely done by most experienced plastic surgeons. If you are otherwise healthy then there is no significant increased risk from a 5-hour procedure compared to a 2-hour procedure. Age is not a factor if you have no significant medical problems. But I would recommend that you have the procedure done by an experienced Board Certified plastic surgeon who uses a Board Certified anesthesiologist to manage your general anesthesia, for the most safety. I personally limit my procedures to 6 hours so I would recommend doing the thigh lift at a separate time, preferably about 2-3 months later once you have recovered fully from the other procedures. Thigh lifts are great at reshaping the medial thighs but the incisions usually take longer to heal and the scar is not as thin or well-hidden as that from a breast or tummy procedure. Good luck with your surgery! Sincerely, Abhay Gupta, MD, FACS.
  6. Hello mmb5370, Thanks for your question. Based on your weight loss achievement, I imagine you probably have a significant amount of excess skin on your abdomen anyway, and likely also have some weakness of your muscles. In that case, I would recommend a tummy tuck as your best option. But I would still recommend you first seek consultation with a board certified plastic surgeon experienced in weight loss reconstruction, to discuss your treatment options. Sincerely, Abhay Gupta, MD FACS.
  7. Hello paxriversandy, Your plastic surgeon will most likely remove a large pannus of skin from each lower back/flank area similar to your abdominal surgery but I believe your specific questions can best be answered by him/her after your plastic surgeon has had a chance to examine the area. Just a word of caution: your primary doctor probably got approval for a consultation to see the plastic surgeon, not the actual surgery. Only the surgeon can get that authorization, but not before seeing you in consultation. Although your consultation is covered by insurance, the actual surgery may not be. I hope it goes through insurance approval for you but just wanted to make sure you didn't get your hopes up just to be disappointed later. Good luck! Sincerely, Abhay Gupta, MD FACS.
  8. Hello Cupecake, Thanks for your question. Congratulations on your weight loss achievement! It is normal to feel quite anxious about your upcoming reconstructive procedure. I recommend you contact your plastic surgeon to discuss all of your concerns and recovery questions to your satisfaction. Good luck with everything! Sincerely, Abhay Gupta, MD FACS.
  9. Hi ccma, Sorry to hear your surgery results - albeit very early in healing - have not met your expectations. I recommend you speak with your plastic surgeon directly about each of your concerns and the surgical revision options to address them. Sincerely, Abhay Gupta, MD FACS.
  10. Hello Calmclear, Thanks for your question. Sorry but I do not have any experience with hair transplantation and therefore cannot answer your questions. Sincerely, Abhay Gupta MD FACS.
  11. Whichever area you would most like to correct first.
  12. Hello Smallbites, Thanks for your question. The quick answer is No you should not have all of those procedures done at the same time. That would involve several hours of general anesthesia which has a high risk of significant complications. Also, your recovery would be exceptionally difficult given the multiple areas of healing all at once. I recommend you seek consultation with a board certified plastic surgeon in your area who can meet with you in consultation and discuss the safest and most effective surgical plan to address your areas of concern and achieve your goal. Sincerely, Abhay Gupta MD FACS.
  13. Hello Herealways, Thanks for your question and congratulations on your achievement. The best time for your plastic surgery reconstruction after weight loss is once your weight is stable within a 5-10 pound plateau. If you anticipate gaining a significant amount of weight with further weight training then I would recommend delaying surgery until you have finished building muscle mass. Otherwise I believe the time is right for you to consult with your plastic surgeon to discuss your surgical options. Good luck with everything. Sincerely, Abhay Gupta, MD, FACS.
  14. Hello ccma, Thanks for your question. A breast lift without an implant can always be done. If the breast tissue is still firm then it will hold shape well and the breast will be full and round. But if the breast tissue is very thin and fatty then it will not hold shape very well and the breast will still be very saggy (ptotic) with poor fullness up top and in the cleavage. For these breasts, an additional implant is often recommended to achieve the desired breast shape. Your plastic surgeon will be able to advise you which category you fall into after consulting with you and examining your breasts. Hope that helps. Sincerely, Abhay Gupta, MD, FACS.
  15. Dear Shadow6, Thanks for your question. The best time to see a plastic surgeon in consultation to plan your surgical reconstruction is once you are at your personal goal weight and your weight has been stable for at least a few months. This means after you are done losing your excess weight and after you have finished having kids (and the associated weight fluctuations). The plastic surgeon will then be best able to discuss your surgical options after he/she is able to assess your skin elasticity and pannus size. These options might change if you continue to lose weight after your consultation and might change the proposed surgical plan. Hope that helps! Sincerely, Abhay Gupta, MD, FACS.