Q: Dr. Eppley, I would love to discuss getting breast implants, keloid removal, and possibly upper lip injections. My questions are: 1. Would all three of those procedures be able to be done during the same surgery andin the same anesthetic if I so chose to do all three? 2. The keloids are on my right ear are from botched piercings/healing. This a substantial keoid on my earlobe, a more minor one on the upper ear cartilage. 3. In your experience, what products are the most natural looking, safest, and have the most longevity in the human body for breasts and same question for lips. Again, I appreciate all insight and hope to soon be one of your patients.
A: In answer to your breast augmentation, ear keloid removal and lip augmentation questions, I can provide the following answers. It would most efficient and prudent to combine all three procedures during the same surgery. Ear keloids are common and their removal often involves the concurrent use of steroid injections to prevent their known high rate of recurrence. For earlobe keloid removal the use of a postoperative compression earlobe device is recommended. The most assured and effective method of breast augmentation is the use of breast implants. Silicone breast implants offer the most natural feel and longevity over saline breast implants. For lip augmentation one should take advantage of the operative location and anesthetic to do fat injections for the lip augmentation. While no method of lip injections is assured, the use of fat at least offers the potential, is natural and is best done in an operating room location.
Dr. Barry Eppley