Question:

Hello again Dr.Garcia! I wrote to you another day about a surgery I'm about to do and my smoking habits. I appreciate your answer really much but now I got one more question. What other substances are dangerous relative to a surgery other than tobacco, nicotine, carbon monoxide? I will quit tobacco smoking but I wonder about herbal smokes, without nicotine and tobacco? Is that alright? Not for daily use but for blending my marijuana, at weekends for example? Does marijuana have nicotine in it? I hope you can answer this question as well. Thank you! 

 

Answer:

There is no nicotine in marijuana unless you smoke it as a blunt. Vaping does expose you to nicotine. As to other herbals that people smoke,such as hemp, there are alkilies in it but it is not nicotine exactly. Carbon monoxide is present and can cause problems, but it is only in the tobacco products.

Question:

Hi Dr.Garcia! I'm about to do a plastic surgery on my breasts because they are very asymmetrical. My right breast is twice as big as my left. The doctor here in Sweden (where I live) told me to quit smoking six weeks before the surgery which is kind of hard but not the big problem here. I also smoke marijuana every day, and I smoke it with tobacco. My first question is how important is it that I don't smoke anything at all? I mean, if I quit smoking but want to smoke marijuana maybe one, two or three times at the weekends with a little bit of tobacco - how much does that affect? And my second question is, is marijuana dangerous to smoke during the time before any surgery? If I smoke it clean without tobacco I mean. I am so scared because marijuana is illegal here in Sweden so I cant just talk to my doctor about it... hope you can give me an answer. Thank you! / Sara

 

 

 

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Question:

my implants are about 38 years old one saline one silicone.  Silicone one has a ruptur and I am looking to remove and just do a lift and a fat transfer. I have essential thrombocythema and some minor heart issues.  How well does the fat and stem cell work. Or does it work with removal and a lift.

Answer:

I personally do not perform fat injections to the breast. For it to survive the amounts that can be injected are relatively small. The newer techniques where small amounts of stem cells are harvested from the patient during a liposuction procedure do show better results than fat injections without that technology. In most cases it will require a series of injections with repeat sessions being performed after 6 month intervals. The longevity of the fat in the breast all depends on how strong the blood supply is and if the fat cells are able to connect to those blood vessels as they are needed for the fat to survive. Fat injections are not as reliable as an implant overall.

Question:

Hi Dr. Garcia...I am wondering if you regularly do explants of breast implants? if so, how many with En Bloc have you performed? Thank you.

Answer:

I do perform en bloc implant removals but i cannot say how many I have done as I have not kept count. It is my preferred method when removing ruptured silicone implants. I will say that when attempting an en bloc removal, there are occasions when the capsule, which constitutes the outer layer keeping the material en bloc tears or is inadvertently cut and then there can be spillage of the silicone out of the capsule.In those cases we use solvents such as alcohol and other antibacterials to remove the silicone and it comes out better with those substances than just wiping it out. If that occurs we can never guarantee complete silicone removal but the vast majority is removed. The silicone that remains will usually over time create silicone lumps that if they are a concern, can be removed later.

Question:
Answer:

What is it you are not happy about? Size, location, capsular contracture, firmness, ripples?