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Recently Asked Questions
Skin cancer or melanoma or just sun spots?!
Hi Michelle, Thank you so much for asking a valuable question. Melanoma can be very deadly if untreated. However, if caught early it can be easily cured. Early signs of melanoma can be subtle and require a skin exam by a board certified dermatologist who has additional training in skin cancer care. The cost of a skin exam is typically around 100 dollars but may be less or more if a biopsy needs to be performed. I highly recommend that you have your husband checked. My youngest melanoma patient was only 18 years old! Thank you, Tarek Tarek M Fakhouri, MD, FAAD, ACMS Mohs Surgeon
Yes. If your husband has hip arthritis, a hip replacement would definitely improve his situation. Pain in the hip, limping, and stiffness are the most common complaints. Usually arthritis can be diagnosed with just a simple X-ray taken in the office. An orthopedist is definitely the right physician to diagnose and treat this condition.
Can you get lumineers if you have an overbite?
Lori Thanks for your inquiry. If you have an overbite, then Lumineers will likely accentuate the appearance of your overbite. Lumineers add more thickness to the front of your teeth therefore making them look thicker. I don’t think you’ll like the result. Traditional veneers would be a better look since they do not appear thicker. Orthodontics first though would be the better start then do veneers afterwards. If you would like a complimentary evaluation for a more accurate plan then please feel free to call my office and make an appointment for me to look. Hope that helps. Thanks Robert G Dernick DDS Office: 281-363-2770
You are correct! That is a very difficult question to answer completely and accurately without seeing you for a consultation first. Lumineers are a possible treatment option and best suited for teeth that are small and have spaces in between them and not in need of orthodontic correction. Lumineers are very thin as well so their indication for use is more limited than other types of porcelain veneers. My recommendation is that you schedule a consultation with a general dentist first and then suggestions for possible treatment options can be made, including a possible orthodontic referral. General dentists work collaboratively with other dental specialists so it is always best to start here!
Insulin Resistance... I am miserable!
Insulin resistance can be difficult at first but it is not a life-long sentence. There are several things we can do to help correct it. First however I would need to get more information and do some tests - including a genetic panel. Eating only protein can be hard on your kidneys. We take a more balanced approach. Please give our office to make an appointment. I would love to help you out!
Am I too young for weight loss surgery?
Sara thanks for asking. You are a perfect candidate. It’s best to solve problems early on before irreversible problems develop. You are young. It’s better to avoid years of sleep apnea, hypertension, diabetes, wear and tear on knees and the back, and it’s nice in many other ways. This is a solution that works. We, different than my colleagues, focus after surgery on helping patients change their day to day eating habits.
It’s important to know what your height and weight is to calculate your BMI. If your BMI is greater than 35, especially if you have developed medical conditions, than surgery is an excellent option. You’re not to young to be considered a surgical candidate. If your BMI is below 35, than there are nonsurgical options such as a gastric balloon and medications. I would recommend setting up a consultation to discuss your needs and what possible options are available. Regards, Dr. St. Laurent
Invisalign vs. Veneers
Thank you for your question. It sounds like you may have a wisdom tooth issue you should look into but you do not have to address that prior to a smile cosmetic makeover. They are usually independent of each other however I recommend you do address the wisdom teeth reasonably soon to prevent bigger problems with infection.
Bob Dernick DDS
The biggest determining factor in planning the removal of the lower wisdom teeth is your level of discomfort. Decay and discomfort are always treated first, for obvious reasons, plus if you are reporting “pain” then the potential for a localized infection is present. If Invisalign + whitening or veneers are possible treatment options for you, then you can still start the Smile Makeover Consultation process to see exactly what your options are. At this time I would be able to give you a better idea of urgency for the removal of the lower wisdom teeth in relation to your esthetic treatment plan options.
Diabetes & Painful Feet
Numbness in the feet is a difficult problem. Yes, many diabetics can have numbness but so can a lot of the other population. We recommend all that do have numbness to be evaluated by a podiatrist or foot/ankle specialist. In many instances we can mitigate the pain associated with the numbness but more importantly prevent long term issues. However, it is important to to know that there is no cure for the numbness rather it is a condition we have to decrease the chance for issues to occur secondarily to the numbness or neuropathy.
Dr. Patrick Briggs
Bariatric surgery is very common procedure these days and is consider very safe when performed by an experienced surgeon with a good follow-up program. Long term studies have shown it to be safer than most orthopedic and heart surgeries and as safe as having your gallbladder removed. Losing weight with bariatric surgery will universally improve your diabetes. In patients who have developed diabetes as they have gained weight, they can often times see their diabetes resolve. Family history will also play a significant role, but you should see your diabetes improve. Weight loss typically will occur over a short period of time (1-2 years), which is rapid compared to the amount of time that it takes most patients to gain their weight. It should not put your body into shock, but there are guidelines that the patient must follow and supplementation that is necessary in order to help one lose weight in a healthy fashion. One important concept to understand about bariatric surgery is that it is not a cure for obesity but rather a tool to help one lose weight. Unfortunately there are no guarantees to weight loss as surgery does not make you or force you to lose weight, it simply helps patients lose their excess weight. This is similar to a shovel helping a person dig hole but not digging the hole for you. It is necessary for patients to make lifestyle changes and to make some change in their eating habits. Your best next step is to set up a consultation with a bariatric surgeon to discuss your specific medical issues and to discuss potential surgical and nonsurgical options. Take time to research bariatric surgeons in your area and to find a quality practice that can help you.
Dr. St. Laurent
Insurance does not typically cover bio-identical hormone replacement therapy (BHRT). How often you come in depends on the method of replacing the hormones that you choose. Typically it is 2-4 times per year. The cost again depends on the method you choose along with your health issues.
If you would like more information I am offering a free dinner seminar. Please call our office at 281-710-3380 to get scheduled.
Hi Whitney, It is hard to answer your question without seeing you in person or at least seeing your pictures. Sometimes you may need a lift in addition to the breast implants in order to get best shape and perky breasts. If there is only small amount of sagging, implants may help to resolve the issue. It is not typical for patients to experience a lot of pain after surgery. Some discomfort is normal, and most of my patients are able to return to work in just a few days. I welcome you to come for a complimentary consultation with me to discuss your case further. Sincerely, Olga Bachilo, MD