Q-A from clee's blog

Q: Nipple Badly Scarred

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:40

I had a breast lift about a year ago. I'm satisfied with the overall shape but the right nipple had terrible scaring. It is surrounded by scar tissue now with only a little nipple tissue in the middle. I tried nipple tattooing but it didn't seem to take and I would prefer to have actual nipple tissue if possible. I read you can have it stretched and cut out the scar tissue. Is that true? I'm really embarrassed by the way it looks now. Please help.

A: Your areola appears too scarred to be advanced into the size of a normal areola

Your affected areola appears too scarred to be of sufficient elasticity to be advanced into the size of a normal areola. Based on your photos I doubt that a scar excision with an attempt at areolar advancement will work. While you have already tried tattooing, repeated application of tattoo pigment may augment the color contrast of the psuedo-areola and further camouflage the existing periareolar scar. Alternatively, consideration for a full thickness graft reconstruction of the areola can be considered.

Q: Does a Breast Lift Always Result in Dramatically Smaller Breasts?

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:29

I went in for an uplift on my size 36 g breast and have come out a 36 D, i am traumatised by the whole operation and very upset at being so small.

I knew he would have to reduce them but not by 3 cup sizes, is this normal? do they have to always make your breast much smaller to achieve this?

A: A breast lift should not make your breast smaller

A breast lift should not make your breast smaller. However, with G cup size breasts, neck back and bra strap symptoms are commonly treated by reduction mammoplasty. Perhaps you should discuss with your treating surgeon the specifics of the procedure performed for you.

Q: Is It Possible to Get a Slight Reduction and Add a Small Implant to Get Upper Pole Fullness?

Submitted by Q-A from clee on Tue, 06/14/2011 - 19:12

I'm a saggy 36DD and would like to be a full C/small D, but I really love the fake look that implants give, so I want implants for upper pole fullness. Is this possible?

A: Implants with mastopexy are reasonable choice for the smaller breast

Implants with mastopexy are reasonable with smaller ptotic breasts with upper pole flatness. While this technique can be used with large breasts, the heavy weight of a large breast makes a recurrent deformity or "waterfall" deformity from descent of the breast tissue over the implant a potential long-term problem. In the large breast with flat upper pole, I recommend a superior pedicle breast reduction similar to that of the vertical mammoplasty as described by Lejour. Depending on your breast size and shape desires options to consider include that of a small implant versus a superior pedicle reduction mammoplasty.

Q: 18 with Sagging.

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:56

I am 18 years old and i am looking for advice in what would be the best procedure for a "Breast Lift". im not looking to get implants i am happy with the size and firmness of my breast i just need a lift to enhance what i already have and im looking for an opinion of what would be the best procedure for my type of sagging.

A: Vertical mastopexy is a good choice

Based on the provided photo it looks as though you would be a great candidate for a vertical breast lift. This surgery would improve the shape of your breasts and the size of your areolae. Additionally, this surgery will likely not interfere with your sensation and your ability to lactate. For best results contact a board certified surgeon.

Q: Augmentation and Lift 4 Years Ago. Will Breasts Sag if I Remove Implants?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:54

I Have Had my Implants Aprox 4 Years I Got 390cc with a Lift Done I Want Them Removed Will I Still Sag Even with the Lift I Had?

A: Depends on your residual breast tissue

Following implant removal, sagging might occur if the size of implants is vastly larger than your normal breasts, if you have lost weight, if you had children, amount of breast tissue you have, your skin elasticity, and aging.

Q: Are my Breasts Saggy

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:54

Im 20 and hate my breasts. The nipples point down and I have large arola with blue green veins. What should I do??

A: Might consider breast lift

Your breasts are large and appear to be sagging with wide areolae. You can consider a breast lift (mastopexy) to reduce the amount of sag and get desired areolae size. For best results contact an experienced board certified plastic surgeon.

Q: Will Breasts Sag if I Decide to Explant?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:46

What if you decided to explant? Will your breasts sag?

A: Sagging may occur

Sagging will occur based on the following:

  • - the size of the implants relative to your normal breast size
  • - if you have lost weight
  • - if you had children
  • - amount of breast tissue you have
  • - skin elasticity
  • - and aging

You may want to consider breast lift (mastopexy) if breast do turnout saggy after removal of implants. Please consult your plastic surgeon.

Q: Is It Safe to Eat Seafood After Breast Implants Removal?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:45

I had my saline breast implants removed on 05/20/11 due to capsular contracture. How soon can I start the breasts massaging to help them firm up because I heard it does help somewhat. Is there a detox process after your surgery to help your body healed from surgery and what does it entail? Please advise. Greatly appreciated. Thank you.

A: No food restrictions

If you did not have new breast implants after removing the capsule there are no exercise, nor food restrictions after removing breast implants. However, if you had new implants allow at least 6 weeks for recovery before performing any exercises.

Q: Is This Weird Shape to my Implants Normal?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:44

Clearly the implants are too big for me so I'm wondering if the implant has a weird shape because it is too big to fit me properly or if it's because of something else. Should I have my doctor look at it or is this pretty normal? And when I squeeze them together they have this indentation on the inside where my cleavage is. Thank you, I appreciate all your help.

A: Might consider downsizing

The “dent” is probably caused by the thinning of the tissues in that area. If you are concerned with the size of your implants you should probably have them changed by your plastic surgeon.

Q: Strange Nipple Shape

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:42

Hi, I am concerned about my left nipple and its irregular shape and protrusion. Just had implants and lift. One nipple is good, the other seems to be quite different and concerns me that it may need revision. Its only been three weeks but need to know if anyone would agree there is a slight problem evident at this early stage. Could the sutures be holding the edges and causing problems which will disappear later.Areola looks to be caught under at one point or popping out farther down?Thanks?

A: Too early to tell

At such early post-op stages for breast surgery, nipple asymmetry is normal due to swelling. It takes about 6 months for complete healing. If you are still concerned 6 months post-op please consult your plastic surgeon.