Cosmetic Surgery Blog

Q: Left Breast is Shrinking 3 Months Post-Op Breast Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:46

Hi there, I had my augmentation on January 18th of this year. I had saline under the muscle surgery. My left breast was slightly lower and slightly larger before my augmentation so my doctor tried to even things out by putting 20 cc more saline in my right breast. 570cc in my left and 590cc in my right to be exact.

As you can see from the pics things looked pretty even on surgery day but as time goes on it seems like my left breast is continually shrinking. PLEASE HELP!!!

A: Implant deflation likely

Implant deflation can result from rupture of the device or valve failure. Rupture presents with a rapid deflation over 1-2 days. In your case it has been more insidious with likely a leak at the valve giving rise to a progressive but slow diminution of size. Most major manufactures have a warranty program in place to assist in the cost of correction. It might be a good time to review the particulars of the warranty. Good job with your photos as it is more information to base an opinion.

Q: Hardness Around the Incision Site 4 Years Post Breast Augmentation - What Can I do About it?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:38

A: Many reasons for this but do require at least photo

There are many potential reasons for this.  While not exhaustive, a short list of possible causes includes keloid scar, inclusion cyst, ectopic breast or fat. More precise comments as to your situation might be possible if you are able to upload a photo. Even better would be a visit with your plastic surgeon.

Q: Can One Breast Stop Developing While the Other Continues to Grow?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:32

I have always had slightly asymmetrical breasts but as I approached adolescence my breasts have become more different in size and shape. Though asymmetry is common, it looks like one breast simply stopped developing, because the nipple is smaller and the portion of breast tissue under the nipple is significantly not as large/developed as the other. Is this something natural or does it look like a health concern is the cause? Are There Non-invasive Treatments Available?

A: Having some difference between you two breast is normal

Having some difference between you two breast is normal provided the difference is not dramatic. Lots of growth changes happen during adolescence, pregnancy, and menopause. You should soon find the difference stable as you approach the end of adolescence. Now might be a good time to seek out an experienced plastic surgeon to have his opinion on management. Non surgical interventions on breast asymmetries generally do not exist or do not work. Good luck.

Q: What Could This Red, White, Itchy Bump Be?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:26

I just got over some sort of infection caused by food poisoning and now have cc... I stopped taking antibiotics less than 1 week ago. This raised itchy bump has been coming at night in Thursday, Friday, and Saturday night and going away during the day.

I haven't seen my doctor because it was the weekend. It didnt come Sunday night and now Monday day here it is again this itchy patch. What could it be!

A: Need some photos to help

If you provided more details along with a photo I might be able to comment. Perhaps you have misplaced your query?

Q: How Long to Wear the Drains After Strattice Breast Surgery?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:24

A: Rule to thumb with drains is when they stop draining

"When drains stop draining" is the "rule of thumb" used for the duration of time a drain remains in place. In practice, there is substantial variability in the duration of time. For cosmetic breast surgery, most surgeons leave drains in place until drainage is less that 30 mls for the preceding 24 hr period. This usually takes place less than 5 days following a surgical procedure. The uses of material such as Srattice may increase drainage and delay removal of drains. When drainage is prolonged, a surgeon must weight the risk of infection from prolonged placement of drains to the problems associated with seroma from drain removal. Antibiotic coverage is used frequently when prolonged placement of drains is necessary.

Q: 500CC, Under Muscle, Saline Implants: Is my Right Breast Bottoming Out?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:15

I had my BA surgery done on 3/16/2011. I have saline and placed behind the muscle. Rt 500 cc Lt 475 cc, Right after the surgery I experienced a lot of pain in my abdominal area. After one month of the surgery, I have still disconfort on my right breast (bottom part).

I would like to know if my breasts are bottoming out? and also if they look too low.. I can feel the bottom of the implants in both side.

A: Not bottoming out on photos

There is no evidence of bottoming out on your photos. It is normal for the lower edge of the implant to be more palpable as the thinner breast tissue provide less coverage over the implant.

Q: Bad Results After Several Breast Augmentations and Two Lifts: What Can I Do?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:13

I have had several breast surgeries. Some good some bad. With childbirth in between, came the necessity to re-do the original breast aug with a lift. I met with a wonderful doctor. It was recommended to me this time, to get gummy bear implants...Right now, I have implants placed above the muscle, and they are silicone gel..the problem is I am afraid to have more necrosis or an even worse result.

I had some slight nipple necrosis from the first surgery. Should I do this over less than 1 yr later?

A: Detailed history and exam are necessary

Good preparation and precise execution of a plan is a formula that reliably leads to success outcomes. This starts with a detailed history and examination. While online posting of more details and photos may assist a plastic surgeon, it is better to rely on the following: 1) the logic of the treatment plan 2) reputation of the surgeon  3) your personal experience during the consultation as to how your list of priorities and questions were addressed by the plastic surgeon. If in doubt obtain another opinion. Only with a physical meeting can a surgeon express confidence in his/her  plan to resolving your concerns.

Q: Is Flash Recovery Breast Augmentation an Option Going from A to D Cup?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:09

A: This is pure marketing

The energy and discussion created by FLASH is remarkable. When distilled to its core, it is a collection of techniques routinely employed by good surgeons worldwide. Regarding change from A to D up sizing, the risk of pain and risks are elevated. A less ambitious size enlargement would lower the risks and increase the likelihood of a satisfactory outcome.

Q: Reason for Pain and Constant Discomfort in Breast?

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:42

August will be 2 years since I have had my breast augmentation. I chose silicone implants. Since then, my left breast has had painful sensations along with tingling, burning, itching, sharp pain in my nipple, and basically nonstop discomfort.

I have check with both my surgeon and general dr about this but neither seem to think it's a problem. I have had a mammogram/ultrasound done and both came back normal. I can't continue to live with this pain and constant worry about what could be wrong.

A: It is always a challenge treating pain

2 years of pain is not normal. A reevaluation to identify the root cause would help. If all else is normal, it is probable that your persisting symptom is from nerve injury. Implant removal does not reliably decrease pain. While you may consider the option of implant removal, there is no certainty in its effectiveness in managing intractable breast pain.

Q: Will my Implant Drop Into the Pocket?

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:36

I am 3 weeks post op from having a breast augmentation. I was a small B and they were low and very loose. I am 5'9 and went with saline under the muscle, I had a crescent lift on the right breast which was my larger breast.

I had 550cc in the right breast and 600cc in the left breast. My concern is that the right breast is very RECTANGULAR, and the implant is obviously high, when I bend over my saggy small breast still dangles and my implant is in my chest wall. Will it drop into the pocket?

A: Submuscular implants with mastopexies can be problematic

Subpectoral augmentation with mastopexy tend to be problematic as then lax tissue mastopexy tends to slide over the top of the muscle over time leading to a double bubble type of deformity. The submuscular implant tends not to drop and may accentuate the deformity with descent of the breast.

You are still early after surgery and might respond to breast garment straps to externally push the implants inferior. At the lest it might prevent further migration superior.

Hopefully this will address your issue. However, if you have the misfortune of requiring a revision then discuss with your surgeon the possibility of having submammary repositining of implants with cohesive gel and mastopexy.