Cosmetic Surgery Blog

Q: What Does Going Your Max Mean?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:47

I already had my breast augmentation and have slightly bottomed out. I went with my max, which was 390cc's (5'2,98lbs,34Acup). What does going with your max mean? Is it the max size the surgeon can fit or the max size without risking size related complications....both? I just wonder what my max should have been now that I've bottomed out.

 

A: Max has different meaning to different surgeons

In general, every surgeon has a limitation where the risks of placing a larger implant does not justify the risks of complications and poor aesthetic outcome. Form many surgeons including myself, the base width of your breast is the maximum footprint to any implant to be implanted. With regard to bottoming out, it is difficult to evaluate with a single photo with arms raised.

Q: Breast Augmentation Doctor Recommendations in Memphis, TN

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:41

Im about to get breast implants..I have no idea about which doctors are good which arent. I just moved here. My worst fear is getting a bad experience..any good plastic surgeons in memphis TN? thank you :)

 

A: As a starting point...

Used reputable organizations such as the American Society of Plastic Surgeons as a starting point. Request that your surgeon is Board Certified by the American Board of Plastic Surgery.

Q: Asymmetry After 300cc Mentor High Profile Silicone Under the Muscle Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:38

I got 300cc Mentor high profile silicone under the muscle implants n am 17 days post-op.been wearing the surgical bra w/band 24/7,massaging them,n yet they are completely asymmetrical and the left one is super high up.

Ive asked my doctor countless times but she says nothing is wrong and it'll take another couple months til they look "normal". I had NO asymmetry pre-op. I have no pain (a bit sore still). Am I being paranoid or is she wrong? How long will it take for it to drop? What can I do?

 

A: Be patient

Young patients have tight tissues that may compress the implant superior. This is often made worse by the early surgical swelling. This should improve progressively with a plateau 3-6 months later. If residuals exist, then revision can be contemplated. You will be amazed at how things evolve. Avoid uplift support bras for a full 6 weeks.

Q: Does Having Tubular Breasts Discount me for a Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:30

Which Way to Go? I Am Just Under 300 Pounds and Just over 50 Years Old

I have finally decided to get a breast augmentation. The 2 surgeons I've seen have stated that because in their opinion my breasts are tubular they feel uncomfortable performing an augmentation. Am I not a candidate?

If I am a candidate what questions should I discuss with any future appointments and what could any additional procedures cost in addition? A ballpark would do and thank you for taking the time to read and answer this inquiry!

 

A: Might be better to wait until you are closer to ideal body weight first

Your breasts can definitely be helped with surgery. However, to so safely, being closer to your ideal body weight is important to minimize the risk of surgery, and will allow for the augmentation and ptosis correction to better show through.

Q: Muscle Detached from Sternum From Breast Augmentation - Will It Get Worse over Time?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:26

Muscle detached from sternum (right side) from ba -Implant slightly bottomed out medially & inferiorly -I have saline (325 filled to 390) - Starting to notice rippling in my right cleavage where my muscle got separated.

I'm thin and worried that the 'exposed' implant in my right cleavage is going to show more rippling with time. Should I wait & see how bad it gets or should I get a revision now? Is it harder to fix if it gets worse? Results are fantastic but worried.

 

A: Enjoy your results

Your results are good. At present, it is not really a good idea to address relatively minor concerns.

Q: Palpable Implants in a Thin Woman - Problem or Normal?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:21

12 days post BA - 250cc silicone unders.Today I can feel implants under the bottom of both breasts; the right I can see protruding along the suture line (sulture line is clean). Can actually palpitate the edge of the left breast at the corner near clevage. Is this normal? My PS is a 90 min international flight away and I won't see him until next Thursday. I have been wearing the strap 24/7 but will this make it better or worse? Does this affect wearing a bra?

A: Looks fine.

Your photos show the implants in good position and nothing that you describe is alarming. Just continue with what you are already doing.

Q: Recommended Wait Time Between Multiple Surgeries? (Breast Augment and Lipo/Fat Graft)

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:18

Getting breast implants on May 19th. Getting lipo/fat graft with different surgeon on June 16th.He said I need to wait 6-8 mos cause of risks due to anesthesia.He suggested a package to do the implants together, but I'm sticking with my initial surgeon.BA surgeon said I shouldn't have an issue bcuz I'm healthy, and it's enough time between surgery. Is it enough time? Is it better doing the BA before the lipo/fat graft? Would it be okay to sleep on my chest 4-6 weeks following my implants?

A: Anesthesia risk is very low

The anesthetic risk is very low. Provide you ambulate early after you BA (i.e. same day) the risk for DVT and anesthesia is not a major concern. However, being positioned face down for lipo and grafting in less than 8 weeks after ba surgery is probably not the best plan.

Q: Saline or Silicone? I need the most natural feel, look, and movement

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:12

Getting BA done next month. My doctor usually recommends silicone because most of his patients have an A cup. After examining me, he said I could go either way; silicone or saline because I'm a full 34B cup. He said I have enough breast tissue to where you won't tell a difference. I would still get the same results, will be soft as silicone, and give me good projection. I'm a 34 full B.I'm shooting for a 34 full D.What would you suggest? I need the most natural feel, look, and movement.

A: Evaluate factors such as size, incision you prefer to make you choice

You have a wonderful breast envelope capable of holding many saline or silicone in the preferred submammary plane. If your preference is to have the smallest incision possible in the areolar region with a large implant, then saline will be best. If you prefer an inframammary incision with softer more natural breasts then choose silicone.

Q: Saline or Silicone for Someone with Adequate Breast Tissue?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:07

Getting BA done next month. My doctor usually recommends silicone because most of his patients have an A cup. After my exam, he said I could go with silicone or saline because I'm a full 34B cup. He said I have enough breast tissue so there wouldnt be a difference, and would get the same results.

It will be soft as silicone, and give me good projection. I'm a 34 full B, shooting for a 34 full D.What would you suggest? Also, 450cc or 500cc?Would like fuller, natural feel, look, and movement.

A: You have choices, let your preferred incision guide your implant decision

Let your incision choice and size of implant dictate your type of implant. If you prefer to scar in the areolar complex, then use a saline implant as your areola is not large enough to permit placement of a large silicone implant. If you prefer the inframammary incision, then go with the cohesive get as the feel more natural. Request for them to be place in the submammary position as it is far less painful and you have sufficient breast to adequately prevent ripples even from saline implant to show.

Q: Best Procedure to Fix Ptosis and Tubular Breasts?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:55

My breasts were always very tubular and oddly shaped. I dealt with weight gain and loss throughout high school (Bs to DDs). I want pre-consultation insight from a few doctors or patients that are familiar with the different types of surgeries available, mainly the ones best suited.

How hard is it to fix my ptosis, skin sagging, over large nipples and tubular breasts? $ is not an option when it comes to my body. What ways can I combat scarring being that I'm bi-racial? I am 5'10 145 lbs 20y/o

A: You have a mild form of tubular breasts

You a mild tubular breast form with what appears on your photo to be a good tissue envelope. Lowering your inframammary fold through a periareolar approach with circumareolar mastopexy and areolar reduction is a good plan.

Furthermore, placement of a submammary cohesive gel implant will likely yeild better shape with less chance of the waterfall or late double bubble look from descent of the breast. You should use silicone scar sheeting on the surface of your healing incisions to lower the risk of a poor scar outcome.