timing

Q: How long after "Popping" the Implant with Needle Should You Wait to Get Explant?

Submitted by Q-A from clee on Tue, 06/21/2011 - 23:20

I want to get my D cup size 10 year old implants removed as soon as possible. I was unhappy from day one but have been afraid to do it. I'm now psychologically prepared for the surgery and for what I'm going to look like after and it's well worth it to me. My question is - I plan to have them "popped" in a couple weeks in-office. After they are deflated with the needle, how long should I wait to get the actual implants removed? I don't know if I want a lift or not.

A: Popping them before surgery brings on more risk

Popping them before surgery brings on more risk. Proceeding straight to surgery for removal is preferable. If there is a desire to minimize the scar, the implant can be deflated under direct vision at the time of explanation.

Q: Nipple Surviving After Necrosis, How Long Does It Take For The Nipple To Return To Its Normal Color?

Submitted by Q-A from clee on Tue, 06/21/2011 - 22:50

Hi, after a breast lift my nipple turned black on the outer part of it. Eventually the black scab came off leaving my nipple pink. I have some color coming back in different areas I was just wondering how long does it take for the nipple to get some color. It has been five weeks since my surgery.

A: Nipple and areolae color dependent on pigment producing cells

Nipple and alveolar color are dependent on normal number and function of pigment producing cells residing deep in the skin. Pigment production from these cells can temporarily cease to function after being stressed by a loss of circulation. A deep injury might reduce the number of these cells and permanently affect your ability to produce pigment. Waiting for more than 6 months or until scars soften and mature is appropriate. If discoloration persists, treatment by tattoo might be warranted.

Q: Breast Augmentation Revision: How Long Until They Feel Real?

Submitted by Q-A from clee on Fri, 05/13/2011 - 15:09

I had salines put in about 4 months ago and did not like them so I had them exchanged for smaller 250 cc silicones through the aerola.They dont seem swollen now 3 weeks after surgery and the incision is healing really well but i can feel the implant in my breast just as much as I did my saline and it is hard and tender at the bottom of my breast.Will they soften up more just like they did before or are they pretty much the final result wen u hav a revision? (I was a small c before implants)

A: 3wks is very early after surgery breast-they will feel different

3wks is very early after surgery, especially if a capsulectomy was performed. You can be sure to that it will change. I have attached an information page on healing following breast augmentation at my website detailing what to expect with tips that might help. Wishing you the best.

Q: How Swollen Will I Be After Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 14:57

I am a 20 year old college student and after the spring semester I plan on having both breast augmentation (smooth, round, saline under the muscle, inserted through nipple) and septo rhinoplasty (he will be breaking the bones). Two weeks later summer school starts and I'm wondering if I will look like a wreck when I go back to school with only a 2 week recovery.

A: Your breasts should look good by the time you return to school

Your breasts should look good by the time you return to school. The nose might be more of a problem with swelling and bruising. However, with your clothing over your breasts (even if bruised) your new figure should show beautifully.

Things to know... definitely more painful when placed under the muscle so you might want to avoid gym at beginning of the semester.... with clothes off, your breast bruising still might be noticeable for several weeks into school.

I have attached some of the details to expect with tips on healing at informational website. Hope you find it helpful.

Q: Uneven Nipples After Breast Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 14:38

I had a breast aug 3 days ago. I was previously a 34B and got 300cc smooth under the muscle Mentor silicone. Based on what I've read I understand that it takes a while for them to drop. However, the implant on my right breast has dropped and the left one is a very weird shape and extremely high up. Due to this, my nipples are completely uneven (they were fine pre-op). I just want to make sure that this is normal and that my breasts aren't gonna stay uneven forever. About how long will it take?

A: 3 days after surgery is early

Asymmetry early after surgery is often accentuated by the swelling and tight submuscular pocket. The tight pocket often drives the implant superiorly. As swelling subsides and your tissues relax the implant will often descend into a better position. You can help it along with specialized garments to push the breast inferiorly. This is worthwhile doing consistently in the first 6 weeks before the pocket fully forms and seals the implant to its final position.

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: 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: Best Time for Breast Surgery - Before or After Menstrual Cycle?

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:32

I heard that we shouldn't have the surgery land on our menstrual cycle time, so I was wondering, if it's better AFTER the cycle, or BEFORE the cycle?

A: An individual's breast symptom history is the best guide to timing.

I have found a an individual's breast symptom history to be the best guide to timing surgery. Fortunately most patients do not have much variation in symptoms with menstruation and timing is independent. However, for individuals with highly sensitive breasts, it would be wise from a symptom perspective to time the augmentation when it is least discomfort. Risks of physical surgical complications from menstrual cycle changes are not documented.