Q-A from clee's blog

Q: Why my Breast Look So Bad After 8 Months

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:41

i had breast implants and anchored 8 mths ago. my rt breast looks as is i had a skin graft at the bottom of it. my rt nipple is the size of a half dollar an lt nipple is the size of a quarter. i dont understand whats went wrong

A: Many women consider the scarring from a breast lift to be a serious drawback

Unfortunately, not all breast augmentation procedures have good turnouts. When combined with mastopexy many women consider the scarring from a breast lift to be a serious drawback to the procedure. Keyhole leave what is known as a "lollipop" scar, while a full mastopexy leaved an "anchor shaped" scar. It is difficult to help without an examination or seeing any photos. I suggest that you consult your plastic surgeon.

Q: Are my Nipples Still Too Low or Implants Still a Little High? or All Ok?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:38

A: If you are 3-6 months post-op it is best to get checked by your surgeon

Depending on when your surgery took place you may need revision. If you are 3-6 months post-op it is best to get checked by your surgeon as the implants should have settled in their final position by now. The placement of the implants also affects the “settling time.” If the implants were placed underneath the muscle it will take more time for the implants to settle than if the implants were placed over the muscle. You may also want to consider a mastopexy (or breast lift) to shape the breast and change the position of the nipple to a more desired look. Consult your surgeon.

Q: Whats the Best Bra to Wear After the Post Op Period

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:35

A: Your doctor must customize your garment and bra recommendations

Many recovery garments and bras are commercially available. Some garments are designed to prevent superior migration of the breast implant by compression and stabilization to its desired position. Other recovery bras elevate the breast superiorly to relieve pressure on the fresh incision and protect the shape on the bottom pole of the breast. Your best choice of garment and bra must be customized to the specific technical aspects of your cosmetic breast procedure that you have undergone.

To obtain long term natural looking breasts, your doctor must customize your garment and bra recommendations.

Q: Can I Travel in the States Four Wks After Tummy Tuck and Breast Implants

Submitted by Q-A from clee on Sun, 06/12/2011 - 15:22

A: Should not be a problem to travel 4 weeks after surgery

Should not be a problem to travel 4 weeks after surgery. Recovery after breast augmentation usually requires 6 weeks of recovery time. However, if your early course of recovery is uncomplicated and your trip does not entail a high degree of intense activity travel should be safe. Abdominoplasty may require a lengthier recovery especially if you had a rectus sheath plication. Be sure to consult your treating surgeon.

Q: Post Op Bra and Medications?

Submitted by Q-A from clee on Mon, 05/16/2011 - 23:10

I am assuming this varies from doctor to doctor and I plan on asking my PS these questions as well, but I was wondering how the majority would answer these questions. Will I need to buy a post op bra or will/should it be provided by my surgeon? I've heard about "silicone" bandages or something along those lines for scarring after surgery. Are these good to use? Amica Montana pills, vitamin E and B? Are these reccomended and safe?

A: Good questions for your consultation

The use of garments is at times necessary to control implant position in the early post operative period. The need to use such garments depends on the tightness of your breast envelope, whether the implant is position under or overtop of the muscle, and the philosophy of your treating doctor. For example, tight lower pole of the breast along with submuscular implant placement often pushed the implant too superiorly in the early post operative period. This high implant position can be prevented or improved by use of specially designed compression breast garments to push the implant downwards in the early first 6 weeks after surgery. Siicone sheeting can often help scars soften and mature if used in the first 6 months following surgery and worthwhile to consider using starting 2-3 weeks after surgery. I am not a fan of using Arnica or Vit E. They are not proven but probably not harmful.

Q: Breast Pain Very Scared!

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:35

I've had saline under the muscle implants for 5 yrs. I got a deep tissue massage 1 week ago on my back. It was very uncomfortable for my boobs. After a while my left boob started to hurt a lot so she stopped. Afterwards when I looked at my left breast there was a small red bump which hurt to press on. My left breast is burning and hurts to press on. my nipple is sensitive. The bottom half of the areola hurts when i press on it where the valve is. did i damage the valve or tissue or chest muscle?

A: Difficult to know if the bump arose from the massage

Based on your provided information, it is difficult to know if the bump arose from the massage or was simply painful because of the massage. It is very possible that an infection in the skin became worse with the massage. If the lesion becomes worse or fails to improve in the next several days, it would be prudent to see your family doctor or surgeon. With your photos provided, I doubt there to be a problem with the implant itself.

Q: I Am Currently a Very Small C Cup and I Want a Full C or D. Will 400 CC Be Too Big for Me?

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:22

I am 5'5 and 130lbs and a very small C cup, I wear a padded 34C and have some wiggle room. The doctor said I have quite a bit of breast tissue and very minimal sagging from breast feeding. I told him that I wanted a full C or very small D and he recommended a 400 CC implant. Will 400 CC be too big for me? I definitely don't want to push into a DD cup.

A: Would need an examination with measurement of breast base

Without an examination with measurement of breast base dimensions it is very difficult to determine the volume necessary to achieve your desired endpoint.

Q: One Week Post Op Breast Augmentation..complications

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:17

On 5/11/11 I had breast augmentation, under the muscle thru the armpit. The day after surgery I noticed the right breast was significantly more swollen/higher than the left and deep purple bruising appeared down the entire right side of my torso to my hip area. Three days after surgery a "new" bruise with slight lump appeared under the right breast and bruising has spread under the breast. Have seen my PS and he put me on muscle relaxers and icing every hour with follow up on 5/23/11. Normal?

A: Submuscular placement esp via axilla is more painful

Submuscular implant placement especially through the axilla is more painful with high degrees of swelling and bruising as the lower portion of the pectoralis often must be bluntly dissected in "blind" fashion to obtain an adequate pocket. It is not uncommon to have muscle spasms, pain, and more bruising than with the more direct approach with other incisions. This may take several weeks to improve.

Q: Do I Need to See a Specialist for my Tuberous Breast Augmentation?

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

I have consulted with and put non-refundable money down with a doctor who is a fully trained General Surgeon and Board Certified Plastic Surgeon. He has performed quite a few augmentations. However, after discovering that I have tuberous breasts with asymmetry, and that this takes some additional skill to treat, I am wondering, do I need to see a surgeon who specializes in this? Or should my doctor be capable of handling this?

A: Board Certified in Plastic Surgery is a great start

Board certification in plastic surgery is a great start. Now you need to learn about his experience and practice. Meet him for your consultation. Make a thorough list of questions and listen carefully to the explanations provided. Ask to see some photos of patients with treatments similar to you. Sometimes the office may offer to contact past patients so that you may discuss with them their experience. If you are not sure, seek another opinion before committing to a treatment plan. Good luck.