Birmingham Breast Lift doctors

William J. Hedden, MD William J. Hedden, MD
Birmingham Plastic Surgeon
140 Village Street Greystone Cosmetic Center, Suite 100, Birmingham
3 answers
Michael S. Beckenstein, MD Michael S. Beckenstein, MD
Birmingham Plastic Surgeon
800 St. Vincent's Drive Suite 610, Birmingham
3 answers
James C. Grotting, MD James C. Grotting, MD
Birmingham Plastic Surgeon
One Inverness Center Parkway Suite 100 , Birmingham
3 answers
Robert Oliver Jr., MD Robert Oliver Jr., MD
Birmingham Plastic Surgeon
2000 stonegate trail, Birmingham
3 answers
Michael Clinton, MD Michael Clinton, MD
Birmingham Plastic Surgeon
7191 Cahaba Valley Road, Hoover

Recent Answers

Which over the Counter Silicone Sheeting and or Paper Tape Do You Recommend for TT and Breast Lift Scars?

I have read many of you recommend Silicone Sheets (they need be applied less often correct?) and Or Paper Tape... For the Tummy Tuck scars and Breast Lift scars. I have not gotten mine done yet but would like to have the needed supplies on had for when I do have it done in January of 2012. So with all of the companies telling us their product is best. What do you say?

A: Mepitac silicone tape is nice for scar treatment

I'm not a believer that most expensive treatments to reduce scars are effective. The best evidence to date supports inexpensive paper tape which probably has some sort of effect on scar hydration and tension during early healing. I have find a nice non-irritating silicone tape from Molnlycke called "Mepitac" that comes in a 1" wide by 9 foot roll for under $20. At that price it becomes feasible to consider using it for scar prophylaxis. Patient's love it! You can find it at several places online.

Robert Oliver Jr., MD
Birmingham Plastic Surgeon
Why Hasn't the No-vertical-scar Breast Reduction and Lift Technique Gained Wide Acceptance?

Most of the results of this technique seem to look pretty good. Yet doctors across the board seem keen on the anchor incision mastopexy. What gives?

A: No vertical scar is an excellent technique in selected patients

I'm going to have to disagree with a  lot of the comments. This technique is actually quite versatile and can be used with almost anyone large enough to  need a breast reduction surgery. In my hands, it produce significantly better results with larger (>700-800 gram) breast reductions then does "short scar" vertical reductions. It is the best technique hands down for "deflated" breast shape you see with massive weight patients in whom you do not want to use an implant.

There is definately a learning curve to this operation, particularly with the markings to get a good result. The comments by other surgeons reflects (I think) our preference for predictability of result rather then innovation. When done right on appropriate patients, this type of reduction/mastopexy offers some distinct advantages.

 Unlike the traditional wise pattern (anchor cut) or vertical reduction, you can produce a much more pronounced round shape with the vectors the closure produces such that it can almost look like an implant. I've found this type of incision to have much less bottoming out then my wise-patterns or vertical reductions when I follow them out 3-4 years.

Robert Oliver Jr., MD
Birmingham Plastic Surgeon
Do I Have Tubular Breasts and Ptosis?

20, no children. might have tubular breasts & ptosis. In my teens I had puffy tubular breasts & never perky. They have sagged and now look more like ptosis, less puffy. They are wide but flat. The areolas need lifting, shrinking, and I'd like a tear shaped implant No plastic surgeon yet & havent been evaluated. My health insurance will pay for the reconstructive surgery if this falls under "Mammoplasty, Reduction". Will this fall under Mammoplasty Reduction?

A: Ptosis but no classic tuberous breast deformity.

While you have a hint of tubular shape and large areolar, you do not have the classic tubular breast deformity as characterized by severe constriction, elevated breast fold, and herniation thru the nipple. Your breast shape would be best addressed by a mastopexy. As you have a good bit of volume I would suggest an implant would not be indicated as it adds costs and entails the long term issues you'd assume with an implant in (maintaince, repoerations, rupture, etc..).

Robert Oliver Jr., MD
Birmingham Plastic Surgeon
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