Fresno Plastic Surgeons

I Am Becoming Very Concerned About Capsular Contracture. What Do You Think? (photo)

I am 46, 5'4", 118-123. Both 400cc-silicone gel-high profile-unders. Good size for me. From the get go I was high and tight as I had dense peck muscle tissue. I am now 10 months post op and my implants are still high and tight--especially the right. Am I developing capsular contracture? They have not and do not move about freely. I can barely squeeze them together and are hardish when laying on chest. Tips on softening them? Will strapping or laying on them help? Do you think I need surgery?

Unfortunately you have a capsular contracture which is significant scar around the breast implant.  The only good option is to re-operate.  If on top of the muscle i would place them underneath.  Maybe consider a little smaller implants. 

Medication is a option but best for type 1 and 2 contractures.  There are 50 to 60,000 new contractures each year. Common.

good luck.

Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

Is 18 Too Young for a Breast Augmentation Consultation?

I have wanted implants ever since my breasts stopped growing in my early teens. I have looked at many before and after photos and I believe I may have hypomastia. I have recently turned 18 and believe I am ready for this surgery. My parent is supportive of whatever decision I make but as I will be the one paying for this surgery it is ultimately my choice. I have the money and ability to do this now. My question is are doctors hesitant to discuss/perform breast augmentation on someone my age?

I would have hesitation if younger and would discuss at length with the family to understand the reasons, ect.  A 18 year old in today's society is able to make her own choices and consent for herself.  The FDA allows only saline breast implants for women under 22 yo.  I do encourage that you involve your parents as much as possible and you will be responsible for your decisions.

Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

Is the Method of Fixation Different for a Facelift?

where the SMAS is elevated by plication (folding) rather than imbrication (trimming)? I the tissue fixed onto itself or into the bone? There seems to be a difference of opinion regarding technique ad longevity; and, this is very important to a patient! I know everyone's skin differs, but photos are not reliable since every doctor takes them at a different phase of recovery.

This a very good question.  The smas is usually sewn to itself.  This is a very strong deep structure that maintains strength over time.  Plastic surgeons may use permanent or temporary sutures to accomplish this task.

Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon