Sacramento Plastic Surgeons

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

Do I Really Need Mastopexy on Top of Different Size Implants For Asymmetry? (photo)

Hello, i have been to one surgeon who has suggested me to have a breast augmentation with mastopexy on my right breast, because of the position of my nipple, She says if i don't get it done, the assymetry will still be there with two different size implants, and it won't look nice and i won't like the result. i was against the mastopexy (which she plans to do around the aerola) because i am scared of having scars...she suggested 150-200cc but i think i am going for 200-300cc would it be too big?

Unfortunately, it seems like once you have asymmetry, you will always have some asymmetry. Now you have a big difference in size between your breasts. An implant alone can make the volume more equal (in my experience an exact match is never achieved) and I would recommend to my patients to equalize the volume first and then see what the shape is like particularly if, like you, they are concerned about the scarring. Depending on whether you like the size of your right breast, you could just have an implant on the left instead of two different size implant which will have different dimensions. As you can see, there is no one right answer and another consultation with a different board certified plastic surgeon (or two) in your area may help you decide what is best for you. Good luck to you.

Margaret Skiles, MD

Sacramento Plastic Surgeon