Yuba City Doctors

Dermatologist
Plastic Surgeon

Recent Answers

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?

A: Correction of asymmetry

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

What Do You Do when You Dont Know if You Can Afford Breast Reduction Surgery but Feel You Need It? (photo)

I am 21 and i am 5'3 and about 160 to 175lbs an is has a somewhat tiny figure and have not yet had children. I have upper back pain an sagging with my breast. I am a 34O in bra size and have been sized with professional's more than once. I dont know if insurance will cover it and if they only cover some i dont know whether I will be able to afford the rest!!

A: Insurance coverage for breast reduction

Policies vary significantly among insurance companies; however many, if not most, will cover a reduction if it is medically necessary which means if you are having symptoms like back or shoulder pain or shoulder grooving. Most plastic surgeons who perform this surgery will be able to work with you to determine what your insurance will cover. So your best bet is to find a board certified plastic surgeon in your area and schedule a consultation. Good luck to you.
 

Margaret Skiles, MD
Sacramento Plastic Surgeon

I Had a Lift and Implants Put in to Be a Full D, Im Now a KK. What Can I Do To Reduce The Size?

I had implants and lift 5 years ago, i wanted to be a full d over the past few years I cant buy a normal bra at a store. I went for a bra fitting and I was sized now at a 34 KK. Are my breast going to stop growning, what can i do to reduce them will another lift make them smaller? Can i leave the same implant in place if i do another lift. Help

A: Too big after implants

As you can see from the answers from my colleagues, there are a lot of questions that need to be answered in order to determine what to recommend for you. This is more than can be done on line and you will need a personal consultation with a board certified plastic surgeon. If  you can, it might be to your benefit to seek a consultation with more than one surgeon as there may be more than one way to handle your concerns. You should feel comfortable with the surgeon you choose and be able to talk frankly about your concerns. Good luck to you.

Margaret Skiles, MD
Sacramento Plastic Surgeon
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