Yuba City Doctors

Dermatologist
Plastic Surgeon

Recent Answers

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?

A: Too young for breast consultation?

At 18 you are certainly not too young to talk with a board certified plastic surgeon. Whether surgery is right for you now or not is another question. You and your surgeon are the ones who will make the final decision and it would be good to include your parent in the decision making process as well. You should feel comfortable with the surgeon you choose (it may take consultations with several to find the right one for you) and be able to discuss your concerns easily with him or her. Good luck to you.

Margaret Skiles, MD
Sacramento Plastic Surgeon

1 Month Post-Op and I'm Having Pain in Left Breast, Doctor Said I Didn't Need to See Him Again, What Should I Do?

I got my breast done Jan 17, and am still having bad pain in left breast.It feels almost like it is knocking around in there. The right side is wonderful, and the left side hurts. I used to ice it alot. The doctor told me that because he was right handed he had a harder time with the left one because of the angle. I saw him at 3 weeks and he told me I didn't have to see him again.I am worried about this, my husband stated that once the doctor got the money and did the surgery, that would be it.

A: Pain after breast augment

I am sorry to hear that you are having problems with pain after surgery. Although it is not unusual to have different amounts of pain in the two breasts, it sounds like you are having a significant difference. There can be a number of causes for this but your surgeon is the best one to see you and diagnose the cause. At one month post op I think your surgeon should still be willing to see you. If he refuses, you should probably seek help from another, Board certified plastic surgeon but most of us are reluctant to see someone else's patient. So your best bet is to return to your current surgeon. Good luck to you.

Margaret Skiles, MD
Sacramento Plastic Surgeon

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?

A: Capsular contracture vs small pocket

You really need to see a  board certified plastic surgeon who can examine you and can tell what is going on with your breasts. Pictures just don't tell the whole story. In my experience implants placed under the muscle tend to ride higher than ones on top of the muscle and high profile ones tend to have a sharpe, less gradual transition between the chest wall and the breast. This is more noticeable with larger implants. So I would be more inclined to think your problem is not a capsular contracture but a combination of implant pocket size and location and implant size and shape. If you are happy with the way you look, there would be no need to change it but if you don't like your look, then surgery would probably be necessary. Good luck to you.

Margaret Skiles, MD
Sacramento Plastic Surgeon
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