Coral Springs Doctors

What is the Best Implant Position for Tuberous Breast? (photo)

I am 27 yrs old & a 36B. I have 1 son who I nursed. I am very athlethic. My PS says that I have tuberous breast & he will have to give me a mastopexy/augmentation. What is the best placement for the implant? Submuscular or subglandular? He says that the subglandular is better considering my constriction but I have heard that submuscular is the placement of choice when it comes to longevity, future ptosis and rippling/contracture. I want to go up to a full C/small D.

I do not see a tuberous breast but rather a ptotic(droopy) one.   I agree that you will require a lift to achieve optimal results however I do not believe that a breast implant should ever be placed above the muscle.  The risk for long term problems with this method is much greater and I do not believe surgeons who specialize in augmentations would do that.  Insist on going submuscular.

Leonard Hochstein, MD

Miami Plastic Surgeon

Is It Safe to Have a Full Tummy Tuck Combined with Lipo of the Full Back Within a Week of Each Other?

the surgeon i am considering suggested that iam able to preform my procedures within a week of each other

I routinely do entire back liposuction in conjunction with a full abdominoplasty.  This saves an extra anesthetic and prolonged recovery period.  If the plan is for you to have it done within a week I see no reason(unless there are state medical guidelines) as to why you could not do it all at once.

Leonard Hochstein, MD

Miami Plastic Surgeon

What Is The Injection Depth of Restylane at the Lips? 3 Months Later I Still Have Vertical Lines.

Could someone please tell me what the depth of the injection of Restylane for the lips is? Would the injection be subcutaneous, or deeper? I'm currently having Restylane injections around the lip line and even 3 months after injection, I have vertical lines on the lips from the Restylane which I never had before. You can see lumps and bumps from the Restylane. Other people I see that have the Restylane injections for the lips do not have these visible lumps and bumps.

It is unfortunate that you had a side effect with Restylane. This is a a popular filler used around the lips intra--dermally. So it is injected into the middle layer of the skin called dermis. If the appropriate amount of the filler is used and injected into a correct  skin layer, then resulting complications such as lumps and bumps are very rare. Therefore, if you are seeing these problems, please see your practitioner. There are ways to reverse some of these issues with hyaluronidase injections. Take care and good luck.

Marianna Blyumin-Karasik, MD

Miami Dermatologist