Coral Springs Plastic Surgeons

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

Tiny Black Scab and Puckered Nipples Normal 14 Days Post Op? (photo)

Everything has been fine. I have been to my PS nurses twice, to remove staples and the second time a stitch was out and it was irritating me. Both times they have looked at them and said that they are healing well and to really scrub at my scab. They said that the puckering of my nipples was normal and it would go away. I keep scrubbing this scab but it wont go away, it has gotten smaller but it wont go away. Im scared its necrosis and also that my nipples wont unpucker. Any advice?

Your breasts have a very normal appearance for 2 weeks postop.   The minor amount of scabbing will continue to improve and the puckering of the nipples will also improve.  It is important that you have been following up with your surgeon's office, but you should see him or her directly at one the upcoming visits so that you can have the full reassurance that you are seeking.

David J. Levens, MD

Coral Springs Plastic Surgeon