Miami Beach 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

Options For 28 yo Female with Under Eye Swelling/ Eye Bags? (photo)

I noticed I developed eye bags in April 2011. I went to a surgeon and he said that this was not fat under my eye, but it was swelling. He said I could try Juvederm, but it may not work because it's not fat under my eye. I asked him if there is a way to get rid of the swelling and he said no because it is probably hereditary. He said I should not do cosmetic surgery because I am far too young.

The dig unitive answer for you is a lower lid blepharoplasty with FAT TRANSPOSITION NOT FAT EXCISION!  fat grafting should be added to the procedure as well.  Your pronounced bags are the result of superficial fat decent and deep fat herniation.  By transposing the deep fat the lid/cheek junction can be smoothed and fat grafting can help blend and create a lifted appearance to your cheek bones.  I hope this helps! 

You are not too young.  You have signs that warrant an intervention.

All the best,

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon