Orlando Plastic Surgeons

I'm Wondering How I Can Get Breasts Like This, or at Least if It's a Realistic Expectation? (photo)

Any guesses as to how she achieved this look? Do you think those implants were put in under or over the muscle? The top of them seems to blend in so nicely, it doesn't have that round shell shape that i've seen in a lot of over the muscle implants. I also like how perky and round they are, but they're not completely fake looking (or I guess I mean the look appeals to me) For the "my size" picture I attached, is the "Goal" picture achievable? Sorry for so many questions, thanks for your help!!

Hi there-

Without examining you, it's hard to say how close to the photo you posted it might be possible to get you...

On the other hand, there are much bigger issues (pun intended) here:

• The larger the implant, the greater the stretching force on the breast tissue and skin
• The larger the implant, the heavier the implant, and therefore the greater the effect of gravity on the breasts over time
• When you're not in a bikini or tightly form fitting garment, very large breasts will tend to make you look heavier and matronly, not more attractive.
• Because of these facts, women who elect to have very large implants have more complications over time and more operations over time, with more expense and more recovery.

The bottom line- having large implants like this placed might make you happy for a short time, but I would predict that very soon (within 1-2 years after surgery) you will wish you hadn't gone so big. 

Be careful what you ask for- I'm sure you will have no difficulty finding a surgeon willing to do this for you if you wave a bit of money in the air... But I don't think it is truly in your best interests over the long term, and your eventual regret is so certain that I'm not sure I think it is even ethical to do...

Think carefully about what you want for yourself- not just now, but in the future... Do you want to be having dissatisfaction and more operations on your breasts than you have to when you're 35, 45, 55 because of the choices you made when you were 25?

Armando Soto, MD

Orlando Plastic Surgeon

When Can I Get Back to Weight Lifting and Surfing After a Brazilian Butt Lift?

I have heard many different views on when it's ok to exercise post BBL but none directly relating to surfing?

Hi there-

While I think it is possible for you to exercise as soon as 3 weeks after your Brazilian Butt Lift, if you were my patient I would ask you to wait significantly longer than this, and the exact time would depend on your progress through the recovery period and your examination on your follow up visits.

In other words, I think it is important to tailor the postoperative regimen to the patient's needs and progress, but there is no question in my mind that in order to achieve the best outcome you should be patient and not risk losing any of those precious fat cells.

Armando Soto, MD

Orlando Plastic Surgeon

Is it Safe to Go Back on Birth Control Before Mommy Makeover?

I am due in March and have scheduled a mommy makeover in August. Breast lift, tummy tuck, lipo, and possibly implants. Is it safe to go back on birth control before such a major surgery? Is there any I should avoid? I would like to try something that is long term such as the Mirena IUD but I am concerned about blood cloths

Hi there-

You are right to be a bit concerned... Here are the facts:

1. Hormonally based birth control necessarily increases the risk of developing a blood clot.
2. Longer operations, and operations in the abdominal area also increase the risk of blood clots
3. The risk is highest within the first month or so after resuming the birth control.

So what is the right thing to do?

Well, consider that what you are talking about is, after all, elective surgery. It's not as though you have cancer and need to accept whatever risk there is in order to have a chance at survival. It's cosmetic surgery.

So what makes the most sense to me (as long as it's acceptable to my patient) is to make all risks as low as they can possibly be. We want your cosmetic surgery experience to be as worry and problem free as it can possibly be, right? This would mean not resuming your hormonally based birth control until after your recovery period.

Please discuss this with your husband or partner, your GYN, and your plastic surgeon to see what plan would be best for you.

Armando Soto, MD

Orlando Plastic Surgeon