Draper Doctors

Dermatologist
Plastic Surgeon

Recent Answers

If I Get Laeger Implants Do I Still Need a Lift if I Go Under the Muscle? I Dont Want the Scarring Unless Its Necessary. (photo)

I have had 3 kids not having any more im 5;5 140 pounds and fit. I would like large implants as I love the 'done' look and teardrop shape. not sure what to expect if I need a lift and implants, how much does it typically cost? how does it heal? will I have uneven nipple and can they be made smaller, and is that part of a lift?Can I achieve the look i want with just implants alone?Im currently a deflated 38c.

A: When Breast Implants Alone Are Not Enough

Breast implants are designed to increase breast size. Breast lift procedures are designed to improve breast sagging as well as breast and nipple asymmetry. Based on your photographs it appears you have breast sagging and nipple/ areolar asymmetry. The areola (pigmented skin around the nipple) can be made smaller with a breast lift. Based on the breast photos you like it appears doubtful you can achieve your goals with breast implants alone but you should schedule a consultation with a plastic surgeon certified by the American Board of Plastic Surgery to get more definitive answers to your questions.

David S. Motoki, MD
Draper Plastic Surgeon

Is Implant Removal a Good Option For Me After Reconstruction? I'm Not Happy.

Had unilat mx 2 years ago with 450cc submusc silicone implant with alloderm. No complications looks great. Have done nipple recon but no tattoo. Implant uncomfortable, feels tight. No capsular contracture. Pect muscle is always sore, ribs hurt, one year post procedure muscles in back/shoulder started to have severe spasms on same side. No signs of mets. I'm too aware of the implant (princess and the pea) and am curious if having it removed would help and what complications I might encounter.

A: Breast Implant Removal May Not Be The Solution

Discuss your concerns with your oncologist and plastic surgeon. The oncologist can evaluate you for recurrent or metastatic cancer. The plastic surgeon can evaluate you for implant related problems. Physical therapy, chronic pain management or other treatments could be beneficial. Rather than deciding that breast implant removal is the only option, have an open mind in discussing your concerns with your doctors.

David S. Motoki, MD
Draper Plastic Surgeon

What Bra Size Will I End After a Breast Reduction? I Am a DD Cup. (photo)

I am 27yrs. old and I am 36 DD I will get the surgery the 22 of this month. The doctor will remove 350g in the right side and 500g in the left side. Can some one tell me what size of bra I will end after surgery? Thanks!

A: Breast Reduction And Bra Size

A functional breast reduction covered by health insurance is generally performed to remove enough breast weight so symptoms associated with large breasts are improved or relieved. The surgeon is obligated to remove a minimum amount of weight from each breast. Currently it is difficult to correlate the amount of breast tissue removed with post-operative bra size. Bra size depends on who does the fitting, the bra manufacterer, style preferences and other factors that are not standardized. Discuss your concerns with your plastic surgeon.

David S. Motoki, MD
Draper Plastic Surgeon
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