Sterling Plastic Surgeons

Concerned About Getting Good Post Op Shape After Breast Reduction and Lift.

I am 43 and a 34 DDD/F with sagging after baby and wt. loss. I have consulted w/ 3 surgeons about a breast reduction/lift. I have been disappointed with post op photos as the breasts often look flat on top and too droopy. I dont want to have to get implants to get a nice shape. Only one of the surgeons had fantastic "after" photos. Is this a result of technique or the patient? How can I know if the surgeon's technique will likely promote that upper pole fullness? what ?'s should I ask?

A very important determinant of what result you obtain will be what your breast look like beforehand. the public

is often mislead that regardless of what the surgeon starts with, he/she can shape your breasts into what they looked liked when you were 18 y/o and your ideal weight. there certainly is a role for technique and artistry. however, the shape of your breasts, the degree of skin tone, per cent of fatty tissue, your overall weight/height etc all play an important role in the result you will obtain. 

also if your breast are this big, i would suspect the shape is not ideal. you will definitely have an improvement in your shape and appearance but you must also keep your expectations realistic. 

good luck

sincerely

david berman md

David E. Berman, MD

Sterling Plastic Surgeon

Can Having a B/R Help in Losing Weight?

I am 3 weeks post op after B/R and uplift. I seem to have lost weight without really trying that hard. I have been a little careful with my diet but I was careful before the surgery. I have not been able to do any exercise yet and I am looking to starting. Is it possible that by getting rid of all that fat in my boobs has made it easier to lose weight? I have read that fat cells scream out to be fed; perhaps by getting rid of these it makes the weight loss process easier?

i believe that having a BR will make it much easier for you to move around and exercise. also having a BR will make you look smaller up top. if you feel more fit, you will act more fit

good luck.

david berman md

David E. Berman, MD

Sterling Plastic Surgeon

Can Tummy Tuck Be Performed Twice?

I am 26 years old, 5'4" tall and 125 pounds. I was told that if I am planning for pregnancy (which I am not for at least another 5-6 years), I should wait because usually tummy tuck cannot be done again. I am wondering if that is true?

However, if i thougth it likely that my patient would get pregnant, i would not tighten the fascia. unless you have a reasonable amount of loose skin from losing a significant amount of wt, it may be that you can wait on having your TT until after you finish having your children.

David E. Berman, MD

Sterling Plastic Surgeon