i was told by my surgeon i would pay $5,000 for implant and $2,000 for a lift plus $1,000 for facility. so i paid $8,000 and now have a double bubble with that one little incision(example in picture) i went back and he told he did an internal incision funny because just before the nurse said what lift was performed and so i questioned the DR. and he replied she does not know what she is talking about! did he perform a breast lift with this incision?
Can You Perform an Internal Mastopexy with Breast Implants and Not Cut Around the Nipple? (photo)
Doctor Answers 12
Can You Perform an Internal Mastopexy with Breast Implants and Not Cut Around the Nipple
Without some preop and postop photos, and a copy of the operative report, no one will be able to answer your primary question--did you have a lift or not.
A fold incision alone is certainly not a typical lift incision. Most "lifts" done without incisions around the areola use mesh, and that would be in the operative record.
If you are doubtful about what your surgeon actually did, a second opinion would be in order before making any decision about repair of the double bubble.
Thanks, best wishes.
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Internal mastopexy may have been done, and I do not think this should be dismissed. This may not work for severe grade II or III ptosis, but this may work for lesser degrees of grade II ptosis.
Breast lift and implants?
A lift is usually performed by raising the nipple areola complex and sutures are used to perform this. I am not sure what your surgeon did.
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Breast Lift Performed?
Thank you for the question.
Unfortunately, without a more thorough evaluation of your preoperative and postoperative situation, it is not possible to make a accurate/fair determination. For the best advice, consider seeking a second opinion in person with board-certified plastic surgeons in your area. It would be helpful for you to have preoperative pictures and a copy of your operative report as well.
Can You Perform an Internal Mastopexy with Breast Implants and Not Cut Around the Nipple?
Something sounds not right here. An internal mastopexy is a very difficult operation with poor results. If you needed lifting the vast majority of boarded PSs use some sort of external incision.
Clear Communication Critical To Good Outcomes
Internal lift through incision in the fold under the breast
Hello. It sounds like there may have been a miscommunication between you and your surgeon. If the breast is just a little settled, then the placement of an implant will fill out the breast structure and give the sense of a lift. If there is significant overhang in the lower portion of the breast with the nipple sitting low relative to the fold under the breast, some sort of a lift will be required. At the very least, this will result in a scar that runs around the border of the areola. If you now have a double bubble effect, it is most likely that a lift will be required to bring the breast structure back into balance.
Unfortunately, clear communication with your surgeon prior to your procedure may have avoided this situation... Breast implants by themselves can sometimes have the affect of "lifting" the breast by increasing its volume and raising the breast and nipple slightly higher, especially if performed with the "dual plane" technique. However, if the nipple position relative to the sternal notch and the breast fold is TOO LOW, then the only choice is a procedure that involves an incision around the areola and positioning the breast higher.
Usually people who need a lift have their nipple below the inframammary line, thus they may need an implant to fill the volume, but also the nipple needs to be raised. Thus at least they need an incision around the nipple, if the sagging is severe they may need a full anchor incision. The incision you show is just to put an implant in. You get minimal to no lifting with it.
Breast lift through through the incision at the crease
This incision is the most common incision used for implant placement. However, you cannot do a real lift through this incision.
The distance from the notch above the breastbone to the nipple complex is constant unless you do something around the nipple to raise it.
You have a doubble...that tells me you needed a lift to begin with. You still need the lift to correct the doubble and that needs an incision around the nipple.
Talk to your doctor but it is not professional to blame the nurse. It is a conversation you and your doctor need to finalize.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.