Best way to communicate breast surgery expectations?

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10 answers to “Best way to communicate breast...”

A: Photos are sometimes helpful

By Michael C. Edwards, MD - Las Vegas Plastic Surgeon

You may have been someone who may have benefitted from a breast lift alone first (because of the amount of breast tissue you have) and then your could decide on an implant size by placing implants into a bra to try to visualize what you might get as a result. It sounds like the pocket around your... more

A: You don't have a bad result, but it can certainly be improved.

By George J. Beraka, MD - Manhattan Plastic Surgeon

Hi! Communicate with your surgeon the same way you are communicating with me. It is clear what you want, and it is reasonable. I think two things can be done differently, and we see this commonly in breast lifts in New York. 1) You need another lift with implants OVER the muscle. Then the... more

A: Your breasts are still large and behave independent of the implant

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

Perky may not fit your body type. Generally perky does not last forever. So be careful what you ask for. There is no way to defy gravity over time. From your description it sounds as if you still have a significant amount of breast tissue. That is why it "falls off" the implant when you lean... more

A: A redo breast lift and smaller sub mammary textured silicone gel implants may be your answer

By Carl W. "Rick" Lentz III, MD - Daytona Beach Plastic Surgeon

I have stopped putting implants under the muscle when I do a simultaneous breast lift. It is very frequent to see many of these patients develop breast that hangs off their implant and the implant often slips all over the place under the breast and outside the breast confines. The best results that... more

A: Yes that would help.

By Scott E. Kasden, MD - Dallas Plastic Surgeon

From your frontal view, I note that the nipples are low, and the breasts are large. I also do a lot of MWL surgery, so I can tell you that one of the big problems is relaxation of tissues after surgery, due to the stretched skin and supporting structures. I think that a secondary breast lift to... more

A: Given gravity, there's a limit to 'Possible Perky'

By G. Gregory Gallico III, MD - Boston Plastic Surgeon

I cannot evaluate your current appearance without seeing your pre-op pictures. Depending on what your breasts looked like, the current appearance may not be too bad. The final volume is your choice by trying on implants before surgery. Gravity will always interfere with getting the breast really 'perky'.... more

A: An Exam Should Be Enough

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

Evan without an examination your picture is worth a thousand words. The entire point of an augmentation mastopexy is to elevate the nipple/areolar complex back to its proper position with the implant added to provide upper pole fullness. Obviously the nipple is still too low and I agree that the... more

A: Pictures Rae Very Helpful

By John P. Stratis, MD - Harrisburg Plastic Surgeon

Pictures are extremely helpful to show the plastic surgeon what you think you want to achieve BUT it is only a starting point. It gives the plastic surgeon an idea of what is in your mind. Whether or not that can be achieved is a totally different story. Also making a list of "I want x, y and z but not a,... more

A: Breast surgery with implants after massive weight loss

By Brent Moelleken, MD - Beverly Hills Plastic Surgeon

As Dr. Rand has noted, the elasticity of the skin after massive weight loss is usually greatly diminished. You have relatively large implants in place and have already undergone a lift. We have found that patients with massive weight loss do best with smaller implants and a lift. That way, the... more

A: You may not be able to have what you want

By Richard P. Rand, MD - Seattle Plastic Surgeon

Please understand that after massive weight gain and loss, your tissue elasticity will never be normal anymore. This colors completely the type of result you can expect. For your type of starting point, you have a perfectly acceptable result with good symmetry. If you wanted to go smaller,... more