Breast Implant Revision: Q&A

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Recommended Procedure to Achieve Significantly Smaller Breast and Areola's with Minimal Scarring? (photo)

I'm 22 years old with sub muscular 360CC Natrelle Saline-Filled Implants. I underwent a breast aug. & a donut mastopexy 4 months postpartum my 1st pregnancy in August 2010. I'm 31 weeks in my second pregnancy and a 36DDD (I'd like to be a small b, think size of lemons). How soon postpartum can I remove the implants? I don't plan on breastfeeding, and I experience physical discomfort daily. I live in Dothan, Al, are there any dr.'s n the panhandle area you recommend. I'd like smaller areola's as to

9 Doctor Answers | Asked by kayla007 in Dothan, Al
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Recommended Breast Reduction Procedure

Its usually best to allow the effects of pregnancy subside before peforming surgery on any of the areas of the body that are significantly altered by the hormonal effects. This includes avoiding operating on breasts soon after parturition. The possibilty of having idiopathic or secondary galactorrhea(milk production) after undergoing breast surgery has been reported in the surgical literature and therefore I recommend a waiting period of around three(3) months before undergoing the... more
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Explant and Mini Ultimate Breast Lift

After reviewing your photographs, it is apparent that your breasts were very ptotic without any upper pole fullness. You then underwent implantation that was centered under the areolas, which positioned the breasts low on your chest wall. The additional pregnancy added more weight and further descent. I would recommend waiting 3 to 6 months after your pregnancy to undergo implant removal and simultaneous lift. Using only a circumareola approach it is possible to... more
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Removal of Implants During Pregnancy

Although you have daily pain, you will deliver in a few weeks, and your breasts and weight will likely change dramatically postpartum. You may end up removing implants that you will want in the future. I would wait a few months after pregnancy or after the cessation of breastfeeding before considering further surgery. Kenneth Hughes, MD Los Angeles, CA

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Recommended Procedure to Achieve Significantly Smaller Breast and Areola's with Minimal Scarrin

Best to wait 5 months after delivery for FULL breast involution than decide on an operative plan. To early to seek opinions in my estimation. Good luck.
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Implant removal

Hi Kayla, If you want the implants out and you are currently having discomfort, you could actually get them removed now. This procedure could be done easily and quickly under local anesthesia which is absolutely safe to do for both you and the baby. I would hold off on undergoing any kind of lift or areola reduction until six months post partum. Good luck, Ary Krau MD FACS
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Smaller breasts and areolas after pregnancy. Timing is everything.

As you approach the end of your pregnancy, you breasts are full and symptomatic and your desire for implant removal is understandable. Breast size and shape is a moving target while you are actively building a family. You should sit down with a board certified plastic surgeon with an established cosmetic breast surgery reputation and discuss your options. The amount of remaining breast tissue and the amount of ptosis changes with each successive pregnancy. You could... more
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Breast Lifting Surgery after Pregnancy?

Thank you for the question and pictures. I would suggest that you wait until you will have completed having pregnancies and achieved a long-term stable weight prior to undergoing any further breast surgery. At that point, seek consultation with well experienced board certified plastic surgeons. It is very likely that you will benefit from breast lifting; exactly what type of breast lift ( and the resulting scars) will depend on your physical examination at that point.... more
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Breast revision

While you are pregnant and all bets are off. You will have to let things settle down and your weight to go back to normal. My guess is you will have to wait about 6 months or so. A smaller implant with a lift may be necessary.
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Recommended Procedure to Achieve Significantly Smaller Breast and Areola's with Minimal Scarring

It is hard to guess right now as to what will be best after the pregancy induced changes in your breast are gone. I would allow at least three months, but the decision would be made by you and your surgeon as the time approaches.Since these are saline, it may be a consideration to deflat the implants after delivery and see how much the breasts will shrink. Chances are to get you to the size you want you will need a mastopexy with more than the current peri-areolar incision. If your... more
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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.

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