Breast Lift: Q&A

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In-office Breast Lift Revision?

Is it reasonable to think that an in-office procedure can correct significant asymmetry after my BA with BL two months ago? Left breast is lower, larger, and heavier than right. My surgeon says he can do a revision in his office to bring that nipple an inch higher and even them up. Can this also correct the disparity in size? My right breast was always smaller... why didn't he use two different sized implants to begin with? He has 30 years experience, I thought that should count for something.

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asymmetry in-office revision

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12 Doctor Answers | Asked by mellj

Doctor Answers (12)
Community Comments (1)

Office breast revision

First be patient. Wait for another month of healing before pursuing revision surgery. Many changes occur in the first three months after surgery. Next, get one surgery to complete all of the revisions necessary. If you have a size discrepancy at that time then the implant can be adjusted at that time. It is likely that you will require anesthesia if these things need to be done. While I agree that minor revisions are easily done in the office, make sure you are getting what... more

Breast lift revision

Yes minor revisions can be done in the office under local anesthesia. These types of revisions usually involve skin excision only. To determine if an office revision would be reasonable in your case I would need to see photos. In general it is difficult to correct a large discrepancy under local anesthesia.

Office based procedures are not unusual

First, it would be helpful to see your pictures. You do not need to worry about an office based procedure as many surgeons do perform these. If your surgeon has been doing this for 30 years, as you say, then he most likely knows what he is talking about.

Correcting asymmetry after BAM and Pexy

First, I detect anger in your writing. Try to look at the positives. The doctor is stepping up and fixing the issue, and this CAN be fixed! Secondly, a positive attitude will make this much easier for you to get through- really. The answer is, yes it is reasonable. In fact, everything you have said is reasonable, and I say that, not knowing your doctor. I am glad you shared this with us, and let me explain. In my opinion, it is best to use the same size... more

In office breast lift revisions must be individualized.

While it is possible to do minor revisions in an office settling, it would be impossible to know whether this would apply in your case without photos to show the level of disparity. As a general rule if only skin is being removed, this can be numbed with local anesthesia and a revision accomplished. However, there may be other issues to deal with making an in office revision less than optimal for you.

Jeffrey M. Darrow, MD

18 reviews

Boston Plastic Surgeon

Breast Lift Revision in Office

Breast lifts can definitely have minor revisions performed under local anesthesia in the office. This will speed your recovery, allow you to drive yourself hhome and save you some money.

Revision surgery

I assume your surgeon is going to do this in a fully accredited facility. This can certainly be done in an office setting.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Lift Revision and Size Disparity

Placing two different implant sizes sounds like a great idea, but this inevitably results in two different breast shapes if more than 50 cc or so is the difference between the two volumes. I do not see any reason why a revision breast lift could not be performed with local anesthesia and oral sedation. This would depend upon the maneuvers employed and your specific needs. Kenneth Hughes, MD Los Angeles, CA

Revising breast surgery in the office

Is certainly doable but your results depend on what you are trying to correct. Little things like moving a nipple or removing some hanging skin in the inferior pole can be done quite well under local. Moving an implant higher cannot be done. Office revisions are mostly 'skin' procedures and trying to achieve substantial lift this way will only lead to disappointment down the road. So the answer is 'it depends on what you are trying to achieve'.

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Office revisions

Without seeing you or a picture of you, it is hard to tell you specifically what would work best for you or whether an office setting is the best place to do it. It is not unusual to do minor revisions in the office under local anesthesia.

Breast revision in office under local after breast lift

Surgery was just 2 months ago? While remarkable asymmetry probably will not correct with time, you may want to wait a little longer for revision once the scars soften more. Skin only surgery would be fine under local anesthesia. If you are anxious, then you might want to discuss anesthesia with sedation when you undergo revision. Financial cost may be higher. Second opinion with another Board-certified plastic surgeon may reinforce and confirm what will make your result the best it can be.... more

In-office Breast Lift Revision

Without photos it is not possible, nor is it fair, to comment on the outcome. Without photos I am not sure about the nature of what is being planned, nor could I comment on the question of getting the sizes even. Please consider posting photos from before and after your surgery,and chances are that you will get more useful comments and advice. Thanks, best wishes.

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Comments (1)

mellj 5 Feb 2013

I think he has a surgical suite at his offices, because I was told that the procedure would be done under halcyon. Hopefully, that clarifies a little bit. I am posting another question (still under moderation) with photos.

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