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My PS is Not Making Me Feel Very Comfortable and Surgery Date is Next Week, What Should I Do?

asked 4 months ago by Miss Kittiey in Fayetteville, AR
Latest answer by Walter D. Gracia, MD
Question viewed 221 times
Tags: crease, tuberous, uncomfortable, worried

My PS says that I have "almost tuberous" breasts and I'm planning on getting 450ccs of mod+ profile saline implants. In my last consult, I was extremely adamant about having natural looking implants (a ski-slope, not a shelf) and said that I wanted lots of lower pole fullness...he says that because my nipple is so close to my crease, I can't get the result I want.I asked about lowering the crease and he basically ignored me.. My surgery is in a week and I do NOT want torpedo titties! Any advice?

21 answers to My PS is Not Making Me Feel Very Comfortable and Surgery Date is Next Week, What Should I Do?

Torpedo breast

It sounds like you need to talk with your doctor before surgery to make sure he is doing what you want . The doctor needs to speak with you to help you understand what is possible. Discuss it with your current doctor first and if you are still not satisfied get another opinion from a Board Certified Plastic Surgeon.

Walter D. Gracia, MD
Arlington Plastic Surgeon

Put your mind at ease before the surgery

If you are not confident and comfortable, return for as many preoperative visits as you need until you feel comfortable and you and your surgeon are on the same page. If your frustrations continue and you get a bad feeling, then consider postponing until you feel better about. You have to trust your surgeon and have confidence that he is going to do his best to make it the way you want it. That may or may not be possible but the communication should be upfront and... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

You have to feel confident in your breast augmentation doctor.

You have to feel confident in your breast augmentation doctor. If you feel like your concerns are not being addressed then you need to spend more time talking with your plastic surgeon. The correction of a "tuberous" breast is to lower the fold and separate the tissue to allow the skin to stretch out. Make sure your doctor has experience in treating patients with your type of breasts.

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon

Lack of Communication

Besides an unexpected complication, lack of communication and not having the patients expectations met is the number one reason for an unhappy patient. I feel there is a lack of understanding on your part as to what can be done or poor communication from your surgeon. Either return to your surgeon and have a better understanding and appropriate expectations or do not proceed with your surgery. I am fearful you will not be happy and that is the last thing yor surgeon wants. Your surgery... more

Scott R. Brundage, M.D.
Grand Rapids Plastic Surgeon

Cancel surgery

Do not do the surgery unless you are comfortable. it may simply be a communication problem.but do not go ahead unless you are in agreement as to the posible results. either meet with him again or get a second opinion

Jonathan Saunders, MD
Newark Plastic Surgeon

If you do not feel comfortable with your surgeon???

When having any type of surgery you MUST feel comfortable with your surgeon. You need to speak with him before your surgery- perhaps even delay it and get another opinion. However, if you do have anatomical issues that prevent you from achieving your ideal result, you need to fully understand what these limitations are. If your surgeon has failed to communicate this effectively, again- get another opinion.

Bruce Genter, MD
Abington Plastic Surgeon

www.drgenter.com

Being informed and comfortable with your surgeon before surgery

It is extremely important for you to have confidence in the surgical plan and the surgeon prior to embarking on surgery. I would recommend that you schedule another consultation with your current plastic surgeon prior to surgery (eventhough it is only a week away) and explain your concerns and reservations. If you are unable to get an appointment before surgery, delaying your procedure until you are completely comfortable and at ease with your surgeon is very important. I would not recommend... more

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon

www.gayosoplasticsurgery.com

Delay Surgery

Just because you don't seem to see eye to eye with your surgeon is reason enough to postpone the procedure so you two have more time to discuss the breast augmentation and to discuss how you want to look after. You may want to seek the opinion of another surgeon as well. In general if there is a short distance from the nipple to the fold, which is part of the tuberous breast problem, this will limit the amount of fullness of the lower part of the breast because there is less... more

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon

Get Surgery Or Not

It's hard to comment on what you can expect without good photographs of the anatomy. But you are definitely not ready for surgery. Most surgeons are very careful to assure themselves and their patients that the patient's expectations of the outcome are very realistic. I don't think you are there yet and if you undergo surgery without that having been settled you are bound for disappointment with your results.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Would slow down

Without a picture it is hard to discuss the anatomic features of your breast, however, if you were my patient I would want to know tthat you do not have confidence in the plan. Slow down and rediscuss with your surgeon.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Predictability in breast augmentation for a tuberous breast deformity

It is difficult to tell from your description if you actually have tuberous breasts or not. If you you have a very short distance from your nipple to the crease below the breast then out of necessity the crease will need to be lowered. In order for you to have a nice result the center of the implant needs to be behind the center of the nipple. This being said you need to establish a good line of communication with your plastic surgeon. It is important that you guide... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

You should have another consultation with your surgeon

You are not ready for surgery and your surgeon should know about your concerns and question. Please call your surgeon for another consultation to clarify your concerns.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Expectations and patient comfort with plastic surgeon

I feel that it is very important to establish an open line of communication with all of my patients. It can be difficult to discern what a patient's expectations are, but sometimes multiple consultations are required. You should feel comfortable with your plastic surgeon before proceeding with surgery. There are times when a patient's expectations cannot be met. In these situations it is important to share this information with the patient. You state... more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

www.seplasticsurgery.com

Follow your instincts before breast augmentation

If you are having communication conflicts before your breast augmentation, chances are you will have an even harder time after your procedure is completed. We suggest you follow your instincts, and if uncomfortable with the process, cancel and get another opinion. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Share concerns with surgeon

Please call back and talk to your surgeon again about your concerns and goals. If you still are not comfortable, seek a second opinion with another board certified plastic surgeon. Good luck.

Donna Rich, MD
Houston Plastic Surgeon

Not comfortable with surgeon

If you are not comfortable with the present situation do not proceed with surgery. Either go back and discuss things again with your surgeon or get a second opinion.

Rick Rosen, MD
Norwalk Plastic Surgeon

Get out

If you don't feel comfortable, get another opinion or go back and talk to your doctor agin. You should be 100% happy before having surgery.

William B. Rosenblatt, MD
New York Plastic Surgeon

Hold off on plastic surgery until you are comfortable and understand your limitations

You should not proceed with the planned surgery until you are completely comfortable. On the other hand, it sounds like you think the doctor is not listening when maybe you just aren't hearing what you want to hear. For example with a short crease to areola distance and a tight lower pole, you will NEVER have "lots of lower pole fullness." This is just not possible and doesn't mean that the doctor isn't listening to you. Make sure your... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Tuberous breasts and implants

If you are unhappy with the answers you are getting and do not feel that the doctor is answering with concern and compassion, i suggest you seek another opinion.

Steven Wallach, MD
Manhattan Plastic Surgeon

Tuberous Breasts/Uncomfortable with Surgeon?

Thank you for the question. Remember, you are about to undergo elective ( non-emergency) plastic surgery; there is no reason for you to feel uncomfortable with your surgeon. I would suggest that you meet with him again to discuss your goals and concerns; if you still feel unease, cancel surgery and seek additional consultations. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Not Comfortable With Her Surgeon

Without photos it is very difficult to give you any comments regarding your surgeons advice. However, tuberous or "near tuberous" breasts can be a very difficult situation. Bottom line, if you are not satisfied with the answers your surgeon is giving you or you are not comfortable with the surgical plan, then I would suggest postponing your surgery and speak to one or two other surgeons in your area. Good luck.