After losing 150lbs, I went to Dr Ruter to discuss skin removal surgery. Instead of removing skin as requested, he sold me an expensive renuvion package and performed a standard abdominoplasty without repairing the muscles and he placed the belly button almost a full inch off center. He consistently dismissed my concerns and tried to reassure me this was normal, then attempted to charge me another $10,000 for a revision surgery to fix it. I had to seek the opinion of other doctors and pay to have the procedure re-done elsewhere. I suppose this is the price I paid for not seeing a board certified surgeon.
In short, yes! Dr. Ruter here from Syracuse Plastic Surgery in Syracuse NY. In long, yes! It will require liposuction from one area, with fat grafting to a new area. It is definitely a great option. Check with a plastic surgeon near you to learn more.
Thanks for the question Sue. It is a more common one than you'd think for a patient who had a peri-areolar lift like you did. Dr. Ruter here from Syracuse Plastic Surgery in Syracuse NY. The implant pushes out of the breast tissue and areolas and this may have something to do with the widening of your areolas. The peri-areolar breast lift you had left the scar around the areola, and could be revised by a plastic surgeon to help shrink the size of your areolas. Widened areolas and areola scarring is a common outcome with periareolar breast lifts. Seek a consultation with a plastic surgeon to discuss your options in more detail.
Thank you for that great question! Dr. Ruter here from Syracuse Plastic Surgery in Syracuse NY. The 3 implant manufacturers currently top out around 800cc for implant volume. Since volume is a product of width and height, as the width and height increase, volume increases. For instance, Mentor's moderate plus largest base width is 15.7 for their Xtra and 15.6 for their Boost line. Implant manufacturers are capable of making custom breast implants. That may be a route to investigate with your plastic surgeon.
Hi Hanna! Dr. Ruter from Syracuse Plastic Surgery in Syracuse NY. I do a good deal of breast reconstruction and my best guess is that this is a little bit of a lost in translation situation. When a patient has capsular contracture, that means that the capsule of scar tissue around the breast can be abnormal. Depending upon how contracted or thickened the capsule is, your surgeon may decide to cut out the capsule or cut into the capsule to release it. The alloderm should have incorporated into your body with your own cells growing into it. However, the alloderm forms part of the capsule. If your surgeon feels the capsule needs to be removed, the alloderm gets removed with it. Hopefully that makes some sense!
Quite frankly, there isn't strong guidance on this. It is all about the risks of the procedures related to one another. When you have breast implants placed, you want to avoid infection and allow the capsule to form. When you have a rhinoplasty done, you want to avoid anything hitting the nose. In order to do safe general anestehsia the anesthesiologist needs to be able to apply pressure to your nose if needed. That's likely why you are hearing advice to do the breast surgery before the rhinoplasty. Hope that helps.
