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Gregory J. Mackay, MD

Board Certified Plastic Surgeon
5673 Peachtree Dunwoody Rd. NE, Ste. 870, Atlanta, Georgia+14042552975Website
5 | 21 Reviews
22 Questions Answered
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Before and After Photos

QUESTIONS ANSWERED

Will getting my implants out without the capsule lower my chance of developing cancer in the breast tissue around the implant?

Asked By:AnonymousANSWERS (1)

The current lifetime risk for the development of ALCL is quoted as anywhere from 1/3,800-1/ 30,000, for women with textured implants. Common symptoms include breast enlargement, pain, asymmetry or a large fluid collection typically lasting more than a year. ALCL patients seem to develop an allergic reaction to the texturing around the implants. Therefore it is recommended that the implant and capsule be completely removed.

provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

Is explanting a breast implant via the armpit more difficult/expensive than explanting underneath the breast?

Asked By:AnonymousANSWERS (1)

Breast implants can be removed through the armpit. It is easier to remove saline implants since they can simply be deflated and then taken out. Removing silicone implants is more difficult as they may rupture while being removed. If I do remove them through the armpit I will often use the endoscope to be certain no silicone has been left behind. If the silicone implants are all ready ruptured and they have a significant capsule around them, I suggest having them removed from an incision under the breast in the inframamary crease as it is easier to remove the capsule, and implant

provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

What can be done when a doctor didn't do a procedure correctly without having to file a lawsuit? (Photos)

Asked By:AnonymousANSWERS (1)

Symmastia is a difficult problem to correct in even the most experienced surgeons hands. It appears from the photo's that the problem was corrected but you still have some remaining skin that did not contract around the implant. I would you suggest you return to your surgeon and ask them to re-evaluate the problem. It could be that some of the remaining skin could be removed through a minor excision. If you are not satisfied with your original surgeon's response to your  complaint seek out an additional evaluation from a board certified plastic surgeon with a lot of experience in breast surgery

provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

How Long to Wait Before Fixing Capsular Contracture?

Asked By:AnonymousANSWERS (1)
Your capsular contracture has occurred very early after an initial breast augmentation. It may improve over time with some regular massage of the breast. I generally will wait at least 6-12 months after an augmentation before considering any surgery . If I think surgery is indicated I will first try a capsulotomy ( cutting of the capsular tissue) often under a local anesthetic with light oral sedation. This will often correct the problem with a minimally invasive procedure and at a low cost to the patient.I don't think using a dermal matrix product is indicated after an initial augmentation. If may however be very useful in patients that have had recurrent capsular formation, or severally ruptured silicone implants with really bad capsule formation
provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

I'm Trying to Figure out How What my Best Option is for Lateral Displacement? (photo)

Asked By:AnonymousANSWERS (1)
I have found that lateral displacement of implants usually requires a tightening of the breast pocket. This can sometimes be done with sutures if the breast tissue is not to thinned out and the implant is not too large. More often I have found that a dermal matrix such as Strattice or Surgimend is necessary to create the internal bra and hold the implant in place.
provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

Pockets Made Too Big Implants Move Around & Hang too Low, Can This Be Corrected Without an Uplift? (photo)

Asked By:AnonymousANSWERS (1)
Correcting your implant problem means revising the breast pocket that the implants are in. Correcting the breast pocket may involve moving the implant into a new position under the muscle and then possible adding in a biologic dermal matrix such as Strattice or Surgimend to help support the implant in its new position. The dermal matrix will act like an internal bra. Once the implant has been repositioned then the breast, nipple position, and shape can be re-evaluated. You may require a breast lift if the nipple complex is to low. Sometimes I will opt to forego the breast lift if a patient is really worried about scarring. Let the breasts settle down for 3-6 months and if my patient is unhappy with the look of the breasts, I will perform the breast lift.
provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

I recently had my 575cc saline implants replaced with 375cc saline and had an anchor lift too. I want to go 100-150cc larger.

Asked By:AnonymousANSWERS (1)
Increasing the size of the implant by 100-150cc is going to bring you closer to the breast size you were previously . That should give your breasts more projection and fullness. If the original breast pocket was made smaller at the time of the implant exchange and anchor lift, it should be relatively easy to add a larger implant. It is always easier to increase the pocket size than to reduce it. I doubt going to a larger implant size will initially affect the breast lift, but over time the larger the implant the more weight and stretch that is placed on the breast tissues. Ultimately a larger implant can cause the breast to drop again
provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

Any pointers for your first consult? Do's and don't's? What to expect? What questions to ask? (Photo)

Asked By:AnonymousANSWERS (1)
  1. How many breast augmentations have you as a surgeon performed
  2. Are you board certified as a plastic surgeon
  3. Are you interested in saline or silicone implants. What are the risks and benefits of both.
  4. Will my implant be placed above or under the muscle. What are the risks and benefits
  5. Do you need only an augmentation or do you also need a breast lift to achieve the result you are looking for
  6. What type of incision will the surgeon use to place the implants and why. Will the incision be around the nipple, under the breast or in the armpit
  7. Now much will it cost.
provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

Breast Augmentation - What is the difference between moderate plus and high profile?

Asked By:AnonymousANSWERS (1)

Implants sizes are measured in cc increments or ml increments. A moderate profile implant has a lower profile or projection in the breast than a high profile implant. For instance a 350cc implant that is a moderate profile will be flatter and wider than a high profile implant that has 350cc of silicone gel in it. The high profile implant will be more narrow and have a higher profile. When patients select an implant for augmentation they should ask their surgeon to try on sizers in both moderate profile implants and high profile implants to be able to appreciate the difference in implant styles

provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

Sagging neck skin ("turkey neck"). What asurgical and non-surgical options are available to firm sagging neck skin?

Asked By:AnonymousANSWERS (1)

The sagging turkey neck is the result usually of both loose skin and and laxity in the muscles of the neck. The only way to correct this deformity is by surgical tightening of the muscles and removal and tightening of the skin.. There are no non surgical procedures to correct this deformity. Thermage and Ultherapy have little use in correcting the turkey neck deformity;

provider-Gregory J. Mackay, MD-photo

Gregory J. Mackay, MD

Board Certified Plastic Surgeon

5 | 21 reviews

Gregory J. Mackay, MD reviews

Gregory J. Mackay, MD

RATING DETAILS

5.0
21 reviews

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Gregory J. Mackay, MD
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10 Results
$19,000Facelift

chutsell15

In good hands! He was concerned and successful!

Dr. Mackay performed the following procedures on me: neck lift, face lift, eyelid surgery and brow lift. My concern was to look natural and just get rid of what was “hanging”. This was accomplished. Gentleness, kindness and a calming demeanor are great qualities Dr. Mackay possesses. These great qualities are backed up with expertise, deep knowledge and love of what he is doing. He even met me at his office on Christmas Eve to help alleviate post surgery swelling on the left side of my neck. He was concerned and successful! Updated on 27 Jun 2020: Below are before and after pictures relative to my facelift performed by Dr. Mackay on December 3, 2019. Results are quite natural which is what I was hoping for. It has been nearly seven months since the procedure. My ears were quite tender due to the work and stitches around them. I did not even think of this.

Mastectomy

natasha0619

I would recommend them to anyone who is going through breast cancer

The best doctor ever. The entire staff is amazing. I had the pleasure to work with both Dr. Mackay and Dr. Page who I continue see. The most compassionate people I ever met. I would recommend them to anyone who is going through breast cancer.

Breast Reconstruction Revision

Chelle S.

Amazed at How Great This Staff is

I was absolutely thrilled to meet Dr Mackay and his PA Jacqueline and partner Dr Page for my first consultation for reconstructive breast surgery. The entire staff there is very warm, friendly and professional and they made me feel like I was part of their family. I would highly recommend them to anyone!

Breast Lift

Considerate942

Wonderful Experience with Amazing Doctor and Staff

Dr. MacKay performed a breast reduction on me approximately 5 weeks ago. I am beyond excited with the results. I especially love that Dr.MacKay and his staff prepared me prior to the surgery and educated me the entire process, what a stress reliever. Dr. MacKay exudes professionalism and compassion which is important to me as a patient. The results speak for themselves, he is the best. Dr. MacKay and his staff are amazing people that provide high quality of pre and post operative care. I highly recommend.

Breast Reduction

Cyree88

Life changing experience: Choosing Dr. Mackay was one of the best decisions I could have made

Choosing Dr. Mackay was one of the best decisions I could have made. He is so caring, compassionate and his bedside manner is impeccable. From my first initial visit to my post op follow up, I felt like I was well taken care of. The receptionist, nurses, and his PA Jacqueline made sure I felt comfortable and answered all of my questions before I could answer them. Having had large breasts all my life I feel like a brand new women now. I am now able to walk upstairs without feeling winded, I have no back neck or shoulder pain, and best of all I can now buy inexpensive bras. Not only do I feel good, I look great too. Not to mention how perky my breasts are now. Im so grateful for everything Dr. Mackay did for me and I am so pleased with my results and if I had to do it all over again, I would choose him again. I plan to use Dr. Mackay gain in the future if I decide to have more plastic surgery.

Facelift

Sjpauley

Beautiful Results!

If you are considering a cosmetic procedure, I highly recommend Dr. Gregory Mackay and his staff. I received exceptional care before, during and after my surgery. Dr. Mackay, as well as being an excellent surgeon, is very personable and easy to talk with. I am very pleased with the results of my facelift and blepharoplasty, which took years away while achieving a natural result. Worth every penny.

Breast Reduction

Terrific1926

The Only Surgeon I Would Consider

My experience was impeccable! I had the good fortune of meeting Dr Mackay and selecting him for a rhinoplasty in 2009. I selected him because of his great reputation and his extensive experience with difficult, reconstructive surgeries. Because I scar excessively, one side of my nose required revision post surgery and he took care of it. The results were just what I had hoped for, and he made sure I was pleased with the results. When I wanted to correct some problems from a breast reduction performed by another surgeon, Dr Mackay was the first and only doctor I considered. Everything went smoothly - surgery, recovery and follow up - and Dr Mackay corrected every problem so that I got the perfect result. Dr Mackay and his office staff are professional, organized, respectful, trustworthy, and take time to answer all your questions and answer in a way that you can understand. I always felt like I was in the best hands.

Breast Reconstruction with Fat Transfer

kellyhitt13

Hands Down....best Doctor!

Dr. Mackay is FANTASTIC!!! I am so happy with my results. I have had 3 surgeries preformed by Dr. Mackay (breast lift, expanders placed in after a double mastectomy, and then reconstruction with fat grafting). It was a very difficult and emotional journey but Mr. Mackay and Jacquline were there with me EVERY step of the way to support and answer all of my questions. If you looking for an honest opinion and a perfect cosmetic breast job go and see Dr. Mackay. The staff at Atlanta Plastic and Reconstructive Specialist greet you with open arms and are all so sweet and friendly. Although this chapter in my life is closed, I will be back to see Dr. Mackay if I ever need any cosmetic procedures preformed.

Eyelid Surgery

sdgranade

Consultation Review: I Had a Great Experience!

I had a consultation with Dr. Mackay for an upper eyelid lift. He was very attentive and knowledgeable and friendly. He spent a lot of time going over the surgery and what to expect. I would definitely recommend Dr. Mackay and his staff.

$9,000Breast Lift with Implants

A Miller

Breast lift with 255cc gel implants

Today was the day! Finally got it done. I have been planning the surgery for over a year. I lost 25 lbs and now weigh 175. The surgeon did 255cc moderate profile plus gel . I also had fat transfer to lower eyelids. My experience win Dr Mackay was wonderful. I highly recommend. So far the discomfort ha been minimal.