Joe Gryskiewicz, MD, FACS

I would do a retromammary subfascial BA to gain more cleavage and elevate your ptosis. A cutout bra postop is what we recommend also. Can see tuberous breasts on my website. Don't be so hard on yourself. Good luck.

You have done very, very well. Great nipple placement. If you are active then taking the muscle out of the equation to avoid window shading or animation deformities would trump a slightly deficient upper pole in my opinion. I have been in practice for over 40 years and do mostly subfascial for many advantages. Did about 300 last year. The newer implants rarely wrinkle, but in your case, you want to be super sure to be UNDER the upper pole fascia. And maybe leave a cuff of tissue inferiorly and a whisper of muscle on the outside to support the implant. I like your choice of size. You can ask around for a PS who practices the quick recovery approach. I would do what you are doing. I think you will look great. Good luck. Dr. Joe Gryskiewicz

Good luck on your surgery. I think you are on the right track. You need to make certain that the surgeon takes accurate measurements of the footprint or diameter of your breast. It doesn’t matter what size you are or what cup size you want to be as much as trying on the implants in the office and determining if you like that with your bra and clothing. Spend about an hour doing this with the nurse. If you are very athletic, you might want to consider putting the implant on top of the muscle, but under the fascia of the chest muscle. That way you won’t get migration from muscle contraction over the years or a window shade deformity from flexion of the chest muscle. I think you’re on the right track with the sizes. Remember 90% of people wish they were bigger a year later! Good luck.

You look good. Please give your implants six months to “drop and fluff”. If you are under the muscle then you can only got so close and the muscle stops the implant. You need to go on top of the muscle (but under the fascia - subfascial) to obtain more reliable cleavage. Give it lots more time.

Congratulations! Your nipple is higher that your breast fold so you do not need a lift. Good luck. Dr. Joe

Hello, I always recommend routine mammograms as well as check up with your surgeon. But, if it's not broke don't fix it. I would want to make sure your implants are still safe and on the market with no concerns about them such as being associated with Breast implant-associated anaplastic large cell lymphoma. Other than that, you don't have to replace them if there is nothing wrong with them.

Hello, You can always try a rice sizer which I believe is a great option as well to see what cc would be on you. Always do what you feel is right, I never choose the size for my patients.

Upper lid Blepharoplasty's may be done while patient is awake with our Halcion protocol. Patient will be prescribed Halcion to make them super drowsy/ sleepy. Combined with Benadryl at the time of arrival and our usual numbing , while patient is not fully under , 9 times out of ten they do not remember the procedure the next day.

These two procedures can definitely be done at the same time. Yes, it is important to be limiting activity after a thigh lift, but slow pace walking is completely fine. Going up and down stairs or any activity that involves fast pace or strain is what you want to avoid. This being said, getting up once an hour to walk around for 5-10 minutes is perfectly fine and exactly what we want to get the blood flowing and prevent any blood clots after Liposuction.

When looking at your photo the first thing I would recommend is a breast lift. A lot of times women do not realize that the majority of their cup size is all of the excess skin, and just by getting rid of all of that excess skin and bringing the breast tissue back up to where it needs to be will make you lose a cup size alone. I would recommend a lift with a small implant to give you the upper pole fullness. It is always best to see a licensed professional in person before making any final decisions. Could you also do a reduction along with all of that, yes you could. It would best be determined after examination at an in office visit.