John Paletta, MD

Thank you for the question and pictures. I think it is possible to improve your shape with fat grafts. Looking at your photoshopped picture it appears that you are slightly lifted and larger, I’m not sure if that would be possible with fat grafts alone. You may need a lift in conjunction with fat grafts or possibly several rounds of fat grafting. It is impossible to tell just from Photos, an in person consultation would be necessary.

I think given your goals along with the photos you submitted you would be a excellent candidate for fat grafting to the breast along with a breast lift. I have had similar patients with your exact concerns who did very well with that combination of surgeries.   The fat grafting will help fill the upper pole of the breast. The breast lift will reduce the size of the nippleareolar complex as well as elevate it. Lastly, is you will avoid an using implant.   Good luck.

Thank you for the question. I think it is possible. However, it would be beneficial to have more information. When did you have your surgery? A description of the pain, and things that make it better or worse. What has been tried to alleviate your pain and have they been successful?what are your goals for the surgery including symptom relief and aesthetics? Do you want to be larger, smaller or perkier?

Thank you for your question. I’m not sure you have a tuberous breast deformity. However, I think you would be an excellent candidate for fat grafting to the upper pole of the breast combined with a breast lift. based on your description I think this will help you achieve your goal. The limitation of fat grafting relative to a breast implant is the amount of volume increase would be considerably less with a single fat grafting procedure. An in person consultation will be the next step to help you decide the best option for you. Good luck.

Great question. This is one that we frequently have to answer as plastic surgeons. Let me start by saying that photos are never an adequate substitute for an in person consultation. From what I could see with your picture you appear to be very fit and trim. It appears that your primary problem is looseness of muscles and skin likely from prior pregnancy. Therefore, a tummy tuck is probably your best option. However, you really need to see a board-certified plastic surgeon in person.

The main goal of both techniques is to minimize the risk of developing a fluid collection called a seroma. In that regard the techniques are equivalent. The benefits of using a drain is that it decreases operative time. It may take a few extra minutes to play strains, whereas progressive tension sutures used in the drain this technique may take 30 minutes. The main benefit of drainless technique is patient comfort and convenience  after the procedure.  The nurses that take care of my patients overnight  report the ease of taking care of patients in terms of repositioning and patient comfort.  At home the patient does not have to deal with taking care of the drain,and recording the output. They also don’t have to alter their activities because they have drains. Lastly, the discomfort of having the drains removed isn’t present.  Some have reported that the scar quality is better because the technique takes pressure off of the closure, I think this may be true but that’s hard to prove.  

Thank you for the question and photos. From your description it appears that you would be a candidate for liposuction. To definitively answer your question I would recommend you seek consultation with a board-certified plastic surgeon in your area. Your consultation will include an examination to evaluate your skin and muscles as well.

Thank you for the question. The short answer is, yes. However, it depends on what is causing the unevenness and bumpiness. If it is excess fat it may be amenable to liposuction or Kybella injections. If it’s fat necrosis then will have to be treated by another method perhaps steroid or surgical removal. There are a lot of variables so an in person consultation with a board-certified plastic surgeon is very important. Good luck.

First of all, congratulations on your weight loss.  Can you benefit from a tummy tuck, perhaps. Is that the best option for you? Probably not.  as long as you understand the limitations of just having an anterior tummy tuck and not tightening the muscles then That may be fine but if that doesn’t match your expectations then I would advise against that.  an in person consultation is a must for you. I never strive to “get away with it“ when I make recommendations that implies that we’re leaving too much to chance.   good luck  

Thank you for the question in photographs. Looking at your photos I think you’ll be fine with augmentation alone. Your nipple position looks good. Of course, this is no substitute for an in person consultation with a board-certified plastic surgeon.