Kayla Humenansky, DO

Hi cori_cakes23,
High nipples following a breast reduction can be challenging to change. There are general recommendations for breast measurements. The two most commonly used measurements include the sternal notch (the indentation where your collar bones connect at the center of you neck) to nipple distance and the distance from the nipple to the inframammary fold (crease beneath your breast). In your photos, the distance from your NAC-IMF (nipple to fold) distance appears quite large. I would speak with a board-certified plastic surgeon about their thoughts regarding an inferior wedge resection. This would remove tissue from the lower pole of the breast and help pull the nipple lower on the breast mound. Other alternatives to changing the position of the nipple when it is too high include skin grafting or advancement flaps.

Wearing nipple piercings following a breast reduction should not interfere with the overall outcome. Swelling following the procedure may limit the ability to pass the piercing through the tract easily and you want to make sure you're not putting pressure or tension on your incisions when trying to replace the piercing. Generally swelling and discomfort reaches a peak on day three and begins to subside, which may make it easier to replace the piercing. The exact recommendation would depend on your plastic surgeon and your post op healing.
-Dr. H

Thank you for your question. If there is preexisting breast asymmetry, attempting correction while undergoing breast augmentation is common. On average, a 70 cc would equate to approximately 1/2 a cup size. The larger implant would be placed in the smaller breast, while the smaller implant would be placed in the naturally larger breast. I would consult with your plastic surgeon about the possibility of 3D imaging software to help you visualize the anticipated outcome. I hope this helps.
-Dr. H

We commonly perform breast implant removal under local anesthesia. If you are comfortable being awake for the procedure it can be easily performed without general anesthesia. You would want to make sure to find a provider well versed in performing procedures while patients are awake. I hope this helps.
-Dr. H

I can see how that would be confusing. One of the joys of plastic surgery is there is not just one to do something, and neither is necessarily incorrect. Generally speaking, patients who flex their chest muscles (i.e. body builders or entertainers) animation deformity can be problematic. If that is not you, then it should not be a problem. You can have submuscular or dual plane placement with minimal movement of the implant; however, a submuscular implant will almost always move to some degree when flexing the chest muscles. For patients with limited upper pole or superior breast fullness, such as yourself, a pre pectoral implant may be more prominent and show rippling or visibility of the implant capsule. A dual plane approach allows the implant to fill out the lower portion of the breast tissue while providing superior pole coverage. I hope this helps!

Your scars are healing very nicely. I am not sure how far out you are from your procedure, but scars can take up to a year to fade and augmentation scars are often imperceptible once mature. Only saline breast implants can be placed via an axillary approach (through the armpit) and this would leave additional scars. To avoid placing any additional scars, I would use the scar that is already present regardless of attempting to lower the scar to the fold. Attempts at recreating a fold can also be accomplished internally without additional scarring on the breast. Additionally, you'll want to keep in mind the diameter of your chest wall and skin stretch when considering a larger breast implant, as these can be limiting factors. Ultimately, I would make sure you're going to a board certified plastic surgeon and discussing all of your concerns to get the best possible outcome.

If you're feeling anxious about your breast augmentation, I would recommend reaching out to your board-certified plastic surgeon and letting them know your concerns. If you're not comfortable returning to your plastic surgeon, I would seek a second opinion. Ultimately, you can have your implants removed at anytime. It generally takes a minimum of 3 months for the implants to settle in place and they continue relax and heal over the following months. If they were recently placed, you're chest should look similar to before they were placed.

The eyebrow and the eyelid are two separate units and should be treated as such. Eyelid surgery may change the shape and appearance of your eyelid but should not alter the position or appearance of the eyebrow. If possible, I would consider waiting on your eyebrow tattoo until after your surgery to ensure you're pleased with the appearance of your eye area. Some patients who are concerned about heaviness or hooding of the eyes, may also benefit from a brow lift. I would talk with your plastic surgeon to see if he/she recommends that for you as well.

Sorry to hear about your injury. There are generally three reasons why one eyelid may appear more "droopy" than the other. #1 true eyelid ptosis #2 dermatochalasis (excess skin) #eyebrow ptosis. An in person exam with a plastic & reconstructive or oculoplastic surgeon would help you identify which one is causing your concern. One year out from your accident, swelling should have subsided.
-Dr. H

If you remove your implants and do not replace them, you will lose the fullness in the upper portion of your breast. Your nipple position appears appropriate and would likely not require a lift for repositioning; however, a breast lift would help tighten any excess skin following explant. You may also want to explore options such as autoaugmentation with fat transfer following explant to help maintain some volume. Ultimately, you have a variety of options to discuss with your plastic surgeon.