Board Certified Plastic Surgeon
Certified by the American Board of Plastic Surgery since 2002, Dr. Kerry Owens has many years of experience and training to offer Baltimore area plastic surgery patients.
Asked By: FoxKiwi88
ANSWER
Thanks for your questions and for providing photos. While you have some glandular ptosis (droop) from your prior pregnancy and more recent weight loss, your nipple is in good position so you definitely have options without need for a lift. Given your size goals, you could have an implant placed either in front of or behind the muscle and have a nice filling of your deflated skin envelope. You might also consider a more moderate augmentation with an implant in front of the muscle. There are considerations with either approach, and depending on the tissue thickness and quality at the upper pole this will impact what is recommended for you. Either way, I think you are a candidate to have augmentation without a lift based on your photos. An in person consultation and exam will help your surgeon to give you the best advise about implant selection and surgical approach. Be sure to consider the long term implications of your implant size and potential need for more surgery in the future, as my experience has been that a more moderate volume tends to age better and require fewer revisions over one's lifetime than fuller/heavier implants. The most important thing is to have a comprehensive consultation so that you have a good understanding of your choices and what may work best for you. Best of luck!
Asked By: mellowsal
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Thank you for your photo and your question. You don't mention how long ago your surgery was, but the incision appears a bit fresh and if you are within 6 months of your surgery it is not uncommon to see this type of swelling at the belly button, especially in the first several weeks after surgery. The swelling will improve over time, and when your surgeon releases you to start scar massage, this area responds well to directed massage to reduce swelling and help it contract in. You appear to have a nice early result. Discuss with your surgeon and be patient for final results, which often take 6 months to a year to be appreciated. Best of luck!
Asked By: JWmommy
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You are absolutely entitled to have copies of your medical records, and it should not be an affront to your surgeon to ask for them. While it is true that a records request is sometimes a red flag that a patient is considering legal action, if you are still seeing your surgeon in follow up and have a good relationship, just let them know why you are interested in having the records. I don't think most surgeons would have any concern about this at all.
Asked By: Beautiful3559
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Thank you for providing photos. While you do have some mild tubular breast characteristics, the primary consideration in changing breast shape would be nipple positioning. This requires a lift, which allows your surgeon to place the nipple more centrally over the breast mound. With reshaping of the breast alone, you may see an improvement in the percieved gap between the breasts (this requires in person exam to fully evaluate). This could be accomplished without an implant if you wish. However, in some cases the only way to narrow your natural gap is to add an implant, and the best way to control this specific issue would be to place the implant above the muscle, since you likely have a wider gap between the muscle origins naturally, which would limit implant positioning in a submuscular space. This situation is one that requires a comprehensive exam and discussion with your surgeon to review all options and their potential risks and benefits to make the best choice of procedure that will meet your goals. Best of luck!
Asked By: pj23334
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Thank you for your question and for providing photos. While complete planning will require in person consultation with your surgeon, you are definitely a candidate to benefit from placement of an implant to help with fullness without going dramatically large. There are so many options for implant profile, with the most important consideration being your chest width so the implant fits your frame appropriately. From there, you can choose various profiles to suit your goals, understanding that when your skin has been stretched by previous implants, pregnancy, breastfeeding, or weight gain/loss you may need a little more volume to get the desired support and fullness. Placement of the implant in a subglandular/subfascial/prepectoral space allows for more flexibility in choosing a more moderate implant volume without requiring a lift. Speak with your surgeon in detail about your goals and they can review more comprehensively the risks and benefits of all the choices regarding placement, implant, and size. Best of luck!
Asked By: Friendly381015
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Determing the best age at which to undergo breast augmentation is an individual assessment that each patient needs to make after consulting with their surgeon. The reason that you have been told 22 is that the FDA approval for silicone implants is in women over the age of 22 for a variety of mostly political reasons. In general, if you are fully matured (meaning the breasts are stable in size for at least a year), not currently pregnant or nursing, have no active infections, and are cancer free, you may be considered a candidate for breast augmentation. Full consultation will address other relative contraindications and individual considerations of risk. In my experience, insurance rarely covers treatment of a rupture regardless of the age at which the initial surgery was done. In some rare instances with earlier generation implants, there is such a significant capsular contracture or calcification that insurance has covered the removal of the implants only, but again this is not common. Most implant companies offer warranty coverage that includes replacement of the implant devices and some amount of money toward the surgery required if a rupture occurs, so it is worth looking into your options for that. If you are confused by the information provided at your initial consultation or feel your questions are unanswered, it is always worth seeking a second opinion. I hope this helps!
Asked By: Ph637
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Thank you for your question and congratulations on your weight loss! While it is very common to require some reshaping or reduction of the breast skin in combination with implant placement after significant weight loss, each case should be looked at individually. In your situation, it depends on the degree of augmentation you desire, but your baseline nipple position appears to be at or above the level of your breast fold and therefore you are more likely to see a nice result with placement of implants alone, no lift required. An in person consultation by an experienced surgeon can confirm this with you. Best of luck in your surgical planning!
Asked By: awestman
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Thanks for sharing your photos. We all have some degree of asymmetry and on your left there are several factors contributing, including brow position and likely orbital size in addition to lid skin and crease position. It would not be unreasonable to address only the side that bothers you. I would suggest this is a more complex case and might best be treated by a specialist with experience in Asian eyelid surgery. It is worth getting another opinion to fully weigh the pros and cons of treating only one side before making the decision about how to proceed. Good luck!
Asked By: normank79
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Dear Normank79, Thanks for sharing your photos. As others have mentioned, it is quite early in the process overall and the stabilized result may not be appreciated for up to 6 months or a year. The scar is a bit high, but overall the contour you have looks great and it may be that as you are standing straighter and swelling goes down that the scar position will be improved. If it is still higher than you would like, ask your surgeon to evaluate the possibility of lowering it for you. In most cases we wouldn't consider that type of revision until closer to a year out. At that time your skin may have relaxed enough to make the adjustment you desire. In the meantime follow instructions for recovery and scar management when it is time (typically after 4-6 weeks depending on healing). You may have to adjust bikini style in the short term but it is possible to achieve a lowered scar position in many cases once everything has recovered. Good luck!
Asked By: glitzyglamdiva
ANSWER
Liquid facelift is a technique of combining injectable fillers and toxins to improve the volume losses and static and active lines that develop with age and weight loss. Depending on which products are used, you may see results that last between a year and 2 years for volume if you achieve optimum correction at first visit. Most often we use a building approach to slowly gain correction over several sessions in a year, which avoids the feeling that everything deflates or goes away at one time and allows for maintenance or touch up filler over time. Toxins will need to be re-treated every 3-4 months, sometimes lasting as long as 6 months.
Dr. Kerry Owens is highly praised for her exceptional surgical skills and compassionate bedside manner, particularly in . Patients commend her thoroughness, professionalism, and ability to deliver natural-looking results. Her attentiveness to patient needs, detailed explanations, and follow-up care contribute to her high patient satisfaction.
