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Dr. Michael Decherd, MD, FACS is a double-board-certified plastic surgeon in San Antonio, Texas. He is a fourth-generation physician who is passionate about helping people look and feel their best. “When patients make the decision to have plastic surgery, they
Asked By: Winterfall2024
ANSWER
So, to my knowledge polyurethane has been not FDA-approved for some time. Silimed makes them and they are used outside the US. In the US, Silimed’s other implant technology was used, or licensed, or something in the sale of Sientra implants, but they were not polyurethane. Sientra declared bankruptcy but was bought by Tiger Aesthetics. I was just at the Texas Society meeting and Tiger has a booth. But unless I missed something, polyurethane is not FDA-approved in the US currently.
Asked By: mfourie51
ANSWER
In my opinion they sure do. The muscle somehow kind of holds the implants in place. On Top they tend to end up as a "rock-in-a-sock" over time. Also, the upper pole is filled in Under and has a more natural look. Lastly, there is a much better (lower) rate of capsular contracture Under the muscle. Good Luck!
Asked By: kayshave
ANSWER
There is not a "non-invasive" way to deal with that. Some of that skin needs to be removed. It gets tricky with the piercing there as well...I'd start with a consultation, but it might be easiest to leave it alone. Good luck!
Asked By: roseypinkgirl
ANSWER
Hello! So there is a lot to unpack here. First, yes the areola can be made smaller. Next, what type of asymmetry? Areola positional asymmetry can be improved. As far as volume asymmetry, one can either make the smaller breast larger, or, more commonly, one can make the larger breast smaller. So all that is basically in the breast lift/breast reduction universe. Good luck!
Asked By: ElianaOr
ANSWER
It sounds like they have bottomed out and/or lateralized. To fix that it requires sewing off the pocket internally. The scars can usually also be revised and improved. Good luck!
Asked By: Claire132
ANSWER
So a gap in the middle is due to either 1) you being built that way, and/or 2) not using a wide enough implant. Have you had the change to use a simulation system, such as the Vectra? You might find that useful! Good Luck!
Asked By: Mrs. Andy
ANSWER
It's hard to tell from a photo but I do not think it is essential. A lift would move things higher but of course there are more scars. Good Luck!
Asked By: Mrs. Andy
ANSWER
We always do some lipo in that area with a tummy tuck. I don't flip but just do what we can with the patient supine. You don't have a lot but it is reasonable to do some suction there. Good Luck!
Asked By: Honest280673
ANSWER
Sure! Smaller areola and better shape--those are attainable with a lift! If you like the "lift" you simulate in the last photo, you would probably like a lift! the only reason to get an implant is if you ALSO wanted more volume, which it sounds like you do not. Good Luck!
Asked By: Luna.Garza 35
ANSWER
Just go in with your eyes open—nonsurgical modalities yield nonsurgical results. So you might get some minimal improvement, but it is not going to make miracles happen. If you are OK with spending that amount of money for minimal results, then go for it! But if you want surgical results, then save your money for surgery! Good luck!
Dr. Michael E. Decherd is highly regarded for his expertise in performing , , , , , , , and . Patients consistently praise his skill, the positive transformation of their bodies, and the supportive nature of his practice. While some patients express concerns about uneven results and post-operative discomfort, the majority report high satisfaction with their outcomes.
