Raghu Nandan, MD, MPH, FACS

Dear Kind91261,

Sizing and selection of breast implants is highly patient specific. Based on the picture, there is not a significant size discrepancy between both the breasts and I agree with the plastic surgeon that asymmetric implants may not be needed in your situation, and may actually cause asymmetry. Good luck!

Dear OliviaLennon,

The removal of teratoma likely may involve laparoscopic incisions with a larger lower midline abdominal incision to remove the tumor out of the abdomen. Alternatively, it could involve an incision horizontally in the lower midline abdomen like a Caesarian section. Regardless, a future tummy tuck will not be affected by the incision choice and will be able to incorporate and remove a lower midline horizontal scar as well to allow an aesthetically appealing scar in the bikini line. Good luck!

Dear Sensible783286,

It would be a good idea to calculate your BMI (Weight/height squared). Every plastic surgeon has his or her own criteria of BMI for proceeding with a breast reduction. Many studies have shown decreased wound healing and blood supply related complications with a BMI less than 35. If you have a planned weight loss prior to surgery, you are likely to have a better aesthetic result, since any skin redundancy from weight loss can be addressed at the time of the reduction in contrast to having a weight loss after breast reduction. In addition, the overall risks of surgery are also decreased if your BMI is less than 35. Good luck.

Dear Courageous237268,

While cup sizes are different across different stores and may be subjective, a B cup may be more aggressive reduction for your body frame. There is a fine line between retaining enough breast tissue to allow adequate blood supply to heal the breast flaps as well as the nipple. There should also be enough breast tissue to allow a nice curvature and aesthetics proportional to your frame. I believe a C cup would be more reasonable and aesthetically more sound while looking at the pictures. Good luck!

Dear Bailey2328,

It is likely that you may have to remove your piercings prior to surgery and keep them out for at least 1-2 weeks after surgery. The piercings may interfere with the blood supply to the nipple as well as be a potential source of infection. It is likely that you will need them re-pierced after your reduction surgery. Good luck.