Sara R. Dickie, MD

This is a recurrent nevus. In simple terms there were a few nevus cells that didn't get removed and they have grown in the scar. There is nothing about the recurrence that makes it likely to be different than the pathology showed, which was benign. Scar tissue does not cause benign nevi to turn malignant. However, a dermatologist looking at this under dermoscopy (magnified imaging) may not be able to tell if there are changes happening long term because the scar disturbs the standard pigment pattern. Also, Nevus cells in scar tissue can look atypical to dermatopathologists, especially if they don't have access to the original pathology specimen. If it doesn't bother you, don't worry about it. If it worries you, get it re-excised, it will give you piece of mind.

Medically this should not matter. At 3 weeks anticipate moderate bleeding, like a very heavy period that will last for 5-7 days. This may lower your hemoglobin, but not significantly. Take iron supplementation if you are vegetarian.
Skin-only upper bleph under local anesthesia is a bloodless procedure. There should be no contraindication between the two procedures. The abortion pill does not affect your ability to heal, it does not change your blood profile or your ability to heal wounds.

Be well.

I would imagine this well-trained surgeon has a history of practice preforming lower lids and trying different techniques. Likely the results he gets by fat excision and HA filler avoids some complications that he dislikes (and can be costly to fix) and overall provides an equal if not better result in his hands. Every surgeon will go through trying new techniques that have theoretical benefits, however in the end, unless it proves superior in their practice he or she will not adopt it. That's the Art of Surgery.
All the evidence in the world does not compare to 2 or 3 poor outcomes for a single surgeon.
If you are seeking a particular technique for your lower lids, I would suggest you get a second opinion.

Thank you for your question.

It sounds like you have two goals: one is larger breasts and the other is lower (and smaller) areola.

These goals are somewhat conflicting in their surgical treatment.  Placing implants will inherently lift the nipple and areola higher and over time may stretch them wider.

Surgically lowering the nipple will require reducing the skin envelope of the lower breast, which often reduces the overall size of the breast.  

Overall, I agree with your surgeon's recommendations.

I would add that it may be safest for you to undergo a two-stage surgery.  First lower your nipples and reduce the areola size.  Then have implants placed 4-6 months later.  Having both procedures at the same time may seem like the most cost effective, but would have a higher risk of complications and dissatisfaction.  Your surgeon may feel confident doing both simultaneously, but the option exists to separate them.

Make sure you see a plastic surgeon certified by the American Board of Plastic Surgery.  

Thank you for your question.

Any open wound has bacteria in it and will produce drainage but may not be considered infected.  

The best way to evaluate for an infection is to have an exam or to discuss your concerns with your treating physician who has seen your wound recently and knows the prior management.

Worsening pain, spreading redness, swelling, fever, foul odor and purulent drainage can all be signs of infection and should be addressed promptly.

I hope this helps.