Sean Arredondo, MD

Implants can help to restore volume after breast reduction, but the correlation of grams removed to implant volume isn’t always 1:1. However, you can use sizers in office to get a good idea of what size implant would be best for you. It is important to consider carefully what your goals are regarding the implants. Often patients don’t miss the size but are looking for upper pole fullness, or cleavage. I if this is a case, often a smaller implant will be able to add that fullness without having to dramatically increase size. Another great option can be fat grafting. A consultation with a plastic surgeon will help you to decide what’s right for you. Best of luck!

While implant position can change after 1 year, they tend to be minimal or subtle changes. From the pictures the implants appear to be well positioned. Your main concern with the upper pole fullness may be from the profile. It may be worth considering a change to a slightly lower profile to give you less upper pole fullness. With Natrelle that would be the SSM or moderate profile. Best of luck!

Choosing the right size for a breast augmentation can be so very difficult. Unfortunately, the only way to change this is with revision surgery. Going down in size can be challenging. If trying to go down significantly in size additional procedures may be recommended. Other factors can impact the overall look as well such as, location of the implants (above or below the muscle), profile, saline or silicone, and if silicone type of gel. Your best bet of course is to schedule a consultation to discuss almo do this and see what your best options are moving forward. Best of luck!

Congratulations on the weight loss that is an amazing achievement. Combining an abdominoplasty with liposuction can help to achieve a small waist, it can also help to provide more shape posteriorly. A second option is to perform a 360 lift, basically a tummy tuck that goes all the way around. This is a bigger recovery, but often provides a more dramatic result. From the photos you have provided, it appears you have loose skin on your back, so this could be of benefit. Lastly, it does appear you would benefit from a breast lift, rather than implants alone. The deflation and downward pointing nipples will result in a “waterfall” deformity with implants alone. It will look like the nipple is falling off, or hanging off the implant. A second option would be to perform fat grafting at the time of mastopexy. This can avoid needing an implant, but provides a slightly different look than an implant can achieve. Hope this has helped. Again congratulations on your weight loss, and good luck on the remainder of you journey.

Great question. Often patient’s are looking to combine procedures to reduce recovery time. But you raise an interesting question, would one doctor be able to achieve the results you want in each of these areas? The short answer is yes, many or all of these can be combined into one procedure. A more common reason for dividing procedures into multiple surgery’s is for patient safety. Occasionally, the combination of procedures will take too long and splitting them up into more than one surgery is safer for the patient. Choosing the right surgeon for you is important. And look at their results to ensure they match your goals. A surgeon with experience in massive weight loss and body contouring should be able to comfortably address these issues as they are commonly affected areas with massive weight loss. It would be best to obtain at least 2 consults. Hope that information helps.

Hello, I am sorry you are so unhappy with your results. It sounds like there are many aspects you would like to address. The pictures you have are helpful, but measurements and a good physical exam are impressive to providing you with the best answers. I would recommend scheduling an in person consultation.

Occasionally this can happen. One of my favorite solutions to this problem is liposuction! With liposculpting or HD liposuction, we are able to help accentuate the muscles below your skin. There are varying degrees of sculpting that can be done. This works remarkably well after a tummy tuck because the skin and fat have already been thinned out. Usually, we can use the existing scars to perform the procedure, so often no new scars are needed. Photos are super helpful to discuss all possibilities. You would also be well served by speaking with your original surgeon, they may have some other options for you. Hope this answer helps.

One of the best adjuncts for liposuction in this setting is VASER. I feel like it helps break up the fibrotic areas to get that stubborn fat out! Other adjuncts such as cool sculpting or eon can help as well. They have no down time, sometimes require more than one treatment. Generally you will not have as dramatic results, but the noninvasive methods are great options for the right patient.

It is so hard to predict what changes will happen after pregnancy and lactation. During lactation the heavier and larger breasts will stretch the cooper’s ligaments, they don’t always retract. Sometimes the breasts do change differently! I would advise waiting at least 6 months after stopping lactation to see what any other changes may occur. If they are still asymmetric a breast lift can still be done. In some instances, one side will have more tissue removed to make the two breasts more even. I hope this helped!

Hello! It certainly is possible to do a lift without changing implants, even subglanular implants. It is important to know that if there is any capsular contracture, or malposition, it may be beneficial to change them out. Also, there is always a risk the implants may be damaged during the lift procedure, though this risk is very small.