Zamir Paez, MD

Thank you for your question. It’s completely natural to want a clear idea of the results before moving forward with surgery. For individuals like you, with an active lifestyle and a petite frame, selecting the right implant size and type is essential for achieving a balanced and natural outcome.
The final appearance doesn’t rely solely on the implant size in cc but also on factors such as your anatomy, skin elasticity, and whether the implant is placed under the muscle or glandular tissue. It’s important to note that implants of the same size can look different depending on a patient’s unique characteristics.
Considering your desire for proportionate results and your active lifestyle, consulting with a board-certified plastic surgeon is key. During the consultation, they can show you different implant sizes to help you choose the one that best suits your goals, ensuring a harmonious and natural look.

Thank you for sharing your concerns. After 22 years, it’s not uncommon for breast implants to be associated with changes in the surrounding tissues. The symptoms you describe—intermittent pain, hardness, and differences in size or position between the breasts—could be signs of capsular contracture. This occurs when the scar tissue around the implant tightens, affecting the breast’s shape and feel.
It’s reassuring that your doctor has scheduled a mammogram, as imaging studies are crucial to understanding the situation. Depending on the findings, an MRI might also be recommended for a more detailed assessment of the implant and surrounding tissue.
While these symptoms can be concerning, they don’t always indicate a serious issue. However, given the age of your implants, it’s a good idea to consult with a board-certified plastic surgeon. They can thoroughly evaluate your implants and advise if any intervention is necessary. Staying informed and proactive is the best way to ensure your health and peace of mind.

Alexis, I completely understand your concern about how submuscular breast implants might affect your work as a therapeutic massage therapist. Submuscular placement is a common technique that provides aesthetic advantages, such as a more natural appearance and better implant coverage.
In general, this technique should not prevent you from continuing physical activities, including those involved in your profession. However, it’s crucial to allow sufficient recovery time after surgery, avoiding strenuous activities to ensure proper healing and adjustment of your body to the implants.
I encourage you to consult a board-certified plastic surgeon who can evaluate your specific case. They will consider your lifestyle, professional demands, and aesthetic goals to recommend the best option for you, ensuring optimal results without compromising your ability to perform your work.

I understand your concerns, especially given your experience with ruptures. Today’s silicone implants have significantly advanced. The cohesive gel used in the latest generations offers greater safety, minimizing the risk of gel migration in the rare event of rupture, while providing a more natural look and feel.
Choosing an implant with advanced technology that meets high safety standards is crucial. A detailed evaluation is essential to determine the best option tailored to your specific needs, ensuring both your well-being and long-term satisfaction.

The decision between liposculpture and lipoabdominoplasty depends on your skin condition, the amount of excess skin, and muscle integrity following pregnancy.
While your skin doesn’t appear overtly loose, the presence of stretch marks and reduced firmness may limit skin retraction after liposculpture. If there is significant excess skin or muscle separation (diastasis), a lipoabdominoplasty may provide better results by combining fat removal, skin tightening, and muscle repair.
A consultation with a board-certified plastic surgeon is essential to assess these factors and determine the safest and most effective procedure to meet your goals.