Board Certified Plastic Surgeon
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Dr. Andrés Taleisnik, known to his patients as Dr. Andrés, is a board-certified plastic surgeon based in Orange County, California. With more than 24 years in practice, he has expertise in a wide range of cosmetic and reconstructive procedures of the face, han
Asked By: LKH123
ANSWER
Unless you are quite overweight, meaning that your tummy tuck would be a very large one, there shouldn’t be a problem undergoing a breast implant replacement with breast lift and tummy tuck at the same time, even if you are 63. I frequently operate on patients older than you are, and they do just fine. Your surgeon can advise you more completely once you meet, but combining the procedures is usually best, because you recover from both surgeries at the same time, and you typically save a reasonable amount of money. The recovery won’t be that much different than recovering from a tummy tuck alone. That will be the more painful procedure, and the one that makes it more difficult for you to move around. The breast surgery actually won’t hurt that much, and won’t really affect your activity levels the way the tummy tuck well. it is good to start walking even on the day of surgery to minimize problems. Your surgeon should be able to guide you about these things, but please don’t let your age stand in the way of obtaining the improvements that you are dreaming about. Best, Andres Taleisnik, MD
Asked By: Sunnieday
ANSWER
You shouldn't have any problems returning to your nursing school activities, even strenuous ones, 2 months after your breast augmentation. I typically allow my patients to do virtually all activities after 2-3 weeks, except that I limit STRONG use of the chest/pectoral muscles until 6 weeks after surgery. Best of luck!
Asked By: SimoneSBNL
ANSWER
Hi Simone, The implant sizes you listed will probably be appropriate for most slim patients, but there are factors that might determine what will work best for you. The main issue is the fairly short distance from your nipple to your crease beneath the breasts. An implant that is too large will sit mostly above the nipple rather than properly centered behind it. This is something that a plastic surgeon could help you to determine when examining you in person. It might be that the smaller volume works better and looks more appropriate. It also might be helpful to consider a higher profile implant, which has a narrower diameter, to avoid the problem I mentioned above. My approach would be to take different implant sizes to surgery, then test with a temporary implant sizer during the surgery to determine which looks best. Best of luck, Andres Taleisnik, MD
Asked By: moonmomma95
ANSWER
I agree that you would have a nicer shape if you choose to do a lift, but it’s not mandatory. I have performed breast augmentation alone for many patients who looked like you with nice results that have satisfied the patients. It would be important to realize that your breasts wouldn’t be perky, but you can certainly have more fullness and a reasonable degree of cleavage without a lift. Others have mentioned a potential problem in which the breast tissue hangs from the front of the implants, which is a possibility, but less likely in a smaller, lighter breast such as yours. Perhaps the most important thing to realize is that you can always do a breast lift later if you are not satisfied with the appearance with implants alone. Of course, this would mean a second surgery and additional cost, but that option remains and can leave you completely satisfied down the road if you feel that you need a lift. For patients who have trouble making this decision in my practice, I offer to do a lift later at a reduced price if needed. Most end up being happy without needing a lift, at least not for many years. Anyone who might need a lift has to make choices that involve trade-offs, and it ultimately depends on what is most important to you, minimizing the surgery and scarring, or maximizing your shape. Patients can be happy with either course, as long as they understand what they are doing and what the expected outcomes might be.
Asked By: Reserved59743
ANSWER
It’s not fair to make the patient decide on the final implant size- not even the surgeon knows EXACTLY which volume will give you the appearance you desire, so how could you know? First, there are so many factors that affect how your breasts will look that choosing 425 cc just because someone else with your height and weight looks good with that volume is an approximation at best. Second, the difference between using 415 or 450 is very small. Chances are high that if one of those will look good on you, so will the other with minor differences. By far the best solution for you is for your surgeon to have both implants available, and test which implant provides the results you’re seeking during surgery by using a sizer implant. Your surgeon would make the decision between those two sizes in surgery, rather than making you guess beforehand. I suspect you’ll be happy either way. Best of luck!
Asked By: 2000j
ANSWER
Your plastic surgeon can help you to determine whether you actually have a capsular contracture forming, or whether it is just some increased tightness on one side as compared to the other. Either way, if you think that they still look pretty good, I would advise you to wait and see what happens. You can always address a capsular contracture in a few months, or even later if needed. I think it is also helpful to do a revision surgery for capsular contracture once the process has stabilized, and not when it is actively becoming worse and worse.
Asked By: RSProfile466670
ANSWER
Your photos show some drooping of the breasts, with the nipples lower than they should optimally be. If you do an augmentation without a lift, they’ll certainly be larger and more full, but they’ll still be droopy. You’ll need to decide which trade offs matter most to you. If you don’t mind that they look droopy, you may be happy with implants alone. You’d look much better in clothes or a swimsuit. Ideally, however, you should add a lift to the augmentation. You can certainly do both procedures at once. There are different types of lifts, and again your choices involve trade offs. Some lifts involve more scars but accomplish better lifting, while others involve fewer scars but only serve to lift a little. Your plastic surgeon should guide you so that your expectations are realistic.
Asked By: Lonewolf1214
ANSWER
A doughnut lift, or mastopexy, combined with breast implants, would be the ideal choice for your situation, in my opinion. This type of lift serves to raise the nipples by 3 cm or so, decrease the areola diameters, and counteract the pointed current shape of the breasts, giving them a more natural, rounded appearance. This type of lift can cause some flattening of the breast if too much lifting is attempted, which can be a downside for some patients, but is perfect for your situation, when flattening of the breast would give it a better shape. You currently have what is referred to as a tuberous breast, which has a narrow base, is somewhat pointed, and has a large areola that is somewhat puffy or protruding. I have use the combination of breast implants and a doughnut lift on many patients just like you, with dramatic improvement. Good luck!
Asked By: whatdoido123
ANSWER
You shouldn’t expect results from any injectable treatment to be permanent, but they could very likely be helpful. A physician examination is recommended to determine whether the depression is due to overactive adjacent muscle, excess bulk of adjacent muscle, or a soft tissue deficit. Your options might include Botox, a filler like Juvederm, or a small surgical procedure. Both Botox and a filler would need periodic reinjections as the effects fade. Good luck!
Asked By: Atlniknak
ANSWER
I’m sorry that you haven’t had a good experience. It is certainly possible to Nero your cleavage and place the implants closer to the midline. One issue you might have, however, is that your nipples and areolas were already very lateral, or far to the side, before surgery. if there is more implant filling the central part of each breast, the nipples will certainly look like they are on the outside portion of each breast even more. If your goal is to look good in your bathing suit or clothing, then this might not matter to you. The only way to move the nipples and areolas more towards the center of each breast is with a breast lift. In terms of the different level of the inframammary creases, this can often be corrected surgically. You could address both issues at the same time if you choose to do so. It would be important for you to see an experienced breast augmentation surgeon in order to receive the best guidance to obtain the results you are seeking. Good luck!
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Dr. Andres Taleisnik is highly praised for his expertise in cosmetic procedures, particularly in , , , , and . Patients commend his professionalism, thorough consultations, and the natural-looking results he achieves. His attentive post-operative care and clear communication contribute to patients' satisfaction and comfort throughout their surgical journey.
