Richard Redman, MD (retired)

It appears as though your frown lines were very deep.  Often these lines become a part of the structure of your skin and will not completely go away with a single dose of Botox even though the muscles are not moving.  I have found that if you are consistent with the Botox and do not let it completely wear off, that the skin will remodel itself and these structural lines will go away. The amount of time required will depend on the depth of the line.  I have seen this take up to a year to resolve.  Be patient and continue your treatments about every three months and I think these lines will fade.

I have never heard of removing a nipple for a breast lift.  You may be confusing a breast lift with a breast reduction.  A lift just raises the breast and the nipple position without removing breast tissue and a reduction moves the nipple and results in a much smaller breast from removal of varying amounts of breast tissue. Breast reductions on extremely large breasts sometimes require the nipple to be completely removed and put back on as a graft. Your friend may have had a reduction.  The postop scars from both procedures look very much alike.

You should pick a surgeon certified by the American Board of Plastic Surgery and go discuss your concerns and expectations.

Hope all turns out well for you.

I think you may have some cause for concern even though you are very early in your postoperative course. Your inframammary folds are very uneven and you said you had a great deal of pain on the right side longer than the pain on the left. This may indicate that you had some bleeding or other problem in the early postop period.  I would recommend you wear a tight band above your breasts to exert a downward pressure as much as you can.  It is very important for you to keep in close contact with your surgeon and follow his instructions.  You may need a small corrective procedure in the future.