Dr. Leber Aesthetic Plastic Surgery - Boston

A: Numbness of the skin on the breast under the areola is not uncommon after breast augmentation. This is usually a temporary phenominon that results from tissue swelling and induration arround the nerve that supplies this area. The lateral intercostal nerves supply sensation to the breast skin in the region that you are describing. These nerves exit the lateral chest wall to intervate overlying skin and the breast implant may place tension on the nerve. Hypersensitivity of the skin is most commonly decribed as a result of this added tension on the nerve. This is a good sign as the nerve is intact but overly stimulated. Hypersensitivity usually resolves within 6-12 weeks after surgery. Hyposensitivity or lack of sensation also may result from streching the nerve. This may cause a temporary numbness in the lower pole of the breast. The nerve function typically returns to normal over time, however this may take 6-12 months. Tingling sensation (pins and needles) may occur as the nerve recovers. This is a good sign. Very large implants have a higher chance of streching these nerves potentially leading to permanent numbness.

A: Numbness of the skin on the breast under the areola is not uncommon after breast augmentation. This is usually a temporary phenominon that results from tissue swelling and induration arround the nerve that supplies this area. The lateral intercostal nerves supply sensation to the breast skin in the region that you are describing. These nerves exit the lateral chest wall to intervate overlying skin and the breast implant may place tension on the nerve. Hypersensitivity of the skin is most commonly decribed as a result of this added tension on the nerve. This is a good sign as the nerve is intact but overly stimulated. Hypersensitivity usually resolves within 6-12 weeks after surgery. Hyposensitivity or lack of sensation also may result from streching the nerve. This may cause a temporary numbness in the lower pole of the breast. The nerve function typically returns to normal over time, however this may take 6-12 months. Tingling sensation (pins and needles) may occur as the nerve recovers. This is a good sign. Very large implants have a higher chance of streching these nerves potentially leading to permanent numbness.

A: Numbness of the skin on the breast under the areola is not uncommon after breast augmentation. This is usually a temporary phenominon that results from tissue swelling and induration arround the nerve that supplies this area. The lateral intercostal nerves supply sensation to the breast skin in the region that you are describing. These nerves exit the lateral chest wall to intervate overlying skin and the breast implant may place tension on the nerve. Hypersensitivity of the skin is most commonly decribed as a result of this added tension on the nerve. This is a good sign as the nerve is intact but overly stimulated. Hypersensitivity usually resolves within 6-12 weeks after surgery. Hyposensitivity or lack of sensation also may result from streching the nerve. This may cause a temporary numbness in the lower pole of the breast. The nerve function typically returns to normal over time, however this may take 6-12 months. Tingling sensation (pins and needles) may occur as the nerve recovers. This is a good sign. Very large implants have a higher chance of streching these nerves potentially leading to permanent numbness.

A: Yes, it is possibly to have a tummy tuck and Brazilian but lift performed together.  Often liposuction of the back, flanks and thighs is performed with a tummy tuck.  The fat is normally discarded, however If you are considering buttock augmentation with fat grafting (Brazilian buttock lift) the fat would not go to waste.  The procedure would require position changes.  I would start with fat harvesting and then buttock fat grafting followed by turning the patient over and performing the abdominoplasty (tummy tuck).

A:

1. If the answer is yes than a breast augmentation with unilateral lift  can accomplish this.  Combining breast surgery with a tummy tuck with possible liposuction (mommy makeover", can can reduce some of the fees compared with doing them separately.  However, If you are happy with your breasts, just do the yummy tuck .  Ultimately it's your decision.