Not necessarily and it often results in a more natural look. Many patients have a child after a breast augmentation and the shape of the breast afterwards will depend upon how much the breast changes with pregnancy and weight gain and how long nursing occurred. Pregnancy and nursing typically enlarges the breast and stretch the skin which may create stretch marks and decrease the elasticity of the skin. The breast tissue itself often atrophies (shrinks) to a smaller volume after pregnancy compared to the prepartum size coupled with the decrease in elasticity results in a looser skin envelope. This usually results in a more natural tear drop look which doesn't necessarily mean a reoperation. But if the skin is too loose a breast lift or a larger implant (to a degree) may help improve the shape of the breast. A patient that started with a smaller amount of breast tissue (A-B cup) tends to have less of a change with pregnancy compared to a C-D cup breast. The capsule around the implant tends to keep the implant in position, however the breast tissue, if stretched and enlarged, can hang over the implant making the nipple position too low requiring repositioning for a balanced look.
Board Certified Plastic Surgeon
What you describe is common which is the implant shell that could be folding on itself with time. The upper part of the breast implant is typically covered by the pectoral muscle and upper pole breast tissue compared to the lower pole where the implant which is mostly covered with breast tissue or nearby chest skin that is now part of the breast. The tissue is thinner here which can also thin even more with time making the implant more palpable. This is especially true near the old breast fold (inframammary crease) and the new fold created with an implant larger than the breast mound is placed. The capsule (scar tissue surrounding the implant) can tighten and deform the implant, folding and creating a crease and can create a buckle or "point" that can be pushed in and out as you have described. This can be demonstrated with a sample implant in the office. It is common in the lower pole and on the outside of the implant to feel the implant more. The contracture can worsen creating a firmer less mobile implant which can cause asymmetry and discomfort. A slowly leaking implant will loose volume and the shell can fold with time and the breast size will get smaller. Any "lump" should be evaluated by a physician as well as the the status of the implant to determine recommendations for further examinations.
Board Certified Plastic Surgeon
The answer is "yes". Asymmetry of the upper lids is common and it is possible to change one or both eyelid crease levels. We often do "Westernization" or double eyelid surgery particularly in the Asian (or non-Asian) patient who desire a fold where one is absent. Sutures are used to anchor the lid crease at the desired level. It can be used to change the level of the folds of both eyes if desired. Sometimes excess skin is also removed if more eyelid show is desired. Ask if the doctor performs "double eyelid surgery" when inquiring at the surgeon's office. Good Luck!
Board Certified Plastic Surgeon
Thank you for submitting your question. Cleavage, projection, upper pole fullness, and side breast are important in determining the shape of the breasts. Many measurements are taken on the breast including the base width of your breast and distance between the nipples. Implants are generally centered under the nipple-areolar complex and wider implants create more cleavage and side breast. I determine the maximum width of an implant that I can fit in the breast (usually under the pectoral muscle) by measuring the patient in the upright and laying position. The nipples tend to spread apart with the patient laying on her back. For a given volume, a narrower base implant (think 500 cc water bottle shape) will give you less cleavage and more projection while a flatter (500 cc pancake) will have less projection but more width. Both may have the same volume yet very different shapes. For a given volume, high profile implants will be wider than ultra high profile implants but a patient can still get the same cleavage with an UHP by going larger, if the tissues permit. Implant charts have the width and projection of all implants. Nipples too close together limit the size of the implant and placing too wide of an implant or too big may lift the muscle attachment off the breast bone and result in what is called a "uni-boob" or symmastia/synmastia where the implants are too close together and lifts the skin; this is a difficult condition to repair.
Board Certified Plastic Surgeon
My experience exceeded my expectations as did the results. I was looking to enhance my breast but maintain a natural look. Dr. Chin did an amazing job. I was particularly impressed with his understanding of working with darker skin tones and my body is healing well with barely noticeable scars and it’s only three weeks. Last, I had zero pain after and didn’t need the pain meds. I highly recommend this doctor
I wish I could leave Dr. Chin and his staff ten thousand stars (which still would not be enough to reflect how much I appreciate the Valley Institute of Plastic Surgery). Dr. Chin and his entire staff at the Valley Institute of Plastic Surgery are without a doubt the best in the business. We are so lucky to have such a talented plastic surgeon in the Central Valley. Dr. Chin will be my plastic surgeon's office for life. My services include a Breast Life/Breast Augmentation (which is an understatement, you should see what he had to work with--this man is an artist), and now I go to Dr. Chin's office for all needs including my botox, laser hair removal, and any future cosmetic procedures. The service is exceptional and you know you can trust everything he says. If you are looking for a plastic surgeon for any services and want to hear about my experiences in the Central Valley as I've worked wit multiple surgeons, my inbox is open. I would love to save you the heartache I experienced with other providers and share with you WHY I wish I found Dr. Chin earlier. He's the best in business. If you message me, I am happy to share my experience with you. I love this man and his staff more than I could ever emphasize in a review. One of these days I will leave a more detailed response, but I cannot say enough good things about Dr. Mark Chin, Ali Caplinger (his Physician's Assistant who does my other services), Diane (office manager), and Martha (front office staff). I was previously bamboozled to work with another plastic surgery office for essentially reconstruction related to major weight loss. I can speak as someone who has received services from multiple surgeons in the Valley, Dr. Chin is the best ever. From his patient care, thoroughness, and follow-up, he is the gold standard of healthcare. Dr. Chin's philosophy is "mark twice, cut once" and he did a remarkable job on my breast reconstruction. I am so grateful every single day for my experience with him, and I just wish I had found him sooner. As someone who had worked with other offices in the Central Valley for a MMO, my inbox is open to anyone who wants to know more about my experiences. I swear on everything I believe in, he really is the best. Do not hesitate, this is the guy. Do his consult and you will understand why. He is worth the investment you are making in yourself. Again, I am more than happy if you are on the fence to share my experiences with you because Dr. Chin has a lifelong client in me. I am so grateful for his entire practice.
Dr. Chin is amazing! He takes his time and explains everything very thoroughly. He also will tell you what he thinks will work best and pros & cons. I am so happy with his work. My chin has never looked better.
Hands down one of the best decisions I made in my whole entire life! Glad I waited to get this done from a TRUE BLESSED ARTISTIC SURGEON. Listen to his suggestions instead of your own preconceived notion of what you think is best for yourself! He is truly amazing and there's no words for how grateful I am.
I’m 46, mom of 3 children. My breasts were less than stellar. I called them “rocks in socks” - when you bend over and they hand like long tube socks with rocks at the ends. That was me. I chose Dr. Chin because of his reviews and he could practically so these surgeries with his eyes closed. He has a great reputation and does great work. I went with a lollipop lift and the moderate naturelle soft touch silicone implant. 445cc. I am so happy with my procedure and look forward to what I will look like in a few months. I’m not going to lie, the first two days were the worst. Actually, day two was pretty terrible. But other than that, I would say the pain scale is moderate to mild after two weeks. I am currently at 3 weeks today with mild discomfort towards the end of the day but completely manageable. I took percocet the first two days and Tylenol for two days after that, nothing since. Dr Chin and his staff are quite incredible. I must say that Ali in his office is such a gem. But, seriously, every person in that office treats you so well and is so professional. I can’t say enough good things. They make you feel like you’re not a number, walk you though everything, take their time to answer every question, and give honest, real feedback. I feel like I got my confidence back and can’t believe I waited this long to do this. I scoured this website for reviews and photos(so helpful), abs I hope this helps you take the plunge too! Updated on 27 May 2021: Here is my post op photos from the office, they actually used my photos for their website. They look beautiful. The right side still hasn’t completely dropped in this photo, it has moved down quite a bit since. But, I am so pleased with the results.
I just recently had a procedure done with Dr Chin. I was very glad that he told me what exactly I needed to do in order to get the results I wanted. He is very straight forward about what the outcome will be. Dr Chin wants the best for you and gives you exactly what you pay for!!! If you really want to look great listen to what he is saying because you will be happier at the end!! Thank you Dr Chin you are the best!!!
Explantation was one of my best decisions! Thought long and hard about it. At 66 years old, with 20 year old saline implants, it was time to make a change. Better to have them removed at this age, rather then later! Active lifestyle, clothing choices, aches and pain in breast, medical concerns, and just wanting to be my own natural self, again. I chose Dr. Mark Chin of Fresno, Calif to do explant. Excellent experience from consult to surgery. Four days post op, I have no pain! The tubing is a tiny bit sore, but that's it. Surgery experience was smooth and easy. Staff is great, made me feel at ease, answered all my questions and concerns. The anesthesiologist was also very good..spent some time with me pre op and addressed my concerns. Dr. Chin is warm, friendly, knowledgeable, knows his craft, unhurried. Answered all my questions and put me at total ease!. Thank you to Dr. Chin and staff! Much appreciation!
Hi everyone! I’m so excited for my mommy makeover in just a couple weeks. My first pregnancy did a number on my stomach and I’m sooo excited to finally get my body back after 9 years of not feeling like myself. Updated on 19 Jan 2019: Hi ladies. I’m wondering if anyone has struggled with feelings of guilt approaching your upcoming procedure, particularly a MM. I’ve been feeling very guilty about the time I’m taking off to do this, asking people for help and the money that’s being spent for me to have this happen. Disclaimer: my husband DOES NOT make me feel this way. He’s excited for me. These are all my own feelings that I didn’t realize would be a side effect of having this procedure. The past two weeks I’ve felt myself being on edge, feeling depressed and sad for no real reason, quick to cry and I am NOT normally this way. I’m just wondering if anyone can relate. I know I’m happy and grateful I get to correct my body and I should just be embracing that, but I still feel a lot of guilt. Updated on 1 Feb 2019: Wow! Can’t believe the MM came and went- now healing time. I’ve been really strict about following doctor’s orders and getting lots of rest. I’ve been on a liquid diet because I’m soooo afraid of pooping and how bad it’ll hurt even with stool softeners. I finally took some laxatives last night but still nothing. Updated on 6 Feb 2019: Wow! What a difference getting my drain tubes taken out has made! I got them out yesterday and was immediately able to make my binder lower and tighter which has helped me stand up straighter and I’m almost able to stand 100% straight. I even made it to Target and the grocery store today! I’m really swollen but purchase foods and teas that are anti-inflammatory and am really focusing on a healthy diet to aid recovery and to achieve the body I’ve always wanted!! Updated on 18 Feb 2019: My MM was three weeks ago today and I feel great. I don’t have any stomach pains at all and the swelling continues to improve. I am having pain in my left breast and none at all in my right. I go in for a checkup tomorrow and hopefully get some reassuring news about that. Hopefully it’s just pains of the implant settling and not because the capsule I too small and laying on a nerve. This weekend and the one before I didn’t really watch what I ate and I need to be better about that, especially since I’m not working out. Updated on 18 Feb 2019: My MM was three weeks ago today and I feel great. I don’t have any stomach pains at all and the swelling continues to improve. I am having pain in my left breast and none at all in my right. I go in for a checkup tomorrow and hopefully get some reassuring news about that. Hopefully it’s just pains of the implant settling and not because the capsule I too small and laying on a nerve. This weekend and the one before I didn’t really watch what I ate and I need to be better about that, especially since I’m not working out. Updated on 26 Feb 2019: I’m so happy about the progress my body’s making. Yes I still have smash stretch marks but I do not care at all!! I’m so thrilled to finally have my stomach without wrinkles and I love my boobs! Can’t wait to start working out again in 2 weeks! Updated on 15 Jun 2019: Best decision. Updated on 23 Jul 2019: Coming up on 6 months post op and getting my MM was worth everything!! Updated on 10 Mar 2020: I feel amazing which is the most important thing. If you’re on the fence, do it!!!
I saw Dr. Chin over 15 years ago for a breast augmentation and a rhinoplasty. I was completely satisfied 15 years ago and I’m not saying because of his surgery I won miss California International 2005. Of course it was from my training and years of pageantry but I do believe the reconstruction that he helped me with helped me get a A little bit closer to the crown. Now 15 years later I have had two children and have decided to have a breast reduction and new implants. I am only seven days in to my recovery and I feel and look amazing. He and his staff are very professional, polite and they make you feel like part of the family. I feel and look like I am 22 years old again! ( in my opinion) All of his consultations with me and my husband he listened to me and makes me feel completely comfortable in what I’m saying and he did do everything I asked him to do and more! When I need anything else done in the future I will be going back to him! I tell everybody about him, you do not need to leave the valley to get a great surgeon Dr. Mark Chin in my opinion is number one in California. Next will be Botox which I have done with him before. The office is beautiful and you will always feel like you are their number one priority! Thank you Dr. Chin and all the ladies in the office!
I have been a patient of Dr. Chin since May 1996. He is the best there is for any Plastic surgery. He truly cares about his patients. He won't do a procedure because you can write a check. PERIOD. He actually cares about you, his work and his practice. You are in thru best hands when you choose him and he chooses you. Thank you Dr. Ching for choosing me.
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