66 days post op donut mastopexty w/ implants, do they look normal? (Photo)

I had a donut mastopexy with silicone implants, 425cc in left and 450cc in right. They look saggy to me still and when I lay down they separate a lot. My PS said when the implants drop my nipple will rise up and center itself out, but it's been over 2 mo and recently he said they will stay like this because from the side my nipple is in the middle. Also, I knew I was going to have scars around my nipples but is the scar under the nipple normal too?

Doctor Answers 4

66 Days Post-Op Donut Mastopext with Implants

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#Breastlift and #implants, any breast operation, can result in changes in sensation of the nipples and around other areas where the procedure took place. Larger implants and more aggressive lift methods may have more of a problem.

Healing after #breastimplant surgery

will go on for 2-3 months for the early period. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal. Scars will be changing.

#Hypertrophic or #keloid scars can be a problem. The worst are usually under the breast with an #AnchorLift or inverted “T”. These can be treated like all thickened scars with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing.

If my patients have concerns that something is unusual about their healing process, it is important for them to call the office and discuss these concerns or come in to be examined.

Mastopexy expectations

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I suggest to give at least 6 months to see how the breasts settle out. However, your breasts appear to hang along a more tangential orientation rather than straight down. This is not possible to change if it is how you are naturally. Eventually a slight lift of your areola may be possible if you incorporate a midline scar below the areola(lollipop mastopexy). Any substantial lift would need a full inverted T scar to make the breast higher up on your chest wall. Keep in mind, with your current breast size, you may feel to full up top .  

Best regards, Prashant Soni M.D.

2 months post op, some advices:

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Thanks for the question. In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. 
In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling. 

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 307 reviews

Donut mastopexy

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Your nipples are a bit low, and the areola are a bit large.   Either a revision around the areola or a more formal lift may be indicated. Best of luck.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.