I am scheduled on Thursday for a mastopexy and implant. I'm becoming increasingly terrified of the potential of necrosis of the nipple. I know it's small chance but ive seen enough people on here that have experienced it and it terrifies me. I have minor ptosis (grade 1)... would my surgeon perform the implants without a lift if I asked? Do you think he would see me to discuss this week though my surgery is Friday?
Answer: Change in surgical plan The time to discuss your desire to change your surgical plan is now, not at the time of surgery. There is much preparation that goes into your surgery. Your surgeon needs to be aware of your concerns, discuss options with you, and then make adjustments as needed.
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Answer: Change in surgical plan The time to discuss your desire to change your surgical plan is now, not at the time of surgery. There is much preparation that goes into your surgery. Your surgeon needs to be aware of your concerns, discuss options with you, and then make adjustments as needed.
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June 2, 2024
Answer: BA alone Dear Creative764023, you need to discuss this with your plastic surgeon prior to surgery. Determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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June 2, 2024
Answer: BA alone Dear Creative764023, you need to discuss this with your plastic surgeon prior to surgery. Determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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April 25, 2024
Answer: Surgery Call his office and discuss this. Yes, you can have just the augmentation, but you will still have some sagging. You might be a candidate for minimally invasive radiofrequency skin tightening like BodyTite or Renuvion.
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April 25, 2024
Answer: Surgery Call his office and discuss this. Yes, you can have just the augmentation, but you will still have some sagging. You might be a candidate for minimally invasive radiofrequency skin tightening like BodyTite or Renuvion.
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April 21, 2024
Answer: You should absolutely call and talk to your surgeon You should also ask your surgeon what his experience is with nipple necrosis, if any. In my experience, with hundreds and hundreds of this surgery, I have never seen this complication. Good luck. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
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April 21, 2024
Answer: You should absolutely call and talk to your surgeon You should also ask your surgeon what his experience is with nipple necrosis, if any. In my experience, with hundreds and hundreds of this surgery, I have never seen this complication. Good luck. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
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Answer: Surgical plan Most surgeons are very open to discussing operative plans with their patients. Reputable surgeons are not in the habit of forcing any surgery on a patient and if you voice these concerns, it is very likely he or she will take the time to discuss with you. That being said, if the recommendation was for a lift with an augmentation this was likely due to a combination of personal goals and anatomy. Assuming no prior breast surgery/prior lift etc- a single stage augmentatin-mastopexy is a safe operation if an appropriate implant is selected. While a breast augmentation alone may result in a sub-optimal result, aesthetically speaking, it doesn't mean that your surgeon will push you to have both operations performed. You could always consider proceeding with the breast augmentation alone, and if you are unhappy with the results a lift could be considered at a later date. Sean Fisher Aesthetic Plastic SurgeonSeattle, WA
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Answer: Surgical plan Most surgeons are very open to discussing operative plans with their patients. Reputable surgeons are not in the habit of forcing any surgery on a patient and if you voice these concerns, it is very likely he or she will take the time to discuss with you. That being said, if the recommendation was for a lift with an augmentation this was likely due to a combination of personal goals and anatomy. Assuming no prior breast surgery/prior lift etc- a single stage augmentatin-mastopexy is a safe operation if an appropriate implant is selected. While a breast augmentation alone may result in a sub-optimal result, aesthetically speaking, it doesn't mean that your surgeon will push you to have both operations performed. You could always consider proceeding with the breast augmentation alone, and if you are unhappy with the results a lift could be considered at a later date. Sean Fisher Aesthetic Plastic SurgeonSeattle, WA
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