Couple questions about breast lift surgery. Any suggestions?
Doctor Answers 18
Breast lift after massive weight loss
congrats on the weight loss! You will have lots of options and decisions to make. Key factors are the degree of droop and whether or not you need added volume with fat or implants to get the look you desire. Multiple lifts exist and choosing the correct one will depend on your anatomy and your surgeon. Timing of surgery is variable in offices after consult but can be anywhere from 1- several weeks. Good luck.
Each surgeon's schedule is a bit different. You need to ask the surgeon you want to perform your surgery what time frame is available to schedule the surgery. Traveling suggestions also varies from surgeon to surgeon.
During a breast augmentation consultation, measurements of the breasts are used as a starting point to recommend a breast implant. From there, the decision on size, shape, and position of these implants is based on the patient’s anatomy, the type and size of the implant, patient preference, and the goals of surgery. In office sizing and digital three-dimensional computer simulations can help guide your implant choices.
You want to allow time to interview a few American Board of Plastic Surgery certified surgeons to discuss a surgical approach and pick an appropriate size for you. This process can take some time. Starting the process a few months before you intend to have surgery will give you time to sort through all the information and make a decision that is comfortable for you.
See the link below for pricing and more info.
That being said, most patients book their surgery the day of their consultation. Scheduling a date for surgery is dependent on multiple variables but in the right circumstances can be done the same week as the consultation. There is no specific restriction on traveling after surgery; however, 1 week is the common recommendation.
Consultation with a plastic surgeon certified by the American Board of Plastic Surgery would be the next best step.
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Good job on the weight loss. It will have more than cosmetic benefits. The effects good effect on your blood pressure and possible future diabetes associated with extra weight will be important. Get several consultations from board certified Plastic Surgeons when you get to your goal weight. The solutions depend on what your goals are in terms of size and then do you need a lift. These procedures are done very frequently so you can have confidence that a good solution/outcome is common. Good luck.
Congratulations on your weight loss. You are already on your way to reaching your ideal weight which is an important step before having breast surgery. An in person consultation with a board certified plastic surgeon is important to help you choose the right physician for you. I recommend starting your consultations earlier rather than later. Choosing a surgeon takes time and having plastic surgery is not something you want to rush into. You want to opt for a surgeon you feel comfortable with and trust to give you the result you are looking for. Once you have your pre-operative testing to ensure you are in good health for surgery, you can then discuss surgical dates but having the consultation and the surgery the same weeks is likely not possible. Generally patients can travel 2-3 weeks post operatively however post operative visits with your physician will determine how your healing process is going and this time frame may vary. Hope this helps, best of luck. James Lee
Choosing a Plastic Surgeon
Congratulations on your weight loss, you should be proud! I recommend getting as close as possible to your goal weight before consulting with a plastic surgeon. This will give your surgeon a better idea as to what procedure you need. Be sure to consult with a board certified plastic surgeon. Good luck!
Breast Lift Timing
Thank you for your question.
Congratulations on your weight loss! It's never too early to start having consultations. The doctors will talk with you about the optimal timing for the surgery, and continue to follow you until that time. It's best to start talking about timing in advance so that both you and your doctor can prepare adequately for it (plus, your doctor may not have any time available when you want it if you wait too long). Typically for breast surgery I recommend patients wait 1 week before traveling, but every doctor is different, so I would ask the opinion of your surgeon.
Dr. Dan Krochmal
MAE Plastic Surgery
Thank you for your question. There are four basic types of droopiness (a.k.a ptosis). Glandular ptosis is where the nipple is above the breast fold but the gland of the breast hangs below the fold. One can get a lift just by placing an implant in (i.e. A breast lift is not needed). Grade I ptosis the nipple is located at the breast fold, the incision is just around the areola complex and this is called a donut lift (I.e there's no vertical or horizontal component). Grade III ptosis is where the nipple points at the ground. Grade II ptosis is in between a I and a III. A grade II or III ptosis is treated with either a vertical (a.k.a lollipop) or an anchor lift. The instrument that is used to diagram out the latter two lifts is called the HALPERN breast marker. I invented this years ago. When performing a breast lift I utilize the FINNESSE technique that I invented. Bleeding is typically less then 1-2 teaspoons. Patients typically wake up in no pain. It's not uncommon for patients to only take Tylenol after surgery, driving two days after surgery and going back to work 3 days after surgery. I've had patients fly 1 week after surgery. In my practice we typically book in advance. For more information please watch the enclosed video and I hope you find this helpful.
Finding the right surgeon
Hello and thank you for your question. Congratulations on your weight loss success. I recommend scheduling consultations early so that you can find a surgeon you like and then scheduling your surgery will be easier. It is very
important that you thoroughly research your surgeon before committing to
surgery. It is a good idea to research your surgeon's educational background,
online reviews, before & after pictures, and speak with anyone who you may
know who has had surgery with that surgeon. During your consultation, make sure
that you don't feel rushed and make sure that you have adequate time with your
surgeon and not just their patient coordinator or nurses. If the majority of
your consultation is spent with someone other than the surgeon, this is usually
not a good sign. The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified expert surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Thank you for your question.
This really varies depending on the practice. If it is a very busy practice then you will most likely be scheduled out a few months for your surgery but if it is a smaller practice that isn’t as busy then you may be able to get your surgery scheduled sooner. A week is really too soon to have your surgery scheduled after your initial consultation because you will need to have labwork done and possibly an EKG and CXR done then a clearance from your medical doctor for surgery. In regards to travelling, I do not recommend driving while you are still on your pain medications, so if you have stopped taking those you can usually resume driving after a couple days if you are comfortable to. If you are speaking in terms of flying, then I would suggest waiting at least a week to make sure no complications arise and you can return home safely. It is best to schedule a consultation with a board certified plastic surgeon and discuss these questions with them. Best of luck.
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
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.