10 years ago I got small saline implants to correct uneven breasts (DD) after four pregnancies my breasts are now a 36N cup. They are very low and saggy and also very uneven again. Do I have to undergo two separate procedures? Can explantation be done in office? How long after explantation must I wait to get the reduction? Can they be done at the same time? Also I'm currently lactating (not lactating I'm still a 36 L/M). How long must I wait after I finish lactating until procedures can be done?
Answer: Considering options From the photos you appear to be a good candidate for a breast reduction. The implants can be removed at the same time, the breasts can be downsized, and a lift can be performed. It is best to wait until you are three to six months from breastfeeding cessation to allow your breasts to return to a stable state before having the procedure. I've included a video I hope you find helpful.
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Answer: Considering options From the photos you appear to be a good candidate for a breast reduction. The implants can be removed at the same time, the breasts can be downsized, and a lift can be performed. It is best to wait until you are three to six months from breastfeeding cessation to allow your breasts to return to a stable state before having the procedure. I've included a video I hope you find helpful.
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August 17, 2016
Answer: Explanation with breast reduction surgery. Thank you for your question and photos. No doubt once you are no longer lactating you could see a plastic surgeon to discuss your goals. It is common to have implants in one's youth and over time have the breasts develop more and sag due to pregnancy. Removal of the implants and a reduction (which would also lift the breasts) could be done as a single procedure. I would start with a face to face consult with a Board Certified Plastic Surgeon who has experience in breast surgery. During your visit your surgeon should be evaluating your health to determine if you are a good surgical candidate and examining your tissues to get a sense of what type of procedure your tissues will allow. Only with a hands on exam can this be determined. During the consult you and the surgeon should be understanding of the goals and realistic outcomes of your choices. Once an exam and opinion is rendered then you can decide if surgery is right for you. Good luck.
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August 17, 2016
Answer: Explanation with breast reduction surgery. Thank you for your question and photos. No doubt once you are no longer lactating you could see a plastic surgeon to discuss your goals. It is common to have implants in one's youth and over time have the breasts develop more and sag due to pregnancy. Removal of the implants and a reduction (which would also lift the breasts) could be done as a single procedure. I would start with a face to face consult with a Board Certified Plastic Surgeon who has experience in breast surgery. During your visit your surgeon should be evaluating your health to determine if you are a good surgical candidate and examining your tissues to get a sense of what type of procedure your tissues will allow. Only with a hands on exam can this be determined. During the consult you and the surgeon should be understanding of the goals and realistic outcomes of your choices. Once an exam and opinion is rendered then you can decide if surgery is right for you. Good luck.
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August 15, 2016
Answer: Reduction You can have the implant removed and a reduction performed at the same time. I would recommend waiting 3 months after breast feeding is complete to have the surgery. Best wishes, Dr. T.
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August 15, 2016
Answer: Reduction You can have the implant removed and a reduction performed at the same time. I would recommend waiting 3 months after breast feeding is complete to have the surgery. Best wishes, Dr. T.
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August 15, 2016
Answer: Explantation Yes, both explantation and reduction and lift can be done concurrently with a breast specialist. The blood supply and anatomy is critical
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August 15, 2016
Answer: Explantation Yes, both explantation and reduction and lift can be done concurrently with a breast specialist. The blood supply and anatomy is critical
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August 15, 2016
Answer: Explanation with breast reduction surgery. Thank you for the questions and pictures. Much will depend on your physical examination (factors such as degree of breast ptosis, current position of breast implants, number of previous operations, assessment of breast skin quality/elasticity…) and your plastic surgeons' clinical judgment. Having said that, based on the information posted, it is most likely that you will be able to undergo the breast implant removal and breast reduction surgery at the same time. You will be best off achieving your long-term stable weight (if you are not there already) prior to proceeding. Also, best to have completed lactation at least three months prior to the breast surgery. You will find, that in most practices, the procedure is done under general anesthesia (not an "office procedure"). My best suggestion: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you would be pleased with. Then, communicate your size goals carefully as well. In our practice, this is best done with the help of goal "photographs.
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August 15, 2016
Answer: Explanation with breast reduction surgery. Thank you for the questions and pictures. Much will depend on your physical examination (factors such as degree of breast ptosis, current position of breast implants, number of previous operations, assessment of breast skin quality/elasticity…) and your plastic surgeons' clinical judgment. Having said that, based on the information posted, it is most likely that you will be able to undergo the breast implant removal and breast reduction surgery at the same time. You will be best off achieving your long-term stable weight (if you are not there already) prior to proceeding. Also, best to have completed lactation at least three months prior to the breast surgery. You will find, that in most practices, the procedure is done under general anesthesia (not an "office procedure"). My best suggestion: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you would be pleased with. Then, communicate your size goals carefully as well. In our practice, this is best done with the help of goal "photographs.
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