I lost about 90lbs 5 years ago and had a mastopexy with implants and abdominoplasty in January of 2022. I've had a lot of upper abdominal skin laxity since the surgery, my breasts seem too low on my rib cage and they fall to the side. The 75 cc differences in my implants is noticeable. Not pleased with the results but my surgeon is. I'd like my breast higher and brought towards my middline and the upper skin tightened without lowering my breasts. Am I being unreasonable?
Answer: Mommy Makeover Thanks for your question!
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Answer: Mommy Makeover Thanks for your question!
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May 17, 2023
Answer: Surgery I would suggest going back to your surgeon and discussing your concerns. You did not show your before photos, but your breasts appear to naturally sit somewhat low on your chest and the bases cannot be raised. a vertical component could be added to your abdomen to tighten excess skin, or you could have the posterior surgery done for tightening. The tummy tuck alone does not remove all the excess skin from the back.
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May 17, 2023
Answer: Surgery I would suggest going back to your surgeon and discussing your concerns. You did not show your before photos, but your breasts appear to naturally sit somewhat low on your chest and the bases cannot be raised. a vertical component could be added to your abdomen to tighten excess skin, or you could have the posterior surgery done for tightening. The tummy tuck alone does not remove all the excess skin from the back.
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April 17, 2023
Answer: Results Congratulations on your impressive weight loss! With significant weight loss sometimes a revision is needed due to the laxity of the skin. If you are uncomfortable having a revision with the same surgeon I encourage you to visit a few board certified plastic surgeons near you for a consultation. Discuss your concerns and what you could expect in terms of results.
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April 17, 2023
Answer: Results Congratulations on your impressive weight loss! With significant weight loss sometimes a revision is needed due to the laxity of the skin. If you are uncomfortable having a revision with the same surgeon I encourage you to visit a few board certified plastic surgeons near you for a consultation. Discuss your concerns and what you could expect in terms of results.
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April 12, 2023
Answer: Should I have a revision with the same surgeon? Hello @danimoo43, thank you for your question. If you're not satisfied with your initial surgeon's assessment or feel that your expectations were not met, it may be appropriate to seek a second opinion from another board-certified plastic surgeon. When considering revision surgery, it's important to consider several factors, such as the surgical technique used during the initial surgery. It's also important to establish a surgical plan that meets your needs and expectations. Your surgeon should be able to provide you with a clear explanation of the surgical plan and the expected outcomes, as well as the potential risks and benefits of the procedure. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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April 12, 2023
Answer: Should I have a revision with the same surgeon? Hello @danimoo43, thank you for your question. If you're not satisfied with your initial surgeon's assessment or feel that your expectations were not met, it may be appropriate to seek a second opinion from another board-certified plastic surgeon. When considering revision surgery, it's important to consider several factors, such as the surgical technique used during the initial surgery. It's also important to establish a surgical plan that meets your needs and expectations. Your surgeon should be able to provide you with a clear explanation of the surgical plan and the expected outcomes, as well as the potential risks and benefits of the procedure. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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April 12, 2023
Answer: Soft tissue laxity after weight loss Soft tissues, including skin, have significantly decreased elasticity after weight loss. For that reason result after abdominoplasty and, in particular, breast lift, may not be long lasting and may need revision. Good example is your breast; new breast lift and fixation of inframammary fold will be needed. In order to tighten vertical folds of abdomen (horizontal laxity) a skin excision in the midline, with scar extended from sternum to mons, is needed. The same effect may be achieved with two excsions on each side of torso, extending from breasts to hips. It is difficult to evaluate your result without before surgery images, but it seems to be very much within average for someone loosing 90 lbs. Hope this helps.
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April 12, 2023
Answer: Soft tissue laxity after weight loss Soft tissues, including skin, have significantly decreased elasticity after weight loss. For that reason result after abdominoplasty and, in particular, breast lift, may not be long lasting and may need revision. Good example is your breast; new breast lift and fixation of inframammary fold will be needed. In order to tighten vertical folds of abdomen (horizontal laxity) a skin excision in the midline, with scar extended from sternum to mons, is needed. The same effect may be achieved with two excsions on each side of torso, extending from breasts to hips. It is difficult to evaluate your result without before surgery images, but it seems to be very much within average for someone loosing 90 lbs. Hope this helps.
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