Hello and thank you for your time. 36 year old female who had silicone implants for 15 years. I had them removed about 3 years ago (capsules left in), had a baby, and am now ready to reimplant. My biggest concerns are correcting the sinking/pulling look around areola scars, regaining round bottoms and upper pole. I want more of an augmented look but not over the top huge. Where to lift or not lift is confusing. 10-15lbs still to loose. THANK U!
Answer: Breast surgery First of all, you will have better results after losing your weight. Based on your photos, your areolae are being pulled in by your retained capsule. I would recommend a capsulectomy which will release the tethered areolar scar, perhaps placing acellular matrix underneath the incision to help prevent it from reoccurring. Furthermore, I believe you would benefit from either a Benelli mastopexy(around the nipple) or a vertical lift. I hope this helps. Good luck.
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Answer: Breast surgery First of all, you will have better results after losing your weight. Based on your photos, your areolae are being pulled in by your retained capsule. I would recommend a capsulectomy which will release the tethered areolar scar, perhaps placing acellular matrix underneath the incision to help prevent it from reoccurring. Furthermore, I believe you would benefit from either a Benelli mastopexy(around the nipple) or a vertical lift. I hope this helps. Good luck.
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February 21, 2023
Answer: Bellesoma Method The technique I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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February 21, 2023
Answer: Bellesoma Method The technique I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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February 21, 2023
Answer: Augmentation You would need to have the scar released and revised in the affected areola. During the augmentation, a release of the inframammary fold medially on both breasts would help improve your lower pole constriction. I do not think you need your areolas lifted further.
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February 21, 2023
Answer: Augmentation You would need to have the scar released and revised in the affected areola. During the augmentation, a release of the inframammary fold medially on both breasts would help improve your lower pole constriction. I do not think you need your areolas lifted further.
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February 20, 2023
Answer: Revision Augmentation Mastopexy You will need a formal mastopexy to reposition your nipple areolar complexes into a pleasing position, eliminate that periareolar tethering of skin to the old implant capsule, and lift the lower pole of the breast mound. Additionally, you would benefit from lateral chest liposuction to define that lateral breast border and deflate the lateral chest.
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February 20, 2023
Answer: Revision Augmentation Mastopexy You will need a formal mastopexy to reposition your nipple areolar complexes into a pleasing position, eliminate that periareolar tethering of skin to the old implant capsule, and lift the lower pole of the breast mound. Additionally, you would benefit from lateral chest liposuction to define that lateral breast border and deflate the lateral chest.
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February 21, 2023
Answer: To lift or not to lift Dear Affectionate421606, 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. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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February 21, 2023
Answer: To lift or not to lift Dear Affectionate421606, 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. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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