I received a breast aug on 8/27/2021. I had tubular breasts. My doctor was supposed to fix this issue, but what it looks like to me and everyone's I've shown is that he just popped the implants in and called it a day. He showed no concern for the way my boobs look in our post op appointments although they are obviously messed up. I need other doctors opinions on whether or not this is malpractice due to him not doing the correct procedure that I needed to fix my tubular breasts.
Answer: Malpractice? Good afternoon,
Helpful 1 person found this helpful
Answer: Malpractice? Good afternoon,
Helpful 1 person found this helpful
Answer: Tuberous Breast Revision Tuberous breast deformity is a wide spectrum of breast aesthetic appearances related to tight constricting fascia of the breast. When this fascia is too tight (in varying amounts), it can result in a wide range of nipple herniation/asymmetries/bulges and high riding/constricted breast folds with small lower poles. The method of correction is the same in most of these patients. This includes placing a highly cohesive silicone gel implant below the muscle with a proper dual plane augmentation and releasing any constricting fascial bands to permit the implant to exert its effects on the breast. It appears that there was not an adequate release of any of these fascial restrictions. I would have also performed a breast lift. You need a complex breast revision. These can be highly challenging surgeries. You need to find a highly experienced American Board of Plastic Surgery Certified Surgeon with extensive aesthetic breast surgery experience.
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Answer: Tuberous Breast Revision Tuberous breast deformity is a wide spectrum of breast aesthetic appearances related to tight constricting fascia of the breast. When this fascia is too tight (in varying amounts), it can result in a wide range of nipple herniation/asymmetries/bulges and high riding/constricted breast folds with small lower poles. The method of correction is the same in most of these patients. This includes placing a highly cohesive silicone gel implant below the muscle with a proper dual plane augmentation and releasing any constricting fascial bands to permit the implant to exert its effects on the breast. It appears that there was not an adequate release of any of these fascial restrictions. I would have also performed a breast lift. You need a complex breast revision. These can be highly challenging surgeries. You need to find a highly experienced American Board of Plastic Surgery Certified Surgeon with extensive aesthetic breast surgery experience.
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May 3, 2022
Answer: It seems that you have a capsular contracture. The implant seems to have gone up a bit, and it seems to have some capsular structure. If you have a capsule contracture, you need to manage it with capsulectomy operation, and you need to lower the position of the implant. It seems necessary to consider fat grafting and mastopexy to solve sagging shape and tubular bust.
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May 3, 2022
Answer: It seems that you have a capsular contracture. The implant seems to have gone up a bit, and it seems to have some capsular structure. If you have a capsule contracture, you need to manage it with capsulectomy operation, and you need to lower the position of the implant. It seems necessary to consider fat grafting and mastopexy to solve sagging shape and tubular bust.
Helpful
March 23, 2022
Answer: Breast lift Hi, thank you for sharing your question. I'm sorry you went through this experience. Your pre-op photos reveal a mild tuberous deformity, which could have been corrected during your surgery. I am not certain that the proper implants were selected for your breasts. Based on your current photos, you should be able to correct this appearance with a lift and maybe an exchange of implants for those that match your anatomy. An in-person evaluation will be needed to devise the proper plan. I hope this helps.
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March 23, 2022
Answer: Breast lift Hi, thank you for sharing your question. I'm sorry you went through this experience. Your pre-op photos reveal a mild tuberous deformity, which could have been corrected during your surgery. I am not certain that the proper implants were selected for your breasts. Based on your current photos, you should be able to correct this appearance with a lift and maybe an exchange of implants for those that match your anatomy. An in-person evaluation will be needed to devise the proper plan. I hope this helps.
Helpful
February 23, 2022
Answer: Unhappy with breasts I'm sorry to hear of your result with your breast surgery which I agree is not good. Based on your preop photos a lift is needed to help reshape the breasts in addition to the implants. If you are not able to come to an agreement with your current surgeon I encourage you to visit with another board certified plastic surgeon near you for a consultation to discuss your options. More information is needed with regard to signed documentation to determine if there is malpractice. A lawyer may be able to shed more light on the topic.
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February 23, 2022
Answer: Unhappy with breasts I'm sorry to hear of your result with your breast surgery which I agree is not good. Based on your preop photos a lift is needed to help reshape the breasts in addition to the implants. If you are not able to come to an agreement with your current surgeon I encourage you to visit with another board certified plastic surgeon near you for a consultation to discuss your options. More information is needed with regard to signed documentation to determine if there is malpractice. A lawyer may be able to shed more light on the topic.
Helpful
February 22, 2022
Answer: You had mostly ptotic (sagging) breasts You needed a breast lift from the start. The fix was never just implants. You'll need to go to a breast surgery specialist to perform the lift.
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February 22, 2022
Answer: You had mostly ptotic (sagging) breasts You needed a breast lift from the start. The fix was never just implants. You'll need to go to a breast surgery specialist to perform the lift.
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