I had had my breasts lifted many years ago. I was told that to do it again I have a great chance of loosing a nipple as I don't have record of where the cut was made around the nipple, therefore they could cut through the section of the blood supply to the nipple. What is your opinion on this?
Answer: Revision breast lift Thank you for your question. This is a very pertinent question, and you will probably see multiple different answers. In my opinion, the blood supply doesn’t matter. I have read surgical papers that say that it is a relevant, but I have seen firsthand compromised and dead nipples after a mastopexy from other surgeons.I think finding a surgeon who has experience in revision breast work as well as one who has a healthy respect for the blood supply to the nipple will land you with excellent results.
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Answer: Revision breast lift Thank you for your question. This is a very pertinent question, and you will probably see multiple different answers. In my opinion, the blood supply doesn’t matter. I have read surgical papers that say that it is a relevant, but I have seen firsthand compromised and dead nipples after a mastopexy from other surgeons.I think finding a surgeon who has experience in revision breast work as well as one who has a healthy respect for the blood supply to the nipple will land you with excellent results.
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November 1, 2017
Answer: Breast lift your question is an excellent one and one we often have to wrestle with. There are so many variables involved such as the type of lift originally dome, how far the nipple needs to be moved and the thickness of the breast tissue which provides the blood supply. Your surgeon needs to take all of these things into consideration when planning and performing your second lift to make sure the risk of nipple loss is kept to a minimum.
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November 1, 2017
Answer: Breast lift your question is an excellent one and one we often have to wrestle with. There are so many variables involved such as the type of lift originally dome, how far the nipple needs to be moved and the thickness of the breast tissue which provides the blood supply. Your surgeon needs to take all of these things into consideration when planning and performing your second lift to make sure the risk of nipple loss is kept to a minimum.
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October 31, 2017
Answer: Nipple Circulation Hello, As a resident in plastic surgery in the 1990's, I have indelibly etched in my mind my teacher's admonition about revision breast reductions and lifts and nipple safety. Fast forward a quarter century and nearly a thousand revision lifts/reductions, and I can assure you that the blood supply to the nipple is almost irrelevant, especially with today's modern techniques like the central pedicle, which preserves a wide range of blood vessels to the nipple during the revision lift. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. BTW, contrary to one surgeon's answer, the scar does not reveal the original blood supply to the nipple, but that's ok, because like I said, it really doesn't matter, especially years later. Best of luck!
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October 31, 2017
Answer: Nipple Circulation Hello, As a resident in plastic surgery in the 1990's, I have indelibly etched in my mind my teacher's admonition about revision breast reductions and lifts and nipple safety. Fast forward a quarter century and nearly a thousand revision lifts/reductions, and I can assure you that the blood supply to the nipple is almost irrelevant, especially with today's modern techniques like the central pedicle, which preserves a wide range of blood vessels to the nipple during the revision lift. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. BTW, contrary to one surgeon's answer, the scar does not reveal the original blood supply to the nipple, but that's ok, because like I said, it really doesn't matter, especially years later. Best of luck!
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October 31, 2017
Answer: Risk of second breast lift Yes, that is true that having a second breast lift without knowing what pedicle was used in the first surgery can involve an increased risk of compromising blood supply to the nipple. The Wise pattern incision used for a full breast lift does not indicate which pedicle was used. This is determined by what was done inside, and how the blood supply was maintained. However, if many years have passed, while there is an increased risk, it is not so high that one cannot get another breast lift. If you are able to get your old operative report it would be helpful. I would recommend seeing a board certified plastic surgeon with experience doing secondary breast lifts, and see if you are a good candidate.
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October 31, 2017
Answer: Risk of second breast lift Yes, that is true that having a second breast lift without knowing what pedicle was used in the first surgery can involve an increased risk of compromising blood supply to the nipple. The Wise pattern incision used for a full breast lift does not indicate which pedicle was used. This is determined by what was done inside, and how the blood supply was maintained. However, if many years have passed, while there is an increased risk, it is not so high that one cannot get another breast lift. If you are able to get your old operative report it would be helpful. I would recommend seeing a board certified plastic surgeon with experience doing secondary breast lifts, and see if you are a good candidate.
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October 31, 2017
Answer: Breast lift Hello and thank you for your question. The best advice you can receive is from an in-person consultation. I highly recommend ensuring that your surgeon has performed many breast lifts in this same situation before. It is not possible to know the blood supply to the nipple based only on the skin incision without a previous operative report. I always recommend a central mound technique in order to preserve as much blood supply to the nipple as possible. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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October 31, 2017
Answer: Breast lift Hello and thank you for your question. The best advice you can receive is from an in-person consultation. I highly recommend ensuring that your surgeon has performed many breast lifts in this same situation before. It is not possible to know the blood supply to the nipple based only on the skin incision without a previous operative report. I always recommend a central mound technique in order to preserve as much blood supply to the nipple as possible. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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