I wear a 36B, one breast is not close to filling it all the way and the other barely does. I want a lift and implants to make both breasts a full C cup. I have no fullness at the cleavage and I want to have an actual normal-shaped breast I am concerned about my nipple size and a vertical scar post surgery. Since I have a tuberous breast deformity, should the implant go above or below the muscle? Am I a candidate to get implants placed through my arm pit? I scar very easily so this is a concern.
Answer: Breast lift or implants The breast lift is the most important part of your procedure. You need to raise the areolas and decrease their diameter. A small implant is optional. If you add an implant, I would recommend a small implant of approximately 200cc or less. Good luck.
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Answer: Breast lift or implants The breast lift is the most important part of your procedure. You need to raise the areolas and decrease their diameter. A small implant is optional. If you add an implant, I would recommend a small implant of approximately 200cc or less. Good luck.
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February 26, 2014
Answer: Mini Ultimate Breast Lift(TM) You are an excellent candidate for a new technique called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. If you are size 36 B each 200 cc’s of implant corresponds to 1 cup size change. You would require approximately 200 cc implants to take you up to a full C and this can be done simultaneously. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. Best Wishes,Gary Horndeski, M.D.
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February 26, 2014
Answer: Mini Ultimate Breast Lift(TM) You are an excellent candidate for a new technique called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. If you are size 36 B each 200 cc’s of implant corresponds to 1 cup size change. You would require approximately 200 cc implants to take you up to a full C and this can be done simultaneously. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. Best Wishes,Gary Horndeski, M.D.
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February 21, 2014
Answer: Breast Lift and Breast Augmentation Recommendations? Because plastic surgery is art as well as science and because there is insufficient scientific data to support one technique over others, controversy exists among surgeons about the "best" way for many procedures, including those you are considering. As it turns out, the best way is often the way an individual surgeon has found that he or she achieves their best results. One answer certain, there is little if any justification for "armpit" (axillary) approach for implant placement in your situation, because breast lift necessitates scars on breast. This more direct approach should be utilized for augmentation. Your surgeon should pay significant attention to scar management during and after your procedure.
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February 21, 2014
Answer: Breast Lift and Breast Augmentation Recommendations? Because plastic surgery is art as well as science and because there is insufficient scientific data to support one technique over others, controversy exists among surgeons about the "best" way for many procedures, including those you are considering. As it turns out, the best way is often the way an individual surgeon has found that he or she achieves their best results. One answer certain, there is little if any justification for "armpit" (axillary) approach for implant placement in your situation, because breast lift necessitates scars on breast. This more direct approach should be utilized for augmentation. Your surgeon should pay significant attention to scar management during and after your procedure.
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February 20, 2014
Answer: Can you give me suggestions/recommendations for my breast lift and augmentation? It is in the nature of plastic surgery that you will receive many different opinions as to the best way to proceed. As you have found, whether the breast lift and augmentation should be done the same time is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage. The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately. Furthermore, the potential need for revisionary surgery is increased with breast augmentation / mastopexy surgery done at the same time. In my opinion, the decision to do the operation in a single or two staged fashion becomes a judgment call made by a surgeon after direct examination of the patient. For me, if I see a patient who needs a great degree of lifting, who has lost a lot of skin elasticity, or whose goal is a very large augmentation then I think it is best to do the procedures in 2 stages (in order to avoid serious complications). However, doing the procedure in one stage does increase the risks of complications in general and the potential need for further surgery. This increased risk must be weighed against the practical benefits of a single stage procedure (which most patients would prefer). Conversely, if I see a patient who requires minimal to moderate lifting along with a small to moderate size augmentation (and has good skin quality), then doing the procedure one stage is much safer. Nevertheless, the potential risks are greater with a 1 stage procedure and the patient does have a higher likelihood of needing revisionary surgery. Again, ultimately, I think you will be best off selecting the plastic surgeon who you feel will most likely be able to achieve the results you are looking for and follow his/her recommendations.I hope this, and the attached link, helps.
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February 20, 2014
Answer: Can you give me suggestions/recommendations for my breast lift and augmentation? It is in the nature of plastic surgery that you will receive many different opinions as to the best way to proceed. As you have found, whether the breast lift and augmentation should be done the same time is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage. The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately. Furthermore, the potential need for revisionary surgery is increased with breast augmentation / mastopexy surgery done at the same time. In my opinion, the decision to do the operation in a single or two staged fashion becomes a judgment call made by a surgeon after direct examination of the patient. For me, if I see a patient who needs a great degree of lifting, who has lost a lot of skin elasticity, or whose goal is a very large augmentation then I think it is best to do the procedures in 2 stages (in order to avoid serious complications). However, doing the procedure in one stage does increase the risks of complications in general and the potential need for further surgery. This increased risk must be weighed against the practical benefits of a single stage procedure (which most patients would prefer). Conversely, if I see a patient who requires minimal to moderate lifting along with a small to moderate size augmentation (and has good skin quality), then doing the procedure one stage is much safer. Nevertheless, the potential risks are greater with a 1 stage procedure and the patient does have a higher likelihood of needing revisionary surgery. Again, ultimately, I think you will be best off selecting the plastic surgeon who you feel will most likely be able to achieve the results you are looking for and follow his/her recommendations.I hope this, and the attached link, helps.
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February 20, 2014
Answer: Suggestions on breast lift/aug Thank you for your question. From your photos it is pretty clear you will need a vertical breast lift and augmentation to get the result you want. This can be done in either one or two stages depending on your exam. I typically place the implants under the muscle to prevent rippling. The implant will be placed through the lift incision so an armpit incision is not needed. Good luck!
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February 20, 2014
Answer: Suggestions on breast lift/aug Thank you for your question. From your photos it is pretty clear you will need a vertical breast lift and augmentation to get the result you want. This can be done in either one or two stages depending on your exam. I typically place the implants under the muscle to prevent rippling. The implant will be placed through the lift incision so an armpit incision is not needed. Good luck!
Helpful