I received a small peri-areolar breast lift and implants. I am 21 years old and went from a c to d cup and fixed minor asymmetry. I am currently 8 months post op and need a revision. I have extreme scarring around my nipples, the nipple placement is lower than asked, and he made the pocket too big causing disfigurement. He is going to have to remove both implants and sew up the pockets. I feel he did a terrible job and I need help to know if I should trust him to fix it. What should I do?
February 18, 2014
Answer: No longer trusting your surgeon certainly adds complexity to what you can do in the future. If your surgeon has a good reputation and track record, this would be considered just a 'bad day' result and revisions can certainly make it better. But you need to identify all of the issues you have and find out what your surgeon recommends to have it repaired. If you truly don't trust your surgeon, you will need to find another that participates with that insurance policy you have and if it limits your revisions to your original surgeon, then you simply have to make the best of it.
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February 18, 2014
Answer: No longer trusting your surgeon certainly adds complexity to what you can do in the future. If your surgeon has a good reputation and track record, this would be considered just a 'bad day' result and revisions can certainly make it better. But you need to identify all of the issues you have and find out what your surgeon recommends to have it repaired. If you truly don't trust your surgeon, you will need to find another that participates with that insurance policy you have and if it limits your revisions to your original surgeon, then you simply have to make the best of it.
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February 15, 2014
Answer: Several problems need to be addressed You are right that you have asymmetry of the breasts due to bottoming out of the right breast creating a double bubble. The reason the nipple areole complex has stretched out and is too large is that you may need a more aggressive lift like a vertical lift. Based on your photos which does not replace an in person evaluation or consultation there are several recommendations. I would recommend waiting until you are 22 and switch to silicone implants. I would repair the capsule either with a capsule repair or new pocket. Finally I would do a vertical lift and possibly a dual plane to score the subareolar area. I say this because I suspect you have a degree of tubular breast deformity but would have to see your pre-op photos. In regard to insurance, that covers emergency hospital care during the first 30 days for things like bleeding, infection, deep vein thombosis, heart attack etc. It does not cover you for dissatisfaction or need for revision. This you have to discuss with your surgeon who seems very willing to correct it for you. Good luck, Dr. Schuster in Boca Raton
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February 15, 2014
Answer: Several problems need to be addressed You are right that you have asymmetry of the breasts due to bottoming out of the right breast creating a double bubble. The reason the nipple areole complex has stretched out and is too large is that you may need a more aggressive lift like a vertical lift. Based on your photos which does not replace an in person evaluation or consultation there are several recommendations. I would recommend waiting until you are 22 and switch to silicone implants. I would repair the capsule either with a capsule repair or new pocket. Finally I would do a vertical lift and possibly a dual plane to score the subareolar area. I say this because I suspect you have a degree of tubular breast deformity but would have to see your pre-op photos. In regard to insurance, that covers emergency hospital care during the first 30 days for things like bleeding, infection, deep vein thombosis, heart attack etc. It does not cover you for dissatisfaction or need for revision. This you have to discuss with your surgeon who seems very willing to correct it for you. Good luck, Dr. Schuster in Boca Raton
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