Breast augmentation safe for Sjogrens disease? I’m looking to get a rounder, perkier and lifted look. (photo)

Question

I have sjogrens syndrome; not taking any medications! I’m wondering if it is too risky to receive breast augmentation. There is slight stretch marks on top from minor weight loss, feel my breasts are starting to shape into a tubular shape, and I do not like the location of my nipples because it creates an even more saggy look. I’m looking to get a rounder, perkier, lifted look, and possibly have my armpit area sucked out to create more tone and a higher nipple!

Gary M. Horndeski, MD · Answer

You
are an excellent candidate for The Bellesoma Method.  This technique 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
and the ability to breast feed are maintained. 
At the same time or later, fat transfers can be performed if additional
volume is desired.Best Wishes,Gary Horndeski, M.D.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. Your diagnosis should not prevent you from having surgery as long as you are well controlled and you receive a medical clearance from your doctor prior to surgery. However, some of your ideas about options for you are not quite on point so I would suggest you get an in-person consultation with a local plastic surgeon who is board certified by the American Board of Plastic Surgery to discuss what options might be available to you.Best of luck!

Daniel Barrett, MD · Answer

Dear casady22,as long as your disease is under control you should be fine. You will probably need a clearance from your doctor before the surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Joshua A. Halpern, MD, PA · Answer

I have done breast enlargement surgery on a number of patients who had sjogrens syndrome. You would need to be evaluated by a board certified plastic surgeon and a detailed medical history in order to determine if you would be a candidate for breast surgery. From your picture, it appears that you would also require a breast lift. There are different types of lifts. A donut lift, goes around the nipple areolar complex and is useful for patients with minimal droopiness. A lollipop lift, which goes around the nipple areolar complex and down the length of the breast, and an anchor lift, which includes the above with a scar in the breast fold are used in patients who have more droopiness. I invented a lift that I call the HYBRID which is a combination of the latter two. You would need a physical exam in order to determine which would be best for you (also to evaluate if you would be a candidate for liposuction of the armpit). I hope you find this information useful. Please watch the enclosed video.

Eric YK Li, MD · Answer

I am not aware of Sjogren's disease being an contraindication for breast augmentation, but there a few precautions you should take.  Firstly, you should let your surgeon and anesthesiologist know of your diagnosis.  This way they will take special care of your eyes to keep them lubricated and they may also humidfy the inhalational gases.  Secondly, you should bring your own supply of artificial tears or saliva, so that these are readily available for use after surgery.  Lastly, it would be important to obtain medical clearance from your primary care physician to ensure that you are optimized for surgery.
If you are looking for a rounder, perkier, and a lifted look, you will benefit from an augmentation with a breast lift (mastopexy).  Based on the photos, you can likely have a lift in which scarring is limited only to the areola.  Hope this helps!

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

Thank you for your photos.  They show that you are very slender with a fair amount of breast tissue.  I think a vertical breast lift would get you the perkier, rounded and lifted look you desire.  Your areolas are on the large side and a lift can decrease their diameter.  This will make your breasts look fuller.I don't think it is wise for women with autoimmune disease to get implants.  All implants are a foreign bodies and they cause an immune reaction.

Richard P. Rand, MD, FACS (retired) · Answer

There is no absolute contraindication to having a breast implant surgery with well controlled Sjogren's. The only issue is that in the futurre, if your condition worsens, you or your doctor might wonder if the implants are contributing to that. While there won't be any real evidence, this might creep into the mind.As for the surgery, your photo shows a good amount of extra skin in the lower pole of the breast and lower nipple positions than ideal. This might require a breast lift surgery (a minor one or a full one) as well as the implants for optimal correction. It will all depend on the relationship of the nipple to the crease under the breast. Please seek in person consultations, but understand that implants do not lift the nipples by themselves without a breast lift.

Breast augmentation safe for Sjogrens disease? I’m looking to get a rounder, perkier and lifted look. (photo)

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