I'm really concerned. How is the most respectful way to discuss photos of many uneven nipples with PS?

Question

Just saw my PS book of BR's and many of the "patients" have uneven nipples and some of the aereolas also look too small or uneven. Yes, he is Board Certified and my BR surgery is in 3 weeks. I don't know how to approach him with these new concerns after seeing the book? Is there a way to not be offensive? I'm really concerned! Thanks, SO much!

Miguel Delgado, MD · Answer

You really need to talk to the surgeon about this, there may be a good explanation. However, if you don't and end up with results like the pictures you will be very unhappy and wish you did. Consider seeing other surgeons until you find one you are comfortable with who has the results you are looking for! Good luck!

Farbod Esmailian, MD · Answer

If you are feeling uncomfortable or are having second doubts I would hold off on the surgery and seek out some other board certified plastic surgeons.  Not all plastic surgeons are created equally and one of the best representation of the surgeons work is the before and after you will find on their website.Hope that helps.

David Azouz, MD, FACS, FRCS(C) · Answer

It is always important for the patient to be comfortable!  Don't be shy ask the plastic surgeon what you are concerned about.  They may have an answer that surprises you and might be very open to explaining why certain things end up the way they do or why certain results end up that way.

Scott D. Green, MD · Answer

Hi and thanks for your question. It is totally appropriate to ask your surgeon these questions. You must be completely comfortable with who you have chosen in your search. Most patients breasts/nipples are different prior to surgery, and I always try and point this out to my patients, so that they are not disappointed after surgery. However, not all surgeons are the same, so I think you can inquire about his results without feeling guilty about it. Hope this helps!

Jon Ver Halen, MD, FACS (license suspended) · Answer

Dear Jjmstar333,Hello and thank you for your excellent question.  It is frequently difficult to discuss your concerns with your surgeon. My best advice is to be straightforward, and just ask about your concerns. Your surgeon should be able to address them, and give you a satisfactory answer.  If you have not considered it already, you should be evaluated for a No-Vertical-Scar breast reduction technique.  Some people refer to this as the Bellesoma Breast Lift technique. Our technique provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, it can be combined with fat grafting. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc” 2017, 2018
  
RealSelf100
  
America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 - 2018

Ronald V. DeMars, MD (Retired) · Answer

As you might imagine, plastic surgeons are going to show the results they think are their best. If you don't feel good about your surgeon's best work, you need to cancel your surgery and look elsewhere. Board certification is a starting point in finding a surgeon, but not all are of equal experience or skill. Keep looking until you are satisfied you have found the right surgeon for you. It is not necessary to discuss further with that surgeon.

Melih Erogul, MD (retired) · Answer

Hi and welcome to our forum!
Thank you for your submission.  "Breasts are cousins, not twins"...That being said, if you have concern about the before / after pictures that you have seen, it is certainly reasonable to express this fact to your surgeon before undergoing the procedure. Be straight forward. In addition, you may wish to visit other websites with similar before and after pictures for comparison. If you feel that your surgeon's results are subpar, you may wish to get a second opinion before proceeding.
Best wishes...

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