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Carl W. Lentz III, M.D., FACS
- 1040 W. Inter. Speedwy Blvd.
Daytona Beach, FL 32114 - Tel: Click for phone number
- Fax: 386-252-1173
- Send E-mail
- www.drlentz.com
Answered Questions
Q:
18 with previous broken back wanting reduction
When I was a sophomore in high school I broke my back and I wear a size 36DD. I wanted to know if I would be a candidate for a reduction. They cause bad back pain and limit my work out ability due to self image. I have to wear 3 sports bras to run.
A:
If you are in good health and are at a good weight you should be a good candidate for a breast reduction.
Q:
How to correct deflated breast after childbirth?
I don't want bigger boobs. With deflation I am still a 30 DD. I just want the loose skin gone. What is a good solution?
A:
Post Partum atrophy (getting smaller with less fullness on the top) of the breast with or with out ptosis of the breast (drooping) are very common with pregnancy. The solution for lack of fullness is a breast implant or fat grafting and the solution for drooping is a breast lift (mastopexy) or a combination of both if necessary. Check with a Board Certified Plastic Surgeon to see what would be best for you.
Q:
How long after stopping breastfeeding can I have a reduction?
I am currently a size 32G, and am just about to stop breast feeding. Before having my baby, I was a 32DD... I have wanted a reduction for a long time now, and the weight of my breasts is painful. I am below my pre-pregnacy weight already, at 120 lbs. My issue is that I am only 24 and want to start being able to be more active NOW, but I also plan to have additional children in the future. What are your recommendations?
A:
It seems to me you are an ideal candidate for breast reduction surgery. Since you wanted a breast reduction before your pregnancy and you are back to your pre pregnancy weight and you still have large breast I would recommend you consult with a Board Certified Experienced Plastic Surgeon. I prefer that patients wait at least six weeks after they stop lactating before having the surgery. You should be able to have attractive smaller breast which should be able to nurse a baby if the surgeon does an inferior pedicel technique and does not do a free nipple graft. The biggest complaint I get from my breast reduction patients is that I wish I had done it sooner. Good Luck
Q:
Why do I have Rippling after breast lift/breast augmentation?
I recently had old implants (saline) removed and new ones (silicone) replaced along with a lift (areola incision). I have severe rippling on one breast at top/mid section. They are Natrelle Silicone filled style 20 (smooth texture). I didn't have rippling before and went up in volume from 325 to 350 cc. Is it the Dr's error and what can I do to correct? He said he also put a mesh in place? The procedure was very expensive and I am very disappointed/dissatisfied.
A:
All breast implants ripple and saline filled implants ripple more than silicone gel implants. The question is can you feel or see the ripples. It sounds like you probably had capsular contractions around you old saline implants which prevents the ripples form being felt or seen. When your surgeon replaced the saline implants with gel filled implants you most likely did not develop capsular contraction. Since you have ripples now it is because there is not enough soft tissue over your implants to prevent you from feeling and seeing the ripples. If your implants are under the breast then they could be moved under the muscle and this may give enough soft tissue coverage to prevent the ripples from being felt or seen. Another way that I will often address the ripples is to do fat grafting of the breast in the areas of the ripples. This not only with thicken the soft tissue coverage and hopefully prevent the ripples from being felt or seen. It will also give you a fuller nicer breast.
Q:
Breast reduction for an 18 year old who is 5'2", weighs 130, and wears a 32G bra.
My daughter wears a 32G and has been having back pain more and more. She lost 20 pounds within the last 8 months and her breasts didn't reduce in size. What is your recommendation in regards to surgery for her? Her maternal grandmother had large breasts that decreased in size after having children. Thank you
A:
Your daughter certainly meets the criteria for breast reduction surgery. I would recommend that she see a board Certified Plastic Surgeon. Her general health, her goals and her expectations must be evaluated to make sure she is a good candidate for the procedure. As to whether her insurance company will pay for this procedure is a matter of contract law. Her Plastic Surgeon will need to determine if she is indeed a candidate for the surgery and request pre operative approval.
The biggest complaint I get from by breast reduction patients is, "I wish I had done this sooner".