Curtis S. F. Wong, M.D.
I am one week post-surgery and my sub-muscular implants are floating up very high on my chest. I'm wearing a band, but it doesn't seem to help. I'm in extreme pain, so pushing them down is difficult and they just work their way back up. Will they go down eventually? Is there anything I can do to help them go down? I teach fitness classes and have strong chest muscles. Should this have been a detriment to my getting implants?
As mentioned previously, you should discuss your concerns with your surgeon. As far as teaching fitness classes, as long as you are not having to contract your chest muscles during your classes, you should be fine. You are very early in your post-operative period and implants will settle. It's a process you will orchestrate under the guidance of your surgeon.
My left arm is considerably skinnier than my right arm due to limited usage. Can I get fat injections into the left arm to make both arms appear more equal in size?
Yours is an unusual request as limited use wouldn't b expected to have that much of an influence on your arm size. That being said, if you do not have other conditions that may explain your asymmetry of arm size, fat can be injected to help plump it up. You should discuss this in more detail with your local plastic surgeons.
How can you correct a pointy bulge on the top of the breast (implant poking up) after having over the muscle silicone implants?
I had breast augmentation with over the muscle silicone implants. My left breast now has a pointy bulge on the top which is the implant poking up (ultrasound showed it is a folded implant). Is it possible to spin it around without surgery?
It sounds like you may have a contracture developing as it will push on your implant and cause it to have pointy edges. You can appreciate this if your breast is changing in its appearance and the breast is not as soft as it was in the past. Some doctors will tell you about trying to tear the capsule with vigorous manipulations but this could void your warranty on your implant.
With pointing edges, you do need to see your surgeon to have this further evaluated and managed as ignoring it could lead to thinning of the skin over that point and possible exposure or extrusion of your implant which would then require removal.
After having breast augmentation with breast implants two weeks ago, how long do I have to wait to have them removed?
I am an athlete and I got breast implants 2 weeks ago. I made a huge mistake and I would like to get them out as soon as possible. How long do I have to wait until they come out? Do you think that my breasts will go back more or less to normal when they are taken out? I was a 34 A/B and had 350 cc's silicone implants. Will the entire implant be taken out as a whole? I do not want any silicone in my body. Will the incision have to be larger than the original? Can I wear a regular bra right after as I did with my implants or will I have to be bound? What is the average blood loss during this surgery? Thank you for your reply.
I am sorry to hear of your anxieties. As prior posters have mentioned, it is sometimes a shock to have something that wasn't quite there before, and time would help one get accustomed to the new look, as long as you have really wanted that and the motivations were right. If that is the case, it's suggested you wait longer before making an irreversible decision to have them removed as you could end up much happier than you sound right now.
If you know in your heart that this isn't you and that you were doing this for other reasons than for yourself, you should talk to your surgeon about having them removed. Ideally, this could be done in the office under local to help minimize costs to you. Blood loss should be negligible and your breasts are likely to assume the shape and size they were before your procedure. If your incision is under the breast, it may become visible as your breasts resume their pre-op appearances. Best wishes at getting your concerns resolved.
Why can't a breast lift be completed by removing skin above the nipple. If I lift my breast up from the skin between the armpit and the nipple, it looks much perkier (much the same way as the breast-lift stickers work). Other than the obvious scaring in a prominent place, is there a reason they don't lift the breast this way and leave the nipple in it's original place?
As Dr. Shureih mentions, scarring in the upper breast cannot be hidden and the scarring can be of poor quality leaving one permanently scarred.
Many good results can be achieved with the newer mastopexy techniques including autoaugmentation and the Rubin mastopexy. Scars can range from vertical lollipop scars to the traditional anchor incision, but these can all be covered by your clothing and leave the upper portions exposed and free of scars.