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Daniel C. Mills, II, M.D., FACS
- Suite 401
31852 Pacific Coast Highway
Laguna Beach, CA 92651-3291 - Tel: Click for phone number
- Fax: 949-499-9590
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- www.danmillsmd.com
Answered Questions
Q:
I'm size 34ddd and my surgeon is planning on removing 800gr. of breast tissue; what will that bring my bra size down to?
I am having a Breast Reduction. I am currently a size 34DDD. My surgeon is planning on removing 800 grams of tissue from my breasts. What will that bring my bra size down to?
A:
This is a difficult answer as there are many variables. Bra manufacturers are not regulated and have different sizes. Victoria Secret makes all their bras one size bigger for marketing purposes. So a D for Victoria Secret is a C for most other bras. Another point is that drooping (which you are sure to have if he is taking 800cc away) adds at least a cup size because of the fulcrum effect. But these things being said, 800cc removed would be about 3 cup sizes, and the fulcrum effect may take it down another size. A physical exam would be much more helpful to determine. Ask your Board Certified Plastic Surgeon his thoughts.
Dan Mills, MD FACS
Q:
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I have heard that Canadian and European distributors are supplying low cost Botox to U.S. physicians? It is less expensive, about 40% less. What happens if a U.S. physician purchases the overseas product and then uses it on his/her patients? Is there danger and risk involved to the patient?
A:
There are real consequences of this ethically and legally in the US. The drug HAS to be FDA approved or the physician can loose his license and even be prosecuted for damages. This has been the case in a number of states already such as NY, CA, and FL. This actually protects the public from dangerous drugs and formulations and keeps the purity consistent.
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I have one breast that is much more larger than the other. Is it possible to have a Breast Reduction where only one breast is reduced and the other breast is left totally alone without any surgery to it?
A:
It is very possible to have a Breast Lift/Reduction to make your breasts look more alike. It is impossible to tell however if this can be done without a physical exam and history taken. Personally, I find this approach better by far than placing an implant as with weight gain and loss, an implant will not change, and you may continue being asymmetrical. Having your breasts maintain the same volume keeps them more alike as changes in weight and laxity of the skin and breast happens, as the years go by. Sometimes it is preferable to equalize both sizes to match them better in shape and nipple height. This all depends on the physical exam. Visit an ASAPS surgeon in your area for a consultation. Good luck!
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I had my breast implants done about 11 years ago. I want to know if I can get them re-done. They are sagging and have lost their lovely perky nature! I'm not sure what happened. Is this common? Im 29 years old, have a skinny upper body, and work out often. I'm worried if they might be leaking or have some other problem.
A:
Implants are not lifetime devices, I tell my patients. They are man made. There is much debate as to when to change older breast implants. Honestly, the best way to check is to go see a Board Certified Plastic Surgeon. If I were you, I would also take my latest mammogram if you have one to let him look at to assess if the implant is broken. Most likely you have saline implants, based on your age. You'll know when they break, as you will go flat. You mention that you work out a lot. If your implants were placed under the muscle, and you work out your chest a lot, that could possibly be the reason that they are now looking a bit funky, as the muscle building can change the height of the inframammary crease. I have my patients come in every year after their implants are ten years old to evaluate the implant. A physical exam will help with the story a lot.
Good luck.
Q:
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What is the best way to identify and assess a plastic surgeon who has a successful track record (satisfied patients) in minimizing nasolabial folds? What is the best procedure (dermal fillers) for this? Is a plastic surgeon preferrable to a dermatologist?
A:
The best way to find a plastic surgeon, is to first check his/her credentials (but since you are on this site, you have already done that). You want to make sure that he is Board Certified and does a lot of Aesthetic Surgery. I would also suggest looking at his before and after pictures on the web (if there are any); even more importantly, talk to some of his patients and also to some other patients who are happy with their results from other plastic surgeons. Lastly, you should schedule a consultation with him to be seen. See how well you feel about him, and get a sense of his honesty and commitment to excellent patient care. I do believe that a Plastic Surgeon is the best choice to see, as he can do other things if he feels it is warranted, where the Dermatologist can not do surgical intervention. Dermal fillers are usually the best option, but without seeing you it would be impossible to tell if another surgical option would be better for your situation.