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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
- Send E-mail
- www.danmillsmd.com
Answered Questions
Q:
I want another baby, Should I wait to have a breast reduction till after the 3rd one?
I am a mom of two boys and in 2 years would like to have another child. I am 5 foot even, 110 pounds with a a bra size of 38 DDD. I am in pain all the time, especially after holding my children. I desperately want a breast reduction now, but am not sure if I should wait till after my last baby? I am not breastfeeding because both nipples are inverted, too difficult to feed, in case that may be a factor.
A:
Having a breast reduction before getting pregnant again may not be your best aesthetic result, as most pregnancy's end up enlarging the breast and then after pregnancy the breast's get smaller. This would leave your skin more stretched out. You are the one who is living with the pain, which makes this hard to answer for you. But for the best cosmetic result, you would not like to have large swings in size after the breast reduction. Good luck.
Q:
Best thing to do for saggy breasts?
I'm almost 22 years old and I've noticed that my breasts sag badly. Since I first started puberty and started wearing bras, they still became sag-ish. I lost weight over the years, could this be a factor? What's the best solution to fix this problem?
A:
There are two things that women complain of when they say their breasts are sagging. One is that there is a scoop on the upper pole of the breast from loss of tissue. This probably happened when you lost weight. This usually is just putting in an implant to give you the volume that you lost back into your breast or a breast augmentation.
The other thing that women complain of is that their nipples point to the floor. This requires a lift to correct. You need to have a consultation and physical exam to evaluate if it is one or both of these things. Good luck.
Q:
REMOVAL OF LOOSE SILICONE FROM BREASTS ..REPLACE WITH IMPLANTS
CAN I GET LOOSE SILICONE REMOVED FROM MY BREASTS AND HAVE SILICONE IMPLANTS PUT IN AS A REPLACEMENT. I HAVEN'T REALLY ACCUMULATED ANY HARDNESS OR LUMPS BUT I WANT IT REMOVED BEFORE ANY HAZARDS OCCUR.
A:
This is a bit more complicated as you need to see what you find in surgery to know what is best to do. If there is only loose silicone, and the capsule (scar around the implant) has no silicone imbedded in it, then you should easily be able to remove the loose silicone, and replace your implant with or without opening the capsule (a capsulotomy). If on the other hand, you have some of the silicone that has caused some silicone granulomas or calcium deposits on the capsule, you may need to have the capsule removed as well (a capsulectomy). The sooner you get the loose silicone removed, the less chance you will have calcium deposits, or granulomas. Good luck.
Q:
Will I lose any feeling/sensation in my nipples after I have my breast augmentation?
Concerned about losing feeling/sensation in my breasts/nipples after surgery.
A:
There are changes in sensation that are frequent because of stretch to the tissues which include the nerves, but these changes are usually transient and the sensation becomes normal after about 6 months. More rarely, you can loose sensation to the nipple with an augmentation if the nerve is cut. The closer you are to that nerve with the incision, the more often this happens, with the periareolar incision being highest. This is a complication that does not happen very often.
Q:
Is there any surgical solution to make my calves and ankles thicker and curvier?
I have extremely thin and undefined legs. They're knock-kneed, my calves appear too small and high, and most of all, it's difficult to walk in heels. When I'm in heels it never appears like my legs are straight, and when they are it's awkward for me. The way they look are undefined, as if I'm struggling to stand up straight all the time. I've tried everything short of surgery, including strenuous exercise, but nothing works, it just defines the thinness of them. What surgery can be done for this?
A:
Calf implants have been a good alternative for giving more shape and size to the calf, and can possibly be an alternative for your situation. If your legs are very thin, it does not sound like any liposuction or fat grafts would be an option.