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Laurie A. Casas, M.D., FACS
- Suite 270
2050 Pfingsten Road
Glenview, IL 60026 - Tel: Click for phone number
- Fax: 847-657-6552
- Send E-mail
- www.casas.md
- Casas Aesthetic Plastic Surgery & Medispa
799 Central Avenue, #260
Highland Park, IL 60035 - Tel: Click for phone number
- Fax: 847-432-1402
- Send E-mail
Answered Questions
Q:
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My breasts are lightly sagging. Is there any procedure to firm them up without the breast lift technique – maybe by having augmentation with small implants that will not alter my natural size too much?
A:
It is impossible to tell you what is possible without seeing you in consultation so that I could better understand the elasticity of your skin, the shape of your breasts, the amount of sagging you have, your present breast size, your chest bone and muscle shape.
In general breast implants can in theory be used to "take up some of the loose breast skin." The problem is that any breast implant will add size - the smallest usually one cup size. The smaller implants are small in size but are also narrow. So if you have a narrow chest width, it may look proportional, but if you have a wide chest, it may look like a small bump on a wide breast.
So the answer is that small implant augmentation in select individuals may be a good way to address your situation but a consultation is the best way to truly understand your options.
Q:
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I had breast augmentation 24 years ago with silicone implants with no problems until recently. A few weeks ago I noticed a small lump in one of my breasts. A mammogram and ultra-sound were ordered and the findings showed I have a rupture in the implant and the leakage created the small lump. The radiologist advised I should have the implants replaced or removed to avoid any further complications. Which should I have done? I have had implants for 24 years and after that long, I am not sure if the removal alone will appear aesthetically satisfactory after the procedure. Additionally, in the results of the mammogram and ultra-sound, they found I have breast calcifications in both breasts. Are the calcifications related to the implants?
A:
I believe most doctors would agree that whenever an implanted device breaks it should be replaced. The short answer is that the implants, the silicone, and any silicone lumps should be removed. During a consultation with your Board Certified Plastic Surgeon, the two of you should decide based on your expectations, family history of breast cancer, and your recent mammogram findings whether replacing the implants and with what material, saline or silicone, makes the most sense. The calcifications should have been identified as benign appearing or suspicious, and their location should have been described. You can ask the mammographer-radiologist and your Plastic Surgeon based on the mammogram report whether your calcifications are from the implants.