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Michael C. Edwards, M.D., FACS
- Suite 214
653 N. Town Center Drive
Las Vegas, NV 89144 - Tel: Click for phone number
- Fax: 702-243-7923
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- www.medwardsmd.com
Answered Questions
Q:
Can Silicone breast implants move or separate?
I had breast argumentation done a year ago and I feel like my implants have separated slightly. Is it possible to move them back in by wearing a tight fitting bra or a strap around the chest?
A:
Once a breast implant is placed in your breast tissue, your body forms a scar around it called a capsule. If the pocket is made large or your tissues are not as strong, the capsule can form in such a way as to allow the implants to move more to the sides or lower. This sometimes requires surgery to repair the capsule to help reposition the breast implant. I would recommend you follow up with your plastic surgeon who can examine you and explain if you would benefit from this procedure.
I wish you well!
M.C. Edwards, MD
Q:
Could cancer be a consequence of having a breast lift?
I need a breast lift, but I am concerned about the after effects of the surgery. Could cancer be a consequence of breast lift surgery?
A:
A breast lift (mastopexy) cannot cause breast cancer. It is important to know that any breast surgery does cause some internal breast scars so it is wise to have a pre-operative mammogram if you are 35-40 years old or older (this will vary from doctor to doctor). Your board-certified plastic surgeon will be able to review with you the issues surrounding your surgical options. I hope this helps.
M.C. Edwards, MD
Q:
I have Factor 5 Leiden - is it safe for me to have breast augmentation?
I want to get breast implants. It was discovered while I was pregnant that I have Factor 5 Leiden disorder. I was on Clexane whilst pregnant but was taken off of it at the end of my pregnancy. My doctor said there was no need to take it at any other time except during pregnancy as it prevents miscarriage. Is it OK for me now to safely have breast augmentation?
A:
It will be important for your plastic surgeon to work together with your hematologist to determine if and when you will need to be treated. In my practice I have used a course of Lovenox to try to protect my patients from developing a blood clot around the time of a surgery. The risk of complications is low but you are smart to ask this important question.
I hope this helps.
Michael C. Edwards, MD
Q:
Which is better - under or over the muscle when having a breast lift with augmentation?
I am having a breast lift with small saline implants. My doctor says that I have enough breast tissue to have the implants placed above the muscle. I am concerned due to the rippling and capsular constriction possibilities that I have read about. Is his advice correct in my case? Please advise.
A:
There are different philosophies about the position of implant placement. My practice is to place implants almost 100% of the time under the muscle because it provides better coverage and a more natural shape. The classic answer is that if you have 2cm of pinch thickness in the upper breasts your implants can be above the muscle. This is a decision best made between you and your plastic surgeon with all of your questions answered. I wish you well!
M.C. Edwards, MD
Q:
I want implants that were inserted one month ago removed - will a capsulectomy be needed?
I am 27 years old and my breast size was an A cup. I had 300 cc's, smooth, Silicone gel, high profile implants, under the muscle put in 5 weeks ago. I really want them removed. Will I need a capsulectomy? Will my breasts be the same size as before or even smaller? Thanks
A:
The first thing to consider is why you want your breast implants removed so early after surgery. I encourage you to have a discussion with your plastic surgeon about your concerns. If after this discussion you still want your implants removed, you would most likely not need a capsulectomy but would probably have drains for a period of time to try to decrease the chance of fluid collecting in the pocket the implant was in. There will be some change in your breasts but this depends on how healthy your skin and tissues are. If you have stretch marks or your skin is thin, there will be less tightening or contraction. I hope this helps.
M.C. Edwards, MD