Ricardo Izquierdo, M.D.
If I get breast implants and then have more children, will my breasts look as they did after the breast augmentation surgery or will their appearance change?
Pregnancy and lactation produce large changes in breast tissue. The expansion due to the volume of milk will stretch the overlying skin. When you stop nursing or allow the breasts to shrink, your skin will try to shrink-wrap back to where it was prior to your pregnancy. However, especially after multiple pregnancies, the skin may not shrink as well and you may require a lift or further surgery. It is very difficult to predict what your skin will do after your pregnancy, but you should not expect everything to go back to what they were prior to becoming pregnant.
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?
It is possible to have a one sided breast reduction. However, since perfect symmetry and equal shape are difficult to predict, you may (or may not) require some modification of the smaller breast shape or size.
My doctor who routinely mixes his Botox with 1 cc of saline is now changing to 2.5 cc of saline. He says the 2.5 cc is a newer method. Can I still continue to have him inject between my brows, forehead, brow lift, under and around the eyes, nose and chin? I'm worried.
The dilution of Botox is not important. The amount of units of Botox (there are 100 per vial) is what is important. For example, the frown lines usually require 20-25 units for pleasing results. With a 1 cc dilution you receive less volume (0.2 cc) during your injection, whereas a dilution with 2.5 cc of saline will give you more volume (0.5 cc) but the same amount of units. It is sometimes more accurate to use a higher dilution.