The breast implant will add volume to the breast and can "fill" some of the lax skin; however, if the breast is truly "saggy" a breast lift is required to restore the "perky" look you desire.

If you are pleased with your breast volume now and the implants are soft and mobile, a lift will solve your problem. This will require additional scars on the breast but these usually heal quite well.

Although I do not know the initial discussion you had with your surgeon, I believe she would want you to be pleased with your results.  I would recommend returning to your surgeon and discussing your concerns.  Give her the opportunity to address your concerns.  If you are unhappy with the discussion, I would seek out a second opinion from a Board Certified Plastic Surgeon.

Good luck.

Breast Augmentation

Breast augmentation is the name of the surgical procedure and breast implants are the devices we use to augment, or increase teh volume of the breast.

Breast feeding is a difficult function to evaluate as approximately 30% of women don't or can't do it regardless of a surgical procedure.

Breast augmentation can be done from different incisions. The incision at the junction of the dark skin of the areola and the lighter skin of the breast is the only incision to violate the milk ducts. As such, this approach has the greatest negative impact on the ability to breast feed. That being said only 30-40% of the circumference of the areola is cut. the remaining ducts are functional and women can breast feed.

I tell my patients the periareolar incision can compromise breast feeding but they might still be able to do it. You must know about the compromise and the possible need to supplement the baby with formula. I do have patients who breast fed successfully after periareolar breast augmentation.

Inframammary and axillary incisions are less likely to interfere with breast feeding.

Breast Augmentation

The post operative care after abdominoplasty varies with the comfort level of the patient and the surgeon.  I generally request my patients remain in the surgical facility overnight.  I find transferring the patient home immediately after surgery is stressful and painful.  The overall experience is far better and safer when cared for by a professional in the first 12 hours after surgery.

I prefer local pain medicine used during the surgical procedure to pain pumps after surgery. If pain is prevented during the procedure it does not escalate after it.

I would allow 2 weeks before returning to work and would make arrangements for someone to transport the heavy trays until you are more comfortable.

Good luck.

Tummy Tuck

You have a few options, surgical and nonsurgical.

Fat transfer is a good option for you but it is a surgical procedure requiring anesthesia and a recovery period.

Sculptra is a synthetic filler which the body converts into your own natural collagen and will last beetween 18 months and 2 years. This can be done in an office setting.

Both procedures may require repeat treatments.

Find a Board Certified Plastic Surgeon in your area who offers both to decide which is the best treatment plan for you.

Fat Injection

This restriction is only necessary in the first weeks of healing while it is uncomfortable to raise your arms above your head.  Once the discomfort resolves there is no reason to continue limiting your wardrobe.

I will ask my patients to avoid an underwire bra for the first 4-6 weeks after surgery but that is the only garment restriction lasting beyond the immediate operative experience.

Breast Augmentation