Robert W. Kessler, M.D., FACS
I had breast implants done on June 10th 2010. I was a size 34A before surgery but they were very saggy. Now I am a 36D and again I find the breast implants dropping alot. I've consulted my surgeon about this issue and she told me that my skin has alot of elasticity. Is there anything that can be done in a situation like this? Does a surgeon re-do the surgery if the patient is unhappy? Is there something that can be put in the breast to make them a bit more perky? I paid a lot of money for this...was hoping it would raise my self esteem and confidence but I am still very unhappy about my breasts. Please help!
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.
Will I be able to breastfeed after breast augmentation?
Actually, what is the difference between breast augmentation and breast implants?
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.
I want to have a full tummy tuck. Is the patient always sent home the same day after this procedure with a pain pump or do some patients require an overnight stay? I am a waitress - how long before I can go back to work?
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.
I am 64 years old and underwent radiation for a 3 mm cancer from calcification found in my left breast. Prior to and during this time I worked out and ran training for a triathlon. I lost a lot of weight, and now in July, my cheeks on my face have suddenly become large deep wrinkles when I smile. I feel as though I can never smile again because of these wrinkles. I had a beautiful cheeky face before. What can be done to restore them? Would fat injections be the route to follow?
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.
I know after breast augmentation, you should wear loose fitting shirts (button down). For how long should this be done?
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.