Robert W. Kessler, M.D., FACS
I had a breast reduction bringing me from a G cup down to a DDD. I have dense heavy breasts and have gained some weight making my breasts large again. What is the risk of having liposuction done? Will the scar tissue interfere from the previous reduction surgery?
Although liposuction is an option for breast reduction surgery, there are limitations. Liposuction is good at removing the fat from the breasts but not for removing "dense heavy breast tissue." The other limitation is the ability of the skin to retract. Significant volume reduction by liposuction may lead to lax skin and somewhat low lying breasts.
I would consult with a Board Certified Plastic Surgeon to discuss all your options. With education and understanding you will make the decision that is right for you.
I had my breast implants done about 11 years ago. I want to know if I can get them re-done. They are sagging and have lost their lovely perky nature! I'm not sure what happened. Is this common? Im 29 years old, have a skinny upper body, and work out often. I'm worried if they might be leaking or have some other problem.
The current appearance of your breasts may be due to many factors but to answer your question this is not unusual.
Breast implants are essentially weights which are being added to the breast. Position of the implant is important as is the quality of your skin. Cycles of gain and loss or engorgement and deflation will also impact the appearance of the breasts over time. Skin is not a support structure - it is a veneer and gradually loses elasticity over time.
Deflated saline implants will go flat and be obvious to you whereas silicone implants will require a study to determine if they have ruptured. Sono or MRI are good for this. A good clinical exam will also be helpful.
The good news is there is a simple solution for whatever your issue is. It is most likely going to require a surgical procedure but the results are usually excellent.
Your options include a lift if you are pleased with your breast volume, a larger implant if your skin is only mildly loose (but I am not a fan of this), or an implant exchange and a breast lift.
Seek out a Board Certified Plastic Surgeon to help you make this decision.
I'm a 24 year old woman who has 120 pounds (with 30 more pounds to go). I have a huge amount of excess/sagging skin in the breast and tummy area. I'm a size 38DD, with one breast slightly larger than the other. My breast tissue seems to have lost all elasticity. They are extremely wrinkled when I hold them up and when I lay down. I want breasts that reflect my age. I worry because of how loose and thin the skin is and that a lift may require that my nipple be detached. I desire to have children (none yet) and would want to breastfeed them. It's easy to say just wait until you have them, but the excess skin is having a negative impact on my life. It has affected me from finding a mate. For my situation, would it be possible to raise the breast without having to detach the nipple?
There are many variations of breast lifting surgery. If you do not need volume reduction the surgery can be done to separate the skin from the breast and remove the excess skin. Impact on breast feeding after a surgical procedure is difficult to assess. The nipple is not removed from the breast in standard lifts. If the breast tissue is not altered dramatically you may be able to breast feed after this procedure. I would not promise this or guarantee it. There is always the possibility of producing enough milk for the initial colostrum and the bonding experience, but I would prepare you for the need to bottle feed.
With the amount of weight you have lost, and should be congratulated for, body contouring surgery will be necessary to help restore the balance between the scale and the mirror. Discuss these issues with your Board Certified Plastic Surgeon to make the right decision for you.
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.