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Robert T. Stroup, Jr., M.D.

Answered Questions

Q:

Can a tummy tuck and breast reduction surgery be done at same time?

Can both a tummy tuck and a breast reduction procedure be done at the same time?

A:

Absolutely.  This combination is very common in women who have had children. It does a great job of correcting two undesirable post-partum changes.  It is also very common to perform tummy tuck and breast lift together.  Total operating time is about 6 hours, which is very safe for any healthy woman.  Many women opt for combination surgery to reduce their overall recovery time.  Discuss it with an experienced board-certified plastic surgeon.

Tummy Tuck

Q:

Is it right to get a breast aug. with 500cc implants without a lift, when I am already a DD cup with saggy breasts?

I have saggy breasts, am already a DD cup,  and I am getting 500cc implants without a lift.  I am concerned if this is the right thing to do as I do not want my breasts to be huge.  Please advise.

A:

It depends on what you want your final result to be. 500cc implants added to sagging DD breasts will leave you with slightly less sagging DDD or E cup breasts.  However, if you are looking to be the same size or slightly smaller but firmer and more projecting, you may want to consider a lift (mastopexy) or small reduction instead.  No implants are necessary for this approach.  Talk it over with an experienced board-certified plastic surgeon.

Breast Augmentation

Q:

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I am 67 years old and had a triple bypass and a mitral valve repair for my heart.  I have degenerative arthritis and severe back pain from my oversized breasts. I am a size 48 DD - normal size for me was 36 C.  With my medical history and problems, am I eligible for breast reduction surgery?  Would there be a safety factor involved?

A:

You are at increased risk for complications.  There are increased risks for anesthesia because of your cardiac history, and increased risks of healing complications due to anti-coagulation for your prosthetic valve.  That said, many patients in your situation safely undergo surgery, and the particular procedure you are considering often dramatically improves the patient's quality of life.  You should discuss your risks with your cardiologist, and, if he/she feels you are a reasonable candidate for a procedure that requires 3-4 hours of general anesthesia, your cardiologist and plastic surgeon can work together to try to keep your risk to minimum.

Breast Reduction

Q:

Can the size of fat earlobes be reduced?

I have big earlobes and as I age, they are getting droopier.  Can the size of my ear lobes be reduced? I have never worn large earrings - this is not an issue because I've tried them & they hurt.  What do you suggest?

A:

This is a pretty simple procedure, with incisions placed in the crease between the earlobe and cheek.  It is usually done in the office under local anesthesia.

Ear Reshaping

Q:

Breast Lift with Removal of Implants/ Cost?

About 5 years ago I had a breast lift.  Due to the heaviness of my breasts, the doctor said it would be best to have implants placed in to help keep the breasts in place.  I was already a large breasted girl naturally.  With the implants, I am a full DD-E cup.  I never wanted to go larger.  I am now sick of shopping for specialty bras and can't wear an average swimsuit.  I have to buy shirts that are too big so they fit around my bust, and then have them altered.  This is troublesome to me.  I would like to have the implants removed and I am positive I will need another lift and maybe a reduction to try to tighten up my skin.  I'm just wondering how much I am looking at spending.  I believe that my initial surgery was around $3,500.00 total.  I hear that breast implant removal is a little cheaper than getting the implants.  Any information and advice would be helpful so I know exactly what questions to ask my surgeon during a consultation.

Thank you.

A:

First of all, you need to do a little research.  Are your implants over or under the pectoralis major muscle?  If they are under, you may be able to have the implants removed and breasts lifted/reduced at the same time.  If they are over, you should probably have this done in two stages - implant removal first followed by lift/reduction - because of blood supply considerations.

Secondly, regarding cost, if you would require a significant breast reduction, you may be able to get insurance coverage for this portion of the procedure.  If you only require a lift or a minor reduction this is going to be self-pay.  OR time will be about 3-4 hours.  Self-pay cost in my area of the country would be about $5000 - rough ballpark figure.

 

 

Breast Lift

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