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Robert Whitfield, M.D., FACS
- 901 West 38th Street
Suite 410
Austin, TX 78705 - Tel: Click for phone number
- Fax: 512-533-9901
- Send E-mail
- www.breastandbodycenterofaustin.com
Answered Questions
Q:
Can I have breast implants after a TRAM Flap?
I had a left breast mastectomy 11 years ago and had a TRAM Flap done immediately afterwards. I never had to have chemo or radiation and I am wondering if it's possible to have breast implants done now. I would like to increase in size.
A:
Yes you can have your size increased with implants. If you cannot or are not interested in returning to your original surgeon then sign a release to o rain a copy of the operative report about your surgery to bring to your consultation with a Board Certified Plastic Surgeon familiar with breast reconstruction. Your surveillance of the contra lateral side should be up to date as well. Any recent mammograms, CT, or MRI information should be brought at the time of the consult to not waste your time.
Q:
Can Silicone breast implants move or separate?
I had breast argumentation done a year ago and I feel like my implants have separated slightly. Is it possible to move them back in by wearing a tight fitting bra or a strap around the chest?
A:
Without a physical exam it is difficult to recommend anything. If the augmentation was recent then your thought might help. The idea is to create a pocket that fits the implant like a glove fits a hand. Another option may be that your skin has stretched out in a way to appear that there is a subtle change. You can be evaluated by your original surgeon if this is the case.
R. Whitfield, MD
Q:
Will insurance cover breast reduction in a post-menopausal woman with recurrent yeast infections under the breasts?
I am 56 years old and had a complete hysterectomy at age 39. I took Premarin for awhile but stopped about 10 years ago due to developing breast cysts. I now get very painful yeast infections under my breasts because my skin has become fragile and dry (my breasts are size DD and very droopy due to age, etc.). I am not overly heavy - 159 pounds and 5'8" tall. What are the chances that insurance would cover reducing my breast size so that I don't get these infections anymore?
A:
First of all you have to contact your insurance to see if it is a covered benefit under your policy. If it is, then you can get a referral to a Plastic Surgeon for a consult. There are several criteria that should be evaluated by your surgeon. One of the main things that is required by insurance is a course of physical therapy.
R. Whitfield, MD
Q:
Could cancer be a consequence of having a breast lift?
I need a breast lift, but I am concerned about the after effects of the surgery. Could cancer be a consequence of breast lift surgery?
A:
A breast lift cannot cause cancer. Breast cancer is related to abnormalities that begin in the ducts of the breast tissue. As the process evolves in many instances it is picked up by identifying microcalcifications on a mammogram. Self examination plays an important role as well in identifying breast lumps early and having them evaluated. A breast lift or mastopexy is not a cause of cancer.
R. Whitfield, MD
Q:
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A lot of my friends and family tell me that I look mad/sad all of the time. I attribute this to my sagging forehead. Will a forehead lift correct this; what can I expect from this surgery?
A:
In many instances your are correct. You should have an exam by a board Certified Plastic Surgeon to validate your brow position, upper and lower lids. Then you should understand what will help you the most.