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Samir F. Shureih, M.D.
- 10 East 31st Street
Baltimore, MD 21218 - Tel: Click for phone number
- Fax: 410-243-7253
- Send E-mail
- www.cosmeticsurgeryforme.com
Answered Questions
Q:
Can I get my breast implants removed without a lift?
I had silicone breast implants placed under the muscle at age 18. I believe they were around 250 cc's, maybe a little smaller. I am now 23 and want them removed. I had almost no breast tissue (or body fat of any kind) when I got the implants - nowhere even near an A cup. I've gained about 15 pounds since then and I can tell I have more breast tissue than I did before. I don't want to get a breast lift, but I'm afraid of a deflated appearance. Is it realistic to have the implants removed without a lift?
A:
There are many changes that occur after breast augmentation with breast implants. There are more changes when the implant is under the muscle, where the muscle is released and had retracted up.
Removal of implants requires removal of the capsules, to prevent non-adherance of the capsule and filling with fluid. The released muscle is now stuck in higher position on the overlying breast tissue and needs to free the muscle and reattachment to the chest wall. This may require some release of the breast tissue. Also the implant can cause some thinning of the breast tissue.
Consult a Board Certified plastic surgeon for examination and discussion of all your options and expectations.
Q:
What type of surgery is required to correct severe rippling in the breasts two years after breast augmentation?
I had breast augmentation with silicone implants about two years ago. Three weeks after the surgery I noticed that the breasts were starting to ripple, under the nipple area and the inner chest along the cleavage. I have recently had a baby and now the breasts are not only rippled, but lumpy and saggy. What type of surgery is required to fix this?
A:
With severe rippling with silicone implants, you and your surgeon has to re-evaluate the choice of the implant size, profile, the pocket size in relation to the implant width, and position of the implant. Full evaluation of the skin, amount of breast tissue you have.
Need to evaluate the need for a lift after breast feeding and drooping of the breast. and as Dr. Rohrich advised consider fat transfer, and acellular matrix, although non of these is a guarantee to rid you of the rippling. Also have to consider a new 'gummy bear ' silicone implant.
Q:
Will insurance pay for a breast lift on a permanently disabled woman with back problems?
I am a 40 year old disabled woman, who has a permanent back injury. I have torn muscles in my L5 S1 & S2 in my back. Due to 4 child births & breast feeding my breasts sag and cause me serious back pain. I have Medicare insurance. Based on these facts, will insurance pay for my breast lift surgery?
A:
Medicare does not pre-authorize any procedure. Also there is no relationship between an empty sagging breast and torn back muscles or back pain.
Breast Lift is purely a cosmetic surgical procedure. It is not covered by any insurance nor should it be.
Q:
Why am I having discoloration from silicone injections to my hips and buttocks area?
I have had several sessions of liquid silicone injections to my hips and buttocks area. My hips and buttocks are not hard or lumpy. However recently I went for another session and noticed a "stain" on my right hip area. It looks a bit darker than the rest of my body, almost a lavender shade (I'm very fair complexioned). Should I be worried about the "stain?" Is there anything I can do to get rid of the discoloration?
A:
Silicone and other non medical grade compounds, injected to the buttocks and other areas of the body including the face and hips, are very dangerous and done by a non-medical person, underground.
The silicone injected in commercial grade and sometimes other material are also injected. All of these cause severe reaction (granulomas) and severe inflammatory reactions, and that may cause the discoloration. Discoloration can also be from other material injected that has color.
Removal of silicone injected is impossible to remove totally and will cause deformities, indentation and scarring. Silicone can migrate to other tissue mainly local lymph nodes.
There has been several deaths from silicone injections, with pulmonary emboli being the main reason, as well as infections.
Q:
After having a mole removed from my chest with a scar 1 inch above my right breast, is it possible to have breast augmentation?
I want to have breast augmentation. About a week ago I had to have a mole removed on my chest through an excision. It was a large mole and the scar is about an inch right above my right breast. Is it still possible for me to have breast augmentation? If so, how long should I wait? Do you think there will be any complications due to the mole removal?
A:
The wound from the mole removal has to be completely healed. Then you can proceed with breast augmentation surgery.