Q-A from clee's blog

Q: How Swollen Will I Be After Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 14:57

I am a 20 year old college student and after the spring semester I plan on having both breast augmentation (smooth, round, saline under the muscle, inserted through nipple) and septo rhinoplasty (he will be breaking the bones). Two weeks later summer school starts and I'm wondering if I will look like a wreck when I go back to school with only a 2 week recovery.

A: Your breasts should look good by the time you return to school

Your breasts should look good by the time you return to school. The nose might be more of a problem with swelling and bruising. However, with your clothing over your breasts (even if bruised) your new figure should show beautifully.

Things to know... definitely more painful when placed under the muscle so you might want to avoid gym at beginning of the semester.... with clothes off, your breast bruising still might be noticeable for several weeks into school.

I have attached some of the details to expect with tips on healing at informational website. Hope you find it helpful.

Q: Doctor Recommendation for Breast Augmentation Revision

Submitted by Q-A from clee on Fri, 05/13/2011 - 14:51

I had a breast augmentation 21 days ago and my surgeon now says that my breast tissue is falling over my implants and the correction is a breast lift.As this problem is due to my original surgeon not providing the proper treatment,I am beginning a search for a new surgeon for the revision.

I am willing to travel on the eastern coast of the US or between Montreal and Toronto in Canada for the most experienced surgeon.I need an idea of cost and experience with this kind of deformity that you have.

A: I am sorry you have had this poor experience.

I am sorry you have had this poor experience. In Montreal we have wonderful Plastic Surgeons. Perhaps you should start your search for a reputable plastic surgeon by way of plastic surgery societies in Quebec, Canada, and US.

Q: Uneven Nipples After Breast Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 14:38

I had a breast aug 3 days ago. I was previously a 34B and got 300cc smooth under the muscle Mentor silicone. Based on what I've read I understand that it takes a while for them to drop. However, the implant on my right breast has dropped and the left one is a very weird shape and extremely high up. Due to this, my nipples are completely uneven (they were fine pre-op). I just want to make sure that this is normal and that my breasts aren't gonna stay uneven forever. About how long will it take?

A: 3 days after surgery is early

Asymmetry early after surgery is often accentuated by the swelling and tight submuscular pocket. The tight pocket often drives the implant superiorly. As swelling subsides and your tissues relax the implant will often descend into a better position. You can help it along with specialized garments to push the breast inferiorly. This is worthwhile doing consistently in the first 6 weeks before the pocket fully forms and seals the implant to its final position.

Q: Bottoming Out After Breast Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 13:14

Three Weeks Post-op BA and BL, Bottoming out in Right Breast? I had 300 cc silicone moderate profile smooth round implants. I was 32A and wanted to achieve 32B, a natural look. I am starting to worry that my nipples might be too high and the right breast is starting to bottom out?

A: Appear to have had vertical mastopexy

Based on your photos it appears that you had a vertical mastopexy with implants. Such mastopexies often appear long in the vertical inferior pole. That should not be confused with implant descent and bottoming out. Give it time to settle. When the scars are soft a minor revision of the inferior pole of the vertical scar might be warranted.

Q: 3 Months Post BA and Anchor Lift: Will a Lollipop Lift Help Saggy Breasts?

Submitted by Q-A from clee on Fri, 05/13/2011 - 13:07

I had a BA and anchor lift on 1/12/11. My rt breast developed a capsular contracture and my left breast is falling into my arm pit and is flat in the upper pole and the bottom is flat and pointy and ugly. My right breast has the CC but at least it has upper fullness. Both are still saggy. My PS agreed to do a lollipop lift for free in his office under a local. If I want the CC removed I have to pay $2400 for hosp/anesthesia fees only. Do you think a lift will help and is it ok to ignore CC?

A: Based on your photos I suspect the implants are submuscular...

Submuscular implants with mastopexy are challenges for recurrent double bubble and waterfall deformity as the breast descent is common while the submuscluar implant is trapped high by the muscle.

Perhaps you should consider having this addressed by implant exchange into submammary position with cohesive gel and a redo mastopexy.

I am not in favor of simply a mastopexy in the office.

Q: Breast Augmentation Recommendations for Appropriate Size & Profile

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:57

Scheduled for a BA - April 28,2011. My PS recommends a Mentor,smooth,300cc HP or 275 cc Mod+. I feel this is smaller for my body type than I was expecting(from my research in what I have seen from other ladies of my stature averaging 350-375cc's).

I am 5'8 1/2" tall, 130lbs, 30" ribcage, 34 AA, 16 cm sternum to aerola, 18cm sternum to nipple, 5cm nipple to breast crease, BWD - 11.7cm. Looking for opinions on an appropriate size as hoping for a bit bigger (~375cc max). Is this possible for me?

A: Breast width dimension is a good guide

Your BWD of 11.7cm has you as a suitable candidate for multiple sizes and projections from base width to 11.5 to 12.5. I would suggest your review with your surgeon the various size and projection options with those base widths to come to an implant with your goals in mind.

Q: Should I be Moving Around Immediately After Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:50

My doctor is saying to get up even at night every 1-2 hours for 4 days following surgery. Is this what is recommended? Also, some doctors recommend resuming normal things (light housework and exercises with your hands above your head) immediately. My doctor says not to put my hands above my head for the first week.

Why are there such conflicting instructions for the same surgery? I found the same confliction regarding icing breasts after surgery. Could I get some answers to these? Thanks.

 

A: Staying ambulatory is good for the circulation

Staying ambulatory is good for the circulation and prevention of DVT. However, after breast augmentation too much movement in the first several days after breast augmentation should be avoided to reduce the risk of seroma and hematoma. This risk reduces progressively so that light housework can be resume in 2 weeks and heavy work recommenced at 6 weeks.

Q: What Does Going Your Max Mean?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:47

I already had my breast augmentation and have slightly bottomed out. I went with my max, which was 390cc's (5'2,98lbs,34Acup). What does going with your max mean? Is it the max size the surgeon can fit or the max size without risking size related complications....both? I just wonder what my max should have been now that I've bottomed out.

 

A: Max has different meaning to different surgeons

In general, every surgeon has a limitation where the risks of placing a larger implant does not justify the risks of complications and poor aesthetic outcome. Form many surgeons including myself, the base width of your breast is the maximum footprint to any implant to be implanted. With regard to bottoming out, it is difficult to evaluate with a single photo with arms raised.

Q: Breast Augmentation Doctor Recommendations in Memphis, TN

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:41

Im about to get breast implants..I have no idea about which doctors are good which arent. I just moved here. My worst fear is getting a bad experience..any good plastic surgeons in memphis TN? thank you :)

 

A: As a starting point...

Used reputable organizations such as the American Society of Plastic Surgeons as a starting point. Request that your surgeon is Board Certified by the American Board of Plastic Surgery.