Q: One Week Post Op Breast Augmentation..complications

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:17

On 5/11/11 I had breast augmentation, under the muscle thru the armpit. The day after surgery I noticed the right breast was significantly more swollen/higher than the left and deep purple bruising appeared down the entire right side of my torso to my hip area. Three days after surgery a "new" bruise with slight lump appeared under the right breast and bruising has spread under the breast. Have seen my PS and he put me on muscle relaxers and icing every hour with follow up on 5/23/11. Normal?

A: Submuscular placement esp via axilla is more painful

Submuscular implant placement especially through the axilla is more painful with high degrees of swelling and bruising as the lower portion of the pectoralis often must be bluntly dissected in "blind" fashion to obtain an adequate pocket. It is not uncommon to have muscle spasms, pain, and more bruising than with the more direct approach with other incisions. This may take several weeks to improve.

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: Breasts Don't Look Right After Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:22

I had PS breast augumentation and lift in July 2010 with basically same results as pictured. Flew to PS in January 2011 b/c he said implants needed to be "dropped" in place. He opened me up, found tissues around nerves- oh! so, the intense pain I'd had WAS real, and also ended up re-doing the lift.

Now,PS sees results of recent (March 2011) photographs, and says I just need to come in and have the implants dropped! I think it's more complicated. SOMETHING IS NOT RIGHT!

A: Your subpectoral placement of implants has made the condition worse

A revision of the mastopexy alone will not be sufficient. At best it will temporarily help until this soon returns. More predictable in outcome wound be to exchange the implant into a submammary plane along with a redo of the mastopexy. This would be best managed with a silicone cohesive implant.

Q: Smoking Before Breast Augmentation Lead to Major Complications?

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

Hello, I am having Breast Augmentation on Tuesday, November 17, 2009. I have smoked 10 cigarettes during the 2-week period, 4 in the past 6 days. Leading up to my surgery will this lead to major complications?

A: Best to not smoke perioperatively. Don't use nicotine patches

Smoking increases the cardio-pulmonary (heart-lung) risk of your anesthetic and causes problems with healing of the tissues after surgery. Best to stop as soon as possible before and not restart after surgery at least and not healing complete (6-8 week after surgery).  Don't nicotine replacements such as patches or gum as it will negatively impact healing.

Q: Doctor Recommendation for Breast Augmentation in Bangalore

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

My age is 28 I always plan to take up with breast surgery, but I am scared with the complication, if it become unsuccessful, or after 10 yrs or any point of time if I need to under go re-surgery, people also say breast surgery put to cancer.

Please advise if there is any other way of breast enlargement, or if only surgery is the option, plz help me in finding the trust worth surgeon in India - Bangalore, and also i do lots of smoking what would be the effect of smoking on breast enlargement.

A: Stay away from none surgeries such as injections

Avoid undergoing non-surgical breast augmentation procedures such as injections with foreign materials. They have proven to be problematic. Contact your national society of Plastic Surgeons and ask for a list of regional reputable plastic surgeons so that you can start your research for your best doctor.

Q: My right breast never dropped and now my PS is telling me that he has to re-operate

Submitted by Q-A from clee on Thu, 05/12/2011 - 08:14

BA performed 1 month ago. The next day my bandages were removed, and my right breast was significantly higher than my left. The doctor assured me that it would drop after the muscle relaxed. I'm 5 weeks PO and it's in same exact place. Stitches were removed 10 days PO and he showed me on how to do my daily massaging, which I did religiously. I also wore the strap 24/7. I had a checkup last Friday & he says that he has to re-operate. I don't think that he made the pocket big enough. Opinions welcomed!

A: It can be a challenge to make a diagnosis by photo

You did a great job posting photos demonstrating the asymmetry following your surgery. Unfortunately, there are many potential causes for this problem. The incomplete list of problems include acute fluid collection (seroma, hematoma), asymmetry before surgery, technical aspects such as inadequate pocket dissection, malrotation of shaped implants, etc... Your definitive diagnosis will necessitate at least one other examination by an experienced plastic surgeon. Within my stated partial list of problems, only the acute collection of fluid necessitates early semi-urgent attention. Otherwise you will have the luxury of time to clarify the cause and decide on the best treatment plan for your situation. So do not rush into a plan of action. Best of luck.