Q: 6 Weeks Post Op from Breast Lift with Implants- Rash on Nipples & Breasts

Submitted by Q-A from clee on Wed, 06/15/2011 - 02:57

real scaley. the skin around my nipples is a red rash. my incision goes around my nipples, down my breasts, and across the bottom. this appeared about 2 weeks post op

A: Most likely cause is contact dermatitis

It is difficult to be precise with the diagnosis without more information (i.e. photos). The possible causes include low grade skin infection, skin maceration and irritation, allergic contact dermatitis. Based on your description contact dermatitis is highly probable. A return visit to your surgeon is advised.

Q: Are my Breasts Saggy

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:54

Im 20 and hate my breasts. The nipples point down and I have large arola with blue green veins. What should I do??

A: Might consider breast lift

Your breasts are large and appear to be sagging with wide areolae. You can consider a breast lift (mastopexy) to reduce the amount of sag and get desired areolae size. For best results contact an experienced board certified plastic surgeon.

Q: Strange Nipple Shape

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:42

Hi, I am concerned about my left nipple and its irregular shape and protrusion. Just had implants and lift. One nipple is good, the other seems to be quite different and concerns me that it may need revision. Its only been three weeks but need to know if anyone would agree there is a slight problem evident at this early stage. Could the sutures be holding the edges and causing problems which will disappear later.Areola looks to be caught under at one point or popping out farther down?Thanks?

A: Too early to tell

At such early post-op stages for breast surgery, nipple asymmetry is normal due to swelling. It takes about 6 months for complete healing. If you are still concerned 6 months post-op please consult your plastic surgeon.

Q: Why my Breast Look So Bad After 8 Months

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:41

i had breast implants and anchored 8 mths ago. my rt breast looks as is i had a skin graft at the bottom of it. my rt nipple is the size of a half dollar an lt nipple is the size of a quarter. i dont understand whats went wrong

A: Many women consider the scarring from a breast lift to be a serious drawback

Unfortunately, not all breast augmentation procedures have good turnouts. When combined with mastopexy many women consider the scarring from a breast lift to be a serious drawback to the procedure. Keyhole leave what is known as a "lollipop" scar, while a full mastopexy leaved an "anchor shaped" scar. It is difficult to help without an examination or seeing any photos. I suggest that you consult your plastic surgeon.

Q: Are my Nipples Still Too Low or Implants Still a Little High? or All Ok?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:38

A: If you are 3-6 months post-op it is best to get checked by your surgeon

Depending on when your surgery took place you may need revision. If you are 3-6 months post-op it is best to get checked by your surgeon as the implants should have settled in their final position by now. The placement of the implants also affects the “settling time.” If the implants were placed underneath the muscle it will take more time for the implants to settle than if the implants were placed over the muscle. You may also want to consider a mastopexy (or breast lift) to shape the breast and change the position of the nipple to a more desired look. Consult your surgeon.

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: Best Procedure to Fix Ptosis and Tubular Breasts?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:55

My breasts were always very tubular and oddly shaped. I dealt with weight gain and loss throughout high school (Bs to DDs). I want pre-consultation insight from a few doctors or patients that are familiar with the different types of surgeries available, mainly the ones best suited.

How hard is it to fix my ptosis, skin sagging, over large nipples and tubular breasts? $ is not an option when it comes to my body. What ways can I combat scarring being that I'm bi-racial? I am 5'10 145 lbs 20y/o

A: You have a mild form of tubular breasts

You a mild tubular breast form with what appears on your photo to be a good tissue envelope. Lowering your inframammary fold through a periareolar approach with circumareolar mastopexy and areolar reduction is a good plan.

Furthermore, placement of a submammary cohesive gel implant will likely yeild better shape with less chance of the waterfall or late double bubble look from descent of the breast. You should use silicone scar sheeting on the surface of your healing incisions to lower the risk of a poor scar outcome.

Q: Bad Results After Several Breast Augmentations and Two Lifts: What Can I Do?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:13

I have had several breast surgeries. Some good some bad. With childbirth in between, came the necessity to re-do the original breast aug with a lift. I met with a wonderful doctor. It was recommended to me this time, to get gummy bear implants...Right now, I have implants placed above the muscle, and they are silicone gel..the problem is I am afraid to have more necrosis or an even worse result.

I had some slight nipple necrosis from the first surgery. Should I do this over less than 1 yr later?

A: Detailed history and exam are necessary

Good preparation and precise execution of a plan is a formula that reliably leads to success outcomes. This starts with a detailed history and examination. While online posting of more details and photos may assist a plastic surgeon, it is better to rely on the following: 1) the logic of the treatment plan 2) reputation of the surgeon  3) your personal experience during the consultation as to how your list of priorities and questions were addressed by the plastic surgeon. If in doubt obtain another opinion. Only with a physical meeting can a surgeon express confidence in his/her  plan to resolving your concerns.