Can Under the Muscle Implants Be Moved to Over?

Question: Can Under the Muscle Implants Be Moved to Over?

I am 5’8″ in height and weighing 138 lbs. I’m in good shape–I jog, do push ups, and light weights. I’ve nursed 3 children for the last 5 years. I have 425 cc implants placed partially submuscular a year ago. The slightest flex of chest muscle makes my breasts appear unnatural. It makes the implants move upward while the bottom part ripples out. It’s becoming more obvious over time. Overall, my breasts look natural and pleasant when the muscle is relaxed. But to keep this from worsening, can one go from under the muscle implants to over?

Answer: Definitely possible, but, is it the best idea?

A ‘plane switch’ from behind to in front of muscle is do-able. However, the long term result could be compromised with excessive stretching, etc. There is a technique called ‘subfascial placement’ which is ‘sort of’ above muscle, but, might help prevent the above muscle downsides. The place I would suggest looking into would be Dr. Richard Baxter in Seattle. Whenever I come across a consult that I feel could be better served by one of my colleagues I am happy refer there.

Uneven Nipples After Breast Augmentation and Lift

Question: Uneven Nipples After Breast Augmentation and Lift

Uneven-nip

I had breast lift and implants (200 cc, 1 cup size bigger, age 26, no kids) 2 weeks ago, and my nipples look like something out of a child’s coloring book. They’re completely uneven, choppy, and not at all near perfectly circular. Will these eventually fix themselves? I also thought the breasts would be higher. Does this look like a well executed lift?

A: Too early to tell

This is actually a very good result. You will be amazed at how much things soften and smooth out/even out over the first 3-6 months. Things can be quite easily revised later on if necessary, but, based on the photos, you are right on track :)

How Much Does Breast Implant Revision Cost?

Question: I had Breast implants done 1 year ago and I think one has bottomed out. What’s an average price? I had 430cc’s under the muscle.

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Answer: revisions are unfortunate, but, are a part of all of our practices

This is definitely something that I see and tell all of my pre-op patients that this is one of the risks of this surgery. I actually do not charge anything in the first year post-op for any revision. However, this is a bit unusual. Most docs here will waive the surgeon’s fee and still charge for the facility fee, anesthesia, etc. Your best bet is to return to the original surgeon to discuss the options.

Areolar Incision After Breast Lift

Question: There’s a “hole” around my areolar incision after Breast Lift, Is this normal? (photo)

aereola

Keep in mind that I am quite pale and even the smallest scrapes look red and terrible when I get hurt! That being said, I had a breast lift done exactly 3 weeks ago and now notice this spot around my areolar incision. I had something similar underneath my breast last week which has since cleared up. Does this look alarming or should it heal on its own as the other “hole” did?

Answer: Not uncommon

I generally tell all patients to expect some minor wound healing issues at the top and bottom of the vertical incision after a breast with with implants. They generally are extremely small in nature but sometimes can get quite large especially in smokers At this point, I assume your plastic surgeon is actively involved. However, this is likely a situation that would only require a topical antibiotic cream and extra healing time. In the end, it should look very good.

Silicone Implants with Lift, Too Big?

Question: 425 cc High profile silicone implants with lift, too big? Measurements and pics attached.

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I was very persistent on getting the mod plus 371 but my surgeon said that I would benefit from the 425 Hp due to my loss of volume. (With circumareolar lift) 36 years old, 5’8″ tall, 125lbs. Breast fed for over a year. Currently deflated A-B cup. I am active, gym, weights, yoga, surfing. Measurements/ pics attached. Every body is different, we have different starting points, my starting point is with very deflated breasts. He said that the 425 hp won’t look too big because of my volume loss.

Answer: Needs more than a Benelli

I personally feel that, in order to get the best result, you would need more than just the circumareolar lift.

In my opinion, you need at least the lollipop scars if not more. I would highly recommend asking your surgeon to review with you photos of women with similar anatomy. This is very much surgeon dependent. In my experience, the circumareolar lift does very little actual ‘lifting’.

How Can My Asymmetry Be Fixed And Do I Need A Lift?

Question: Follow up to my previous question: How can my asymmetry be fixed and do I need a lift?

asymmetry

I asked if I need a lift previously and posted a side view to hide my tattoos. Most Doc comments requested front view. Sorry for the scarf! Might as well ask how to address my asymmetry as well. What procedures do you recommend? I will be scheduling my breast aug for next summer when I find the right doctor.

A: Breast Asymmetry

Thanks for the question. A few things to consider. Based on the photo, it does not look like the left side needs a lift. The right side very well may need it. I always tell my patients, with pre-op asymmetry, to really expect asymmetry post-op despite all of our efforts. However, you still should like the final results.

Another thing to consider is checking out an office that uses the 3D imaging (like ‘Vetra’) which can give you an idea of what to expect with just implants. Best thing to do is ask the surgeon to show specific examples of before and afters of patients with similar asymmetries.

Should I get a Benelli Lift?

Question: I scheduled for a Benelli Lift and 600cc Implants…..good idea?

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I’ve always had some droop to my breasts….now after 3 kids I want to have a pair to be proud of! One dr said a vertical scar lift with 500cc gummy bear implants and the other 2 I went said a benelli lift with 600cc implants…I wear a D cup bra already…

Answer: Benelli?

The Benelli lift is a procedure that is loved by some surgeons, disliked by most (in my area, at least). The problem is that the (IMO) the benelli doesn’t really ‘lift’ anything. I feel it’s best for circumferential skin removal without really moving the nipple that much.

In your case, my guess is that you want the breasts as high and full as possible. In my hands, this would definitely require a vertical scar. Additionally, whenever I contemplate a breast lift with implants that big I always have the discussion with the patient as to the increased risk of complications. Many surgeons would suggest doing the lift or implant first f/b a 2nd stage.

One thing to consider is to ask for specific before and afters with each of those surgeons on cases with a similar anatomy.

Am I a Candidate for Breast Augmentation?

Question: I have lost all volume. Am I a candidate for breast augmentation, lift, and areola reduction?

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I’m 5’6. A cup. 110 lbs. I would like to know what my options are and if I could have a nice result before I waste money and time going to see doctors. I would like to have full round (flattish) closer together breast. I’ve had kids and they’ve just got worse over the years. Thank you.

Answer: Breast augmentation will probably work out great here

With those photos it doesn’t appear that a lift would be necessary. Rather a breast augmentation without the lift would likely be the best option.

As far as the areolar reduction, that is a possibility, but, with the implant in there you may not need it. Plus, that is an extra scar that might not turn out great.

Best thing is to look at multiple before and after photos of the surgeons you are researching. Also, check out 3D imaging with the Vectra (only available at select offices).

Complications After Extended Tummy Tuck and Breast Lift with Implants?

Question: What are some “MAJOR” complications that can/may “OCCUR” after having an Extended Tummy Tuck and Breast Lift with Implants?

I am going to have an Extended Tummy Tuck and Breast Lift with Implants in September. I need to know what are the most common and major complications that can occur after surgery (during the healing process)? Can/Should the Emergency Room assist if I have medical insurance? Is there a legal document that can be signed by my Plastic Surgeon (haven’t chosen one yet) if I did not RECEIVE what we discussed in the consultation? Is there additional insurance offered for post op issues?

Answer: Major complications are rare, but, can happen.

The main ‘major’ complication I discuss with my patient is a ‘pulmonary embolism.’ This is where a blood clot can form in the legs and travel to the lungs which can be life threatening. Surgeons generally take special precautions to prevent this. These methods include avoiding the breathing tube for anesthesia, using a special medication to lower the risk, getting the patient up and moving asap (even the first night), etc.

Other major complications include things like a hematoma, bad infection, anesthetic complications, etc. However, your surgeon should review all of these in detail at the ‘preop appointment’.

How Much Do Breast Implants Cost?

Question: I would like to get breast implants but before i do i would like to know about breast augmentation prices. How much do breast implants cost?

Answer: It varies by a wide variety

Cost for cosmetic procedures, not just breast augmentation, vary widely not only between cities, but, within cities. It’s best to call around to see what the average is. However, I would caution going to the absolute cheapest. Better to rely on word of mouth, before and afters, online reviews, etc.

Web reference: hhttps://gorinplasticsurgery.com/before-after-photos/breast-augmentation-photos/

How Long Do Breast Implants Last?

Question: How Long Do Breast Implants Last? I have had breast implants for 14 years and I am now developing a large rash under my left breast, and it hurts and I feel alot of air pockets. One doctor told me to replace them every ten years and another told me you never have to replace them.

Answer: It depends

Saline implants have the advantage of ‘telling’ you when they need to be replaced (ie: deflation). Silicones do not do this. Some surgeons suggest replacing every ten years. Some do not. IMO, replacing silicones at ten years if they look and feel good is probably not necessary. However, an MRI test could be considered to help rule out a leak.

In your situation, with the rash, etc, it’s best to return to the original surgeon (if available), or another board certified plastic surgeon.

Web reference: https://gorinplasticsurgery.com/before-after-photos/breast-augmentation-photos/

Tear Drop Vs Round Breast Implants for Petite Build?

Question: Hi! I’m a 19 year old girl who is petite build, short about 150cm (4’9″), breast size about an A cup and is going to get Breast implants but I’m not sure which style to go for. I was told the tear drop as it is more natural and due to my petite built. I just wanted to know if I were to get round implants would it look that bad?

Answer: Depends on the particular anatomy

Shaped implants can certainly be a good option for many women depending on the anatomy we are starting with. If the goal is to minimize the upper pole fullness and maintain the most natural appearance a shaped device is certainly something to consider.

Web reference: https://gorinplasticsurgery.com/before-after-photos/gummy-bear-implants-before-and-after-photos/

Should Breast Implants be Placed Under or Over the Muscle?

My friend went under the breast muscle w/ her implants…but now it looks rippling on the bottom. During consultation with a respected plastic surgeon in LA he told me under the pectoral muscle is much better… less risk from capsular contracture, safer for breast cancer screening, more natural (less stripper looking…his words, not mine!). Thoughts?

Answer: Rippling is still possible going under the muscle

‘Under the muscle’ placement of implants generally is not very accurate. The lower 1/4 to 1/3 of the implant, when going ‘under the muscle’, is, in fact, usually not ‘under the muscle’. It is covered by skin and breast tissue. The upper 2/3rd’s is usually covered by skin, breast tissue and muscle. I personally place all implants under the muscle except for a very specific situation called ‘tubular breasts’. The advantages that the LA surgeon laid out are exactly what I tell my patients.

Web reference: https://gorinplasticsurgery.com/before-after-photos/breast-augmentation-photos/

How Long is Breast Implants Recovery Time?

Q: How Long is Breast Implants Recovery Time?

I am a phys ed teacher and would like to get breast implants. I want a very natural look and do not want anyone to know. I am afraid that if I take additional vacation time either before or after winter or spring break, everyone will notice. Is it possible to be back to work after only a week of recovery?

A: It is possible

I would say that returning to work at 1 week is definitely possible as long as you are not using your upper body at work. As for keeping it a secret, that is definitely possible depending on the implant size as well as the clothes you wear.

Web reference: https://gorinplasticsurgery.com/before-after-photos/breast-augmentation-photos/