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Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

Q: I had a breast augmentation last January with 330cc. I had almost nothing pre-op – maybe a 34AA. I’m developing a capsular contracture in my right breast and definitely need to undergo surgery to fix this issue but I’m wondering if its possible for me to minimize this wide gap between my breasts right away. I’m really unhappy with the gap. Is there much risk if I was to get the pocket readjusted to bring them closer together? Is it possible for me to achieve full cleavage – if so, how?

A: You have widely spaced breasts. When you look at the pre-op pictures you provided, you can see that you have always have widely spaced breasts, it is just more noticeable now that your breasts are larger. This is just how you are made and it is difficult to correct. Unfortunately, if we try to move the breast pocket more centrally on your chest, we run the risk of creating a “unaboob,” or synmastia. A better way to address the issue is with fat grafting to the upper and middle parts of your breasts. I am concerned, though, that you may not have enough fat to harvest given your slim build.

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

I Have Tuberous Breasts What Are my Options for Surgery?

I Have Tuberous Breasts What Are my Options for Surgery?

I Have Tuberous Breasts What Are my Options for Surgery?

Q: I have severe tuberous breasts A plastic surgeon told me they were not constricted but I had a great deal of ptosis I WILL NOT accept anything less than a DD implant I find small size breasts disgusting I will do anything for a huge size breast Could you guys please list my options I am willing to pay any amount and go anywhere but average breasts are not an option. I want 2000 cc implants I would consider bigger I want to keep my nipples but I am willing to consider a mastectomy BIG/PERKY/EVEN

A: I am concerned that you are not a good candidate for plastic surgery at this point. I don’t think any plastic surgeon would be able to meet your expectations. I am not trying to upset or anger you, but you mention several concerning things in your post such as willingness to undergo a mastectomy without having breast cancer or a genetic predisposition for breast cancer, your desire for 2000 cc implants, your refusal to accept anything less than a certain size and the statement that average is not an option. I think the best course at this point is to continue to research breast augmentation surgery and the results that can realistically be achieved with this procedure.

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

Under the Muscle Vs. over the Muscle?

Under the Muscle Vs. over the Muscle?

Under the Muscle Vs. over the Muscle?
Q: I am 35 year old mother of two breast fed infants left with with saggy size B breasts. I keep reading that UNDER the muscle is a better choice but my surgeon has recommended over the muscle. WHY?
A: You have a lot of options when restoring breasts after pregnancy and breastfeeding. Without seeing you, or at least a photo, it is hard to tell which option would be best for you. Because you mention sagging, I would encourage you to explore your breast lift options in addition to breast augmentation. In general, if you have sagging breasts and a breast implant is placed under the muscle WITHOUT performing a breast lift, you will be left with a double bubble – the implant will sit securely under the muscle and then your breast tissue will continue to sag below. Placing an implant on top of the muscle without a lift allows you to increase volume, avoid the double bubble, but will NOT correct the sagging. Additionally, breast implants placed on top of the muscle are usually more visible, more easily felt and they can interfere with mammography. I try to avoid placing implants over the muscle (subglandular) whenever possible. A dual plane approach is a nice “happy medium” for many women with MINIMAL sagging (usually women whose nipple is at – not below – the inframammary fold). With the dual plane approach the implant is placed partially under the muscle, but the lower portion of the pec muscle is freed from the chest wall allowing the implant to settle nicely into the breast envelope. If you have more than minimal sagging, a breast lift with implant (augmentation mastopexy) may be your best option to create firm, perky breasts with increased volume.

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

Can Breast Asymmetry Be Fixed with JUST an Augmentation; No Lift on Larger Side?

Can Breast Asymmetry Be Fixed with JUST an Augmentation; No Lift on Larger Side?

Can Breast Asymmetry Be Fixed with JUST an Augmentation; No Lift on Larger Side?
Q: I have a normal A cup on one side and a slightly droopy C on the other. Nipple of larger breast does not need repositioned. If I were to get implants in both breasts, is there a chance the smaller one would lay even with the larger breast? Does everyone with asymmetry need a lift on the larger side? I can’t provide a photo at the moment, I just want to know if this is possible.
A: It’s very hard to advise you without seeing at least a picture. The answer depends on your expectations. If you are happy only addressing the size difference between your breasts, then you can just have the augmentation. You need to understand, though, that you will likely still have one sagging breast and one perky breast. I counsel many of the women in my practice that a breast lift along with augmentation will give the most pleasing result. Many decide not to have a lift to avoid the scars. This is a personal decision, but it is essential to set your expectations appropriately. If one breast sags and the other does not, full correction will likely require a breast lift.

Can I Get a Breast Revision to Minimize the Gap and Achieve Full Cleavage?

How Do I Begin The Breast Reduction Process? (With Wanting Insurance to Cover the Procedure)

How Do I Begin The Breast Reduction Process? (With Wanting Insurance to Cover the Procedure)

How Do I Begin The Breast Reduction Process? (With Wanting Insurance to Cover the Procedure)
Q: I am 20 years old and I am a J cup. I have the WORST pain in my back, neck, and shoulders. I desperately need a reduction however I would need for my insurance to cover it. How do I begin? I have an appt with my new PCP but that’s not until Nov. 4th. Do I HAVE to go to a PCP and have them refer me to a plastic surgeon ? Or can I start by going directly to the plastic surgeon myself? And which doctor is the one that should write my insurance company? Any and all info is welcomed and appreciated.
A: I’m sorry to hear that your large breasts have been causing you physical discomfort. Your first step should be to contact your health insurance company about their coverage for breast reduction surgery. Each insurance company is different and has its own specific requirements. They can also tell you whether or not a referral is necessary and which plastic surgeons in your area are covered under your plan. It is a good idea to meet with your PCP. Most insurance plans require it. Your primary care physician will document your symptoms and check for physical findings like shoulder grooves and/or skin infections under your breasts. They can also examine your breasts and make sure there is no underlying medical problem leading to your overly large breasts. Most insurance companies require you to try non-surgical measures like physical therapy and non-steroid pain medications before they will consider covering plastic surgery and your PCP can help with that. Your PCP can also make sure that you are a good surgical candidate. Assuming you are still having discomfort after trying the conservative therapy, your plastic surgeon would submit the insurance pre-authorization letter. Best of luck to you!