Doctor insights on:
Plastic Surgery Breast Implants Before And After
Implants v. "Flaps": In general, there are two different techniques for reconstruction following a mastectomy. In one, tissue expanders are placed under the chest wall muscles and then are slowly expanded over months until "new" skin forms; they are then removed and replaced by implants. The other technique involves transferring tissue from one part of the body such as the abdominal wall or back to the chest wall. ...Read moreSee 4 more doctor answers
A medical device that is used to augment the size of the breast by increasing the volume of the breast mound. Implants come in a variety of shapes, sizes, and textures and are surgically inserted either under the breast tissue or in a deeper plane under the muscle. The shell of the implant is made of a flexible silicone elastomer. The inside is filled with either silicone ...Read more
Most photos are fake: Most celebrities guard their privacy even more than their appearance, so much of what is available online is fake. Reputable plastic surgeons are bound by patient confidentiality, so this would be a major breach to "let this information out!" look at actual photos to see examples of facelift, eyelid surgery, and much too much filler and botox! ...Read moreSee 2 more doctor answers
Many possibilities: Is the implant exposed? If so, the implant will in all likelihood need to be removed. If the wound is opened only superficially, treating it topically until it closes on its own is best. Reclosing under any tension will only make it pop open again. Sometimes there is an underlying infection and ultimately the implant will have to come out. Good luck to you. ...Read moreSee 4 more doctor answers
No easy answer: Not sure what you mean by "firm up". Breast reduction is usually a very satisfying surgery for women that have long been bothered by disproportionately large, heavy and hanging breasts. It can be difficult to maintain fullness in the upper breast. Occasionally breast implants are indicated either at the same time or later. Restoring some of the lost volume may help. ...Read moreSee 1 more doctor answer
How long after breast reconstruction implants placed after 4 months of tissue expanders does the swelling go completely down?
Varies: Most swelling after surgery resolves by 6 weeks or so. However, a lot depends on what was performed exactly. Swapping out expanders for implants is usually quite straight forward. Sometimes more extensive surgery is required for the best results eg removing scar tissue, reshaping (internal, external, or both), fat grafting, etc. Your plastic surgeon will know best for your specific situation. ...Read moreSee 3 more doctor answers
Personal choice: Breast reconstruction isn't for everyone but it certainly offers several benefits. The most significant benefit is not having to experience living without a breast. Reconstruction can be performed at the same time as the mastectomy ("immediate reconstruction"), or any time after ("delayed reconstruction"). There are many reconstructive options ranging from breast implants to using your own tissue. ...Read moreSee 4 more doctor answers
Surgeons vary: Surgeons vary in their recommendations following surgery with some recommending limited activity and compression dressings while some even make their patients sleep on their breasts the day after surgery.. Inwouldmdiscuss this with your surgeon. An increasing number are adopting a regimen of "rapid recovery" exercises. See video: http://youtu.be/lJs9tr75b70 ...Read moreSee 1 more doctor answer
If it's not broke...: There is no set time that a woman will benefit from breast revision surgery. It may be after childbirth, weight loss or gain, etc. Another cause would be it the implant has failed. Every case is different and the amount of surgery required will vary. I hope this helps. ...Read moreSee 5 more doctor answers
Yes but be careful: When used for breast reconstruction, breast implants are placed under the "pec" muscle. As you work your chest, your pec muscles compress and push the implants out to the side. Light chest work outs shouldn't make a difference longterm. More aggressive chest work outs can widen the implant pocket over time which can lead to the implants being displaced sideways, especially when you're laying down. ...Read moreSee 3 more doctor answers
I'm getting fibroadenoma removal after breast augmentation. Will the removal of a fibroadenoma affect my silicone implants?
Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read moreSee 9 more doctor answers
Will i need to keep getting mammograms after breast reconstruction? Is there enough of my own breast tissue left after mastectomy and breast reconstruction to make imaging worthwhile?
Yes and No : If you had a single breast complete mastectomy, no more mammogram on that side. However, if you did not have both breast mastectomies, you still have the other bresst that is at increased risk given the history. So you need to continue screening mammograms for the other breast. ...Read moreSee 4 more doctor answers
What are my options for restoring breast shape after breast implant removal? I don't want to be left with small, saggy breasts after my breast implant removal. What are my options for restoring breast shape and perkiness?
How long should a patient wait before starting chemotherapy and after the breast cancer surgery ?
12 weeks: Studies have shown that benefit from chemotherapy doesn't begin to drop off as long as it is started within 12 weeks of surgery. I take the type of cancer into consideration, though. For more aggressive breast cancers, i like to start chemo within 4-6 weeks. For the slower growing er+ cancers, within 12 weeks is fine and supported by data. ...Read moreSee 3 more doctor answers
I only wanted a breast lift and consulted 5 board certified plastic surgeons. All recommended implants with lift. I regret the implants. Were they wrong?
Breast lift only: If you have adequate native tissues and do not require bulging upper poles, a breast lift alone is adequate. If you wanted fake looks or more fullness and volume, implants are needed. What do you really want? And are you clearly communicating this to your surgeons? The rubin mastopexy can do a great result with your own tissues but is a radical procedure. ...Read moreSee 3 more doctor answers
Varies.: Most patients who undergo breast augmentation surgery experience tolerable discomfort for the first week after the procedure. Most patients are also "over the hump” between 2-4 days after the procedure is performed. Pain medication and muscle relaxants are helpful during this recovery. Most patients are able to return to a desk job within one week after the procedure is performed. ...Read moreSee 4 more doctor answers
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