Breast Lift Questions

Can I Give Birth After a Breast Lift?

posted by ajimerson

Q: Can I give birth after a breast lift?

A: Having a breast lift (mastopexy) will not affect your fertility.  Pregnancy does cause changes in the breasts and it is hard to predict exactly what those changes will be.  It is possible that you may desire another breast procedure after you are done having children.

I Want Silicone Implants Without a Lift, is my Ptosis Bad Enough to Not Recommend Implants Without a Lift? (photo)

posted by ajimerson

Q: I want silicone implants without a lift, is my ptosis bad enough to not recommend implants without a lift?

To lift or not to lift, that is the question . . . Forgive the pun!  I am asked this question almost daily – your issue is very common.  I think you would have the best cosmetic result with a combined breast lift and augmentation, but the choice is yours.  You do have breast ptosis (sagging), so the question is – are you OK with that?  You should understand that breast implants will NOT correct sagging.  I think a lot of women come to my office thinking that implants will raise the nipple but this is not so.  After implants alone, your breasts will be fuller, but the nipple will remain in the same position.  You have the option to start out with breast augmentation alone.  If you are satisfied, great.  If not , you can always opt for a mastopexy (breast lift) later.

What All Needs to Be Done to Fix my Breast Assymetry?

posted by ajimerson

Q:  I have done so much research on breast augmentation and am ready to schedule a surgery.I want to make sure I am going with the right surgeon that has experience with breast assymetry.I would like to have 34D-DD as an end result, but i don’t know if this is possible with my left breast being MUCH smaller than the right. The left breast is an A while the right is a large C.I have read that removing breast tissue from the larger breast should be done, as well as a lollipop lift for nipple symmetry.

A:  Thank you for sharing your story and photos.  I think that your asymmetry can be improved through surgery on both breasts, but it is unlikely that any procedure or combination of procedures will make your breasts match exactly.    I would recommend placement of a tissue expander on the left (smaller) side and an implant on the right side.  Once both breasts are the desired size, I would do a second procedure to address nipple placement and areola size (a breast lift) on the right breast.  With this degree of asymmetry, I think two separate procedures are warranted to achieve the best result.

Replacement of Implants, Original Cancer and Radiation in 1985? (photo)

posted by ajimerson

Q:  I had lumpectomy & radiation in 1985. I got UM silicone implants in June 2011. Left radiated side 400cc, right 325cc. Easy recovery; no problems – left breast is nice but firmer & smaller and right is softer & lower. Not really noticeable in bra. Can I increase the left side rather than reduce the right w new implant? Can I lift the right w/o moving nipple? Will I always be asymmetrical regardless of what I do? I am 61 and really don’t want a big major surgery. Options? Opinions? THX!

A:  Thank you for your question.  I generally don’t perform fat transfer to the breast after lumpectomy.  There appears to be some capsular contracture on the smaller side.  This could be corrected in conjunction with placement of a larger implant on that side.  Lifting the larger side (mastopexy) would involve moving the nipple.

Why Do So Few Surgeons Work in an Actual Hospital As Opposed to Their Private Surgery Centers?

posted by ajimerson

Q:  Am I wrong in wanting to be operated on in a hospital, even though these surgery centers are accredited? It just seems safter.

A:  Almost every board-certified plastic surgeon you will meet operates in at least one hospital.  Having hospital privileges is a requirement for most accrediting organizations.  There are several reasons why so many of us and our patients prefer surgery centers.  First and foremost is patient safety.  I run my own AAAASF-accredited surgery center which allows me to hand-pick the best nurses, anesthetists and other staff to help me take great care of you.  I have no control over who is working in the hospital.  Most surgery centers also have MUCH lower infection rates than hospitals.  The second benefit is cost.  Hospitals are expensive to run and that cost is passed on to you.  I have no influence on the anesthesia and facility fees that they will charge my patients.  I am much better able to control costs in my own center and I pass that savings on to you.  Additionally, I am able to offer better service in my own operating room than I am at a hospital.  I offer a variety of surgical dates and times and my staff is particularly attuned to your needs.  It’s equivalent to the service difference you would notice when comparing a fast food chain to a sit down meal at a family owned restaurant.