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Breast Questions and Answers Archive 2008
WARNING: The views contained in the Q&A section are those of the readers of this site and those of the authors. The authors of this site are NOT plastic surgeons. The authors and this website accept NO RESPONSIBILITY for any usage of the information on this site or in any email. The authors do not intend to use this Q&A section to diagnose or treat any medical condition or give any medical advice. Any medical condition should be referred to a qualified medical professional.
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Q: Hi Eve, I love your site! I am conflicted about whether I want to get breast implants or try a nonsurgical solution, like BRAVA, first. I have read so much and thought about it, but still can't make up my mind. I am really small 34A and would like to be a C cup. What do you suggest? SallieA: Hi Sallie, IT is highly unlikely that BRAVA will bring you that much success... If you are willing to settle for a more conservative gain, try BRAVA. You can always still have breast augmentation surgery in the future if you are still unsatisfied. However, to save the cost, if you know that you want to be this large right from the start, think about undergoing the surgical approach right from the start. I hope this info helps to to clarify your ideas. Best, Eve Q: i was diagnosed with breast cancer of right breast 2003, which resulted in bilateral mastectomy. one sentinel lymph node was negative. tissue expanders were replaced with saline implants no chem or radiation. Back to activities for 3 years. April 27, 2006 had capsular contraction in left breast, doctor removed and replaced with silicone implants creating cleavage. 6 months later seroma and again 6 months after that. 300cc of clear fluid removed. No further episodes of swelling.I have been multiple specialists in order to help ease the breast pain. pain management, orthopedic, and psychotherapy.I have joint mobility limited of the 5th and 6th sternocostal joint. I display limited thoracic rotation when sidelying right, unable to rotate trunk to the left with left upper extremity in flexion, abduction and er. Upon palpating the left sternocostal joint tenderness of the 5th and 6th sternc joints with grade 11 mobilization. No pitting edema present. Mild inflammation of the inferior left breast.I am limited by breast pain. I am unable to reach overhead,play tennis, mop floor, or lift a gallon of milk with left arm.shoulder rom; flexion L=135 muscle guarding, abduction L=120R=180 I am considering more surgery because there is no other option and the breast pain has significantly impacted my quality of life. I feel problem is muscular and i do not know if removing or replacing implants if the answer.. please help if you can, any suggestions would be greatly appreciated. Thank you, Donna A: Hi Donna, I wish I had the answer to your situation, but unfortunately, I do not. Your pain may be related to your implants, but it may not. When cancer is involved and the various health complications which can accompany it, replace it or exist simultaneously, yet coincidently, there are an ever-growing number of possible reasons for your symptoms. Basically you have to do what is best for you. If you feel that the implants might be involved, you should consider getting them removed. If not, or if you are not sure at all, then you must consider your other options until a clear answer becomes apparent. I do send you my best and hope for your full recovery. Eve Q: I am 52 and have always had small breasts, along with a small frame but tall. I've had some issues with cysts and have had needle biopsy, cyst drained, etc. but every time came out positive. Is it wise for me to consider breast implants at my age and with the cyst condition? Sue A: Hi Sue, Your condition may or may not be contraindicating for breast implants. I suggest you speak to your physician about this question, since they have intimate knowledge of your specific history. I hope it all works out for you. Please let us know if you decide to go ahead with surgery. Also, you might consider an noninvasive option, such as the BRAVA system. Best, Eve Q: Do insurance companies ever pay for creating a breast if the missing breast(s) is/are due to congenital deformity? Thank you, Kelley A: Hi Kelley, This is an excellent question, but unfortunately it is beyond my experience to answer. Treatment for congenital conditions are often covered under the parents insurance for a newborn, but I am not sure how that coverage would be provided as the child grows into an adult. I think contacting an attorney well versed in insurance litigation would provide a more comprehensive answer to this complicated question. Best, Eve Q: Hi.I live in Kazakhstan and i would love to make breast done. I want to know how mush will it cost for me and how i can make it. Venera A: Hi Venera, I recommend you consult with a local plastic surgeon about the procedure you would like to undergo. Costs vary from location to location, so it is best to find a good doctor first and ask them the fees they charge. Best, Eve Q: Hi, Could you please send me any details of plastic surgeons in Damascus, Syria. Many thanks, Sarah A: Hi Sarah, We do not have a surgeon referral service at this time. I recommend searching GOOGLE for a surgeon in your area by typing "plastic surgeon Damascus, Syria" or contacting a local hospital or medical association for a referral. Best, Eve Q: I had maxoplasty done 10 days ago. I am happy with the results and seem to be healing fine, but my question is I feel the doctor left my breast bigger that I wanted. Am I still swollen and should they continue to go down a bit in size or will they stay at this size? Any input will be great! Sandra A: Hi Sandra, Mastopexy is a breast lift and does not include a reduction. For this outcome, you require a reduction procedure, which is very similar to a lift, but with the addition of tissue removal. Of course, if you arranged in advance for your surgeon to perform breast reduction and this was completed, then you simply have to be patient and wait for healing to occur. You will still be swollen and should not see final results for several months to a full year's time. Best, Eve Q: Hello, I had breast augmentation/mastopexy a week ago (15Dec). Yesterday I needed to lift my daughter (24lbs) a couple of times for about a minute each time. How dangerous is this w/o being completely healed, and what are the risks? Thanks, Tina A: Hi Tina, I am sure your surgeon warned you of the risks of lifting or even raising your arms over your head for the first few weeks. The risk is damage to the sutures, both internal (if they exist for the lift) and of course, external. If all looks well, consider yourself lucky and be careful. Best, Eve Q: Hi, I had a bilateral reduction just over a year ago. There were some errors made and I ended up being two different sizes. I was a 36F and am now a C and a B. I asked to be a D. The hospital offered implants to correct the mistakes. I am currently scheduled for silicone implants in about a month. I have asked for them to be placed under the muscle. Is this a wise choice? I have no history of breast cancer in my family. Would sub-fascial implantation be a better choice? I also may need fat grafts to contour the side of one breast as it is sunken in. Would either of these options be safer than the other? How will the anchor scar affect having implants? Am I at higher risk for having complications because of the previous surgery? Thanks for any help. Jeannie A: Hi Jeannie, That is quite a lot of questions, which is good... It shows you are doing your research carefully! Ok, here are some answers which I hope will be useful. Submuscular is probably the best choice, given that you have already had a previous surgery. The less stress on skin alone, the better. This also factors into the sunken breast issue, as well. The anchor scar should not be any more of a factor with implants placed under the muscle, as long as everything healed nicely. The only concern with any inframammary scarring is whether there is significant degeneration of the normal inframammary fold, which might lead to complications, such as bottoming out. Any previous surgery does increase the chance for complications, due to scar tissue concerns and such, but not significantly. I wish you well and please let us know how things turn out for you. Best, Eve Q: Hi. I'm almost two months post breast reduction and lift. Wow, overall what a great decision. I'm 47 and don't regret it at all. However, I have noticed that under one of my breasts I feel hard nodule. I was thinking that it could be scar tissue and have been massaging it. Sometimes it appears larger than others. (I am post menopausal if that means anything). Secondly, I had one scar on the line of my nipple which FINALLY came off. However, there is like a hole underneath. No smell. Color is good. Full sensitivity. I have been putting antibiotic ointment over it, but it still is a little scary.Any thoughts based on your experience? Thank you in advance. Leslie A: Hi Leslie, Well, what you describe sounds ok to me and plausible for scar tissue, however... You are there to see the results and have to be an objective judge. If anything seems unusual or worrisome to you, a call to your surgeon would not be overly cautious... I hope all is well. Best, Eve Q: Hi,I a 36 yrs old,house wife,a mother of 2, youngest 8.Since puberty i notice a difference in size of both my breasts,after giving births, gaining weight and losing weight, the difference in their sizes is huge, now one is like an orange and the other is like a peach, doctors recommended implants, i declined. Mammography is negative. Your advice , Thanks, Hanadi A: Hi Hanadi, There is not much which can be done non-surgically, but there is also no reason to change your body, unless the size difference bothers you. The one noninvasive method which may work well for you is the BRAVA system, which is detailed on the website. It takes time and commitment, but the results are generally good. It might not make up the size difference, but should narrow the gap. Best, Eve Q: I'm 100% sure that I have congenital breast hypoplasia although I have not went to a Dr yet to get it diagnosed.I am 20 years old and my breasts never developed. This has caused me EXTREME emotional pain for years. When I was younger and noticed they were not growing I went to my Dr to get checked but where my mother has no breasts nothing was done about it and I was not told anything (I believe she stopped them from telling me anything). I never had any eating disorders and this has bothered me all my life! I am unable to come up with the money to pay for plastic surgery and want to know if there are any suggestions as to what I can do about this, I am unalbe to finance plastic surgery because I no longer have good credit and i can't find anyone to co-sign on loans for me due to the fact that this condition has made me keep to myself fully. I would be willing to do next to anything for free plastic surgery!! Genevieve A: Hi Genevieve, As I have advised others, your situation is common. I can recommend that you seek a free procedure through some media outlet, such as a radio or television program. Many doctors perform these operations free of charge for the publicity. This has worked out for many fiscally challenged people... Best, Eve Q: I recently had a breast enlargement and went with a periareolar incision. Once the stitch (they used one long stitch in each areola) was removed there were little dimples on the top from where the stitches were. It's only been about a week since they pulled the stitches and they were left in for 9 days with the tape over them. Will these dimples go away? They are very deep and distort my nipple to the point where I am worried and unhappy. I can send a picture if seeing it would help. Please help! Bonnie A: Hi Bonnie, Dimples from stitches are not uncommon and usually go away as healing progresses. Of course, your might not fit this profile, but all you can do at this point is wait and allow time to heal the wounds. If the dimples remain once full healing has occurred, you might consider talking to a doctor about scar reduction. Best, Eve Q: I had a breast uplift in Mar 2007 (with implants)no problems - but within the last month the color of the areola on my left breast is getting lighter (within the scar area)- it seems to be fading to the color of my actual breast. Is this normal? Linda A: Hi Linda, Scars tend to fade and change color, but the time frame is very long in your case. I would get it checked out, just to b sure all is ok, but I doubt it is a cause for worry. Eve Comment: I love your site! I can't wait to have my implants done. Ballerina A: Hi Ballerina, Thanks for the kind words and good luck on your proposed surgery. Please let us know all the details when you get it done! Best, Eve Q: Hi, I am 6 yrs post implants and have not had any problems, but recently I have had some short stabbing, moderately intense pain in my left breast. No changes in appearance, no drainage, no fever. Should I be concerned or consult back with my surgeon? All mammograms have been negative. Thank you, Angie A: Hi Angie, I think a call to your doctor might be in order. It is better to be safe than sorry...in all things. Let us know that everything is ok after talking to the doctor, ok? Best, Eve Q: I would like to know if a second surgery is recommended after a breast lift with implants that resulted in sever scarring around the areola? I normally heal fast and with minimal scarring which leads me to believe that my stitching was not properly executed. I had a full nipple lift and I am extremely disappointed with the outcome. What would you suggest? Brenda A: Hi Brenda, I would recommend exhausting all nonsurgical scar reduction techniques before considering a second operation. Many of these methods can be very effective for reducing or eliminating even noticeable scarring. I wish you well and please let me know if you find success from any particular method. Best, Eve Q: How do I get free implants I don't feel like a woman. Please help . My name is Jenny A: Hi Jenny, I can't help you personally in this request. There are many ways, but they vary by geographical location and circumstances. You might consider taking the chance to get them via some media outlet used for publicity purposes (radio or TV show). Best, Eve Q: hi, I'm male and i am thinking about having my breasts enlarged by pills and not surgery. do any of these pills have side effects like not being able to have an erection? Samantha A: Hi Samantha, Some of these formulas might have side effects, such as reducing male potency. It is best to contact the manufacturer for specific details before deciding on a product to use. Alternately, you can speak to your doctor about this situation, as they will have good advice for you as well. Best, Eve Q: Hey my name is Sky, I am 15 and I have scars, or what you have labeled as "striae" on my breasts. I used to be quite concerned wondering what it was, so I am very grateful for the information I found on your site. What is the best possible and affective solution to rid these awful scars? Thanks so much for your time, Sky A: Hi Sky, At such as young age, your body is still changing and you would be best in waiting till your body fully matures before dealing with these issues. If not, you might have to undergo several sets of treatments while your body continues to change. There are a variety of creams for striae removal, although most are only marginally effective. Laser resurfacing is my recommendation, since it is not invasive and highly effective, without many possible risks. Surgical intervention is only for serious marks which do not respond to more conservative options. I hope this info helps you. Best, Eve Follow up: Hey Eve,I think, or at least hope my breasts are done growing though as they are already a 34D.What sort of treatments are you talking about? Do you know how much the laser resurfacing would approximately cost? Thanks again, Sky A: Hi Sky, There is some info here: http://www.breast-plastic-surgery.org/laser-breast-surgery.html Prices range, due to location and care provider. Generally, laser treatments require several treatment sessions to be effective. I recommend you contact a qualified cosmetic surgeon or dermatologist for additional information on the best methods for you. I wish you well, Eve Q: I have 34 D breasts and my breast are dropping after 3 kids and I had a left lumpectomy in 2005 making the left breast slightly smaller than the right. Can I have smaller (34 C) breast with augmentation? I like the look of the augmented breast vs. just a breast reduction with a lift. Thank you, Valerie A: Yes Valerie, this is very possible. I recommend you take your time finding the right surgeon, so that you can insure perfect results. Many women find that they are not happy with the shape or general appearance after reduction and lift and opt for implants to create a more pleasing look and feel. Best, Eve Q: Hi, I recently had a breast reduction and I think I may have rip out one of my stitches. They are supposed to come out nov.19. What will happen to me if I did rip one of my stitches? Monique A: Hi Monique, This is a situation which should be brought to your doctor's attention. I recommend you contact them immediately. Best, Eve Q: My questions concerns the areola, what happens if one of the areola looks deform not centered after surgery. Can the areola be reconstructed. Or if one breast scars and the other does not can it be fixed? Very inquisitive/Amanda A: Hi Amanda, Do you mean after breast augmentation surgery? I want to make sure we are talking about the same thing. Or do you mean after breast reconstruction? Best, Eve Reply: Yes, after breast reconstruction. A: Hi Amanda, Areola surgery is possible, as well as minimally invasive surgical areola reconstruction using minor skin grafts or permanent tattooing. As far as scarring, there are a wide range of highly effective scar reduction techniques and products available and detailed on the site. I advise speaking to your doctor about these things, since both are easily attainable. Best, Eve Q: Hi there, I have recently discovered that it is possible to have my nipples reduced in size but really would like to know the risks involved and how long it will take for my nipples to heal... this is my main concern as I make a living out of being a still life model and cant go back to work until my nipples look healed. please let me know if u have any answers to my Questions. Thanks. Deborah A: Hi Deborah, The risks involved include loss of sensation and breastfeeding ability (although rare) and all the usual complications possible from any surgical procedure (well documented on the site). As far as healing, every woman is different, but most nipple reductions are minor surgeries and should be well tolerated and healed within a few weeks. I hope this info helps, Eve Q: Hello, I had breast augmentation surgery on Sept 17, 2008 with a periareolar incision site. I realize that every person heals differently, but I was wondering in your opinion how long does it usually take to see the pink color of the incision to turn to a white color? Steph A: Hi Steph, Healing depends on many skin and health criteria coupled with an array of possible circumstances which occur during the healing process. Most women see a reduction pinkness within the first 2 months, but full healing can take far longer. It might be a good idea to discuss scar reduction treatments with your surgeon if you are concerned. Best, Eve Q: Hi, I am 50 yrs old but in decent shape except for my belly. I lost my mom and oldest sister to Breast Cancer and my one remaining sister who recently found a lump in her breast and has just been told she has a couple of spots on her mammogram. I saw a procedure on television a while back and I wanted to know if it is possible to have Periareolar surgery and have the old breast tissue removed or scooped out(so that I don't get breast cancer) and the belly tissue implanted into the breasts. I'm not concerned too much with losing sensation in the nipple especially if it will save my life and still look ok aesthetically. Thanks, Lynn A: Hi Lynn, There are many preventative breast gland removal procedures available using implants or organic filler material. I recommend you contact a few local plastic surgeons who can discuss the possibilities for your individual case. Best, Eve Q: I had breast cancer involving chemo and radiation, my left implant is now encapsulated. My HMO is recommending that the implants be removed, but do not plan to correct the stretched skin. Won't that be very unsightly? Should I consider finding a private plastic surgeon and paying to have it done correctly?Elaine A: Hi Elaine, Yes, removing implants without aesthetic correction is likely to leave extra skin and stretch marks, as well as an unusual feel to your breasts. Many women have battled their HMOs to successfully insure complete coverage, including breast repair after implant removal. You might want to consider this option with your attorney. I wish you the very best, Eve Q: I wrote you about having my implants removed because of encapsulation after radiation. Is it true that the affected implant cannot be replaced because the former radiation would make it encapsulate again? Elaine A: Hi Elaine, This is a question to discuss with your doctor, since it is greatly dependent upon your specific condition and the nature of your treatment. You should be able to find some means of replacing the implant or at least enjoying a non-implant based reconstruction. Best, Eve Q: HI, I'm thinking of having a breast lift procedure. I've read an article about laser breast lift. Is this something new that would be better for me. Do you have any literature I could read? Is there any doctors in Eugene that does this laser or is Portland the closest for me? I live near Eugene Oregon but would go to Portland. I am 60 years old with sagging breasts & want them uplifted. I wear a 36C bra. Also would laser not give me scars & last longer? Thank you very much! Sherrie A: Hi Sherrie, We do not have any literature, but your potential surgeon should. As far as locations of specific surgeons, you would know better than us, since we are on the East Coast.. Laser lift is right for some patients, but is limited in what it can achieve. My recommendation is to schedule consultations with some surgeons near you and listen to their advice. After speaking to a few, you should have a good idea about the best procedure for you. We wish you well! Eve Q: I had a breast implant procedure in March of 2007. However I have noticed that my breast are in constant discomfort and pain, causing me to be irritable most of the time. I can't stand wearing a bra (although I do every day)due to the pressure I experience while wearing the bra or anything tight. However the most traumatic thing is this ripple effect that I have on both sides of both breast. I am embarrassed to be intimate with my partner and I don't allow him to grab my breast. Everyone says how great they look BUT they don't feel great. At this point should I be requesting a CONSULTATION with my doctor??? Evelyn A: Hi Evelyn, I think that consultation is painful way too long overdue...What made you wait so long? Best, Eve Q: I am 6 ft and a 44/dd but sag too much. I don't want a cut and lift. I have been trying for seven years to find a doctor that can show me one picture of 1000 cc or plus implant used on someone tall that went from a sagging DD to a beautiful EE/FF/??. I don't mind being that large. I need and want to be that large but can't find the doctor to make it happen. There are alot of pictures of before and after that the doctors need to be shot. HELP Danette A: Hi Danette, You are unlikely to find that picture, Danette, since adding implants to a sagging bust is typically a huge mistake. Implants will not perk up the breasts and in fact will hasten additional sagging unless a lift is performed. I know it is a difficult choice to make, but a lift is what is needed to reverse ptosis and implants can be added for fullness afterwards. Best, Eve Q: I recently had implant removal and placement. What is the best treatment for the scars under my breasts. Thank you, Victoria A: Hi Victoria, There is probably no "best" treatment". Many work well, including silicone and herb based products. I recommend talking to your surgeon about the products they recommend. Personally, I have found high end silicone scar reduction systems to be virtually miraculous... Best, Eve Q: Hello,I live in Germany. Two time i get silicon implant. before I have size AA, after operation with 360cc implant size B, than 520ccm I get size C. It´s not enough, I want size F. But the doctor said, there is no space for bigger implant. Now I heard from Polypropylene-String Implant. Can you help me to get breast in size F? thanks, Maliwan A: Hi Maliwan, String implants are not generally available due to the obvious and proven health risks. You should however, be able to find a larger implant which can still increase your size, if this is what your desire. I recommend seeking out a more open minded surgeon. Best, Eve Q: Hi Eve,thank you for the quick answer.I know the health risks. I don't want so much operations to get a large breast. In one step they can use only a little bit larger implant. To get large breast. I have to do 5 or 6 steps. Better is a String implant. Its only one step. Is getting from alone slowly bigger.Where can I get this string implant or do you no an alternative? Greetings, Maliwan A: Hi Maliwan, I do not know any surgeons who currently use string implants, nor do I know an alternative material typically used to produce such large results. I recommend consulting with some breast specialists and asking them for their advice on getting the look you desire. Best, Eve Q: with a bwd of 11 and 100 lb, 5'1 - don't want lots of projection PS recommended HP 300cc, 10.9 width, 4.5 projection. was wanting to know if midrange 304 cc, 11.9 width, 4.0 projection still be ok? Angi A: Hi Angi, It is impossible to advise anyone on size, since it is so subjective, but even more difficult without seeing you. I am sure you understand this...Why not try using virtual technology to see what you would look like using a variety of sizes. All the doctors I worked with used this computer assisted wonder and it was always helpful to patients. Best, Eve Q: Do you know of any non-invasive procedures for breast implant removal? I don't want my implants anymore, but I get very sick under anesthesia. Thanks! Dawna A: Hi Dawna, Sorry, bit there is no way to remove implants without surgery. Best, Eve Q: I would like to know if any one has done a study on pt. that have had implants for over 25yrs and how they are doing and if anyone has cancer of the breast and what and how they where diagnosed and treated,. thanks Heidi A: Hi Heidi, There have been and continue to be studies completed about the link between implants and various diseases, including cancer. I recommend going to a quality medical library (preferably at a university) to read some for yourself. There is a lot of hype of both sides of this issue and more than a fair share of mythologies. Read the facts and then make up your own mind. This is my best advice. Remember also, that 25 years is a long time and many women might develop breast cancer during this span...implants or not. Eve Q: Hi,I had a breast lift 4 years ago and already had large natural breast. I have dropped about 20+ pounds in the last six month. My breast have shrunk and lost volume. I am considering implants. I went to a consult and they told me that my lift is still in good shape and I only needed implants. I don't really want my breast to be large but just to fill in the lost volume. They are suggesting a round high profile or moderate plus with aprox the 450+ cc's. Placed subfascial. I currently wear a size 34c bra but some will measure me as a 34D. I have breast tissue. I like the round high look of implants but I don't want to have these large grapefruit looking boobs. I am small through the shoulders and have a small frame, I just have a wide base in my breast. Is it possible to have the nice round high look without increasing my breast to a DD. I like the size I am now but just want them round and filled. I will be okay with a large C or small D. Susan A: Hi Susan, Anything and everything is possible with the right surgeon. I recommend using virtual technology to see how you will look with a variety of implant styles and sizes. This computer application is available from most quality plastic surgeons. Best, Eve Q: I had what was supposed to be a breast lift with implants about 5 years ago. I did not want to be any bigger than I already was and actually told the physician, I would like to be a size smaller (I was a D and wanted to be a C). He talked me into the implants saying that they would make the breast look more natural and he guaranteed me (verbally of course) that I would not be bigger. Well, I became a DD and could not really tell that my breasts had been lifted at all. I became infected in one side. He did not remove the implant but rather "treated" the infection and assured me all was fine. That breast has never been normal. If was always hard (he said I had developed a capsule) and I could feel the implant in places. A "bubble" area developed where I could feel the implant and I had to have the implant removed. The infection was still there (same organism). Now I have had both implants removed and I am waiting to have a proper lift (the surgeon said I should not have implants put in again and that I don't need them because I have enough breast tissue). I have read about an "interior bra technique" used by Dr Serder Eren in Germany and the results I saw were wonderful (what I was looking for in the first Place) without implants! Is anyone in the US (and specifically Texas) doing this and how would I find a surgeon that does this procedure? Lesa A: Hi Lesa, Yes, the interior bra technique is very nice and many surgeons perform it. However, there is no resource for knowing which doctors do it and which do not. Your best bet is to contact a few surgeons in your area directly and ask around for a referral. Alternately, you can simply search the web using a term such as "interior bra technique Texas". I send you my best, Eve Q: Hi,I had a breast reduction 8 years ago when I was still teenager and was generally really happy with the outcome. The only problem is that it left me pretty badly scarred, both underneath the breast where the scar is hypertrophic, and around the nipple. Because its been such a long time the scarring is no longer an angry red color, its still quite pink. I've tried using silicone sheets, vitamin e and bio-oil, but nothing really helps. Is there any other options such as surgery? Na A: Hi Na, There are many options for scar reduction, including laser treatments and surgery. The full range of appropriate treatments is detailed here: http://www.breast-plastic-surgery.org/breast-scar-reduction.html We wish you luck! Best, Eve Q: I had breast implants put in under my muscle in 2006 and I've noticed since then that on the under side of my breast I can feel (more on the left side than the right side)what feels like the implant with ripples in it. Is this normal for it not to be smooth all the way around or does it mean it was underfilled or leaking? My doctor showed me the implant before he put it in and it looked like it was sort of rippled on the edges but I didn't know if I should be able to feel that. Ashley A: Hi Ashley, While it is not uncommon to feel rippling to some degree, it may be the sign of a potential complication. It is best to get the implants checked by a qualified physician to be sure everything is ok. Rippling is typically more common with subglandular placement, as opposed to your submuscular placement, but can occur with either. It is usually nothing to be worried about, but sometimes creates aesthetic issues. Best, Eve Q: Dear sirs I'm 44years young and I've had my silicone implants for 20 years now and i would like to get a tummy tuck maybe in the near future should i go ahead a replace my implants even though i have no problems right now because i would hate to have to go in twice for procedures,not to mention the cost? I've had to save in my piggy bank for this.your response on this subject would be appreciated. Jannette A: Hi Jannette, We can not advise you to replace implants which are fine, but you should definitely mention your concern to your surgeon. This way, the doctor could do an exploratory surgery during your tummy tuck and if they feel the implants should be replaced, then it can be done there and then. Best of luck with the procedure(s). Eve Q: hi, would like to know a rough estimation of the cost of a breast uplift,the length of stay in hospital,pre and post surgery care. any information will be greatly appreciated. thank you, Zoe A: Hi Zoe, It is impossible to estimate the cost, as it is region specific. As far as the other questions, these factors will be decided by the invasiveness of the procedure you choose. Minor lifts are a very different matter from a full mastopexy. I recommend you narrow down your choices and consult with a qualified cosmetic surgeon to get answers which will fit your needs and expectations. Best, Eve Q: Hi I have been considering having a reduction for a while, I am a 38DD, 26yr old, and have not had any children. I cannot find clothes that fit other than t-shirts, I wear 2 bras all the time just to keep from looking saggy, my back and shoulders always ache, and I'm tired of all the looks if you know what I mean. Some of the pictures I have seen look really good but most of them look deflated, I want to know if it is a good idea to have mine reduced to a size smaller than what I want and get implants to fill them back up a size so they are perky and more symmetrical. Could this be done in one operation or would I have to get the reduction then get the implants another time? Stephanie A: Hi Stephanie, This is a complicated question and would have to be answered by the surgeon you chose to perform the operation. Some surgeons might consider doing the procedures together, while others might recommend 2 individual operations. The exact physical attributes of your breasts would also contribute towards their recommendation. Best, Eve Q: I am 7 months post op for ba. I noticed a mild protrusion in the left lower portion of my breast with slight flattening medially. I saw my doctor 3 days later and he diagnosed as rupture in fibrous capsule but no rupture of implant. I have done extensive searches and cannot find any info on this. Is this the same as bottoming out> Amy A: Hi Amy, Not necessarily. Bottoming out is characterized by the appearance of the implant moving down the chest wall, bringing the nipple close to the top of the breast mound. It does not necessarily involve any damage to the breast tissue, since it can occur from many possible sources including surgical iatrogenesis, natural ptosis or degeneration of the natural breast fold. Best, EVE, BPS.ORG Follow up: what could this be then, as I cannot find any information on the capsule rupturing, without the implant rupturing as he diagnosed?? Thank You, Amy A: Hi Amy, Personally, I find this to be a rare event. It is possible that you have some very hard scar tissue formed in there and this might be the source of the protrusion. However, I am inclined to think that this would be very unlikely, given my experience. You might consider getting a second opinion, as well as a better prognosis for correction. Eve Q: Should i be worried that my 10 yr old daughter started to develop her right breast about a year ago and her left one has never started? she is beginning to be self conscious about it. it is also very sore to the touch. should this be checked out or is this normal? Paulette A: Hi Paulette, It is not uncommon for one breast to develop first, but the pain is not typical. I recommend getting her checked out to be sure everything is ok. Best, Eve Q: I think I've got the idea of the difference between high or moderate-plus profile, but when I see a description say just smooth round or just moderate is that the same as low profile? Does the order go high, moderate-plus, low, or does the order go high, moderate-plus, moderate, then low? I'm scheduled to get low profile 575 complete unders and I want to be sure of what I'm getting. The low profile makes better cleavage right? But I do want projection also. Can't I have both? I am currently a 34 nearly A. Beth A: Hi Beth, The order is high, moderate-plus, moderate, low. Low profile implants are generally indicated for women with a wide frame and broad shoulders. They project the least of all implant styles. For a 34A, I would not recommend them, but to each their own taste. Yes, they do provide cleavage, but on a small frame might look strange. This has been my experience in dealing with various styles during my entire surgical career. Best, Eve Q: Hi again, I was reading your Q and A, and I thought this one sounds familiar, and lol it was me! Thanks for the quick response. I'm hoping that if I give you a few more details, maybe you can shed a little more light on my problem. I know that low profiles are for people with wide frames, but is my frame wide? My shoulders are 41cm across and my BWD is 17-18cm across. I'm 5'5" and weigh 125 pounds. Everyone knows I'm getting a boob job, so I don't mind the full roundness. I'm just curious as to how high or moderate-plus will look after they are completely dropped. All the photos I've seen are 3months out. Thanks, Beth A: Hi Beth, Typically, high profiles are designed for thin, narrow framed women, while low are designed for stout, wide framed women. To me, you seem more on the "normal" side, maybe leaning towards smaller rather than larger. The vast majority of implants used are moderate profile, since this fits most women well. The other options are provided for the exceptions to the rule, not the rule...Going with the industry standard is not a bad thing. I recommend getting a few surgical opinions from quality doctors who will understand the exact look you are trying to achieve and then make a recommendation. I hope this info helps. Best, as always, Eve Q: I need a breast lift in one of my breasts since I had a mastectomy in the other, so they will both match in the second phase of my reconstruction. I am afraid of loosing the sensation in the breast after the surgery. What are my chances that the sensation in the nipple will remain the same as it is now or are the chances great that I would loose the sensation. This is the only thing that is holding me back from having the breast lift. Please help me with information on this. Thank you. Bonnie A: Hi Bonnie, The skill or the surgeon and particulars of the chosen procedure will influence nipple sensation post-operatively more than any other factors. Typically, a skilled surgeon should be able to preserve full sensitivity. The key is hiring the right doctor for the job. They need to have extensive experience and patience, so keep this in mind during your consultation process. The vast majority of women who undergo breast lift continue to enjoy nipple sensitivity as before, so the odds are certainly in your favor. Best, Eve, BPS.ORG Q: I am 36 year old and one of my breast have never developed. I now know it's called Hypomastia/Hypoplasia. The one that did develop is very small but I'm happy with the size. My question is it be corrected without implants? (Removing fat from another part of my body and injecting it in the breast) Like reconstruction after breast removal surgery? If so, how much does it cost? Thanks, Dana A: Hi Dana, The fat injection procedure is problematic in many cases and might not be appropriate for every woman. I recommend consulting with a doctor concerning your own particular case. You might also be able to benefit from the BRAVA system, but with no breast at all, this also might be a challenge. I would consult with a cosmetic surgeon and ask them about the best non-surgical options for you. Best, Eve, BPS.ORG Q: I am now almost 4 weeks post-op with BA underarm pit, axillary. That night of my procedure, my right side deflated (which he said has never happened to him) by a defective implant.I had it replaced the next day. Since I came out of anesthesia the first time, my left breast has always been very, very painful on the outside. I noticed I was unable to left left arm well due to what looks like a ligament extending from my scar. My left underarm and outside of breast has been so painful, I am taking meds every 4 hours around the clock. I have not been able to sleep. I have wanted a BA for 15 yrs ( I am 42 yr old with 3 children now in college) and was so excited, and now I hurt so bad I don't know if it was worth it. My breast look great ( pre 32AAAA now post 32C-D) I have discussed this numerous times with my PA and he totally blows me off. He just says its normal and will resolve over time. I am a labor and delivery nurse and need to return to work, but I feel that I am still unable to All my friends recovered in a week to 2 weeks top. I am going for a second opinion next week. He is offering no explanation or comfort. I feel like a complainer, but I am in severe pain about 70% of the time on left side. What do I do??? Angela A: Hi Angela, It sounds like you have mondor's cord. Is this the condition which is affecting you? If so, the PA is right, it will resolve in a few weeks. It can be very sore and sensitive in the meantime. My article on the condition provides some advice on symptomatic treatment. I advise you check that out. If this is not the condition you have, I definitely recommend going to a new doctor for a second opinion. Best, Eve, BPS.ORG Q: I have capsular contraction of my right breast. It's been 18 years since reconstruction. There was radiation of that breast before mastectomy. Now the breast is quite hard and uncomfortable. I saw a plastic surgeon and he recommended capsulotomy to release the scar tissue. He said this would be an outpatient procedure with no drains needed. Is this outpatient aspect wise? What is the likelihood of the contracture returning? I also cannot find any info on this doctor other than his own web site. How do I check him out? How do I find other plastic surgeons to consult? Sherry A: Hi Sherry, Capsulotomy means different things to different people. You better clarify exactly what he intends to do in this procedure. The best method is surgical removal of the entire scar capsule, preferably in one piece. Close capsule procedures are NOT recommended. There is really no way to determine if the contracture will come back. There are simply too many factors to consider... I do not know where you live, but your IP comes up as Corpus Christi, Texas. If this is right, you can check with the Texas health dept website. they should have links to other sites to check for misconduct or complaints against all licensed professionals, including plastic surgeons. You can also contact the medical boards if this surgeon is board certified and check on the credentials in this manner. You can also ask the medical board for a referral in your area. You can also find other surgeons simply by doing a GOOGLE search using the terms "plastic surgeon" "cosmetic surgeon" or "breast reconstruction" and the locations where you live. (example Corpus Christi plastic surgeon) I hope this info helps you, Eve BPS.ORG Q: Hello, I am considering breast implants later this year. I am a 44 year old mother of 2. I went for a consultation and my doctor suggested high profiled textured silicone implants. Also a crescent lift inserting the implant subglandular. Is there a difference in high profile and teardrop shaped as I heard they move? What do you think of the doctors suggestions as I hear keep hearing difference in opinions and my mind is going crazy.Thanks, Brenda A: Hi Brenda, Comparing high profile and tear drop are like comparing apples and oranges. Profile describes how far the implant projects off the chest wall. It has nothing to do with shape. Tear drop is a shape, as opposed to round, which is far more common. In my experience, round is better and more natural looking and will not have the potential to spin or rotate as you describe. Round, high profile would be indicated for a woman who wants increased forward projection and decrease width. This is perfect for a woman with a smaller, thinner frame. I hope this info helps. Good luck in deciding on the best implant for you and let us know how it turns out if you actually undergo a procedure. Best, Eve Q: Hi there. I just happened to stumble across your site tonight and I completely appreciate all the helpful information. I had breast augmentation in Aug 2007 by a double board certified doctor in Colorado. I did a TON of research and asked a lot of questions before going through with it. Everything looked great until about the 4 month post-op. I started noticing the "bottoming-out" effect. It's not terrible and if I don't lift up my arms, it looks fine with a little mis-shape from the side view. The more I look at them, the more it bugs me. Now that summer is here, I am swimming more and I am noticing that the my boobs drop out a bit from my swim suit top. Anyway, my question is, do doctors usually have a guarantee to repair anything that may have gone wrong? I have seen the doctor since I noticed this, and he said that it's not a big deal and they still look great. I am kind of thinking he was trying to convince me. Am I going to have to pay for more surgery fees to correct this, or will my doctor repair this problem on his own dollar? Any information would you could give me would be extremely appreciated. Thanks so much. Amy A: Hi Amy, This is a touchy situation. Some surgeons might stand up and offer the repair for free, but the chances are not good...You might be lucky to get a break from the usual fee, but most doctors make a considerable amount of money from surgical revisions. Of course, there is always the possibility of trying to force a free revision by litigation, but this is messy and can sometimes wind up costing more in legal fees than it saves, not to mention the bad taste in everyone's mouths... Did you happen to have inframammary incisions during your operation? Best, Eve, BPS.ORG Reply: Hello Eve,Wow, thanks for getting back to me so soon. And thankyou for your helpful information. So, It looks like ifI want this repaired, maybe I should find anotherdoctor to repair it? I am actually living now in adifferent state than where I had the surgery done. Anddo you know the range of cost this surgery would befor something like this to be repaired? I am not goingto be paying for another augmentation am I? As for you question about whether I had inframammaryincisions...are you talking about where they wentthrough to put my implants in? If so, they went inunder my breast on the crease. It was also put inunder the muscle. If that is not what you mean, couldyou further explain your question? Thanks again! I appreciate all your help!! Amy A: Hi Amy, The cost of the procedure will vary greatly, but will not be cheap. It will not be as much as your original augmentation, since you already have the implants. You answered my question. Inframammary procedures like the one you had often cause the bottoming out problem you are experiencing. This is exactly why I do not recommend that particular procedure. Best of luck, Eve Q: Hi, I had saline breast implants 4 years ago and today I woke up to find my right breast had deflated. My question is do you recommend having both redone or just the deflated one? Can you give me any information from others that have just had one replaced. How was the recovery? Did they notice any difference between the new and old breast after they healed. Any info is appreciated. Thanks, Kathleen A: Hi Kathleen, Yes, this is a common question. Given that 4 years have passed, I would recommend getting both replaced at the same time. Hopefully, you have coverage on your implant warranty to save you some of the cost. You might have to have your surgeon make an "official" recommendation in order to claim this benefit, if applicable. It is not always necessary to replace both, but the older the implants are, the more advised it becomes. It is obviously a good idea if you take the opportunity to revise placement or size as well. Let us know what you decide and how it works out for you. Best, Eve, BPS.ORG Q: I am scheduled for a breast lift and augmentation. I'd like to bring in pictures of what I want but it is difficult for me to figure out what bare breasts look like in a blouse. I need to know what I'm looking at. Any recommendations to where I should go to get such pictures for my Doc. appointment? C A: Hi C, Are you asking where to find pictures of bare breasts? If so, you might consider perusing websites of the many plastic surgeons on the internet. There are millions of pictures of pre and post surgical results on there. these materials are copywritten, but no one will mind if you print some just to take to your doctor. That is not using them for your own gain...Best, Eve, BPS.ORG Q: Hello, I am 28 and have very poor self esteem due to my small and very floppy breasts. They used to be nice, but I had 2 kids and now they are tiny, deflated and hollow looking. I am so sad. Big and saggy is one thing, but mine are small and saggy. How is this possible. It is cruel. I have no confidence left and I work in the very body conscious fashion industry. Please, I need help. What can I do to fix myself? Breast lift? Implants? Psychotherapy? Help! K.A. A: Hi K.A., I understand your pain completely. Enduring such anatomical transformation is difficult. As far as your best solution, it really depends on you. Psychotherapy might be right and so might surgery. It really depends on your point of view. You must choose between the idea of loving ourself as is and accepting your body or changing your body to better represent the internal vision of yourself. Neither is more right or more wrong. They are just different approaches which work for different types of people. I recommend exploring both options without committing to either. Get the facts and "try them on". This will give you a better feel for which is right for you. As far as surgery, I think some breast implants and an integrated lift should be fine. Being that your breasts are small, the lift will not have to be too drastic, which will minimize scarring. Take a deep breath, K.A., you will be fine. Take your time to think it through and let us know what you decide. Best, Eve, BPS.ORG Q: Dear Eve, Firstly thanks for a great and informative site.I've been considering a breast reduction operation for the past 18 years!! I'm now 36, I don't have any children and as a Black British woman I have concerns with Keloid scarring.I consider myself to be a good candidate for breast reduction, however, before I make that step forward I have a couple of questions I hope you can assist me with. 1)I'm a UK 32GG bra-cup size and would like to go down to a UK 32E or F Is it true that breast reduction candidates usually get reduced by two cups and no more than this? 2)Which is the better technique to reduce scarring? Keyhole or vertical line technique 3) Is the internal bra technique suitable for black skin? 4) I have noticed that some surgeons state that using the vertical technique reduces loss of sensation in nipples is this true? Naturally surgery is different for each individual and each person will have different effects in response to their surgery but I would really appreciate some advice. I hope you can assistBest wishes, Jennifer A: Hi Jennifer, I will do my best to answer your excellent questions. Ok, here we go... 1. I am not familiar with the UK sizing, but it is certainly possible and even common to be reduced more than 2 sizes. Many women are considerably downsized... 2. I like the vertical procedure and recommend it when it is indicated by size and ptosis issues. Only the largest and most ptotic really require an anchor pattern. 3. Internal bra technique is fine for black skin. 4. I do not think vertical is a big reduction in risk compared to anchor for loss of nipple sensation. It is preferable to maintain the integrity of the inframammary crease and therefore the support and structure of the breast. It is also less invasive and less scarring. Surgeon skill and experience is a better determining factor for keeping full sensitivity. I wish you the best of luck if you do decide to undergo the procedure. Remember to discuss scarring with your surgeon in detail and make sure every preventative measure can be taken to avoid noticeable scars. Also, go over scar reduction options, if you do experience more marking than planned. Let me know how it all works out for you. Best, Eve, BPS.ORG Q: Hello. I have a question i am hoping you can help me with. I am planning to have breast surgery later on this year. I have naturally quite big breasts (34DD) which have sagged due to childbirth and breastfeeding, leaving loose skin. I have seen 2 different surgeons who have both confirmed i would be a good candidate for an uplift, although it is possible to have implants to restore fullness and shape. I am reluctant to have an uplift due to the scarring involved. I am unsure as to wether i would be best to have implants placed above or beneath the muscle? One surgeon has advised above, and the other underneath. Do you have any advice? Many Thanks. Rebecca A: Hi Rebecca, Choosing submuscular or subglandular is really a personal decision. There are advantages and disadvantages of each, as I am sure you have already read about on our site. Usually, most women seem to get better long term results from full submuscular or subpectoral, since the muscle helps support the implant and maintain a high placement and more youthful profile. Some of the best I have seen have been subpectoral. Remember, sizing is also a crucial factor... Making sure the chosen size and profile fit your body well will also have a tremendous influence on how your implants will look. I hope this info helps. Best, Eve, BPS.ORG Q: Hi...I am a canadian 55 yrs old female living in KitchenerOntario. Fifteen yrs ago I had a silicone breast implant thru the aerole surgery and lost sensitivity on my nipples but other than that and a larger size than i would have wanted enlargement I have been very happy with no other side effects. However I have noticed during the past two yrs that the shape of my profile on the left side more noticeable has changed into a not full round line when i lift my arms... I have been ageing rapidly and felt many changes due to hormone imbalance as well. My question is if i should replace these out of concern or if it is normal and they had a cycle and shoul be replaced for aesthetical reasons only. I wish to have a smaller size and my nipple is about 1 cm under the desired mark since i did it...I will like them lifted up to look perky. I read about fatty tissue from your stomach to build your breast with no implants as an alternative surgery. Is there a surgeon in my area that can do this new approach if i have to replace it? and would you have an idea of the cost? I am under ODSP as of the month of May, will this operation be covered or by OHIP if it is a health issue by now? Thanks! Maggy A: Hi Maggy, Let me try to address all your questions as best as possible. First, any changes in your implants should always be reported to your doctor and you should definitely go for a check up to see how that one implant is holding up. The doctor might want to run some diagnostic imaging studies to see what is going on in there. I think that is a good idea... As far as a breast lift, that might be a good idea to explore as well, if you would like to raise the position of your nipples. There are a variety of approaches to augmentation using natural fatty tissue, none of which are ideal. Injection method is minimally invasive, but typically does not produce a significant change in size and does have many inherent risks including tissue absorption, fatty calcification and cyst formation. Surgical fat removal and repositioning is very similar to the process used in breast reconstruction and is also risky. So far, none of these techniques have gained wide spread approval among doctors and offer far less predictable results compared to prosthetic implants. As far as who might be able to perform these procedures in Canada, you would have an easier time finding out compared to us. We are based in New York and Thailand and are not overly familiar with the surgeons in your area. Unfortunately, the same goes for your insurance coverage. A few calls will give you the answers you require to the coverage questions. I hope this info helps you and I send you my best, Eve BPS.ORG Q: I live in South Florida and am looking for a cosmetic surgeon that can purchase and implant 900-1000 cc cohesive Silicone Gel Breast Implants. I presently have Mentor 475 cc Saline's.Any help and advice as well as approximate cost to be expected would be extremely helpful. Thank you! Sincerely, Linda A: Hi Linda, We do not have a surgeon referral service at this time and it is difficult to estimate the cost of this type of implant, since every doctor prices differently. I recommend you call a few local surgeons as a start and get some preliminary info from them. They should be able to accommodate you or at least direct you to someone who can. Those are some truly huge implants you are interested in and they are available from several manufacturers. Best, Eve, BPS.ORG Q: Hi, I am really confused about my options in breast implants. I spoke to a surgeon and he seemed to just expect me to accept whatever he said and ask no questions. He wasn’t to do a periareolar augmentation using textured saline implants, but I am not sure. I tried to ask him about why he recommended this as opposed to my preferences, but he said he did not have time to address such an involved issue. Should I go with his advice or take my time to think about other options? I am partial to smooth saline implants place through the belly button. Please help, Martina A: Hi Martina, It is not a matter of which implants type or placement you choose, so much a matter of finding a surgeon who respects you and your decision making process. If this doctor does not want to answer your questions and help you to find the best procedure to meet your needs, then it is obvious that you should look elsewhere. There are a lot of fish in the cosmetic surgery sea…This guy should be left in the dust…Best, Eve, BPS.ORG Q: Can you help me find a plastic surgeon that will donate his skill to repair my double bubble? I saved to get the breast enlargement, but do not have any money to have this problem repaired.I guess you could say I trusted I would not have any problems.Help please, Cathi A: Hi Cathi, We do not run a referral service at this time since the site is so new. This is a feature we hope to add in the future. We hope you can find someone willing to help. We will post your question and maybe someone will contact us and be willing to assist you. Best, Eve, BPS.ORG Q: Hi, I am very interested in studying the clinical trial results for the Trilucent Breast Implants. Do you know where I can obtain this information. This is for research only and not for commercial use. Thank you. Kind regards, Katherine A: Hi Katherine, These implants were developed by Dr. Leroy Young at Washington University in St. Louis. Only 50 women received them in the US during clinical trials, which were run by their distributor Lipomatrix. Approximately 5000 European women received them as part of the much larger clinical trials in Europe. These studies were overseen by the British Medical Device Agency. You might consider trying to track down Doctor Young, although 16 years have past since is involvement. Lipomatrix was based in Neuchatel, Switzerland. McGhan Medical assumed administration of the US and Canadian trials and they might be helpful. I would probably think the MDA in the UK would be of most help since they have all the information on the full scale trial and also made the recommendation to cease trilucent usage. I hope this helps, Eve, BPS.ORG Comment: Hi, Just wanted to say thanks for this site! I was going back and forth about undergoing a breast lift, but found your writing to be an inspiration. I had my procedure in March and so far, I love the results. You guys are great! Deedee A: Hi Deedee, Thanks for writing to us. We really appreciate your kind words and we are happy your lift is working out well for you. Stay in touch and let us know how you are doing when you are fully healed. Best, Eve, BPS.ORG Q: Hi Eve, I am planning a breast augmentation using 400cc round silicone implants placed under the muscle. The thing I am not sure about is whether to go with smooth shells or textured. What are your thoughts? Sam A: Hi Sam, Smooth are the industry standard and textured are usually used for anatomically shaped implants. Being that you are going with silicone and submuscular placement, you are already reducing the incidence of capsular contracture. While the texture might reduce that risk further, some women, especially those with less natural tissue, like the feel of the smooth better. Either is fine and I am sure your doctor will have some good advice also. Let us know how the procedure goes for you. Eve, BPS.ORG Q: How much more money is a breast lift going to add to the price of an enlargement surgery? Marianne A: Hi Marianne, Prices are always very subjective, depending on the geographic location of surgery and the surgeon used. The type of breast lift will also influence the cost quite a bit. For example, a crescent lift can be added to a periareolar augmentation for a minimal fee, while a vertical mastopexy added to the same augmentation would cost considerably more. I recommend you consult with a qualified surgeon to find out the best breast lift to suit your preferences and then ask the cost of having both procedures at the same time. One thing is for sure; having the lift and enlargement done together will definitely be less than having the 2 procedures separately. Best, Eve, BPS.ORG Q: Hi Eve, I heard from my surgeon that inframammary placement is best for cohesive silicone implants. But, I also read, (including on your site) that inframammary placement can cause problems with degeneration of the breast fold. What do I believe? Thanks, Dru A: Hi Dru, I am not a big fan of inframammary placement, since the weight of the implants can cause more noticeable scars in some women and the inframammary fold can suffer some long term effects. I have seen many excellent results from this technique, but have also seen some bad ones. I generally say that if you can avoid it, then do it. If not, make sure your doctor has PROOF that they are the best one to perform the most complication free inframammary augmentation available. Lots of pics and testimonials are good places to start... Remember, the larger you go, the more weight is suddenly placed on the new scars. Although compression bras will help, it is still a risk to take. Hope this helps you, Eve BPS.ORG COMMENT: Hi, I never considered how much time I spent worrying about my body until I read your book. Now it all makes sense to me. I always felt uncomfortable about myself and never really realized the full degree of emotional pain it caused me. I do not have any problems with my body; I just never really liked the way it looked. I had discussed these feelings previously, but most people did not seem to understand. When I found this site and read the articles, I felt as if you really got me and knew what I was thinking all along. Well, I still have not decided if I am going to change anything about my body or not, but it is just a huge relief knowing that someone dies understand and care. Thank you, Jenny A: Hi Jenny, Your letter explains the attitude of many women who have suffered many years with unresolved body image issues. We felt that many aspects of plastic surgery and bodily improvement have already been covered ad nauseum, but the psychological and emotional implications have been ignored for far too long. Happy we could help and best of luck with any changes you decide t make. Eve, BPS.ORG Q: How can I be sure that breasts implants will look good on me? I am so unsure…Help! Paula A: Hi Paula, Your situation is a common concern and that is why we always recommend learning as much as possible about any plastic surgery procedure before you make up your mind. There are many details to cover, including risks, benefits and long term lifestyle implications. Take your time and do lots of research. This is the best way to be 100% of any decision. Best, Eve, BPS.ORG COMMENT: I do not have any questions. I just wanted to say thanks for providing a great site. I found it to be very helpful and unique in the way it approaches the subject of breast enhancement. It was especially nice to get some good info without feeling like I was getting a sales pitch the entire time! Tuvarra A: Hi Tuvarra, Thanks for the nice words. We always appreciate them. We are happy we could help you. Many years working in this industry have taught me what women are really looking for and it was my goal to provide that in our articles. Best, Eve, BPS.ORG Q: Good day! hello! I want to increase my breast but i don't want to take surgery . I just want to know the products for breast enlargement? Thanks you! Katie A: Hi Katie, There are many non-surgical enhancement options detailed here: http://www.breast-plastic-surgery.org/non-surgical-breast-enhancement.html The method we have found to work the best is the BRAVA system. http://www.breast-plastic-surgery.org/brava-system.html Let us know what you decide to use and how well it works for you.Best, Eve, BPS.ORG COMMENT: Hi Ms Anderson, When I first found your site, I did not really think too much about the psychological parts of plastic surgery. I just wanted better boobs. Lol… BUT, after reading lots of your pages, I can honestly say that I must have some pretty serious emotional issues with my body and I did not even know it. You helped explain these concepts to me and I think it will make a big difference in the way I live my life in the future. I can appreciate how the mind works, but now I really see the effects it can have on the body and the health of any person. This is so cool! You are great and I have sent many of my friends to your site as well. Keep up the good work! Shelly A: Hi Shelly, Thank you so much for the kind letter. As you know, it is our focus to highlight the mind/body interactions which are so closely related to problematic emotional issues. If we can help people feel better about themselves or at least understand why they feel badly, then all the work is totally worthwhile. Thanks again, Eve, BPS.ORG COMMENT: Hi, As a former breast implant recipient, I wanted to write to say that I have been anti-augmentation for many years. I had implant issues and suffered due to complications which left me with badly damaged breasts. Originally, when I found your site, I was looking for some scar reduction options and found your articles to be quite good. Unfortunately, I was also disgusted that there was yet another site trying to make more women get fake breasts. I almost wrote to you to tell you this, but now I am glad I waited. I read some of your other pages and really appreciate the objective advice you give. You cover the potentially bad parts of surgery very thoroughly, as well as the good, and at least justify the need for procedures with some good emotional connections. I found this much more acceptable than the many sites that simply tell girls to get implants to look “hot”. I really like the fact that you even talk about the negative emotional problems that many women suffer after an operation. I never saw this anywhere else before. I am still not a fan of plastic surgery, but I also recognize that my experience is not typical of most and that my beliefs should not be pushed off on the entire world. Anyway, for what you are doing, I think you are being honest and objective as that is all I can ask. Karen A: Hi Karen, Thank you for sending us your thoughts. We really appreciate your kind words, especially since they come from a critic. We are sorry that you had a bad experience and we hope that providing clear and understandable articles will help to prevent this occurrence in other women. I think you know by now that we are focused on the emotional realm, so that is the most important part of the surgical process for us to cover. We also hope you found some information which might help you to correct some of your own bodily issues, especially in our non-surgical scar reduction section. If there is anything else we can do to help, feel free to ask. Best, Eve, BPS.ORG Q: I am looking for a prosthetic bra for my mother her left breast has been removed. kindly guide where i can buy this. Ghazala A: Hi Ghazala, These can be purchased online or from most orthotic suppliers. If you want to purchase one over the internet, a Google search will bring up many suppliers. Best, Eve, BPS.ORG Q: Hello, I need some advice about whether I should get high profile implants or normal. I am small and I like the way the high profiles looked. My doctor recommended these to me based on my size and measurements. My boyfriend was not sure if they would stick out too much and was pushing for me to get moderate profiles. What should I do? Tamara A: Hi Tamara, Based on what you are telling us, it seems like high profiles are probably best, especially since you have a small frame. Being that your doctor has also advised you of this, it might be best to choose these as this best prosthesis for you. It is possible that your boyfriend is having some insecurity issues with the fact that you are now going to have larger more noticeable breasts. It is best to discuss this with him and try to reassure him that the high profiles are best for you. Remember you have to do what is best for you. I am sure he will understand this if you take the time to talk openly with him. Moderate profiles might actually cause some problematic concerns such as wrinkling if you have already set your size goals and have particularly small circumference breasts. We wish you the best and let us know what you decide. Eve, BPS.ORG Q: I want string breast implants. I know they are illegal in the USA. Please tell me who does these implants anywhere in the world. Surely, you must know. Thank u. DeLys A: Hi DeLys, Sorry, we do not keep records of who offers these implants. They are illegal almost everywhere and most doctors deal in them on a somewhat underground basis. A few women have found a doctor by contacting one of the famous adult entertainers featured in Wikipedia, who still adore their string implants...They are not hard to find. Best, Eve, BPS.ORG Q: I had a breast augmentation exactly 3 weeks ago. I had silicone implants placed under the muscle with the incision placed in the fold. I have no problems with pain in the muscle areas any more, however, the nerves in my breasts are in serious, burning pain. My nipples seem to be numb, yet they are painful, too. Is this normal? My nurse told me it may take 6-8 weeks for the pain to subside, and that it usually occurs in gals who are tiny, like me. Is there anything I can do for the pain? Will it go away? Thanks, Leigh A: Hi Leigh, It is true that some women experience more post-operative pain than others. Severe pain after 3 weeks is not very common, but might occur, especially if the size increase is substantial and your frame is small and taut. As far as pain management and exact prognosis, it is best to discuss these issues directly with your doctor since they have a complete view of your situation. We hope that your symptoms alleviate soon and that your surgical experience will be worth all the pain. Please let us know how you make out after a few more weeks. Your input will be helpful in advising other patients. Best, Eve, BPS.Org Q: I am 5 weeks after the breast lift(anchor) surgery. I found slight blood marks from horizontal incision this morning.It is normal in this post operative stage? Dagmar A: Hi Dagmar, At 5 weeks, spot bleeding should not be occurring. If the incisions look ok to you, just be careful and keep your eyes open. If there is any sign of complication, seek professional help immediately. Also, f the condition occurs again, seek medical guidance to make sure everything is alright. Best, Eve, BPS.ORG Q: I am interested in non-surgical breast uplift procedures. My breasts only have a moderate droop and a few stretch marks and I wanted to improve them and make them a bit firmer. Can you recommend the best procedure to opt for. The Titan laser lift sounded interesting. Can you recommend places in London that would perform the procedure or can you recommend any good electrical procedures. I saw some info on a procedure by beautytek. Is it any good? Have you heard much about it?Kind regards, Stephanie A: Hi Stephanie, Laser lifts, as most non-surgical enhancement solutions, provide conservative results for most patients. If this is what you expect, then this treatment might be perfect for you. As far as locations in London, we do not have a directory of care providers yet, but it is something we are working on. The site is not even 3 months old yet, so there is much to do... Let us know what you decide and how your results come out. We are publishing our "share a story" section this week! Thanks for your interest in the site. Best, Eve, BPS.ORG

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Breast Questions and Answers Archive 2008 to Breast Implants Home
6/14/08 Revised 11/6/09

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