Breast Questions and Answers Archive 2010

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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A: Hi Kell, There is no guarantee that your breasts will remain smaller. If you gain weight and have a tendency to put on size in your breasts, they will grow. You must remember this as you manage your weight and overall health after surgery. Best, Eve

Q: i had a double mastectomy in February and reconstruction now. i am 4 foot 11 and 100 lbs how many cc will they put in my tissue expanders to be a large c cup. thank you sally

A: Hi Sally, This is a question to ask your surgeon, since many factors will influence their decision. I wish you well with your recovery efforts! Eve

Q: Hi there. I have large breasts, always been more than a DD but this year I'm turning 40 and I want to know if it's possible to have a reduction and then get implants. I love my figure but the weight seems to be pulling the skin on my chest. I don't want them lifted because I understand that doesn't always work well. But could the skin be removed permanently? And would my breasts "sit up and stay" for many years to come.....with or without implants....? I thought maybe having some if the excess fat and tissue removed along with lifting them might be better but I am not opposed to implants! I'm open for anything! Please help!! I know that with weight gain my breasts get larger so implants wouldn't make much sense.....also, what's the average cost for a lift or reduction or combo!! Thank you so much! Malinda

A: Hi Malinda, Most surgeons advise against reduction followed by implants. This is because the weight of the implants can cause havoc with the scarring left by the reduction. Also, in cases where women have enough natural tissue, most surgeons will recommend a conservative reduction and lift to provide an organic look and feel. This is my recommendation as well for most women. I can not comment on "average" cost of anything, since prices range so drastically market to market and doctor to doctor. I advise consulting with a few surgeons in your area for prices and options. Best, Eve

Q: I am 17 years old, I'm 5'0 and weigh 105. I am a small girl and to everyone my body is very proportional with a lil extra on my backside which isn't a bad thing. But my boobs have not grown since my freshman year they look like a 13 year old girl's. All my friends, even the ones with small boobs are normal looking while i have large areolas and they are cone shaped. It's embarrassing and and I can't stand it. I was on birth control for 5 months and they didn't develop then either. Is there anything I can do? Is there something wrong with me? I don't want surgery or anything I just want them to look normal I don't care if they are small I just want them proportional. please help :( -Raquel

A: Hi Raquel, You can consult with a plastic surgeon to discuss non-surgical options which may be ideal for you, such as the BRAVA system. This is my recommendation. Best, Eve

Q: Hi, I have a 3rd nipple on my left breast and I want to get it removed. However I'm 21 years old and am embarrassed to talk to my parents or anyone about having it removed. How do I go about getting it removed? What type of doctor would I have to go to? Is it expensive to get it removed because I don't have insurance so I was wondering around how much it would be. Also, what exactly do they do to remove it? Do they laser it off? I'm just curious about the entire procedure because I really want to have it removed. Kelly

A: Hi Kelly, The procedure will depend on the nipple itself. If it is simply a surface feature, removal should be easy. If the tissue extends into the breast, it may be more complicated. Either way, removal will not be cheap, but it should not break the bank. I recommend seeing a plastic surgeon for specific details relating to your individual condition. Best, Eve

Q: Hi, I'm looking for some help. I know it's very common for girls to have uneven breasts, but mine are almost 3 cup sizes different! It's a constant source of embarrassment, restricts my love life as I'm incredibly shy about it, as well as the fact that I cannot get any bras or clothes to fit. I'm not overweight, but curvy, like bum and thighs. One is a 36A, the other a 36C, almost D. I've looked at things like hypoplasia, but not sure if they apply because I appear to have some glands in the smaller one. And please don't ask me to see my doctor- I have already seen 3. They ignore me because of my age (I'm 17), telling me that they'll even up with time. But they're so very different! The bigger one has been growing since i was 12, whereas the smaller stopped at 13. Please help, I'm getting desperate. Thanks, Jessica

A: Hi Jessica, Yes, I completely understand your frustration, especially at an age where your body image is so crucial. Unfortunately, the doctors can not do much, due to your age. They might even out, they may not... However, it is too early to consider augmentation. You might consider a less drastic option, such as the BRAVA system. This might help to minimize the difference in the meantime until you even out or can think about other options. Best, Eve

Q: good day. I want to find out regarding breast lift, permanent facial hair removal, underarm skin removal. please advise options, and maybe prices? who to contact, where to go, consultation fees? i am currently size 42DD, want to lift and make full again. upper lip and chin hair removal. remove skin under arms, from elbow to underarm. thanks, Charmaine

A: Hi Charmaine, Laser hair removal is the way to go on the face. Skin excision is the name of the procedure which can remove the skin from the upper and underarm area. With such a large chest, you will likely require a full breast lift, utilizing a vertical or anchor incision. I recommend you contact a qualified plastic surgeon for specific details on your particular needs and prices. Best, Eve

Q: I am 57, in good health and good physical condition. My natural breasts still have a good shape with a D cup. However, age has made them a little less full. One breast has a scar and is more a C cup because of a breast infection I had in my late 30's when I was breastfeeding. I have an interest in an augmentation to just equalize and return the fuller volume I had in my mid 30's. I don't need my nipples moved up. Just need to perk up my natural body. No one writes about this due to age. Is this done? Katie

A: Hi Katie, Sure, many women consider breast augmentation for this reason specifically. Best, Eve

Q: Okay, I'm a Caucasian, 26 years old female and have been frustrated with my small breasts all my life. I'm a 32AA on my left and probably 32AAA on my right breast (wear 32AA but don't fill out on my right). I don't want to get surgery but I hate not having breasts. It drives me crazy to even wear a bra (when I can find one) because I don't fill it out so it rubs weird. I am thin and small framed, 5'2" 98 lbs, and I've tried to gain some weight to see if it would help but don't gain weight easily. I've been up to about 105 lbs before but I still was a 32AA. I've wanted to try things in the past but have been scared that I'll damage my body. I'm not sure if there is anything all that safe that I could do. What would be your advice for someone my size? (or lack of :( Andrea

A: Hi Andrea, The best recommendation I have for you is to consider the BRAVA system of nonsurgical enlargement. This will not make your breasts large, but should add a modest amount of tissue which can make a big difference on a tiny framed woman like yourself. Best, Eve

Q: hi. i am 28 years old woman and am a mother of a 8 month old baby girl, i fed her properly for 5 months and after that i started with formula milk too along with my feed. but soon i noticed a remarkable change in size of my breasts as my left breasts is smaller as compared to right one and this difference i can feel even when i wear the bra.and see myself in mirror. right is heavy and bigger than left as it is small in diameter than right one and lighter too..so plz suggest me any method of massage if it can improve my size of left one equal to that of right one. or suggest tell me that if i feed more from left one than, can its size be equal to right one and if yes than how much time will it take to cure this? please reply me as soon as possible as i feel embarrassed... Shruti

A: Hi Shruti, Size discrepancies after breast feeding are common an sometimes resolve by themselves. However, if you are that concerned with the difference, I advise you get it checked by your doctor who can offer personalized recommendations. Best, Eve

Q: Hi Breast-Surgery, Interested having breasts..Too complicated to explain, so be short as i can. Am a cross dresser, have been for years, know interested having just my breasts done, so i can feel more feminine. Have told my counselor about this, i think she think having breasts would help me, told wanted my breasts since i was 12, and was very disappointing come 15 they did not grow etc..Also notice some men having it done to, some sort of phase thing.. Where can i get treatment? Could i have it done private? please help, anxious to have my dream... thanks Leo

A: Hi Leo, I recommend you contact some local cosmetic surgeons or the plastic surgery department at your local medical center. They will be able to point you in the right direction as far as finding a care provider in your area. Best, Eve

Q: Hi, I am a transgendered female-to-male, and I'm considering having my breasts removed. I'm looking for insurance to cover complications from the surgery. My current insurance won't cover any elective surgeries or complications arising from elective surgeries. I'm pretty sure there's no insurance out there to cover the procedure itself, but if you know of any elective surgery complication insurance for this kind of surgery, I would greatly appreciate it. Bill

A: Hi Bill, No, I do not know of any. Unfortunately, any elective procedure and all events which follow are considered untouchables by the insurance industry. It is amazing how the companies will pay hundreds of thousands for often ridiculous and meaningless diagnostic tests and ineffective procedures, but will not help a person to achieve their lifelong goals mind/body and spirit through plastic surgery. I send my best, Eve

Q: Hello my name is Kelly. I'm a student and I am currently in a research class. We were assigned a research paper a few weeks ago and I have the topic of the psychological effects of cosmetic surgery. I did some source research and I read that you're an expert in this field. As a requirement, I must interview (by email) someone in this field that could answer some questions for my research paper. If you're interested please get back to me. Thank you for your time.

A: Hi Kelly, Sure, We will be happy to provide the answers to your questions. We get this request often. Best, Sensei Adam Rostocki and Eve Anderson

Q: I am a 54 year old woman with no implants. Recently I have had clear fluid occasionally leaking from my right breast. What is the cause of this and what should I do about it?Thank you. Cheri

A: Hi Cheri, There are many possible explanations for this. I advise you get to your doctor for an exam. This is not a matter to guess over... Best, Eve

Q: trying to get info for breast financing.. how good of a credit rating do i have to have? Malinnee

A: Hi Malinnee, This depends greatly on the specific program offered. Generally good credit is required for the best offers, but you can always apply and see the results. No harm in trying. Best, Eve

Q: I am looking for a qualified plastic surgeon in the Eugene, OR area who has significant experience in implant explantation and potential breast lift. Any suggestions? Additionally, how long is it relatively safe to wait for implant removal if you have capsule contraction or leakage/rupture concerns.Thank you for your response and very informative website.Sincerely, Vicki

A: Hi Vicki, We are located in New York, so I can not help you with a referral, but your local medical center should be of assistance in this regard. Contracture is one thing and does not require immediate (or any) treatment in many cases. Rupture or leakage are other matters. I always advise patients with these problems to seek care immediately. Best, Eve

Q: hi there, I'm 20 years old and have large breasts since i can remember. I've also had back problems since i was 12 (I've had 36DD breasts since then). My family and chiropractors have all suggested I look into breast reduction. HOWEVER...I am extremely uncomfortable with the thought of my nipples being removed and reapplied. I was hoping I could have scarless reduction surgery, but I also don't want saggy breasts. To get to the point... is it possible to get a scarless reduction and then an augmentation to be a size 36C? or is that just unheard of? Taylor

A: Hi Taylor, The vast majority of doctors do not recommend a reduction followed by an augmentation. There are many reasons for this, but the most important being the implants will degenerate the scars used for reduction in most cases. You can get a reduction and lift for a beautiful result, although there is no such thing as scar less reduction. I would recommend researching vertical reduction, is this is an option for you. Most often, the nipples to not have to be removed, but in some cases, they may. This is certainly a difficult decision to make for most women, so take your time and learn all you can! Best, Eve

Q: i had a double mastectomy last year with a trans flap reconstruction. My left breast seems to have healed just fine. The right one however seems to have developed an indent above the breast and now the right breast is at least 1 1/2 to 2 inches longer than the left. The right breast is also sore above and on the side. I have mentioned this to my plastic surgeon, and he says it is normal. I am becoming more self conscious about the dent, pulling and now misshaped breast. I am scheduled for a nipple reconstruction next month and asked the surgeon if he could fix the issue at the same time. He said that the dent is not repairable and is normal. Is there something else I can be requesting within my rights? Debbie

A: Hi Debbie, Sure you have the right to a second opinion, which I highly recommend. It sounds like this doctor is not the right one for you... Best, Eve

Q: i want to reduce my breasts and make them firmer without doing surgery. i also want to reduce my tummy and enlarge my bum and hips without surgery. Mary

A: Hi Mary, The only moderately effective means of breast reduction without surgery are diet and exercise. These modalities will not work for every women, but may work well for some. Best, Eve

Comment: Mri has confirmed rupture and I saw a reconstructive surgeon that put me on their emergency list for consultation in Indianapolis on 2/9/10. They are discouraging me from having the explantation surgery and want me to do replacement. As of now they want me to pay up front with no insurance involvement just to get on their surgery schedule. My insurance tells me they will pay some of it if a precertification letter is submitted, which the surgery scheduler finally did on 2/12/10. She still has not sent me a price for explantation, as she said she would email to me. I am sitting here on Valentines Day with a bladder infection and out of control blood pressure and in pain, pain, pain and wondering what is next,because of that almighty dollar and our out of control health care system. It is not the insurance companies that is the problem, it is the out of control prices the doctors and hospitals want to charge the insurance companies for every little thing. Judy

A: Hi Judy, I hope it all works out for you. Let me know the results of the surgery, when complete. Best, Eve

Q: Hi eve, i am 17 almost 18 and my breasts have not grown since i was 14. I am a 10A and i am reasonably tall and thin but i have a rounder curved bum and i have been told i am 'bottom heavy' by my family for years. It's not 'big' but my boobs are out of proportion to the rest of my body. i know i am only young but i have dreamed of this procedure since as long as i can remember. i have come to terms with the fact that my breasts will not get any larger they haven't for 4 years so why would they now, i have been on the pill and off the pill and still no change, i don't get weight gain or loss and when i do even slightly my boobs don't change. i am sick and tired of wearing push up bra's and not wearing a bikini even though everyone i know says i have the perfect body for it. i'm confused eve is this the procedure for me? Megan

A: Hi Megan, It may be, someday. Now, I advise that you are still too young to consider it. Although many surgeons will perform the procedure at 18, I always advise waiting till 21 or older. This is for 2 reasons... First, breasts can grow well into the mid 20's, which I see often. Second, you need emotional maturity to make this type of life changing decision. I recommend researching the various options, but holding off on your choice for a few more years. Best, Eve

Q: I love your approach to writing on this site! I think it is about time someone talks more about the mental connection inherent to all plastic surgery choices. Great work! Sincerely, Dr. Ramu Hindari

A: Hi Dr. Hindari, Thanks for the kind comments. Best, eve

Q: WHAT TO DO IF YOUR PERIOD CAME ON TIME AND YOU NOTICE YOUR BREAST FEEL FUNNY.OR SEEMS HEAVY. SONYA

A: Hi Sonya, Monthly symptoms in the breasts, including swelling, are common for many women. If you are experiencing troubling problems or feel worried, then consult your doctor for an exam. Best, Eve

Q: i just had breast aug and the implants are really high the doctor says they will drop and to be patient is there anything i can do to help this process and what is the average time for them to drop i went from a 36b to 480 implant and im about 132 in weight and 5 ft 10 inches tall im just afraid that there going to stay like this my surgery was about 4 weeks ago thanks susan

A: Hi Susan, This is a very common question, especially with thin women who get implants placed submuscularly. Unfortunately, there is no cookie cutter answer. Implants take time to look more natural and some never do "drop" . I always recommend speaking to your doctor directly for a timeline of what to expect and when to expect it, since they are intimately aware of the exact details involved. Best, Eve

Q: Are there any qualified doctors who have experience and can work with larger sized implants such as a 1600 cc gel? Also, are there any women seeking larger sized implants? Susan

A: Hi Susan, There are many doctors with experience working with large sized implants. There is also a steady demand for them. Unfortunately, the major manufacturers cap the sizes and it can be difficult to get all varieties of implant in ultra large sizes. For more info on the type of implants available to you, I advise consulting with a surgeon who is wiling to perform such an augmentation. Best, Eve

Q: I've had a double mastectomy due to breast cancer, the results were amazing but shortly afterwards i needed a capsulectomy. Every thing went great, i feel good, but now six months later my left breast has contracted a tad, i can notice it but doesn't seem to be contracting further at this point (the last 2 months). My doctor wants to do an in office under sedation capsulotomy in office. He says its much less invasive, doesn't have to remove the implant. I just would like some input on this procedure. Perri

A: Hi Perri, Statistically, full capsule removal is the most effective and permanent capsular contracture surgery. There are also a variety of non-surgical methods to try and some of these may be indicated to prevent capsule reformation. Best, Eve

Q: My name is Larry, Nattaya, my wife, is from Thailand. A very beautiful Lady, speaks and writes English well. Nattaya has a concern for having Breast Augmentation Surgery done in the United States. Her concern is communications with staff and doctors. Her English is vary good and our friends always tells her so. We have read the forums and discovered you are familiar with doctors etc in Thailand. Can you suggest a few vary qualified surgeons in Thailand to do breast augmentation? We are looking at surgeons in the Denver area as well. However I feel it is very important for her to have a lot of confidence in the doctor and staff. My concerns about having the procedure done in Thailand are, Doctors ability to do the surgery with minimum incisions and doing the implants correctly, if they will be able to do locals for pain management. Some doctors are using local instead of general in the Denver area.mI am concerned about the company reputation, guarantee on the implant and type of implants to use that are available in Thailand? After reading the forums it appears that cohesive silicone gel feels more natural with less risk for Nattaya than saline implants, Am I correct? What is the names of company with the best quality, reputation and guarantee for cohesive gel implants? Thank you for taking the time to read and respond to our inquiry. Thanks, Nattaya & Larry

A: Hi Larry and Nattaya, I recommend contacting Bumrungrad Hospital, in Thailand, since many of the top surgeons work there. They will be able to refer you to the best surgeon for your needs. I do not have any recommended contacts in Denver, but your local medical association or hospitals should be able to provide some good candidates. The quality of the work in Thailand is very high, as long as you go to a reputable doctor. AS far as implant choice, this is very personal. I advise talking to your doctor about this concern once you have selected a surgeon. Each has pros and cons, so you will have to see and feel each to determine the best for your needs. Best, Eve

Q: I do not have a question, but just wanted to tell you how much I enjoyed your site. It is completely different than all the others I saw and it really helped me to realize my true attitude toward my body and the methods I am now considering to make it more as I wish it to be. Thanks forever, Tammy

A: Hi Tammy, Thank you for the kind words. I am so happy the site is useful to you. Best in your future, Eve

Q: I am seventeen yrs old and i live in Trinidad and Tobago,West Indies and i suffer unbelievable back pains and i made up my mind that i want it reduced how should i go about this. Natasha

A: Hi Natasha, The first and most crucial step is achieving an accurate and correct diagnosis as to the source of your pain. You need to begin with a comprehensive exam from a qualified physician. If you suspect that large breasts are playing a role your pain, then be sure to talk to your doctor about this possibility. Best, Eve

Q: I really want bigger breasts, but I am only 19. I am not sure if I should get implants or not. MY natural size is a small C cup and I am a medium sized girl. I feel proportionate, but unsatisfied, since some of my friends are so large and guys like it. What do you think? Sindy

A: Hi Sindy, At 19, and with your reasons for considering surgery, I certainly do not recommend it. Just because your friends are bigger means nothing and not all men prefer big breasts. In fact, as you age, you may be much happier that they are proportionate. Rather than even thinking about implants, why not consider nonsurgical enhancement, such as that offered by the Brava system. This way, there is no risk involved. If you still want implants in the future, do it FOR YOU, not for the perceived desires of "some theoretical guy"... Best, Eve

Q: I had my surgery 13 years ago. The implants are saline & were placed under the muscle. My right implant ruptured a couple days ago. My life is very different now than it was 13 years ago and it's financially impossible for me to have surgery right now. Are there any risks involved in leaving a ruptured saline implant in place? If so, is there anything I can do to minimize the risks? Lisa

A: Hi Lisa, Your implants should be under warranty. I strongly advise you to look into this, as it may pay some or all of your replacement costs. Yes, leaving a ruptured saline implant is very dangerous, as a sharp edge of the shell could damage internal tissues or even wear through the skin and become exposed. You need to get this taken care of... it is NOT optional. Best, Eve

Q: I am 39 years old have had three children all of which I breast fed. In the last few months my breasts have become notably larger and painful. They also tingle almost as though I had milk in them. One breast is also noticeably larger than the other which I've never had before, it looks terrible and I look weird in my clothes. Help! Mary

A: Hi Mary, I advise you se your doctor regarding this issue. Do not wait. Best, Eve

Q: I'm 17 5 foot 3 and 150 (i know i'm overweight) I have taken my body through thick & thin. I was bulimic then anorexic over about a 2 or 3 year period, I'm happy I have some meat on me now!! But basically I've always had small boobs... and I finally came to terms with having small boobs, its not the end of the world! but its just the fact that they are like cone shapes? i never heard about that being common or even a medical condition!?!? the women in both sides of my family as far back as i could go, all had on-the-larger-side breasts mum's always been a full C no one in my family is smaller than a C/big B..... I wear a B cup super super push up bra everyday cuz it's the only way I can make my boobs look... normal-ish? but now I'm 17 and its getting old, I'm quite a free person and I'd LOVE to walk around without a bra on comfy days! lol but i can't because this is the one and only thing i'm conscious about. I also have been addicted to heroin and I did loads of other drugs. the drug thing lasted about 3 years also. So I was terribly unhealthy from about the age of 14 up until now I'm finally healthy and still no real boooobs! (and i took birth control for a year then it turned to off and on birth control use... currently not on it - cuz i don't wanna gain anymore weight...) what do i dooooooo??????????? Mickey

A: Hi Mickey, You have the choice common to many women who are unhappy about the size and/or shape of their breasts. Do you leave them alone and learn to live with them or do you change them? This is the question. Of course, no one can answer this question but you... Luckily, you are very young and still have time to consider and decide. Take your time and realize that you are not likely to be fully developed at your age. Best, Eve

Q: I've wanted a breast augmentation for as long as I can remember. I would like to fit into women's clothing. I hate sharing my shirts with my ten year old daughter. I've always hated how I look. It affects me socially as well. I'm not wanted to be the next "Dolly Parton", I just want to look like a woman. Here's the problem. I do not have the finances, as raising five children does not allow for extra cash. If you know of a surgeon willing to do this for free, I'd be willing to do almost anything at this point. Including having it filmed. The closest city to me is Ottawa. Praying you have good news, Tara

A: Hi Tara, Your inquiry is a common one, but I do not know of any doctors who do this regularly in your area. Best, Eve

Q: I had breast augmentation initially in 1997 and I went from a AA cup to a B cup. I went on to have 2 children quite close together and breast fed them both with no difficulties. However when my 2nd child was 6 months old I developed capsular contracture (both breasts) they said grade 3 so decided to have them replaced, which I did in 2004. My breasts have been fine since, I have no changes to size or shape. I went on to have another child in 2007 and although I again breast fed It was more difficult this time as I suffered from blocked milk ducts. I have a loose bit of skin under my right breast which I had checked out. It was due to weight gain during pregnancy but they said if it bothered me I could have the breast done again, but it didn't so I left it.

A week ago I discovered a lump in my right breast, it felt mobile but a little painful. I went to my GP who said it felt like a lymph node. He also said he could feel one in my armpit. He referred me to a surgeon at my local hospital just to check it out. I'm actually a nurse there so the next day I asked a colleague if I could be seen in the breast clinic. I went yesterday. She confirmed that there was a lump and that yes it felt like a lymph node. I went on to have a mammogram, which was normal, and then an ultrasound. As soon as the sonographer scanned my breast he informed me that I have a rupture in my implant and that silicone had leaked into my lymph nodes!!!! I can't tell you how worried I am. I can't get to see my surgeon until mid January and I'm scared to death that the silicone can migrate and cause further problems. I am seeking reassurance that this is ok and can be dealt with. The consultant at the hospital has referred me for an urgent MRI to see how far it has spread but I really don't want to go as I'm scared its further than they think. Apart from my breast feeling softer than the other, which it has done for a while now, it hasn't changed shape or size. Please help, Gayle

A: Hi Gayle, I also advise that an MRI is a good idea. Usually, migration is limited and can be contained and corrected. Just do not wait any longer... Make sure that if you replace the implants again, that you choose saline or cohesive silicone gel, as these new silicone models can not leak or rupture. Please stay in touch and let us know how you are doing. Best, Eve

Q: I would like to have my breast lifted but the problem is im clueless i don't know where to go of who to consult about this cause i really need help. Pinky

A: Hi Pinky, I recommend that you start researching options. You can find a local care provider or consider travelling for care. If you are really that unsure how to begin, try calling your local hospital for a referral. You can meet with a few surgeons to get a feeling for the process and if you find one you like then you can proceed with your plans. Take your time and make sure to understand all the pros and cons prior to making your final decision. Best, Eve

Q: i don"t speak to much English. i hope you can understand me. i do my breast implants 25 days ago and one is more up than the other one (right breast). the left is soft, the right is little hard. he do the ultrasound and he say it's normal, don't worry.. i went 2 times he say it will be normal in 2 to 3 months, and he don't recommend me massages .... the surgery was under fascia, i"m a little disappointed and uncomfortable, please tell me if is normal, you think i need massages?, thanks for you attention,maria

A: Hi Maria, Your surgery was recent and it is true that the implants may not have dropped yet. Give it some time. If you doubt the surgeon, then seek a second opinion from a new provider. I send my best, Eve

Q: I'm 18 and my left breast is an A and the right was a 38 C a year ago but now is bigger. A reduction would make me have no chest and an implant would make me too chesty. Is it possible to take tissues out of the right breast and put some of that tissue in the left to even them out? Lindsey

A: Hi Lindsey, While it is certainly possible in theory, the complication rate would likely be high and I doubt you would find a surgeon who would even consider it. I do not see any reason why you could not balance out using an implant. Alternatively, you might consider using the BRAVA system on the smaller side to lessen the difference. I send you my best, Eve

Q: Hi, as a mtf transsexual of 19 years old I am wondering how much of a result I can expect from hrt. (hormone replacement therapy) I will most likely have turned 20 before I can get the treatment but I still would like to know what can sizes are realistic to expect from this. I know that these kind of thing can vary alot from person to person depending on their genes etc. But if you can give me any info at all that would be great. Fredrik

A: Hi Fredrik, Hormone therapy can produce drastic results which can be very convincing. Of course, as you mentioned ,all cases are different and time will provide a cumulative effect. I wish you well with your treatment and hope it can bring you closer to your goals. Best, Eve

Q: Hi, I had a breast augmentation in 2007 and was happy with my results. I went under the breast and got a 450 CC Saline implant. As time went by I started feeling pressure on my Left breast, I contacted my Doctor a couple of times and went in and he said it was normal it was probably my breast pushing on a nerve. Some more time passed and i noticed that my Left breast was slightly higher and when I moved a certain way you could see the shape of the breast. Once again I contacted my doctor and he said that they where fine, I told him that I liked the Left breast, which was slightly higher then the right and was thinking of going bigger, he told me that he could try and push the Left one lower to have it match, other then that they were fine. Well I went to another cosmetic surgeon and asked him about it, he then right away said that it could have capsuled. I recently looked it up to see what he had meant, and notice that I have all the symptoms, my Left breast is higher as well as is hard to the touch and it is painful at times. I read up on it and it mentioned that it is your body's way to fight against foreign objects, now my question is, since I believe that it is at a stage 3/4, I know I must go back and replace them, but is there a higher possibility that there well be complications? Before I found out what this was, I was planning on going bigger, I am 5'5 ft and 135 lb and am currently trying to get down to at least 125 by the second or third week of December, since I have a 450 CC and I am considering between a 560CC to 600CC well that look too big, or big enough for me to be happy? I don't want to look wide I recently lost 12 lbs so that I may be at the wight I would like to be when I go back to enlarge my breast. I do want a bigger implant I just don't want to look wide or my shoulders broad that is one of the reason I decide to drop lbs. What would a good CC be for me? Mar

A: Hi Mar, I do not make it a habit of advising patients on size, since this is an incredibly personal criteria. All I can tell you is that the implant you choose will look about 30% smaller inside your body, so keep that in mind when you are trying various sizes in your bra. As far as contracture, patients who experience it once may experience it again. However, many patients can have it successfully corrected with revision surgery. Best, Eve

Q: I am 21 years old, and I made a rush decision to get my breast done. Originally I was a 34 B, and I just wanted them to be a fuller shape; instead I was convinced to getting a full size bigger. It is almost to the 2 year point this December, and for the last 2 years I beat myself up for getting them done. My doctor did a great job and I luckily have not had problems except I am depressed with the results: stretch marks, loss of sensation, stretched nipple, the feeling of the bag and seeing the ripples of the bag, and I feel gravity is already causing my breasts to sag and spread apart. I don't know what I can do, but if I have been unhappy and its been two years how am I suppose to live a full life with the implants, especially when I have not even had children yet? Please send some advice. Erin

A: Hi Erin, This is a personal situation which you have to work out for yourself. You can always have the implants removed, but then you will require an invasive lift to repair the stretch marks and loose skin. Of course, this will leave scarring, as well. You might consider getting the implants revised at some point to make them look better. This may be your best option. Whatever path you choose, I send my best, Eve

Q: Breast augmentation 1.5 yrs ago. All ok until 6 mo ago and cc appeared in left breast. I took Accolate for 3 mo. and now I have a place apx 1/2" in size where the breast tissue is extremely thin. I was wearing an underwire bra and the underwire rubbed this area and caused the thinning while on Accolate. So, now I have that problem. Do you recommend anything to help the tissue to thicken? I have taken 2 rounds of antibiotics because the area looked inflamed and that helped both times, but it doesn't seem to be healing and my surgeon has never seen this happen to any of his patients that hasn't experienced some type of trauma. If it doesn't thicken, I may have to have them removed and let the skin heal. Please reply. Kellie

A: Hi Kellie, This is a rare complication and there is not much to do for it except wait and see. Eventually, either the body will begin to increase the tissue in the area or the deterioration may continue, forcing you to consider a surgical solution. Let me know how it turns out. I send you my Best, Eve

Q: which type herbal creams are used to improve the breast.i am 21 yrs female, unmarried. my breast size is 30 only. Pavani

A: Hi Pavani, I generally do not recommend herbal products to increase breast size, as I find most to be ineffective. If you find something that actually works, please let us know. Best. Eve

Q: Hi, I am wanting to get nipple correction done in the US. I live in the UK. Do you know of the best surgeon to carry out this particular procedure? With thanks, Rosie

A: Hi Rosie, There are countless excellent doctors in the US who do this type of aesthetic work. I recommend you shop around by location. Best, Eve

Q: hi, do you know of any surgeons in england who would be willing to perform an uplift with implants for me in return for publicity or filming? thanks. Kirstie

A: Hi Kirstie, No, I am not overly familiar with the surgical scene there, as I am based in New York and Bangkok. I do think that you should contact some providers directly with your proposal. Best, Eve

Q: I am currently a 34DDD and looking into a breast reduction with an implant to get a final breast size of around 34C or D. I am having a hard time finding pictures of this procedure. Does anyone know where I can see pictures, and also, how much more does the procedure cost than a regular breast reduction? Leah

A: Hi Leah, Most surgeons do not recommend this procedure, since there is enough natural tissue to use so that implants are redundant. The majority of surgeons will recommend a reduction and lift instead. Best, Eve

Q: Hi I'm 28 and I had silicone implants put in about 3 1/2 weeks ago and I through my armpit and the left armpit area bruised real bad and my left side was swollen. My right one is feeling really good and is pretty soft and when I lay down its kinda laying more natural but my left one is firmer than my right and when I lay down it doesn't seem like it moves at all. I have been doing a lot of reading and I am really paranoid and scared about contracture especially since that is the side that was really bruised and swollen and I still have a little swelling at the top of my left breast and that area. Do you think it's contracture or could it possibly be just swelling still in it and if it is just swelling will my left breast eventually soften up like my right or would that feel like that only be because of the swelling? Glenna

A: Hi Glenna, It is impossible to tell this early in the healing process. I advise you stay in close contact with your surgeon with any questions you might have and consider seeing a different doctor if you feel that your present surgeon is not being completely honest with you. Best, Eve

Q: Hi guys,I'm 23 years old, 5ft 8in and I have a breast size of 34F. Large busts run on both of sides of my family and so does breast cancer.I'm looking to reduce the size of my bust, lift the bust and reduce the size of my nipples. I'm also curious to see if implants can be added and my natural tissue removed as a cancer prevention. I'm looking to go from my current 34F to a full C.Can all this be done and if so what are the 'technical' names for this procedure so I can research it more.Thank you so much!! Dana

A: Hi Dana, You are basically describing 2 different procedures. Most surgeons do not recommend reductions with implants, as there is plenty of natural tissue to go around to re-form the breast in a smaller and lifted shape. Preventative mastectomy is a different story all together. This will remove all the breast tissue and you will need a complete restorative breast reconstruction to recreate the breast structure. This is incredibly invasive and is not likely to provide an aesthetic appearance. However, in some cases, it is indicated. I recommend you consult with a plastic surgeon for detailed advice on which is the best path for you. Best, Eve

Q: I had breast augmentation in 1978 and have learned that both of the implants are ruptured. I was told by a mammogram radiologist that Dow will replace the implants, covering the costs of the surgery. Does any one know if this is true? If so, any idea who I would contact. I have had no ill effects, but unfortunately do not have the $8,000.00 it is going to cost to have the ruptured implants removed and new implants put in. Any direction you might be able to provide me, would be greatly appreciated. Thank you. JoAnn

A: Hi JoAnn, You should contact the surgeon who performed the procedure, as they have your records. If this is not possible, you can contact Dow directly for more information:
http://www.breast-plastic-surgery.org/breast-implant-manufacturers.html
Best, Eve

Q: I have very small breast, barely 32AA and am 28 years old. I feel like they haven't grown at all since I had my first menstruation at 11 years old. I have been hesitating but I am just curious to why? Mitchy

A: HI Mitchy, I assume you mean why do you not do anything about the condition... This is a question to ask yourself. You are surely the person who has the best chance of finding an answer... Best, Eve

Q: Hello, love your page! Can you tell me some black plastic surgeons in the Florida area, ft. lauderdale, miami, west palm beach area? Thanks! Elizacoe

A: Hi Elizacoe, I am based in New York and Thailand and do not know any doctors in your area. I suggest calling a few and inquiring with them abut their personal characteristics. I send my best, Eve

Q: Hi, I woke up one morning about a week ago, with a soreness near the areolar area, and found a large lump in my left breast. I have had silicone breast implants for over 20yrs. Went to the Dr., and she put me on antibiotics for mastitis and bronchitis (I also had lots of wheezing/congestion). Since I hadn't had a mammogram for several yrs, one was ordered. I just came back from having my mammogram, and found out that my left breast implant is leaking. I came home to my husband and just cried I was so upset. I am confused as to what I should do. It will be 4wks. before we make it back home, so will probably have to wait til then to find a dr. In the past, my mammograms have shown lumps in both breasts which evidently are not harmful, because radiologists haven't told me to see a surgeon.

Do I need a plastic or cosmetic surgeon? If my implant is leaking, how fast before it will become noticeable? If I have left implant removed, will insurance cover it, and cover a new implant? Would insurance cover replacement of right implant, since deterioration might be a problem? If I don't do anything, and just ignore the problem, will I have any medical problems? How do I find a good surgeon? I've read the info on cosmetic/plastic surgeons, but how do you really know if you've found a good surgeon? Thanking you in advance for your help. Paula

A: Hi Paula, I can tell you are very upset by this turn of events, but you need to relax and stay focused on attending to the issue at hand, which is the leak. The implant should be replaced ASAP. I can not answer the questions you have about insurance coverage, since I do not know what type of implants you have and whether or not they have any warranty in effect (unlikely given their age). Additionally, I do not know the details of your health plan. I advise you contact your insurance company for answers to these questions.

You do not want to ignore the leak. You can find a good doctor by interviewing several and getting their thoughts on the best solution. You need to find a doctor you are comfortable with and one who can meet your expectations in every criteria. Additionally, you should research the surgeon and make sure they do not have a history of patient complaints, or disciplinary actions. Checking some references from former patients is common and any quality doctor will be happy to provide these for you... This article will help you:
http://www.breast-plastic-surgery.org/choosing-a-cosmetic-surgeon.html

I wish you well an hope you can find an easy and economical solution to your implant dilemma.Best, Eve

Q: Hi. I have had to have my silicone implants replaced 5 times over a 30 year period and invested thousands of dollars.The latest are about 2 yrs old. Although they are the softest ones so far, I have noticed a change. One nipple is lower than the other now. I know I was put on Accolate the first month after surgery and took it for 6 months. I recently saw a doctor that recommended having them taken out and clean out any scar tissue and before putting them back in he suggested injecting depomedrol in the capsule. I requested to use the same implants provided they are in good shape considering they are only 2 yrs old. Have you heard of this depomedrol technique and does it work? Jackie

A: Hi Jackie, Depo-Medrol is a anti-inflammatory glucocorticoid which is not proven to do anything for capsular contracture. Personally I do not like steroid injections, especially those in the cortisone family, as they can have unwanted side effects. I do not think this ill be dangerous to try, but I would not place too much hope in it doing anything valuable to really help in the long run. Best, Eve

Q: I'm 20 years old, and I currently got sized for a proper bra size. I have been wearing a 34B but they told me I needed to do a 34C. They fit much better, but my breasts don't actually LOOK that big at all. Why could that be? Jocelyn

A: Hi Jocelyn, I do not really understand the question. 34C is not particularly big, although it may be in comparison to your body size and proportion. It is not important to know why you are a 34C, it is just nice to have a proper fitting bra that reflects your true size. Best, Eve

Q: I am a 34 year old who has breast fed 2 babies. In college I was a C cup, now I'm barely a B. My first consult for breast augmentation defined my breasts as "atrophied" (i.e.; deflated, nipples don't point downward or anything)...he went on to say that my condition is a "surgeon's test question" in that my implant should be placed over my muscle. His reasoning was that the location of my pec muscle in relation to that of my nipple would result in an unsightly "double boob" (at the top) appearance. I never knew there even was such a thing! However it made sense at the time given that I work out 5-6 days a week and have significant muscle definition. I thought, 'Am I really that abnormal?' He even went so far as to say over the muscle or not doing it at all were my only options.My second consult believed the above advice is nonsense and that I definitely could go under the muscle.My third consult said I could have my choice of going under or over.So my question is: Is there such a condition as what the 1st doctor claimed? Or could this have been a sales pitch of some sort? According to him, (my tissue thickness is about 1 1/2cm) you wouldn't be able to see modest-sized silicone implants. I just worry about interference with mammographies and being able to see the implants as I age due to skin thinning out (if they're placed over the muscle).PLEASE give me advice!!! Thank you! Lindsay

A: Hi Lindsay, While it is possible that a condition as described exists, in this case it sounds far more like a sales pitch. I would make up your mind based on where placement works best for you. Being that you have 2 other surgical opinions, you should have increased confidence that this is indeed the case... Best, Eve

Q: I have large breast but not so large that possibly a good bra would really help. I had breast cancer 18 years ago and had a mastectomy (right side) and the trans flap reconstruction. The left breast was reduced to match. Now they both sag and the right side is noticeably lower even wearing my best bra. What would you suggest? Surgery or custom made or what? How much are custom made bras? Where do I find a maker? Karen

A: Hi Karen, The choice for a surgical or non-surgical solution is very personal. You will have to consider the options carefully. As far as custom bras, most tailors can recommend a bra maker or you can find one near you in the phone book or online. The cost ranges greatly, depending on styles and material, as well as the fees demanded in your particular area. I wish you the best, Eve

Q: i have a breast implant with a 10 year warranty that deflated in 9 years through a company on your website that i cant get in touch with do you know how to get in touch with or did someone buy the Hutchinson company out of baton rouge la. Alissa

A: HI Alissa, This is the contact information I found for them:Hutchison International, Inc.
7949 Jefferson Highway, Suite E
Baton Rouge,LA 70809
Phone: 225-927-6800. Fax: 225-927-6874.
Email: Hutchla1@bellsouth.net
Best, Eve

Q: My wife and I have been together over 10 years and she has complained about her small breasts since I've known her. We've discussed her concerns on multiple occasions and she feels breast enhancement would trade one insecurity for another. Her fear is she would trade her feelings of inadequacy now, for feelings of judgment afterward. She's concerned with the stigma of "everyone knowing she had a boob job". I feel like I'm stuck in a no win situation where she can't be satisfied. I try to reassure her of her body image whenever I can, but it doesn't seem to help. We both know breast enlargement can be done in a very tasteful way and much of the stigma can be downplayed by wearing tasteful attire. I'm just not sure what to do for her. I want her to feel comfortable and confident in her body. Any thoughts you can share would be appreciated. James

A: Hi James, Yes, this is a common concern that many women face. It is a very personal choice and although many women would like larger breasts, some do not act on the impulse, due to these same emotional issues. There is no right answer which applies to all people. Instead, it is just a matter of which side of the equation is stronger, the desire to be larger or the fear of judgment. I always advise my clients that they must live for themselves and not simply to please or appease others. In the end, this is the path to real happiness. Whatever she does, I wish you both well. Eve

Q: I am a 35 year old female who is 5"6' and 200 lbs. I have been on a high impact interval training schedule to loose weight for 2 months. I have seen minimal weight loss, but have discomfort exercising and even positioning my 42 DDD size breasts at night for sleeping. I have an excellent bra for working out as well. I was a 38 C in high school and a 38 D as an adult after children before I gained the weight. I am concerned about two things. First, if I get a reduction to a C, will the chances of me getting much smaller occur with more weight loss (which I will continue to work for)? Secondly, how uncomfortable will I feel about my stomach sticking out at first (until I get in better shape)...do you hear of these types of complaints? Thank you. Melissa

A: Hi Melissa, As far as weight loss continuing to make your breasts smaller, it really depends on how much glandular tissue there is compared to the percentage of fatty tissue. Glandular tissue will not shrink with weight loss, while fatty tissue will be absorbed This can usually be ascertained by your doctor to a relatively accurate degree. As far as how you may feel with smaller breasts and a tummy which remains a "work in progress", that is really something for you to consider carefully. It may be uncomfortable for you for a time, but it may also provide added incentive to push through to your goals. Whatever you decide to do, I wish you well! Eve

Q: I HAVE SILICONE BREAST IMPLANTS FROM THE LATE 1970'S. I HAVE HAD PROBLEMS, BUT IGNORED THEM UNTIL I DISCOVERED A LUMP. I HAVE TWO NODULES RIGHT BREAST, WHICH IS ENCAPSULATED, PAINFUL, SOMEWHAT DISFIGURED. I HAVE A FAMILY HX OF BREAST CANCER, SISTER. THEREFORE, I WILL HAVE A BX AND LUMPECTOMY. THE SURGEON OF COURSE SAYS THE IMPLANTS NEED TO BE REMOVED; AND NOT REPLACING THEM WILL CAUSE FURTHER DISFIGUREMENT. DO YOU KNOW OF ANY FUNDING AVAILABLE TO HELP WITH THE FEES. I DON'T KNOW IF INSURANCE WILL EVEN PAY TO HAVE THEM REMOVED. I WOULD DEEPLY APPRECIATE ANY ADVICE YOU COULD OFFER. I ALSO WONDERED ABOUT THE LAWSUITS. THANK YOU FOR YOUR TIME. PAULA

A: Hi Paula, Your insurance may cover removal, but will not likely cover new implants. As far as lawsuits, I advise you to contact a lawyer well versed in implant litigation. I do not know of any resources which help to defer the costs. I do send you my best though. Eve

Q: I am getting new replacement implants and my dr.said if I knew the name or the number of my old ones I could get a refund for the implant.It has been 20yrs.and I do not have any info,only the Dr.who did the surgery I believe he is retired. Can you help me? Marilee

A: Hi Marilee, You can contact your old doctor, retired or not. His records must be maintained somewhere, although after 20 years, he may not have them. It is worth a try. Best, Eve

Q: I have seen some of the larger implants string type used for show girls,I am looking for a Doctor how can help with the Obviously Enhanced look for me. I am 42 and work in the Marketing biz in the larger part of California,also a sizes 38B looking to enlarge to GG or larger. Have looked at your web site on string implants and want to know if they are still being used somewhere, or if you can recommend me to a cosmetic surgeon who can help. I am a Pacific Islander and have medium caramel skin also scar easy. Thank you looking forward to hearing from you. Maria

A: Hi Maria, I do not know any doctors who use string implants, since they are dangerous and illegal in most countries. I do not advise them, but some doctors still use them. Best, Eve

Q: I'm 37yo, nursed for 1.5 years-- stopped 1.5 years ago, have some minor fibroid issues (discomfort), but am recently experiencing some breast growth. I've gone up a whole cup size over the past few months and am wondering if this is normal. I've not gained weight, am definitely not pregnant (vasectomy), and have no contributing factors that are logical. Am I peri-menopausal? Are they going to stop? (I'm a 34DDD-- I can't support this weight anymore). Thanks. Carolyn

A: Hi Carolyn, I advise you go in for a check up. I do not think there is anything serious wrong, but it is worth it to be sure. Your case is unusual and I an interested in what it turns out to be, if discovered. Best, Eve

Q: Hello, My wife and I was were discussing the issue of breast enlargement. We were wondering what was safer and or more economical to to do, implant or taking female hormones. She is 25 years old and has very small breast and is always complaining about them. I would like to get this information for her so she can feel better. Thank you... Ernesto

A: Hi Ernesto, These are completely different types of enhancement plans. Surgical augmentation is very predictable in its outcome, where as hormones are not. Some women enjoy significant breast growth from hormones, while others do not. As far as safety, there are risks with both, but they can be minimized with careful planning and medical expertise. For additional information, I advise she consult with a cosmetic surgeon near you. Best, Eve

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