Thank you for the question and the photos. Tubular breast is a spectrum of shapes that range form mild constriction of the inferior pole of the breast to severe constriction of the breast base with herniation of the breast tissue into the nipple areola complex. From your photos you do have tubular breast. The good news is there is treatment. The type of treatment depends on what you want to achieve. In general patient usually require periareolar mastopexy ( donut lift) and breast augmentation. My advice for you is to get a consult with a board certified plastic surgeon to address your concerns and formulate a treatment plan. Best wishes.

Thank you for the question and the photos. What you have is a tuberous breast. Tuberous breast is a spectrum of various shapes that range from mild to severe. In your case, to fix the nipple you will need periareolar lift, even if you don’t want to change the implants or the pocket. My advice for you is to get a consultation with a board certified plastic surgeon to address you goals and your options. I wish you all the best.

Thank you for the question. In general, submuscular pocket has several advantages, it reduced the risk of capsular contracture and less rippling. the looks depends on several factors, including the size of the implant, the breast shape before augmentation and presence of ptosis. I prefer submuscular augmentation for all my patients.

You need to see a board certified plastic surgeon for a consultation. during the consultation all your questions should be addressed. You need to see before and after photos and preferably take pictures with you of what you want to look. Best wishes

Thank you for your question and the photos. From the pictures you provided it clearly shows that you have more skin than actual breast tissue. You want to go down to C cup. In this case breast lift (anchor) lift would achieve several objectives. It would remove the excess skin, reshape and reposition the areola and reduce the breast size. You will have, however, upper pole flattening. If you wan to improve the upper pole fullness you will need an implant. Implants under the muscle should not affect the pectoral strength or function.

What you need is a consultation with a board certified plastic surgeon. During the consultation your hopes and desires will be addressed. You need to see before and after photos and you and your surgeon can decide to the surgery in one or two stages. I wish you all the best.

Thank you for your question and photos. Your five months photos does show difference between the two breasts. A lift will give you more symmetry. The type of lift you need depends on the examination findings. You may need an anchor lift to achieve symmetry.

My advice for you is to wait for 2-3 more months to allow the implants to settle and then you can have the surgery.

Thank you the question. It is difficult to answer your question without photos. In general, when there is significant asymmetry, there several option to correct it. In your case, you will need an implant in the B cup breast. The question is what is the shape of the breasts, does the D cup breast needs a lift, is the asymmetry in the areola etc. all theses questions need to addressed before giving you an accurate answer.

My advice for you is to see a board certified plastic surgeon. Look at their before and after photos. Convert clearly what you want to your surgeon. Good luck.

Thank for your question and the photos. The decision on whether you need a lift or not depends on severe factors; elasticity of the skin, breast measurement and the shape you desire. That’s why in person consultation would give you a better answer to your questions. You need to photos of patient who had augmentation with and without lift, convey what you want very clearly to your plastic surgeon and then make a decision.

From the history and the photo you provided, it is most likely to have a hematoma. The right person to confirm that is your plastic surgeon. I suggest you contact him and if there is more collection, then it has to be evacuated.

Your concern about the discharge is a valid one and You should take it seriously. My best advice for you is to contact your plastic surgeon and discuss it with him. It is even better if you arrange to see him for direct evaluation of the breast. I wish you all the best.

Thank you of the question and the photos, your situation is not uncommon and you have several options. Any surgery whether its reduction/lift with or without implant will aim to achieve more symmetry. The question is how you want your breasts to look. You can address that question by taking photos to the consultation, look at before and after photos from the surgeons portfolio and then make your decision. It is very important for you own satisfaction after surgery to convey your concerns to the plastic surgeon very clearly.

Thank you for your question. From the information you provided and the photos I think you will need a lift. The left breast areola is lower, both breast have excess skin from pregnancy and weight loss. Doing implant only procedure will give some volume but not the shape you want.

Generally speaking recovery after sub glandular augmentation is straightforward. I advise my patients to wear a sports bra for about 6 weeks. Return to work in about in about 6-7 day depending on their occupation and recovery. Return to full activity after 6-8 weeks. I also advise you to follow up with your plastic surgeon and follow his/her instructions. Each surgeon has their own post operative regiment and you have to adhere to the instructions of your surgeon.

Thank you for the question. In general it can take up to six months before the implant finally settle. I think you have to address your concern with your plastic surgeon. You also have to follow his/her post operative instructions.

Thank you for your question. The decision on the size and shape of breast implant is a very important part of your consultation. It also a mutual decision in which you should bot agree on. In my practice, if a patient desire a larger implant, the best approaches to use a breast sizer during the surgery and the appropriate implant can be placed based on that the breast pocket can accommodate. Based on the information you provided you may benefit from a second consultation.

Generally speaking, it is too early to determine the final shape of the breast. It usually takes up six months before the implants settles and the swelling subsides. During that period the breast shape will continue to improve. I suggest to wait, follow all your post operative instructions and appointments.

The muscle distortion you describe may be related to animation ferocity as a result of sub muscular placement of the implant or partial separation of the lower fibers of origin of the pectorals major muscle. As for the electric shock sensation, it may be related to nerve injury. It is best for you if you address your concerns with your plastic surgeon.

Thank you for the question and the photos. Generally speaking, it takes 4-6 months for the implants to settle. During that period one side may look bigger or higher or different than the other side. I think you are doing fine. Follow your post operative instruction and communicate any question to your plastic surgeon.

Thank you for the question and the photos. Generally speaking, it takes 4-6 months for the implants to settle. DuringMost likely what you have is post operative bruising. But still check with your plastic surgeon. that period one side may look bigger or higher or different than the other side. I think you are doing fine. Follow your post operative instruction and communicate any question to your plastic surgeon.

It is not uncommon after pregnancy and breast feeding that the breast become much thinner due to atrophy of the bread tissue. If there is an implant, it be more easy to feel it and some times there is rippling. There are, however, different ways to address it. You need to see a plastic surgeon, get examined and determine what procedure is appropriate for you.

Just reading your note, I think you need to contact your plastic surgeon or primary care physician. Although pain is normal after breast augmentation. in the first few days, pain that does not improve along with difficulty to take deep breath is a concern.

Thank you for your question. Surgical scars can be very sensitive for long periods. This may be related to nerve injure, or underlying costochondritis which is inflammation of the costal cartilage. Messaging, silicone sheets, and anti-inflammatory medication may help.

The key to you treatment is establishing the cause of pain. You will need to address your concerns with your plastic surgeon and follow his/her instructions.

Thank you for the question. It is not easy to determine from the the photo if you have tuberous breast. Tuberous breast, however, is a spectrum of deformity ranging from very mild to severely contracted breast and herniation of the breast tissue into the nipple areola complex.

As for augmentation and type of lift, The photos show ptosis and for that you may need more than a donut lift such as vertical or anchor lift. The best way to address you questions and concerns is through a consultation with a board certified plastic surgeon. Look at before and after photos

Thank you for the question. Usually after 2 years scars mature and any residual scaring after that is likely to be permanent. After five years you have options but the results are limited. Non surgical option may help such as scar products or even laser therapy.you may see some improvement, but I doubt it will be significant. Surgical scar revision may help, but you are replacing a scar with another one.

I would advise you to see a dermatologist and get their advice.

Thank you for your question. The first step is to find a board certified plastic surgeon, you can get the information from the American Society of Plastic Surgeons website. Get a consultation. More than one if necessary. During the consultation, look for the before and after photos, take photos with you of what you want to look like. Try and decide, what shape, size and type of implants. The plastic surgeon will advise you about what can be achieved.

Thank you for your question and the picture. I do agree with you that you have good results. The indentation you mention is difficult to see and probably not that significant to warrant anything done about it. In the photo the left breast appears higher than the right and this may be in part to using your left hand to take the photo. The peeling may be related to skin stretching and subsiding swelling.

Thank you for your question and the photos. Asymmetry like the one you have is not uncommon. You have several options. Lift on the left breast and reduction on the right to achieve symmetry. You can have the lift/reduction and breast augmentation at the same time.

I do not think simple breast augmentation with the implants you mentioned will give you the shape and results for are looking for. A consultation with a board certified plastic surgeon who has experience in dealing with these cases is what you need.

Thank you for your question and the pictures. You have high riding implants, ptosis and breast asymmetry. Also from the pictures you may have medial malposition . I think you are a good candidate for vertical breast lift, internal suturing to correct the malposition and augmentation.

Having said that; there is no replacement to complete examination of the breast by a board certified plastic surgeon.

It is not uncommon patient after breast augmentation surgery to feel they should have gone bigger or smaller. It is best during the recovery period is wait until all the swelling has gone and the implant settle. After about 6 months one can evaluate the breast and decide if additional or revision surgery is needed. That period also give the patient the time needed to adjust to the new situation. You may find that you may not want anything done.

It is not uncommon after breast augmentation to have one implant settles before the other. You are only seven week out of surgery and the implants still has more time to settle. You need to follow the post operative instructions very carefully and contact your plastic surgeon if you have any concerns.

Thank you for your question and photos. I think you have good results from you surgery. The left breast still has a wide areola and herniation of the breast tissue under the nipple areola complex. If you were happy with the outcome of the right side, then I think you should continue your treatment. You also have address your concerns with your plastic very clearly.

Thank you for your question. From the information you provided it would difficult to determine the exact cause of the blistering three months post augmentation mammoplasty without full history and examination, especially when you had MRSA infection. It is best for you if you address your concerns with your plastic surgeon and keep a close follow up with him/her.

Each plastic surgeon has his/her own technique of wound closer and postoperative care. You have to follow your surgeons instruction on wound care and the timing of suture removal.

Thank you for your question. Tuberous breast is characterized by contraction of the base of the breast preventing it from in horizontal or vertical axes. There is also herniation of the breast tissue toward the areola nipple complex. There are several treatment options. You could have periareolar lift and reshaping of the breast tissue to achieve a more appealing shape. You do not need a TRAM flap for that. What you need, however, is a consultation with a board certified plastic surgeon. Direct examination, seeing before and after photos and discussing your treatment portion and desires all will help you reach the right surgery.

Thank you for your question. There is really no hard answer. Generally speaking, the initial consultation is usually the longest. Thats when complete history and examination is performed. The surgical option are discussed with the patients, before and after photos are presented and all questions answered. This takes up to an hour. Ultimately it is not the length of the consultation, but the quality of information provided and that’s what matters.

Like you said it is still six weeks since surgery. It may take up 6 months before the breast swelling settles and sometimes longer than that. During that time you have to be patient and discuss your concerns with your plastic surgeon.

There is no effective treatment for stretch marks in the market. There many products in the form of creams, and devices that claim to remove the or eliminate stitch marks. Non of the wok.

From the photos you provided, the left breast implant does appear to be more displaced inferiorly. This may have resulted from over dissection of the pocket on the left side. It can be fixed with internal suturing of the capsule. But, I think you should give it few more months before you make that decision.

From the information you provided I think you will get a moderate C cup. At this point my advise for you is to be patient. Wait for the swelling to subside and for the implants to settle. After about 6-8 weeks from surgery you can check the bra that fits you. You will find that you have lots of choices.

Thank you for your question. The reason why there are specific instructions for each surgical procedure is to avoid complication. The complication after breast augmentation can be bleeding, capsular contracture and implant malposition. Remember prevention is the best cure.

I think you still have time to talk to your plastic surgeon about what size you want to be. It is really hard to give an accurate size after breast reduction surgery but, good communication with your plastic surgeon and reviewing before and after photos will help you and you surgeon to reach a common ground.

There are several causes of pain following breast augmentation. Cosotochondritis is one of them. The pain may also be related to muscle trauma, muscle spam etc. Also it may not be related to the implant. You need to con act your plastic surgeon to address this issue.

This is a very unfortunate situation. There are several several techniques that try to prevent it from happening. Washing the implant and pocket with triple antibiotic solution during surgery, wearing breast band, breast massages are all used to prevent it from happening. Other method such as the use of anti-inflammatory or anti asthma medication have to be discussed with your plastic surgery. As for Strattice, there reports that show it is useful in preventing recurrence of contracture.

You can have breast augmentation whenever you are prepared to have it done. You have make sure you have enough time to recover before you resume your normal activities or travel.

The photos you provided show breast asymmetry and large areola. Since you have lost significant weight, I think you have, in addition, significant skin laxity. To perform implant only surgery would require a large implant that not only cosmetically be unpleasing , but will increase your ptosis and may bring other symptoms such as shoulder and back pain. I think what you need is a breast lift and implant.

The photos you have taken do show a double bubble appearance on the right and ptosis on the left. A before pics would have been helpful. Either way, you will need to wait for several more months for the implants to settle and the final shape is determined. Then one can decide on the next step. I think you will need a revisionary surgery.

You are three months out from your surgery. The left breast is still higher and firmer. I wonder if you had breast asymmetry before surgery. Either way, I think your plastic surgeon is giving you the right advice. message, compression and time will help. It may take up six months and sometimes longer for the breasts to settle.

Thank you for your question. Breast augmentation surgery involves dissection around the pectoralis muscle if the implant is placed under the muscle. Shoulder surgery may also involve the same muscle group. The timing of the surgeries should be discussed with both your orthopedic surgeon and plastic surgeon to determine the safest order and adequate recovery time between procedures.

Thank you for your question. Muscular women often have thicker chest wall muscles which may influence the appearance of the implants. Placement under the muscle is often preferred to create a more natural look. Implant size selection depends on the breast base diameter, tissue thickness and patient goals. A consultation with a board certified plastic surgeon is essential.

Thank you for the question. Fluid collection after surgery can represent seroma or small cyst formation. In most cases small fluid collections resolve with time. However, if the lump persists, increases in size or becomes painful you should consult your plastic surgeon for evaluation.

Thank you for your question. PIP implants were removed from the market because of concerns about implant integrity. If you have these implants you should consult with your plastic surgeon to determine if removal or replacement is recommended.

Thank you for your question. Active infection such as chicken pox is a contraindication for elective surgery. Surgery should be postponed until the infection has fully resolved and you have recovered.

Thank you for your question. Breast augmentation does not necessarily prevent breastfeeding. However depending on the surgical technique and incision location there may be some impact on milk production. Many women are still able to breastfeed successfully.

Thank you for your question. Implant placement depends on several factors including breast tissue thickness, desired result and surgeon preference. Submuscular placement has advantages such as lower capsular contracture rates and more natural appearance in patients with thin breast tissue.

Thank you for your question. The best way to find a qualified plastic surgeon is to search for board certified plastic surgeons through professional organizations such as the American Society of Plastic Surgeons. Review before and after photos and schedule consultations.

Thank you for your question. Underwire bras are generally avoided during the early recovery period after breast surgery because they can place pressure on healing tissues. Most surgeons recommend sports bras during the initial recovery period.

Thank you for your question. Double bubble deformity occurs when the implant sits below the natural breast fold creating two visible contours. This may occur due to preexisting breast anatomy or surgical technique. Treatment may involve revision surgery.

Thank you for your question. Patients should ask about surgeon qualifications, surgical technique, implant options, recovery expectations and potential risks. Reviewing before and after photos and discussing goals clearly are also important parts of the consultation.

Thank you for your question. The decision depends on the degree of breast ptosis and skin laxity. Patients with significant sagging may require a breast lift along with implants to achieve the desired shape.

Thank you for your question. In patients with mild ptosis implants alone may improve the breast shape. However with more significant sagging a lift may be required to reposition the nipple and remove excess skin.

Thank you for your question. Determining the best procedure requires a physical examination and discussion of your goals. Options may include augmentation, lift, reduction or a combination of procedures.

Thank you for your question. Implant size depends on several factors including chest width, breast tissue and patient preference. A consultation with a plastic surgeon and use of implant sizers can help determine the appropriate size.

Thank you for your question. Tubular breast correction is often considered cosmetic and may not be covered by insurance. However in severe cases with functional issues some insurance providers may consider coverage.

Thank you for your question. Cup size estimation after breast augmentation can vary depending on body frame and bra manufacturer. Discussing implant volume and reviewing before and after photos during consultation helps determine realistic expectations.

Thank you for your question. Breast surgery can be performed during most phases of the menstrual cycle. Some surgeons prefer to avoid surgery during menstruation because of potential increased sensitivity or swelling.

Thank you for your question. Treatment options may include tissue release, periareolar lift and breast augmentation depending on severity.

Thank you for your question. In many cases tubular breasts require a combination of lift and augmentation to correct the constricted base and improve breast shape.

Thank you for your question. Some individuals may have genetic tendencies toward more visible scarring. Proper wound care and scar treatments can help improve final scar appearance.

Thank you for your question. Mild asymmetry is common even after surgery because natural breasts are rarely identical. Significant asymmetry may require revision.

Thank you for your question. The shape of the breast can change during healing and often improves over several months.