Breast Augmentation (Breast Implants) Questions and Answers

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Question:

With breast augmentation, can you still breast feed a baby when you become pregnant?

Answer:

Assuming that your breast milk would adequately feed an infant before breast augmentation, you should be able to breast feed if the incision to place the implant is made in the fold beneath the breast or in the armpit. There are other factors which might affect your ability to breast-feed. Therefore, you should have a thorough evaluation by a board certified plastic surgeon.

Question:

Are there any specific concerns with breast augmentation in MtF transexuals regarding differences in complications or results?

Answer:

Dear Holly, There are the same complications as with women. The chest wall tissue tends to be thicker in males and, thus, placement should be above the muscle for a more natural appearance of the new breast.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

Are there any breast augmentation procedures that will result in large, full breasts that stay standing up, even when you lay down? How is it that dancers and adult actresses have very large chests which create natural cleavage without a bra, without a large gap in the middle, and without falling to the sides when they lay down?

Answer 1:

Using textured implants, and an uplift if you have skin excess, can give you the result you want. David M. Metzner, MD

Answer 2:

Dear Keli, The natural thing for breasts to do is to fall to the side when lying down. The actresses that you see have implants. It is very easy to make them stand up when you are lying down, simply have a large breast augmentation with high profile implants.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

I need some info or case reports of a chin implant mentoplasty? also would like breast augmentation and liposuction at the same time, or is this too much for a single anesthesia?

Answer:

Dear Kristie, A chin implant procedure is relatively easy on you as is liposuction. All three procedures could readily be performed at the same procedure time. If you do not need a very large advancement of your chin, an implant of either silicon or porex is an excellent means of improving the contour of that area. There are some before and after picture on my web site at drgregorycaputy.com.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

My breasts are a very uneven size. Onee is an A cup and the other is a B/C cup. Is there anything natural that i can do to make them even?

Answer:

Dear Lexi...here's an answer from our archives.... Question: Mar 04, 2001 One of my breasts is larger than the other, is there a way to even them out with out cosmetic surgery such as excercises? Answer: Dear Shannon, No that is not possible. Usually uneven breasts require either reduction of the larger one, enlargement of the smaller one, or some form of reshaping on each. There are also a number of breast deformities such as tuberous breasts which require special treatment. I know that the prospect of surgery is not great but I would suggest that you visit with a qualified plastic surgeon to discuss the options. This type of surgery often yields the most pleased patients we have. Gregory Caputy Chief Surgeon Hope this helps... Julie Adinolfe RN

Question:

I am interested in breast augmentation, specifically breast implants. I am wondering how safe they are and are most clients happy with the results? If I am not happy with the results what are my options? I am also wondering how natural looking and feeling are they, is there a particular implants that is better over another? Just a few questions,Thanks

Answer:

Breast augmentation is a safe procedure. My recommendation is to make an appointment with a plastic surgeon and schedule a visit.

Question:

I had Breast Augmentation done 6 or 7 years ago. I have noticed the last 6 months that my left breast, right under the nipple, somtimes gets these light colored circles that itch. There almost like little sores. They scab up and than go away. I have been extremley tired and just am not myself. Could this be an infection from the implant? Thank You Charlena

Answer:

Dear Charlena, I doubt that that would be the only symptom from an implant infection. It may be shingles since you are so tired and that may be from other causes. I would suggest that you visit with a dermatologist or your plastic surgeon in order to see what the problem is and what can be done to correct it.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

I am scheduled for a breast augmentation surgery in one week. My surgeon has given me several choices of incision sites--Under the breast, axilla, nipple, or unbilical region. I am very familiar with the under the breast approach, but not so familiar with the navel/umbilical approach. The staff at the surgeon's office really are pushing for the umbilical approach where there will be no scarring in the breast area, but I am hesistant as I know very little about this procedure. Are you familiar with this approach? Do you think that this procedure is easier to rehab from? Do you think that the implants will be put in with the accuracy as they can be with the slit under the breast?

Answer 1:

Dear Christy, Not only is it more difficult to make an even pocket for the implant but, the implant manufacturers (last time I checked) will not cover the implants for problems such as leakage if they are placed through the umbilical approach. Most of us prefer a site on or near the breast.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Answer 2:

Smaller scars are achieved with a navel operation. Normally, whether I place breast implants in via the inframammary, periareolar, armpit approach, the incision is only about 1.5 inches. I get great exposure and see everything very easily and I am "right there". Is an 1.5 inch incision too big? I do not think so. I see no advantage placing implants in via the umbilicus.

Question:

I had breast augmentation 2/01. It was planned that I would receive textured implants. After the surgery my Dr. advised me I had too thin of skin for textured. I requested my original breast size of 36D (after babies & weight loss I was a 36B). I am 40 years old. My main concern is that the implants look and feel rippled (all the way around), as though they are too large for the size I requested. It is as though there is too much material for the fluid amount. Is this possible?

Answer 1:

Dear Teresa, Although it is possible it is unlikely. Breast implants are filled within the requirements set forth by the implant companies and sometimes even more so. If your surgery was performed by a competent plastic surgeon with many implants to choose from, it is unlikely that he/she would underfill the implant. I am not certain why you did not receive a textured implant since this is possible to be placed even in very thin individuals and texturing seems to reduce the incidence of capsular contracture down the road. Rippling is an inherent problem with any implant that is filled with saline - as they all are in this country at the present time.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Answer 2:

Dear Teresa, You could have more saline put in, but that would probably give you the same problem. Since you have already had saline implants placed and your skin is thin, you would be eligible for silicon gel implants under a special study which many plastic surgeons participate in. Check with your plastic surgeon about this.

Josh Korman, M.D., F.A.C.S.
Mountain View, CA

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