Login|Contact Us
Question and Answer

Plastic Surgery

Ask a Plastic Surgery Question, Get an Answer ASAP!

  • Ask A Question
  • Browse Answers
  • Meet The Experts
  • How JustAnswer Works

Hello, I had surgery 8 years ago for assymmetric breasts and

 
Plastic Surgeon's Avatar
  • Answered by:Plastic Surgeon
  • Plastic Surgeon (MD)
  • Positive Feedback: 97.6 %
  • Accepted Answers: 594
Verified Expert
in Plastic Surgery

Recent Feedback

Positive
Gave me good info..:) very much relieved...
Positive
very informative.
Positive
AWESOME!
Positive
Awesome expert and a pleasure to deal with. Very helpful and managed to provide...
Positive
Good
Positive
good advice! thank you
Positive
answered all of my questions and gave me a good understanding as to what was...
Positive
It was great to talk to a specialist for feedback Thank you very much. Karen

Customer Question

Hello, I had surgery 8 years ago for assymmetric breasts and had a silicone implant inserted on the left with a mastopexy on the right side. Now the implant is due to be replaced because of pain and shape changes. However I would prefer not to have silicone in my body and was wondering if both breasts could be re-shaped to give me smaller, but real breasts. The smaller breast was only an A cup before the implant and the other side was a D. Is this likely to give a good result?

 

Optional Information:
Person's Gender: Female
Person's Age: 30

Submitted: 351 days and 18 hours ago.
Category: Plastic Surgery
Value: £15
Status: CLOSED

Accepted Answer

Expert:  Plastic Surgeon replied 351 days and 17 hours ago.


Plastic Surgeon : Thank you for your question. It is possible to have the implant removed and no implant replaced. But the result on this side is dependent on how much the skin has stretched and how much scarring there is around the implant - capsular contracture. When the implant is removed, the resultant skin may be very wrinkly because of the small amount of breast tissue present. Some tightening of that skin could be performed. It is also very important to have the nipples at the same height. The other breast in which the mastopexy was performed could be further altered to match the other breast. You really need to be examined by a board certified plastic surgeon who can discuss your options. Another consideration is using your own tissue for changing your breasts but this involves more surgery and it doesn't seem that you are interested in that. The use of a saline implant is also a possibility but the shell is made of silicone. Just for your own information, no two breasts on any woman are identical. As for your final result, it really depends on how much scar tissue is present around the implant and if your surgeon feels that as much of a symmetrical result can be obrained without an implant.
Customer :

I would be quite happy to have surgery using my own tissue but as I am using the NHS (UK) I don't know if they will pay for that or for a saline implant as they only mention silicone so I have been thinking my only option is to accept another silicone implant or have a mastopexy on both. I am just unsure which is better because I assume the small A cup breast is still the same size without the implant and this would mean the other breast would have to be reduced quite a bit.

Plastic Surgeon : You are probably correct about coverage in the UK for using your own tissue but you should find out. A saline implant ususally is an option to a silicone implant. There will be a difference in the A cup breast if the implant is not replaced. The skin will be looser and may have wrinkling. The other breast would have to be reduced and there is some risk to nipple survival since that nipple and areola have scar tissue around it. Your best and simplest result is to replace the implant with a saline implant.
Customer :

Would a saline implant have to be replaced every 10 years or so, like silicone?

Plastic Surgeon : No implant lasts forever but a saline implant causes less scar reaction in the body.

Expert TypePlastic Surgeon (MD)
Category: Plastic Surgery
Pos. Feedback: 97.6 %
Accepts: 594
Answered: 4/29/2012

Experience: 30 years experience; Board Certified in Plastic Surgery; Member American College of Surgeons;

Ask this Expert a Question >
 
Tweet

Plastic Surgeons are Online Right Now

Ask Your Question Now
Plastic Surgery Questions Date Submitted
Do I look a lot different from before? People have said that 3/24/2013
is there a procedure to make face more narrow or skinny? not 2/22/2013
My wife and 1st daughter have inverted nipple and would like 2/19/2013
Hi im 26 years old and been wanting a tummy tuck for awhile. 1/3/2013
.how can i remove a birthmark on the face? 11/12/2012
I had ventral hernia surgery about 2 years ago. It was laparoscopic 10/15/2012
Is there a plastic surgery expert who is online who can answer 9/29/2012
hi i have a question i had nose surgery 2 days ago i have nose 9/29/2012
RA-gz 8/25/2012
hi, i am just looking for advice, i am from the UK (england) 8/19/2012
RSS
Next 10 >
Ask A Plastic Surgeon
Type Your Plastic Surgery Question Here...
characters left:

Top Plastic Surgery Experts

See More Plastic Surgeons

In The News

Nbc
Washington Post
New York Times
Cnn
Learn More

How It Works

  • Ask an Expert
  • Get a Professional Answer
  • Ask Followup Questions
  • 100% Satisfaction Guarantee
Learn More
close
Find Expert answers related to your question.
Sign up using email
We will never post anything without your permission.
Already have an account? Sign in

Ask a Plastic Surgeon

Get a Professional Answer. 100% Satisfaction Guaranteed.
185 Plastic Surgeons are Online Now
Type Your Plastic Surgery Question Here...
characters left:
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.
Truste
Contact Us | Terms of Service | Privacy & Security | About Us
© 2003-2013 JustAnswer LLC