Undecided

sg3920 · 11-09-2009, 10:45 AM

I'm currently undecided between 2 doctors. I had a full anchor breast lift with saline implants placed over the muscle 11 yrs ago. I had a child 6 yrs ago and my breast have now sagged again. I have seen a few doctors and they all suggested re-doing the mastopexy to give my breast the perkiness I want and to correct my scars which are still pretty visible. Also, to place larger silicone implants behind the muscle since I would like to go slightly bigger.

My question is that 2 of the doctors advised me that they can re-do the lift without the need of fully re-opening that large incision at the bottom of my breast, just by opening it about 3 inches. There is one doctor that says he has to fully re-open that incision to be able to take off all the old scar tissue from around the scar. Any of this makes sense? your thoughts would be greatly appreciated. Thanks

drdonrevis · 11-09-2009, 12:59 PM

Good afternoon,

I can't tell you with certainty which approach you need since I have not had the opportunity to see you, measure you or examine you, but there are situations where the entire incision needs to be opened up and others where only the central portion needs to be revised. It also depends on your PS personal experience and what works best in his or her hands. My recommendations- ask yourself or the PS these questions and the answer should be clear?

1) Are you board certified by the American Board of Plastic Surgery
2) do you use board certified M.D. anesthesiologists
3) do you operate in a hospital or OR with AAASF certification?
4) how many revisions do you do in a year?
5) can I speak to a patient who has had the same procedure?
6) can you show me before and after photos of exactly the same procedure?

If they operate in a safe environment, can show you photos and let you speak with a former patient, and have considerable revision experience, then that the PS for you. If more than one meets these qualifications then go with the one you feel shares your aesthetic vision for your results. Remember, their communication with you and their bedisde manner will not improve after surgery, so make sure you have a good rapport with the PS you choose.

Best Wishes,
www.BreastAugmentationRevision.com

sg3920 · 11-09-2009, 01:14 PM

Dr. Revis,

Thank you so much for your quick response!

11-09-2009, 10:45 AM	#1
sg3920 Join Date: Sep 2009 Location: Miramar, Florida Posts: 48 Thanks: 1 Thanked 6 Times in 6 Posts	Undecided I'm currently undecided between 2 doctors. I had a full anchor breast lift with saline implants placed over the muscle 11 yrs ago. I had a child 6 yrs ago and my breast have now sagged again. I have seen a few doctors and they all suggested re-doing the mastopexy to give my breast the perkiness I want and to correct my scars which are still pretty visible. Also, to place larger silicone implants behind the muscle since I would like to go slightly bigger. My question is that 2 of the doctors advised me that they can re-do the lift without the need of fully re-opening that large incision at the bottom of my breast, just by opening it about 3 inches. There is one doctor that says he has to fully re-open that incision to be able to take off all the old scar tissue from around the scar. Any of this makes sense? your thoughts would be greatly appreciated. Thanks

11-09-2009, 12:59 PM	#2
drdonrevis Certified by the ABPS Join Date: Dec 2007 Location: fort lauderdale florida Posts: 411 Thanks: 0 Thanked 190 Times in 147 Posts	Full Lift Revision Good afternoon, I can't tell you with certainty which approach you need since I have not had the opportunity to see you, measure you or examine you, but there are situations where the entire incision needs to be opened up and others where only the central portion needs to be revised. It also depends on your PS personal experience and what works best in his or her hands. My recommendations- ask yourself or the PS these questions and the answer should be clear? 1) Are you board certified by the American Board of Plastic Surgery 2) do you use board certified M.D. anesthesiologists 3) do you operate in a hospital or OR with AAASF certification? 4) how many revisions do you do in a year? 5) can I speak to a patient who has had the same procedure? 6) can you show me before and after photos of exactly the same procedure? If they operate in a safe environment, can show you photos and let you speak with a former patient, and have considerable revision experience, then that the PS for you. If more than one meets these qualifications then go with the one you feel shares your aesthetic vision for your results. Remember, their communication with you and their bedisde manner will not improve after surgery, so make sure you have a good rapport with the PS you choose. Best Wishes, www.BreastAugmentationRevision.com

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11-09-2009, 01:14 PM	#3
sg3920 Join Date: Sep 2009 Location: Miramar, Florida Posts: 48 Thanks: 1 Thanked 6 Times in 6 Posts	Dr. Revis, Thank you so much for your quick response!