Alex Phoon

Dear Sam,
Yes, you can avoid the lift with an implant alone. The left breast is slightly lower than the right - if it bothers you a procedure around the nipple might help to improve symmetry. By all means, if this has never bothered you then you certainly don't have to do anything about it. I'd suggest a dual plane approach. Normally I'd suggest a high profile anatomical but you can also achieve this with a round implant as well. Given that you like a high round look then this might be best.
Hope this helps,
Alex

Hi Jema,
Pretty hard to give you an opinion here without the photo. 
As a rule, plastic surgeons have a little more flexibility and range with the anatomical implants than the round ones. Anatomical (otherwise known as teardrop implants) can come in various heights and widths and the projection (how much it comes off the chest wall) can vary from minimal to high. All these features usually make them ideal to customise to the individual patient and even more useful when we are attempting to make improvements with symmetry.
Round implants are also great but, as the name suggests, are as tall as they are wide. Not much room to customise here. You can also have differentially sized round implants but on the whole they are not as useful in this regard as the anatomical implants.  
Of course, we can improve symmetry a bit with implants alone but sometimes a more extensive lift procedure might be required if the asymmetry is profound and it bothers you. Keep in mind that it is normal to have a degree of  asymmetry. It may not bother you whatsoever.
Feel free to share your photos with me directly at dralex@parkclinicsydney.com.
Kindest regards,
Alex
 

Hello,As a general rule I don't like to talk about cup sizes personally. Cup size change isn't as accurate as ccs. Certainly, going from your pre-implant breast volume and adding 560cc is a big volume change. 
I think the rupture is the big issue here and talk about symmetry and size change can be discussed at the same time with your surgeon.
Hope this helps,
Alex

Hi Honey,
Firstly, congratulations on your weight loss. It is a massive effort to lose that kind of weight and real credit to you and your determination. From a medical point of view it is very common for abdominal and breast procedures to be performed at the same. Some people like to call these kind of procedures 'mummy makeovers' and the risks are really not that much worse than having those procedures in isolation.
If you want to have thighs and arms done at the same time then studies have shown that the risks start to go up both with the operative time involved as well as the sheer number of areas being treated. Dr Moradi and myself like to reduce these risks by performing your surgery in a  2 team approach. This way the length of time is dramatically reduced and you also have the benefit of having 2 experienced surgeons looking after you.
As Dr Moradi has stated below you can see a video of us performing this kind of surgery here http://www.changingfacestv.com/episode-3/. We also have multiple patients who have had this kind of journey that have offered to talk to other patients so that you have a patient's perspective on what to expect.

Having 2 surgeons does help significantly but doesn't take away from the fact that it is still a big operation with both minor and major risks.  If you like you can call Christine our patient coordinator to make an appointment on 1300669488 and we can discuss it face to face.
All the best,
Alex 

Hi Tahlia,
I'd certainly be waiting for things to settle if I was you. At 3 weeks you will still be in the early stages of healing. Certainly go back to your surgeon and tell her how you are feeling and I am sure they will be able to support you through this phase of your recovery.
Kind regards,
Alex

Hi Chocdates,
Having implants removed is usually a pretty straightforward procedure assuming there isn't capsular contracture or rupture. Once the implants have been removed of course your breasts will be 'looser' and you may or may not want to have a lift or nothing at all. If the implants were not too big and the integrity of your breast skin is good you might find there will be a degree of retraction so that you might not even need a lift.
Feel free to send me some photos after contacting our secretary Christine on 1300669488.
Best regards,
Alex 

Hi LSmith,
All breasts are asymmetrical. It's hard to assess this from 2 oblique photos but the asymmetry certainly doesn't look profound. The good news here is that you do not have tuberous breasts and you would be a good candidate for breast augmentation. 
Feel free to have a look at my webpage here http://www.parkclinicsydney.com/plastic-surgery/breast/breast-augmentation/ . I've made an essential series of videos for patients considering breast augmentation that most patients find helpful.
Best regards,
Alex

Hi Jema,
Thanks for the photo, Do are definitely a straightforward breast augmentation. The technique I would suggest, based on your body type, would be to have a dual plane approach which means the implant is placed partially under the muscle and partially under the breast gland. I don't think deferentially sized implants would be required.
Good luck with everything.
Best regards,
Alex

Hi,
All breast have a degree of asymmetry and your breast fall within the range of normal.
That being said, we can often improve the symmetry with breast augmentation by using implants of different sizes. This might mean an implant that might be about 50-75cc larger on the left side make them closer in size. This could all be achieved with a simple or 'classic'  breast augmentation.
Kindest regards,
Alex

Hi Hayleigh,I'm sorry to hear that things haven't gone to plan and can completely understand your perspective. I won't get involved in any of the issues around cost and follow-up up but can comment on the photos you've kindly shared.I think the initial choice of a doughnut lift was a poor choice of mastopexy technique. It is usually only reserved for smaller lifts but the photos you've shared  show that you still need a huge amount of lift and glandular shaping around the implant. The way to improve your situation is to have another lift but you will need to have an inverted T scar. There is a revision rate for augmentation mastopexy that is higher than most other breast procedures because the goals are somewhat opposing i.e. lifting and tightening whilst also making bigger. I'd suggest going back and talking to your surgeon and making a revision plan together, 
Hope this helps,
Alex

Hello, 
Thanks for sharing your photos. The good news is that you can definitely achieve the look you want with an implant alone. I have some patients with an almost identical shape to you so if you'd like to email me at dralex@parkclinicsydney I can share some before and after photos with you (Can't really do this on the forum unfortunately). A consultation with a Vectra machine will also be useful for planning which we also use in our practice.
Kindest regards,
Alex

Good morning,
I'm sorry to hear things haven't gone to plan. It sounds like you have aesthetic concerns as well as shooting nerve (and possible back/neck)pain. Without any photos it's hard to comment on the aesthetic result but I can talk a little about the nerve pain.
Whenever breast implants are used your surgeon will need to make a pocket for the implant to sit in. In doing so there will be tiny nerves that will be divided. It is not unusual for there to be some change in sensation and sometimes electrical symptoms that you'll feel in the postoperative period whilst your body adjusts to this. In my experience this tends to settle down and resolve by about 3-4 months. Massage can be helpful to desensitise the nerves during this period. 
If you've got severe ongoing neurological pain problems at 12 months post-op then, in addition to massage and simple modalities you might even need to see a pain specialist. There are medications that exist that are specifically targeted to nerve pain. Unfortunately, these are not without side-effects as well such as sleepiness and drowsiness. You probably need to see a fully qualified plastic surgeon.
Kind regards,
Alex  

Hi Kiwikat,
I'd definitely say the lift. I think it is extremely unlikely that an implant is going to lift up the position of your nipple. You can achieve much more reliable results when combining a lift at the same time as a augmentation. This will also mean you can choose the size you feel most comfortable with instead of potentially going outside your comfort zone with an implant that will be likely a. too big and b. not achieve the lift anyway.
Hope this helps,
Alex

Hi Lillian,
Based on the photos you have shared I don't think you'd need a lift to achieve a natural look. The position of the nipple and areolar look okay relative to the crease under the breast ( we call this the infra-mammary fold or IMF). You have an athletic figure meaning that the implant would be best placed partially underneath the pectoralis muscle- a 'dual plane' approach. This is so that there isn't an obvious step deformity in your decolletage area. 
In terms of implant size and shape I would have thought that something in the range of 250cc-350cc would most likely give you the look you describe- with an anatomical or 'tear-drop' implant being  better suited if you want it to look particularly natural.
Skin elasticity can really only be assessed in person as this can also have a bearing on the decision making process. It probably doesn't matter what time of your cycle you come for the consultation. I suppose if you come when your breasts are smallest this might be best. If you were to be assessed at the time of your breasts being full during your cycle you might end up making the mistake of choosing an implant to small to achieve your goals.
Hope this helps. I'm located in East Sydney and can be contacted on 1300669488 if you'd like to make an appointment. 
Kindest regards,
Alex

Hi Shellie,
That plan seems reasonable but it depends on the implant used.
There are 3 components to the scars associated with a lift. 
1. The circular scar that runs around the areola.2. The vertical scar.3. The scar that sits in the breast crease.
Of all these scars the scar that fades the fastest and is least noticeable is the 3rd one (in the crease)
If you're already accepting of the first two scars (a lollipop lift has 1 and 2) then the third one is a piece of cake. My approach would be to aim for the lollipop lift but if I needed to remove some of the vertical skin excess below then nipple then you could expect a small horizontal scar. These horizontal scars tend to be pretty short anyway and are usually less than 5-6cm on average.
Hope this helps,
Alex

Hi Lucy,
Thanks for posting. There does seem to be a little lateral displacement occurring on the left side there but of course it's hard to judge how severe this is based upon these kind of photos and without a proper physical examination. 
All breasts will move a little laterally when you lie down- with or without the presence of an implant.
How do things look when you are in a normal upright position? If they look fine then you could make a case for potentially doing nothing about it. If the pocket (that the implant sits in) is incorrect in any position then of course the best course of action would be going back for a revision to adjust the pocket. This involves a trip to the operating theatre again unfortunately-  the implant would need to be temporarily removed whilst your surgeon  stitched down the area on the side.
The first thing to do of course is to discuss things with you surgeon.
Hope this helps,
Alex

Hi Bella,
Thanks for sending the images through. A breast implant can definitely lift a breast up but I don't think in your case this would work. I would expect that you would need a pretty large implant that would then look pretty unnatural. In addition to this the extra volume would really stretch out the nipples which, more than likely, would still be in a lower or 'ptotic' positon.
To get the best result in terms of shape and volume a lollipop lift would be perfect. The medical term for this is called an augmentation mastopexy. It allows the surgeon to control the nipple position relative to the new augmented breast mound and is most commonly done in a single stage.
I hope this is helpful. Feel free to give us a call on 1300669488 if we can be of further help or email office@parkclinicsydney.com
Kindest regards,
Alex 

Hello Andrea,
Firstly, well done with the weight loss. It's not easy particularly when you hit menopause and it becomes harder to shift the weight. The first thing you need to do is to make sure you are at or close to your ideal weight for about 4-6 months. If I perform surgery like this and you go on to loose additional weight you'll only have loose skin afterwards.
Assuming your weight is stable then you really need a full examination by your plastic surgeon to make sure which kind of 'tuck' you might be best suited to. Tummy tucks range from mini-tummy tucks to conventional abdominoplasties all the way to belt lipectomy. A belt lipectomy is sometimes called a 'body lift' and goes all the way around your mid section. For patients that have had massive weight loss this is often the best way to address the excess laxity.
All of these operations are best when it is mostly excess skin (and not fat) that are treated.
If you like I made a few videos on this topic that you can find here:
http://www.parkclinicsydney.com/plastic-surgery/body/tummy-tuck/

If you want some more personalised advice don't hesitate to email office@parkclinicsydney.com or call 1300669488.
All the best,
Alex

Hi,
Sorry to hear you've had a rough journey with your breast augmentation surgery. In broad terms, when you have problems with an implant and the pocket it is sitting in you need to change them. This does essentially allow the implant to 're-set' in a new place. The term neo-pocket formation just means that your surgeon will use some of the existing covering around the your current implant (the capsule) in the process.
It's usually a pretty reliable technique but you need to keep in mind that this kind of revision surgery is always more difficult than primary surgery. I can't really comment on the position of the scar being above the current crease without seeing more photos.
Best regards,
Alex  

Hello Meeks,
 Having a breast procedure, in combination with a tummy procedure, is one of the most commonly performed combined operations. This is of course assuming you are pretty fit and well in the first place but for most people this is not really an issue.
Adding eyelids to the mix will increase the length of time a little bit but would normally be fine to do as well. I personally don't like combining thigh and arm procedures at the same time as breast and body work as the recovery process can be quite taxing and the complication rate (minor and major) does start to rise. 
There are some additional risks when surgery becomes extended over a longer time. Complications such as a slightly higher infection rate can sometimes go up but if you are being operated on by an efficient and highly qualified team in a accredited hospital facility your team will anticipate these factors in advance.
Having these procedures at the same time makes obvious sense with respect to time off work etc.
Feel free to send through some photos if you like to office@parkclinicsydney.com and I can give you a more informed opinion. Of course the best way to get the most accurate information is to call us on 1300669488. We're always happy to accomodate patients from the forum.
Best regards,
Alex

Hello and thanks for the question. 
The asymmetry you mention is pretty minor and well within the spectrum of what would be considered normal. It looks like you have an athletic frame and having an implant placed partially behind the pectoralis major muscle would be a good idea. This is often called a dual-plane procedure and is one of the most common techniques. There can be a fairly visible 'step-off' effect if it is placed behind your breast alone with your physique.
Are you planning on having any more children? If you are it might be a good idea to put things off until you've finished. You are fortunate in that the position of the nipple relative to the crease under the breast (that we surgeons call the IMF-Infra Mammary Fold) is in a good. This means you could easily have a straight forward breast augmentation without having a lift at the same time.
Try and pick someone that has a Vectra Machine as it's a really accurate planning and communication tool for someone with your physique and build. Broadly speaking most people usually want a fuller or more enhanced look, a natural or athletic look and the restoration of the breasts they used to have before children. Look through some galleries to get an idea of what things you like but bear in mind that everyone is different and your surgeon should treat you like an individual to customise the best treatment to you. 
At Park Clinic Plastic Surgery we have developed an essentials video series for anyone considering having surgery that covers a lot of the most common FAQ's. You can find it here:
http://www.parkclinicsydney.com/plastic-surgery/breast/breast-augmentation/

Hope this helps. If you want to reach out directly you can get me at dralex@parkclinicsydney.com
Kindest regards,
A

Hi Iaa,
Thanks for the question! Mentor CPG implants are fantastic because they come in so many shapes and sizes it's pretty easy to customise one that is specific to your body shape and breast type. As a general rule, I tend to make a decision to use a tall implant if the patient is also tall or has a long torso/breast. In terms of which would be more 'natural' there are two important things you should consider. Firstly make sure the implant is placed partially under the muscle in what's commonly known as a 'dual plane approach'. Secondly, make sure you don't choose one that isn't too big!
Whilst we're on that topic, make sure you see a fully qualified plastic surgeon. Ideally, chose one that has a Vectra 3D simulator which can be extremely accurate and give you the peace of mind that you have the right implant prior to going into the operating room.
We've done a series of 'Breast implant essentials' videos to help people make informed decisions in this regard. You can find them here:
 http://www.parkclinicsydney.com/plastic-surgery/breast-enlargement
Hope this helps. If I can help with anything else just call through to the clinic.
Kindest regards,
Alex

Hello,
You're an ideal candidate for a breast augmentation and I don't think having an implant will make your cleavage gap larger. If anything, the opposite will happen. Given your athletic frame, a 325cc or 350 cc implant be full but not over the top. Any volume higher than this amount will certainly make you look enhanced. 
On another note, the difference between 325cc and 350cc can be hard to pick. The difference between them is actually less than a tablespoon so can be hard to pick when spread out over an implant that might be 11 to 12cm in diameter.
It sounds like you've picked a good PS to help you with your decision. Using a Vectra Simulation for somebody with your shape would be also be very accurate. 
At Park Clinic we've put together a series of breast augmentation essential videos for our patients. These can be helpful for those about to embark on a breast implant journey.
http://www.parkclinicsydney.com/plastic-surgery/breast/breast-augmentation-sydney/

Hope this has been helpful.
Kindest regards,
Alex

Hi Jasmine,
Thanks for the posting and the question. It's hard to give you completely accurate information without seeing where you were starting from but from the images you posted the left side just looks smaller than the right (that is YOUR left side and not the one in the photo). Both sides independently look good on their own but together you can see the difference from the photo you have provided.
This can happen if you have some underlying breast asymmetry before the procedure and get the same implant  on both sides. That being said, all breasts are asymmetrical and the issue is whether you would like to have something done about it. 
Assuming all the swelling has gone down I suspect that singulair will have a minimal response if anything at all. The easiest way to address the asymmetry would be to go up in size on the left side.
Hope this helps, 
Alex

Hi LisiR,
It should be fine at that stage as the wounds are completely healed by 2 weeks usually. I'd make sure you see your treating doctor just before you leave so they can make the call before you go. If there is any doubt use some waterproof dressings and try to keep the swims to short dips instead and avoid long hot baths.
Hope this helps,
Alex

Hi Laura,
Looking at your photos I'd tend to agree. Using implants alone would more than likely push the nipples further lower. You have a small degree of nipple asymmetry as well which couldn't be addressed with an implant alone.
The operation is called an augmentation mastopexy. We usually perform it in a single stage to save you the downtime. You can see an example here:
https://www.youtube.com/watch?v=YHZu2YPqv1k

And here: www.parkclinicsydney.com
Hope this helps. If you want to ask any other questions don't hesitate to ask me directly at dralex@parkclinicsydney.com.
Best regards,
Alex