Breast Augmentation of Virginia: Breast Surgery Information from Plastic Surgeon Michael J. Brown, M.D., P.L.L.C

Yes, I would see you in the holding area and mark you for your breast augmentation or breast implant exchange or any other surgery for that matter. You will be given a little bit of medications to make you just a bit drowsy and to relax you, but you will be awake. You will actually help us position you on the operating table. You will then be given some more medication in your IV and will fall asleep.

These are all my work. Not all of it, just a small sampling.

Yes, I perform the combination of breast lift and breast augmentation with a tummy tuck nearly every week. Women like that choice because they can heal from one surgery and be done. They only have one recovery. Silicone breast implants are softer. They look the same. A lot of women who need a breast lift have enough breast tissue so some of the silicone breast implants benefit is lost.

Yes, there is more information about this on the site. Visit http://www.breastaugmentationvirginia.com/breast-augmentation-questions/breast-feed-after-breast-augmentation/ to read more.

For me to help you, I would need more information. You would have to send me photos. Please contact me using the contact page on this site.

Go below the muscle for sure. Use a round smooth breast implant. Thanks for the kind words.

I would need to examine you to see what your concern is. As for stem cells, I do not see that as a realistic option for a very long time.

Saline implants do not need to be touched up, they only need to be replaced if one fails. Silicone gel implants will probably need to be replaced more often.

I typically recommend round smooth breast implants to get the best look and best result.

Yoga-esk type figure or athletic frames do fine with below muscle and this also will give you more tissue to cover the implants.

Thanks for your kind words about the site. You are correct it is one of the best breast augmentation sites on the web. The price for breast augmentation depends on where you live and how good of a plastic surgeon surgeon you want. There are really cheap, less talented surgeons out there who will do it, 'just for the practice', and then there are surgeons that want to do your breast augmentation as fast as they can because they are so cheap they need to do lots of breast implants surgeries to make money. Then there are the quality plastic surgeons who believe your breast deserve the best that they can afford and some things are worth waiting for. I would encourage all women to find the best plastic surgeon they can find and then save money until they are ready to go or qualify for a loan. My results speak for themselves. I would be honored to care for you and all of the other visitors of the site seeking the best breast augmentation that they can get.

It sounds like you are asking about having subcutaneous mastectomies (breast removals) and implants? Is that correct? This is not the first choice for breast enlargement. If you are that thin, you should be able to follow and perform self breast exams pretty easily and safely. The breast implants would actually make the self exams easier. Over the past 15 years, I have actually had 2 of my patients develop cancer. Both identified the mass on self exams. Both cured. So I would not recommend that option. There are definitely reasons to have mastectomies, but this is not the place to discuss that. You are welcome for a visit, if you like and we could go over that. You should also speak with a general surgery and your OB/GYN about recommendations and cancer risks.

It can take 6 months to have implants settle. It depends on your frame, tissue characteristics and implant size as well as how the plastic surgeon did your augmentation.

There may be more than one issue with your breasts that the other plastic surgeon may or may not have noticed. Often with inframammary fold asymmetries a woman can have breasts that are different sizes. You seem to imply that he noticed the size discrepency but not the folds. This may very well be true. If he used different sized breast implants to adjust for the volume differences, he may have made your IMF discrepencies more noticeable.

Yes, you may have another reconstruction probably with a breast implant under your TRAM flap to give you more projection and breast volume. It would be best to wait until your breast has completely softened from the radiation treatments.

It seems like you are getting some nerve regeneration or repair from injury that may have occured during your breast augmentation. I am not sure why you were put on antibiotics? These types of pings, pangs or pains typically subside over time.

Ideally he should have listened to you in the first place. He may remove some fluid from the implants if the incision is large enough or the areolar incision was used, but it may not be enough to balence you out. You may require different sized implants for the complete correction. It should be fine and not create new issues.

It is a difficult problem to correct with antibiotics. I have never had an infection of my own patients but have treated a few over the years from other plastic surgeons. Usually by the time I see them, they are pretty bad off and the implants need to come out.

Yes, you can have your breast implants placed below the muscle. You skin envelop may need to be addressed before surgery and you may require a breast lift depending on the size of breast implant you go with.

There are varying degrees of inverted nipples. The majority of them will see an marked improvement with breast implants. The real severe (never poping out) inversions may require a surgical release to be performed. Yes, this can be done at the same time.