A woman’s body, her life, and her personal preferences change over time. These reasons alone are why many women undergo breast surgery more than once: to further reduce a prior reduction, to re-lift an aging breast lift, to refine a breast reconstruction, or to enlarge or refresh a prior augmentation. In some cases, many years may pass before a procedure is repeated. In other cases, only months may pass before a woman needs to, or decides to have additional breast surgery. In the case of breast implants, you must accept that placement of breast implants can and likely will be repeated during the course of a woman’s life. At present, no breast implant is approved by the U.S. FDA to be a lifetime device. Despite that it is highly durable and impact-proof, implants may rupture, leak, and deflate. Over time they don’t necessarily change with a woman’s body. Therefore, if you have breast implants, not only can they be replaced, they likely will need to be replaced.
Cosmetic surgery of the breast can create very natural results in nearly every case. But to achieve those results, there are trade-offs, namely the appearance of scars. Surgery cannot be performed without incisions, and every incision will leave some visible mark on the skin. Modern techniques limit the size of scars and allow for incision placement in inconspicuous places, and advances in wound healing can minimize the irregular appearance of scars. But regardless, every cosmetic surgery procedure of the breast today requires an incision of some kind that will leave a scar, somewhere.
First, define why you are not pleased. Base your definition on the realistic goals for your breast surgery discussed and agreed upon with your cosmetic surgeon prior to the surgery. Then discuss your dissatisfaction with your cosmetic surgeon. Among the considerations to discuss are:
If you took the time to choose an appropriately trained, certified, and experienced provider with whom you felt confident and comfortable, then there should be no discomfort in discussing why you are not pleased. If you feel you are not getting answers you are comfortable with or wish to seek additional advice, do so. But don’t expect that provider to tell you something went wrong. He or she should focus on defining what can be done to help you meet your goals, if in fact you can achieve the outcomes you desire.
Until we are able to literally stop the aging process and effects of gravity, breast contours, like any part of the body, will age and change. Maintaining healthy breast contours requires maintaining breast health, overall. This means leading a healthy lifestyle of appropriate exercise and a nutritious diet, and maintaining a stable weight. It also means caring for your breasts and breast skin properly. Wear proper breast support relative to your level of activity at all times. Care for your breast skin in the same manner you care for the skin on your face or anywhere on your body. Finally, don’t forget to wear sunscreen on delicate cleavage! Equally as important for every woman, regardless of breast health or condition, is a monthly breast selfexam, regular breast exams by your primary physician, regular follow-ups as defined by your cosmetic surgeon, and appropriate diagnostic testing as prescribed.
Your ability to breast-feed after breast surgery depends on a number of factors:
You will never be able to breast-feed naturally from a reconstructed breast. Following breast reduction, breast lift, or breast augmentation, your ability to breast-feed is variable. There are devices that have been developed specifically for mothers who cannot naturally breast-feed that still give your child the experience of nursing. If your future ability to breast-feed is an important issue to you, discuss this with your surgeon prior to surgery. It may be in your best interests to postpone surgery, if the guarantee of breast-feeding naturally is more important to you than your goals for breast surgery. Much like the ability to breast-feed, breast sensation is highly variable following breast surgery. A reconstructed breast will never have the same sensation as a natural breast. However, that does not mean that you will be without sensation entirely. Over time and with your own determination, you may experience limited breast sensation. There is no way to predict what you personally will experience with regard to breast sensation following
Breast surgery is an amazingly positive experience for the hundreds of thousands of women who undergo procedures each year. It can give a woman newfound confidence in her body and in herself. But, like any surgical experience, it includes anxiety, stress, wonder, discomfort, healing, and the excitement of goals realized. The effects of breast surgery are as positive and rewarding as you wish them to be. If you choose to have breast surgery, you will likely find that you are not just a statistic among all women who undergo breast surgery procedures. In addition, you will find that you are among the millions of women who over their lifetime experience the fulfillment of your own initiative to make your goals for your breasts, and for your life, happen.
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