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Asked 2017-10-29
I need a breast reduction in a certain amount of time. I have my one and only chance to get one. However, I still have just a drop of milk discharge, 3 months post breastfeeding. Will the surgeon still perform the surgery? Would you be able to see the milk in the breast tissue during the surgery…
2 Answers
Rodney Green, MD
Answered: 2017-10-31
If you have generally returned to baseline I don't see a problem with doing the breast reduction.
You would need to check with you Plastic Surgeon of course.
Asked 2017-03-23
I am currently morbidly obese (313lbs) and have begun a diet and exercise regimen. The problem is that my breasts are extremely large, to the point where I am unable to find any place with a bra that fits. The biggest bra I own is a 42P and it does not fit. It is causing tremendous pain with my…
6 Answers
Rodney Green, MD
Answered: 2017-04-06
Technically the breast reduction surgery can be done now. As the others have noted there is increased risk, but this may be justified if this is a serious problem for you and if you understand the risks involved. It is better to do the surgery once you have lost your weights in terms of getting the best aesthetic result since further weight loss will cause the remaining breast tissue to shrink further and possibly resulting your breasts being droopy again when you reach your weight goal. This may then need further surgery in the future.
If you feel that this is of major importance to you right now I would suggest you consult an experienced plastic surgeon who can assist you and discuss the risks with you.
Asked 2017-04-02
Can a tummy tuck and/or liposuction be done with a Wall stent in an Iliac Vein? I am a 5'8" 180 pound 46 year old mother of 2. Two years ago I had a stent placed in the right iliac vein due to lower leg swelling. Are there any contraindications to having a tummy tuck or abdominal and flank…
2 Answers
Rodney Green, MD
Answered: 2017-04-06
We would need to understand better the risk to you of doing a fairly long procedure under general anesthesia. I think more information from your hematologist or vascular surgeon would be helpful. This is an elective cosmetic procedure and as such we would want to minimize the risks as much as possible. On the other hand your current state is causing you considerable distress, and that would justify taking some risk. We just need to clarify what kind of risk this is and whether it is reasonable for you. We would need the input from your other doctors.
Asked 2014-06-19
I recently had a breast reduction and ended up close to the same size as before. I don't know what was used but I have lollipop scars. My surgeon cautioned me that a 2nd reduction may include more risk to my nipples and he has had patients lose a nipple. Is it still a big risk if I only ended up…
2 Answers
Rodney Green, MD
Answered: 2017-04-06
It is difficult to understand how you can end up with the same size breasts after breast reduction. Provided the skin flaps are elevated in the same way as they were for the first surgery the risks should actually be less for this operation since your tissue has already been trained to rely on its new blood supply. This is known as the "delay effect" and is a phenomenon which is well recognized in plastic surgery. I would seek another opinion from an experienced plastic surgeon. You should obtain a copy of your operative report which hopefully will be detailed enough to figure out exactly what was done the first time.
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