Boris Volshteyn

The decision to have breast reduction surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks of breast reduction surgery and potential complications are acceptable. Your plastic surgeon and/or plastic surgery staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications. Possible breast reduction surgery risks include:

-Unfavorable scarring
-Infection
-Changes in nipple or breast sensation, which may be temporary or permanent
-Anesthesia risks
-Bleeding (hematoma)
-Blood clots
-Poor wound healing
-Breast contour and shape irregularities
-Skin discoloration, permanent pigmentation changes, swelling and bruising
-Damage to deeper structures—such as nerves, blood vessels, muscles and lungs—can occur and may be temporary or permanent
-Breast asymmetry
-Fluid accumulation
-Excessive firmness of the breast
-Potential inability to breastfeed
-Potential loss of skin/tissue of breast where incisions meet each other
-Potential, partial, or total loss of nipple and areola
-Deep vein thrombosis, cardiac and pulmonary complications
-Pain, which may persist
-Allergies to tape, suture materials and glues, blood products, topical preparations or injectable agents
-Fatty tissue deep in the skin could die (fat necrosis)
-Possibility of revision surgery

You should know that:

1) Breast reduction surgery can interfere with certain diagnostic procedures
2) Breast and nipple piercings can cause an infection
3)Your ability to breastfeed following a reduction mammaplasty may be limited; talk to your doctor if you are planning to nurse a baby
4) The breast reduction procedure can be performed at any age, but is best done when your breasts are fully developed
5) Changes in the breasts during pregnancy can alter the outcomes of previous breast reduction surgery, as can significant weight fluctuations

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single breast reduction procedure and another surgery may be necessary.

While you cannot get rid of a scar, you can have it improved surgically if you are a candidate. Sunblock, sunblock, sunblock to keep it from becoming dark. In about 1 year, a scar matures and you will see your final outcome.

The decision to have plastic surgery is extremely personal and you will have to weigh the potential benefits in achieving your goals with the risks and potential complications of breast augmentation. Only you can make that decision for yourself. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications. Possible breast augmentation surgery risks include:

-Anesthesia risks
-Bleeding
-Hematoma
-Infection
-Changes in nipple or breast sensation
-Poor scarring
-Wrong or faulty position of the implant
-Implant leakage or rupture
-The formation of tight scar tissue around the implant (capsular contracture)
-Fluid accumulation (seroma)
-Wrinkling of the skin over the implant
-Persistent pain
-Possibility of revision surgery

These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

Congratulations on your weight loss. Unfortunately, your skin loss is elasticity, therefore you may require surgery to correct your issues. However, you will trade off skin for scars, some stretch marks can be removed along with the skin, but, unfortunately, there is nothing that can be done for stretch marks, besides perhaps camouflaging.

Have a great day!

Unfortunately scars are permanent. A plastic surgeon can cut out the scar and make the appearance improved, but it also depends on if you are prone to keloid scars. With Keloid scars there can be little to no improvement, and can form new keloids.

Dimples are very difficult. There is no way to make them symmetrical.

Thank you for your question. Yes there are now implants available for hips.