Girls With The Mostest

IaGirl · Posted: Sat Sep 22, 2007 5:19 pm Post subject:

Dr. Disaia,

Hi, thank you so much for your time.

I had my ba in April 06. Started as a small, slightly sagged 34b and got 360 filled to 390, McGhan smooth, round saline overs via crease.

I strongly believe that I have some kind of pocket issue -- the left pocket being larger than the right. The left moves far more side to side and falls completely into the armpit when I'm on my back. Right is much firmer and less "pliable." Left also hangs lower and has less upper fullness. It is not noticable in a bra, but the unevenness when naked is apparent. I would guess it at about a 1/2" difference.

I also feel these implants are too narrow for my ribcage, (33")

What do you think my best option would be?

--Pocket revision --
-----would it be better to "tighten" up the looser pocket or "loosen" up the tighter pocket?

--or--

--New, Wider Implants as well as a pocket repair.?

I have been to my PS over this, but he refuses to acknowledge there's a pocket issue. He refused to put larger implants in, saying he felt they'd sag. I feel this was a copout and the sag of the left is due completely to the too-large pocket. Again, my right is nice and perky...

Just after my ba, my right (tighter) side was horribly bruised and remained that way for weeks. My left never showed even one bruise. It would seem he really "crammed" the right pocket. My nipples were not even and I believe he dissected teh pockets differently to try to make them even. (Just my thoughts on it.)

Sorry this was so long, I hope I explained myself well and appreciate any advice/information you can provide!!!!

drdisaia · Posted: Sun Nov 04, 2007 6:58 pm Post subject:

drdisaia · Posted: Sun Nov 04, 2007 7:00 pm Post subject:

drdisaia · Posted: Sun Nov 04, 2007 7:03 pm Post subject:

drdisaia · Posted: Tue Nov 06, 2007 10:32 pm Post subject:

danielle06 · Posted: Wed Nov 07, 2007 9:41 am Post subject:

Dr. Drdisaia I am having a redo this month and switching from saline to silicone. I currently have 250 mod+ overfilled to 275. I am gonna go with the silicone 325 mod+. Do you think this is a good choice to get me close to the same size?(maybe a tad fuller) I know I will lose some projection which I will not mind that at all, I am hoping the silicone will help to give me more of the natural slope. So do you think the 325 is a good choice?
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drdisaia · Posted: Thu Nov 08, 2007 9:36 am Post subject:

danielle06 · Posted: Thu Nov 08, 2007 7:32 pm Post subject:

This is hard to tell without seeing you. Silicone tends to look more natural as long as you don't develop contracture issues. Keeping them "under the muscle" probably makes contracture less likely.

I will be keeping them under the muscle. Do you think the size of the silicone will be close to my salines?
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drdisaia · Posted: Fri Nov 09, 2007 10:32 am Post subject:

Tori911 · Posted: Fri Nov 09, 2007 7:16 pm Post subject:

Hi Dr. D--I hope you're having a great day!

Brief history--partial mastectomy rt breast
Reconstruction #1 with bilateral gel implants l-225HP r-350HP
Reconstruction #2 swap out implant to help assymetry l-300cc
circumareolar lift left (tumor had lifted rt breast and after 1st surgery left nipple sat about 1.5 cm below rt)

Well--the PS did not use permanent sutures (was told I was having a crescent lift--very surprised that I had a donut incision when I took off the bandages)and unfortunately the lift did not hold and the areola complex stretched out--goose egg shaped. Currently the left is 5.5 cm and the right is 3.5. :-(

I would like to revise this and the PS (new) would like to do both areolas stating that it is less trauma to decrease the left a little and increase the right a little---easier to come to a middle ground---hopefully that makes sense.
Another PS thinks it is not wise---his thoughts...why mess with a good right areola complex? He suggests a lollipop lift on the left--stating it is more effective and less trauma on the already stretched out skin of the areola.

What are your thoughts? Thanks a lot. If you need photos, I'd be happy to send them to you.

drdisaia · Posted: Fri Nov 09, 2007 11:33 pm Post subject:

drdisaia · Posted: Sun Apr 27, 2008 3:35 pm Post subject:

Hello,

I tried to post yesterday. Am I no longer able to do this?

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Best Regards,

John Di Saia MD
Orange County, Ca.
www.ocbody.com