This article is from the Plastic and Reconstructive Surgery FAQ, by firstname.lastname@example.org (Robert Green) with numerous contributions by others.
Again, this is a factor of your body's makeup. In general, if
the factors which caused the sagging in the first place (heavy
breast tissue, lack of elasticity of the skin, etc), are still
present, then the breasts will again begin to sag over time.
If correcting this sagging is of primary importance to you, your
surgeon can discuss other alternative surgeries which may be done
instead of, or in addition to the breast augmentation procedure.
F.2.B.1 - Can plastic surgery correct inverted nipples? Can I
enlarge or reduce the size of my nipples?
The nipples can be reduced in size, or correction of 'inverted'
nipples can be done. This can be done along with breast
augmentation, or alone as a separate surgery.
With inverted nipples, the problem is that the ducts are short, plus the
connective tissue adherence participates. One very effective technique
to correct this is four small cuts around the nipple (division of the
ducts) and suture support. This heals quite quickly, a week to ten days,
and with this technique, recurrence is almost never seen.
F.2.B.2 - I have heard about breast augmentation through the belly
button. Can you tell me more about this?
This type of procedure is called a 'trans-navel approach'. An incision
is made in the umbilicus (belly button) area. An endoscope is placed
through this incision, and a tunnel is made to each breast. The implant
is placed by rolling it up in a tubular shape and then pushing it
through the endoscope to the breast where it is inflated. Pushing the
implant through the scope carries an increased risk of damage to the
implant, and I am told that implant manufacturers do NOT honor the
warranty if this method is used. With the cost of implants
alone ranging from $1000 to $1500 this is a very important point. Other
comments from surgeons included a significant increase in the length of
the surgery (up to 2 hours, according to one surgeon), and a
signification reduction in the control of the placement of the implant,
A survey approximately 1 dozen reputable surgeons in a major city
showed that *none* of them perform this technique, including one
surgeon who had done the preocedure with this technique during his
surgical training and felt that the more conventional methods were very
Subject F.3.A.1 - Regarding blepharoplasty, what methods are used?
What about "laser blepharoplasty"? What's the
The conventional blepharoplasty utilizes an incision (with
creation of the eyelid fold if needed), removal of excessive
skin, muscle, and fatty tissue to provide the best, most
consistent, and longest-lasting result.
Removal of the skin only, without attention to the underlying
tissues achieves a smaller degree of correction, and is not as
"Laser" blepharoplasty is a combination of surgery and light
resurfacing of the skin, with no removal of the excessive
skin of the eyelid. This primarily treats the fatty tissue
deposits without removing excessive skin, so it is most effective
for younger patients. Older eyelids require removal of the
excessive skin to achieve the full benefit of the surgery.
F.3.B - Will having blepharoplasty affect how my contact lenses fit?
Blepharoplasty surgery only works on the skin and muscle of the eyelids
area -- how your contact lenses fit is based on the sahpe of your eye
itself. Although you won't be able to wear contact for the first few
days after surgery (to allow time for the healing process to begin
without disturbance) blepharoplasty surgery will not change how your
contact lenses fit or function.