Microsurgery can be more challenging for the new procedure,

with possible need for vein grafts etc

and higher risk of complications, even failure.

Fat transfer might be an alternative/ simpler option.

I would look for an experienced in breast reconstruction surgeon who would discuss your problem in a Multidisciplinary team approach.

There are always risks of rupture, especially with attenuation of cell after time/ depends of course on the manufacturer/ type of the implant too…

(Signs can be dramatic or subtle, such as sudden swelling and MRI is not always a reliable test)

but as per ASPS;

In 2011, the FDA released this report on the safety of silicone breast implants. ‘’After 10 years of an initial breast augmentation, 1 out of 5 patients need some sort of revision procedure. That means 20% of patients need another operation due to excess scarring inside the breast (capsular contracture), broken implant etc. That also means that 80% of the patients are doing fine at 10 years.’’

Also, keep in mind that this study was released in 2011. Since 2011, there are newer fifth generation gummy bear implants. These implants appear sturdier than the implants studied in 2011. So maybe updated 10-year data with newer implants will show a less frequent need for revision, in the sub-20% range.

The numbers above reference data for cosmetic breast augmentation. Implants used for breast reconstruction differ. Because of radiation and thinner breast skin after mastectomy, implants for breast reconstruction tend to have a higher percentage that require exchanging every 10 years. Check with your doctor to be sure.

The best data sometimes takes many years to be collected. Keep researching for the latest data.

I would certainly not blame the PS.

I am really sorry to hear that you are suffering from complications.

Your Surgeon tried to remove the seroma capsule and the attenuated / scarred muscles ended healing in a position that causing skin tethering on you chest wall. It happens sometimes.

This can be revised during your reconstruction with several evidence based options such as:

Muscle repair/ repositioning, fat graft, dermal substitutes and appropriate breast volume reconstruction.

I would advise you to consider a clinical opinion from a Board Qualified Experienced Breast Reconstructive Surgeon.

Hi

It might be worth starting with liposuction/ you are rather young for a neck lift; there is no significant skin laxity/ excess.

BW

Hi

You are really young to consider surgery for this eyelid creases.

It is more of an anatomic variation in the spectrum of individual anatomy, rather than a sign of skin aging.

Perhaps you can consider seeing a Board Certified Plastic Surgeon and discuss less invasive/ minimaly invasive options first, including fillers.

BW

Hi

An experienced Plastic Surgeon would perform a formal facial analysis,

simulation

and offer a treatment plan.

You should think about prioritizing functional over cosmetic issues:

• Visual fields disturbance due too ‘droopy eyelids’
• Breathing difficulties due to septal and nose deviation

the jawline can be improved with adjunct procedures and Botox/ fillers

Hi

Aging, gravity, weight fluctuation are things that you should take into consideration when deciding about a breast lift.

Yes they will be scars, and the result will not be permanent.

It seems that your nipple position is at level of the IMF crease ( so not significant ptosis) although the volume of the breast below ( i.e.: empty upper poles).

An implant can achieve upper pole fullness, however with the time might cause more ptosis, due to gravity.

The breast uplift can be considered, but it will inevitably cause some shape changes.

Please do see a Board Certified Plastic Surgeon and discuss your options carefully.

BW

The size of implants will not change with placement under the pectoralis major muscle.

However,

if you still feel that you would like larger implants,

it is worth discussion with your Doctor before the final surgery date.

Hi

There are fillers ( hyalouronic acid ), such as Restylane or Juvederm that can be safely injected on the nose dorsum for correction of minor hump, low radix, and post surgical deformities.

Hi

Yes it is possible, if you can accept that the breast will look larger / more pronounced after building up the muscles.

My advise is to aim for an ideal body weight before the surgery, and stay clear for any anabolics/ steroids in order to eliminate the risk of perioperative complications.

You will have to take sometime off / avoid gym for a few weeks post op, so it will be reasonable to aim to get as fit as possible before surgery.

Please do see a Board Certified Plastic Surgeon for a formal assessment and a management plan.

BW

Hi

It is worth seeing a facial plastic surgeon who can perform a facial analysis of your proportions and simulation (Visualiser) of your desired outcome.

However:

These changes might not be achievable with a lip filler

I hope this helps

BW

Hi

The release of Depressor Septi Muscle is common practice for prevention of downward pulling of the nose during animation.

Although it is difficult to advise without seeing pre and post op photos,

revision can be performed in terms of an upper lip lift procedure.

Please discuss with your treating clinician first and /or seek advise from a Board Qualified Plastic Surgeon.

Best wishes