Question: What causes saggy breasts and will breast feeding increase my chances of sagginess? If a breast lift is deemed necessary will my cup size change? What is typical recovery time for a breast lift?
Answer: There are two main factors that cause breasts to sage; one being changes in breast size and the other is poor skin elasticity! Changes in breast size most often occurs when you lose weight or during the pregnancy and nursing period. Keep in mind that deciding to breast feed will also increase your chance for sagginess, more so if you have poor skin elasticity.
If you […]
Question: Are there any clinical advantages to Breast Reduction surgery other than simply reducing the size because they look too big for my body?
Answer: Breast Reduction surgery can improve one’s overall appearance AND help alleviate recurring symptoms that women with large breasts often experience.
Some of those include rashes underneath the breasts as well as shoulder, neck and back pain. Deep grooving in the shoulder area can also happen when bra straps dig into the skin. In addition, overly large breasts can cause premature sagging of the skin, causing the nipples to point downward. All of these effects can be corrected, […]
Question: Is it true that Silicone breast implants are safe?
Answer: The short answer is yes. Silicone breast implants that are FDA approved since the lifting of the moratorium in 2006 are safe. The real issue is whether you are a good candidate for breast enlargement with either saline or silicone gel breast implants. Typically women who are in good health and who have either not had breast development (congenital Micromastia) or had normal breasts but saw them disappear after pregnancy or lactation or weight loss are excellent candidates for considering breast augmentation. The key is to come in to see […]
Question: Are the results from a breast lift permanent?
Answer: Nothing on our body that we are born with or have had altered by cosmetic surgery is “permanent”. Our breast size can change as our weight and hormone levels change during our lives. In addition, many patients who desire a breast lift have poor skin elasticity and loss of breast volume due to fluctuations in their weight and/or following breast feeding.
Certain aspects of a breast lift, like the position of the nipple typically does not change but the lower half of the breast can “bottom out” over time. Patients who have […]
A panel of experts, including Laurie A. Casas, MD, explored the topic of breast asymmetry in relation to breast augmentation at the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS). Discussed were the spectrum of problems as well as advice on surgical considerations.
“The key to a high patient satisfaction rate is to fully inform the patient that this kind of augmentation is extremely challenging, but that using a detailed analytic approach, we can achieve a very aesthetically pleasing outcome within the limits set by their preoperative anatomic characteristics,” said Dr. Casas.
– Press Release: Controlling Cup-Size Chaos.
Q & […]
The FDA convened a panel to study the long term results of Silicone breast implants in Gaithesburg, Virginia on August 30 and 31st. The FDA published a white paper in June 2011 stating that silicone breast implants are safe.
Laurie Casas, MD, a past-president of ASERF, testified before the FDA: “We strongly believe that a woman’s right to choose breast implants is paralleled by her right to be fully informed of both the risks and the benefits of breast implant surgery.”
To further discuss whether breast augmentation with silicone or saline breast implants is right for you, call (847-657-6884) for a complimentary […]
Question: I just saw a report about the PIP silicone breast implants from France. Are those implants here in the US, and are they the same ones that Dr. Casas may have used on me?
Answer: French Investigators found that the (now defunct) company called Poly Implant Protheses (PIP) were using inferior quality silicone, not medical–grade quality, and that more than 1,000 women in France have had one or two implants break.
Dr. Casas has never used PIP products. PIP saline and silicone were actually taken off the US market years ago and have not been available. Dr. Casas is well aware […]
Question: I’m 25 and considering a Mastopexy after losing a significant amount of weight, can I do it without implants? I’m 5′3 and my bra size is currently 36DD. I’m down to 130 lbs but formerly I weighed 200lbs at my heaviest. I’ve become very self-conscious about the stretch marks and sagging. I’d very much like to have my breasts lifted without implants but from what I’ve read, I’m not sure if that is advisable. Do you advise having this procedure?
Answer: A Mastopexy (Breast Lift) surgery can be done if you are happy with your breast size but are unhappy […]
Question: I would love to know if there is any type of surgery that can reduce the size of my breasts without submitting to a full breast reduction! I am not considered a candidate by my Insurance Company for the Breast Reduction surgery but it is something that has been an issue for me personally. As an athlete, I am constantly binding them down (wear 2 heavy sport bras!) and would love to go down 1 size. I am medium build.
Answer: Depending on the density of your breasts (which may be evaluated during a consultation) you may be a perfect […]
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Smoking and Secondhand Smoke
Any exposure to smoke, either directly or indirectly, can result in poor wound healing, delayed wound healing, skin loss requiring skin grafting, and increased risk of infection. The diminished blood flow to the skin wound from smoking and secondhand smoke can cause the breakdown of skin and scabbing. For this reason Dr. Casas will not perform surgery requiring skin flaps (facelift, forehead lift, tummy tuck, breast reduction, breast lift) within two months of a patient’s smoking or exposure to secondhand smoke. This waiting period is one […]