Practice, Richard A. Baxter MD
6100 219th St SW
#290
Mountlake Terrace, WA 98043
United States
32
Questions Answered
25
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Questions Answered
Asked 2014-07-31
I had a mini tummy tuck 21 months ago with muscle tightening. The tightening did not work and my stomach still bulged every time I ate or drank anything. The operation was repeated 9 months ago and I'm still having the same problem. I look 4 to 5 months pregnant every time I eat. My surgeon has…
1 Answer
Richard A. Baxter, MD
Answered: 2014-07-31
Reinforcement of a weakened abdominal wall is similar to hernia repair. It sounds like your surgeon believes that reinforcement is necessary, and an acellular dermal matrix such as Strattice is a natural alternative. It is used often for hernia repairs and so it makes sense to consider it for a tummy tuck where additional support is needed. It is transformed over time into your own tissue.
Asked 2014-06-23
Hello, I am a very physically active female and I'd like to know what type of breast implants would be best so that I still look very natural. Also, I'm very muscular and I do not want to look like I have implants. I want them to fall naturally and I don't want them too large. Where do I begin?
9 Answers
Richard A. Baxter, MD
Answered: 2014-06-23
Implant type, size, and placement all contribute to a natural appearing result with breast augmentation. The base diameter of the breast is the most important variable, and selecting an implant of moderate profile at the appropriate diameter is a good place to start. Subfascial is an option that might add a little bit of support as compared to subglandular but not as much as submuscular. Another technique called the split muscle method is sometimes a good compromise for athletic women who need more upper pole coverage but don't want the animation problems. Round implants will be softer and move in a natural way but shaped (form-stable) implants may have the best overall shape for your own anatomy.
Asked 2014-06-23
A surgeon recommended to lift my nipple position due to the short distance from my breast fold and nipple; 5.5cm. Is that really necessary? She will make the incision through the top part of the nipple. The distance from my collar bone and nipple is 18cm and 19cm. I have a petite frame and 34 full B…
1 Answer
Richard A. Baxter, MD
Answered: 2014-06-23
A short fold to nipple distance is a form of what is called tubular or constricted breast, and it is quite common. In order for the nipple to appear centered on the breast after augmentation, it is necessary in these cases to either lower the fold, raise the nipple, or both. This is one situation where the form-stable implants such as the one you are considering can be helpful. It is not possible however to place it through an incision above the nipple. Your own plastic surgeon is in the best position to advise you about what is best for you.
Asked 2014-06-09
I had breast implants put in under muscle 7 years ago, but just started working out with a personal trainer and have been doing some chest exercises for about 3 weeks and I've noticed it seems like my implant may have shifted and it's almost like it's a line where implant ends above the rest of my…
2 Answers
Richard A. Baxter, MD
Answered: 2014-06-10
Sounds like you have what is called animation deformity. If so, you should see the line pull upward when you flex your pectoral muscle. Pec muscle strengthening can also push implants out of position. Without an exam or pictures it is hard to say however; if it is animation then the line is across the bottom part of the breast. It is correctable with surgery but you need to see someone with specific experience treating that problem.
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Practice, Richard A. Baxter MD
6100 219th St SW
#290
Mountlake Terrace, WA 98043
United States