Sourced directly from Dr. Kevin Brenner,'s social posts and replies.
What happens to explanted breast tissue and capsules?
Explanted material, including breast tissue and capsules, is routinely sent for pathology to be checked.
What is the typical post-operative follow-up for explant and revision mastopexy?
Patients typically return one week post-op for drain and suture removal.
What is axillary breast tissue and how is it treated?
Axillary breast tissue is glandular tissue that can develop in the armpit, functioning as an extension of normal breast tissue. Most patients have some degree of it, usually minor. Most commonly, it's treated with liposuction through a tiny armpit incision to debulk the area and prevent it from sticking out of a bra. In rare cases, surgical removal of skin, breast tissue, and sometimes an accessory nipple may be necessary. It can be performed concurrently with breast reduction surgery.
What is Antiphospholipid Syndrome (APS) and how does Dr. Brenner manage surgery for patients with it?
Antiphospholipid Syndrome (APS), also known as 'sticky blood syndrome,' is a rare autoimmune disorder that causes abnormal blood clots to form in the body. Patients with APS are at a higher risk for blood clots after surgery. Dr. Brenner consults with their hematologist regarding the need for blood thinner anticoagulants before, during, or after surgery. These patients are generally followed by rheumatology or hematology.
How long do tummy tuck results typically last?
For most women, a full tummy tuck with muscle tightening should be a long-lasting, 'one-and-done' procedure, with results lasting many years. Exceptions include patients with very poor connective tissue or those who experience subsequent pregnancies, which can stretch out results and may necessitate a revision.
Can mold grow inside breast implants?
Yes, mold can grow inside the lumen of a saline breast implant, especially if the implant is damaged or contaminated during surgery. This is rare, with Dr. Brenner having only seen one true case in his practice. If suspected, the implant must be cultured at the time of surgery for accurate diagnosis.
What are the benefits and safety of breast reduction surgery?
Breast reduction is considered a safe operation and provides significant benefits for women struggling with breasts disproportionately large to their frame, addressing chronic discomfort, limitations in clothing fit, and physical strain like back and neck pain.
When is breast implant removal an option?
Breast implant removal is an option for patients who desire smaller breasts or are experiencing symptoms of Breast Implant Illness (BII).
What are Dr. Brenner's thoughts on Sculptra?
While Sculptra can be a good option for some patients, particularly for deep volume replacement in the cheeks, Dr. Brenner personally prefers structural fat transfer to the face. He believes fat transfer provides a more natural look and is less likely to have complications than Sculptra. If Sculptra is used, it must be placed deeply and not close to the skin to avoid problems.
What are the risks of ruptured silicone implants?
If left untreated, ruptured silicone implants can migrate through the capsule, into breast tissue, lymph nodes, and potentially throughout the body. This is why Dr. Brenner's practice is adamant about frequent MRI monitoring to detect ruptures early.
Can breast implants cause Breast Implant Illness (BII)?
Yes, breast implants can cause Breast Implant Illness (BII). The working hypothesis is that bacteria around the implant can affect the immune system, potentially leading to unusual infections or other symptoms.
What is Dr. Brenner's surgical approach for breast reduction?
Dr. Brenner's breast reduction technique focuses on removing the majority of volume from the lower half of the breast, repositioning tissue to achieve an elevated, natural-looking contour and slope, with the breast tissue at or above the inframammary fold (the 'equator').
What factors influence the longevity and perkiness of breast reduction results?
Patients with significant fibrous breast tissue often experience long-lasting projection and perkiness after breast reduction due to the tissue's inherent stiffness.