dimanche 17 avril 2011

Mesotherapy Clinics in Gloucestershire

Mesotherapy Clinics in Gloucestershire - My grand daughter, who is 21, had Tubular Breasts with Large Areolas. In 2005 she had an operation on the NHS in Brighton to correct this. 3 years on her nipples have stretched & are of different sizes & her breasts are small for her height & weight. I think she needs Breast Re-construction for Congenital Breast Asymmetry. A procedure which is explained on Mr McDiarmid-Hall's website. Do all clinics do this?

The complication is that she wants to go to Chile in July, and wants to have this op. before she goes, and I am worried that she might rush into it without the proper consultations & have problems out there, if the recovery time before she goes is not long enough for tissue to heal, etc. She feels so self-conscious about her breasts that she is reluctant to enter relationships because she will not allow anyone to see her breasts, so I think the operation is necessary for her & I have agreed to pay for it.

I am a worried Granny, and would appreciate any advice.

Answer :

Tubular breast is a not-uncommon condition. I have seen a young girl in clinic this morning with this condition.
Increased nipple areolar complex diameter is a facet of tubular breast deformity.

I use my own modification of the Benelli periareolar round-bloc mastopexy to reduce areolar diameter and also tighten the breast skin. The traditional Benelli closure which advocates use of a purse string suture creates excessive unsustainable tension and almost invariably leads to stretched scars but modifying this technique by using a dermal donut offloads this tension peripherally and prevents scar stretch far more effectively.

If you daughter was to have surgery she would be able to go travelling 1 month after surgery. Postop scar therapy is absolutely vital with periareolar mastopexy and I advise patients to use micropore tape initially to offload tension from the scars and after 3 months of taping change to bio-oil.
You granddaughter would need to take lots of micropore tape and bio-oil with her on her travels.

Hope this helps.
Mr James G M McDiarmid
MSc FRCS (Eng) FRCS (Plast)
Consultant Plastic Surgeon

The Modified Benelli with the dermal doughnut is a good technique for addressing this problem. This has been described in The Journal of Plastic Reconstructive and Aesthetic Surgery :
Mammaplasty: The ‘Modified Benelli’ technique with de-epithelialisation and a double round-block suture
K. Azzawi, M.D. Humzah
Journal of Plastic, Reconstructive & Aesthetic Surgery
October 2006 (Vol. 59, Issue 10, Pages 1068-1072)

Hope your daughter enjoys her travel. __________________
Mr M Dalvi Humzah
BSc(Hons), MBBS(Hons), AKC, FRCS(Glas), FRCS(Eng), FRCS(Plast), MBA
Consultant Plastic Reconstructive & Aesthetic Surgeon
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