It is definitely possible to resize the nipple AND areola in periareolar surgery. If Brownstein won't for some reason talk to some other surgeons. Medalie will do an e-mail consult for free based on pictures you send him so you could easily ask him.
Also if your chest is really that small it may not really be possible to do DI..there has to be enough extra skin to cut out the part where the nipple "used" to be and move it to a new place...if that makes any sense. (Disclaimer: not a surgeon, may not actually know what I'm talking about)
Thanks for the suggestion! I just emailed Dr. Medalie.
Specifically, Brownstein said the following-
I do not do the circumareolar incision, with pedicle. In my opinion, it leaves too much tissue behind to support the pedicle and areolar circulation reliably.
I don't know if I fully understand what he meant (sounds like he is talking about nerves and sensation) and am going to follow up and ask him, after I get Medalie's response.
I just want to know, even if Brownstein's competent, if maybe he's unwilling to do what other docs do because he's better at what he does, or because he's unwilling to try new things? (or something else). I don't mind sacrificing a little of my preferences if the doctor feels better. But I don't want to make sacrifices based on personal preferences, rather than professional/sound opinion.
Interesting...I don't really understand what he means by that, but I can only assume he knows what he's talking about more than I do. But FWIW I had periareolar surgery with Medalie in which my areola were resized and am very happy with the results (my pics are on transbucket so you probably saw them, hah). I was somewhat borderline w.r.t peri/DI and I'm extremely glad I went with peri.
Wow, Brownstein just said that he does not cut around the nipple leaving the areola and nipple intact. Pedicle procedures are for leaving the nippled/areola area where they are so that the "stem" that comes from under them can still remain intact and transfer nerve signals as they do now. He states that doing this leaves more tissue than is desired. This makes sense. for instance if from breastbone to nipple is 4", and you have circumareolar incision with pedicle (around the areola with nipple never being detached), then there would be 4" of tissue with nerves in it that would have to be bunched up under the skin.
I think what he is saying here is that he can size down the nipples and areolas because he does not leave them attached to the body. For most keyhole surgeries, it is pretty standard to have both the nipple and areola resized unless you are trying to retain feeling which is a slightly different procedure. Maybe the pic that you saw was what the person wanted in terms of nipple size? IDK. IANAD, but this seems the most
I know a guy with a chest similar to yours who had peri with Fischer and it looks amazing. I was not a candidate for keyhole or peri, and Dr. Brownstein did my DI. But if I had the opportunity to be scarless I would choose that if possible. I don't know if he has pics on transbucket or not. Maybe he will chime in here.
I was someone that was a good peri candidate that opted to go for DI with Brownstein. My original surgeon was Pichet, but stuff got screwed up with my Thailand plans, and I had to stay here. Brownstein offered me better results with DI, and I am super happy with what I got. I also planned to and did tattoo my entire torso, so scars were a non issue. So if this isn't an option for you, and you aren't getting what you want from him, ask him to show you what your niples would look like using a photo of your chest. If he can't provide what you are looking for, go elsewhere. There are also other CA docs, like Anooshian and Alter to check out.
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Also if your chest is really that small it may not really be possible to do DI..there has to be enough extra skin to cut out the part where the nipple "used" to be and move it to a new place...if that makes any sense. (Disclaimer: not a surgeon, may not actually know what I'm talking about)
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Specifically, Brownstein said the following-
I do not do the circumareolar incision, with pedicle. In my opinion, it leaves too much tissue behind to support the pedicle and areolar circulation reliably.
I don't know if I fully understand what he meant (sounds like he is talking about nerves and sensation) and am going to follow up and ask him, after I get Medalie's response.
I just want to know, even if Brownstein's competent, if maybe he's unwilling to do what other docs do because he's better at what he does, or because he's unwilling to try new things? (or something else). I don't mind sacrificing a little of my preferences if the doctor feels better. But I don't want to make sacrifices based on personal preferences, rather than professional/sound opinion.
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I think what he is saying here is that he can size down the nipples and areolas because he does not leave them attached to the body. For most keyhole surgeries, it is pretty standard to have both the nipple and areola resized unless you are trying to retain feeling which is a slightly different procedure. Maybe the pic that you saw was what the person wanted in terms of nipple size? IDK. IANAD, but this seems the most
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