Sherman Doctors

How Log After Symmastia Useing Belladerm Till I Can Have Intimate Relations?

I am having Bella-derm to correct my bottoming out and Symmastia. I was wondering how long till I have have intimate relations, Like normal.

A: Best to wait until complete healing Correcting the implant pocket with sutures and dermal derivatives will produce a layer of support that will strengthen over time. We recommend wearing a well fitted bra for 3 months and only after that unrestricted physical contact is advised. Depending on the kind of relations wearing a bra may be adiseable for up to 6 months.

Are my breast considered tubular syndrome?

Im 23 and im not sure if i have tubular breast deformity. I want to go for a consultation but i dont know if i will be covered by my insurance?

A: Tuberous breast can be corrected with fat transfer and mastopexy

One relatively less known approach to the correction of  tubular breasts is the combined used of a periareolar mastopexy with fat transfer.

Fat transfer allows for extensive reshaping of the breast, compensating for the breast width to breast base problem, as well as breast size asymmetry.

Nipple areola size discrepancy and breast tissue prolapse in the areola region should be addressed with a periareolar mastopexy.

What Should I Expect For a Revision? What Is The Rejection Rate Of Strattice?

I am getting a revision with implant exchange to silicone, plication on right breast and a capsulectomy with an acellular dermal matrix on 2 weeks and I am extremely scared. How painful is this procedure usually and what is the rejection and infection rate of strattice? I had B/A and lift in June and it was a complete disaster.

A: Breast implant revision after lift

Revision of breast surgery is a very complex procedure, and it becomes even more so after less than desirable first surgery outcome.

It is important to carefully select the surgeon performing the procedure, evaluating track record, previous results with similar problems, and overall success rate in revision breast surgery.  Revision breast surgery can be extremely satisfying or simply prolong a cycle of less than optimal outcomes.

Acellular dermal matrix is a very good tool in the reinforcement of structural defects in the lower, inner and outer aspect of the breast envelope.  It has a very good track record and very low infection and complication rate.  However, it is not the solution to all problems. 

• Strattice has a slightly higher rate of infection and seroma formation (fluid buildup around the implant) than Alloderm in reconstructive breast surgery but it is stronger than Alloderm and available in larger sizes.
• "Rejection" does not apply to acellular dermal grafts as there is nothing in the material  that the body would reject.

In our experience with revision capsulorraphy (plication of the breast implant capsule) with dermal matrix patient usually are fairly comfortable and recover well, with the appropriate restrictions.

Mario Diana MD FACS