Breast Implants: Q&A
Ask a QuestionCost of Changing Breast Implants for Full Muscle Coverage?
What is the cost to change breast implants to be fully covered by muscle? I already have saline breast implants under the pectoral muscle, with the lower portion of the implants exposed. I have barely any breast tissue so rippling is a problem for me in the long-term.
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8 Doctor Answers |
Asked by
mel22
in Australia
+2
You need more tisssue over your implant!
This problem is one I frequently see.
There is no longer any way to put your implants totally behind the muscle.
You will need a large sheet of Strattice(TM) on each side to be sewn from the lower border of the pectoralis major muscle to the inframammary fold, maximizing the amount of implant that is covered by the pectoralis muscle, reducing lower pole stretch, supporting the implant, and adding lower pole coverage from the thickness fo the Strattice itself.
If you have droopiness, as is...
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+2
Options for rippling over lower and outer portions of breast implant following augmentation.
Although this can be done, it often creates a breast that is firm and rigid and somewhat immobile. We generally reserve full muscle coverage for breast reconstruction and rarely for cosmetic augmentation. When surgeons refer to full coverage in these instances, they are generally performing fascial coverage of the implant over the lower and lateral portions of the implant. To achieve full muscle coverage, one must elevate the serratus muscle. pectoralis minor or rotate the latissimus to...
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Cost of changing breast implants for full muscle coverage
Dear Mel,
Full muscle coverage is an operation that went out of favor and is rarely done these days. The raised muscle (Serratus) caused a flattening distortion of the implant and uniformly wasted away to scar tissue.
A MUCH better way to get a better result is to switch to gel implants which feel more natural, are slightly lighter (IE sag less) and RIPPLE LESS. Then, use a biological scaffold (Alloderm or Stratice) sewn as a hammock from the edge of the pectoralis major is major muscle...
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Changing partial submuscular implants to full coverage
It is very difficult to reattach muscle after it has detached. A better way to give more coverage of the lower pole if you have rippling is to place a piece of allodern along the lower pole.
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A better option to improve breast implant coverage
The lack of coverage of the lower and outer portions of the breast with implants under the pectoral muscle is related to the anatomy of the muscle. toal muscle coverage is really not a good option though, as it will distort the shape of the breast and is very rarely done for that and other reasons. Fortunately there is a good option, a material called acellular dermal graft (Strattice or Alloderm) which works very well in my experience. Info here: http://www.lifecell.com/patients/. The...
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Full Muscle Coverage in Breast Augmentation
Full muscle coverage is very seldom needed in breast augmentation. However, if this is truly the case the implants would need to be removed, the serratus anterior muscles elevated off the chest wall and advanced medially to cover the implants. These muscle are not very big so they may not provide you what you're looking for.
Another solution would be to add a dermal matrix such as Alloderm or Neoform or similar. The cost would be higher but it might be a better solution. Overall the...
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Implant Rippling
It would be virtually impossible at this point to get full muscle coverage of you implants. It is even very diffcult at the first go around. Your options would be
1. Switch to silicone gel implant, less rippling(but still may have some
2. Use Alloderm or similar product to add bulk to that area. This will be very expensive
3. Use fat grafting to the area. Somewhat controversial and will require multiple sessions
4. Try overfilling the implants-fairly simple, but will theoretically void the...
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This is not a good option for you controversial
The idea of full coverage of the implant with muscle sounds good but it is impossible . We do this for the breast reconstruction but we use expanders and also Alloderm. Your muscle has retracted and will not stretch to cover the implant fully . You may benefit from changing your implant to silicone and also pocket revision. For the pocket revision the old pocket is folded on itself to provide more layers.
The other option is fat grafting to the breast . This a controversial and not...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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