It sounds like the amount of tissue that had to be removed because of the implant rupture left the coverage and support too thin. The most reliable way to repair this and minimize the chances that additional surgery will be needed is to add support and coverage with an internal bra using Strattice, GalaFLEX mesh, or SERI Scaffold.
you have not provided any photographs, your breast size or implant size. The best implants are small implants because
they weigh less and undergoes less displacement. I recommend textured silicone gel implants
since they feel more natural, are more adherent and less likely to
displace. Your implants are too low and
extend too far below the muscle. I
recommend smaller implants placed high and with plication inferiorly to prevent
descent. I do not recommend strattice to
prevent displacement. I recommend a new
technique called Implant Exchange with Mini Ultimate Breast LiftTM,
which uses the patient’s own dermis, instead to prevent displacement.
Gary Horndeski, M.D.
The answer is that there really isn't anything that you can to make for sure you don't have more problems. In fact, there are more problems that occur with revision surgeries than there are with first time patients. And I am not certain that there are any special diets, massage techniques, or exercises that will make much of a difference. Most of the end result will be dependent on the surgical technique that is used. Eat a normal diet with normal protein. Other than that, just follow your surgeons advice on the follow up care.
It is always difficult to replacement implants at the time of a ruptured implant removal. That is because by the time you remove the implant, the capsule comes with it and the pocket is now larger than it was before. As a result, a lot more work is required to revise the pocket and make sure the implant sits in the correct position. The risk of complications and asymmetry is higher. You will likely need a new pocket created on that side in order to improve your symmetry.
really depends on many factors and your surgeon will have guidelines for you to follow. My patients are asked to commit to wearing a cut out underwire bra for 6-8 weeks to keep the weight of the implant off of the internal suture line while healing is happening. In addition, activities are limited during this time but this is different for those under the muscle versus those above the muscle. So discuss with your surgeon and good luck!
Thank you for the question.
There's no assurance that this won't happen again, but by fixing the pocket this can be prevented. Follow all your PS's post op instructions.
Implant malposition issues can occur and fixing the pocket often does the trick. Good luck with the surgery.
Unfortunately there is no guarantee that a displaced implant won't displace again. In fact, it is almost guaranteed that given enough time, it will shift to some degree in that nothing is really completely permanent. Tissue will continue to weaken as you age and gravity and movement will always tend toward implant downward drift. There are so many factors such as size of implant, method of creating a new pocket (internal sutures, capsulorrhaphy, neocapsule, etc.), strength of soft tissue, location of implant, etc. In the end, you will have to trust your surgeon to make the right decisions and perform the procedure technically well. Have a frank and comprehensive discussion with your plastic surgeon
Robin T.W. Yuan, M.D.
Revisional breast surgery can be challenging, especially when an implant has slipped to a low position. There can be no guarantees that this problem can be prevented after another surgery, but here are some strategies that have helped my patients. If there is good structure to your tissue, it may be possible to fix the problem with a series of sutures at the bottom of the breast that prevent the implant from settling again. If your tissues are too weak to support the implant, the best approach I have found is to reinforce the base of the breast with acellular dermal matrix. Although this material is expensive it has been very helpful to patients who were referred to me with problems similar to what you describe. Best of luck!