Considering Breast Implant Revision/Tubular Deformity? (photo) Doctor Answers, Tips
Breast Implant Revision: Q&A
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Considering Breast Implant Revision/Tubular Deformity? (photo)

8yrs ago I had a BS to correct tubular deformity. I had 270cc saline placed over the muscle w/ no lift. At first my nipples still "puckered out" over the implant but after breastfeeding it improved. The left is still more restricted. I have little tissue, thin skin, deep stretch marks, different size areolas, ripples are visible even through clothing & feel like a plastic bag, implants are too round & too far apart. Can they look more natural? Can I go bigger? What would the best option be?

6 Doctor Answers | Asked by CN2013
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Breast Augmentation Revision

Silicone implants under the muscle with tightening of the pocket with capsule alteration may help all of these aspects. An exam will be necessary. Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast augmentation revisions each year. Kenneth Hughes, MD Los Angeles, CA
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Implant exchange

You probably can go larger and I would probably recommend the silicone over the saline implants. You may also have a capsule. Best to be seen in person.
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Breast implant revision

It appears from your photos (especially lying down) that you have some capsular contracture. I do not see evidence of tubular deformities. I would suggest replacement of saline implants with silicone gel (slightly larger) under the muscle and reduce the size of your areola. You should have a more natural result.

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Revision options after augmentation and tubular breast

There are several variables and issues that need to be considered in situations like yours. You may have capsular contracture, there is probably insufficient coverage and implant support because of thin tissues, and the implants may not be a good match to the base diameter of the breasts. New implants under the muscle will help coverage of the upper breast but not the bottom or sides. Implants with a wider base diameter may help but this can be tricky with tubular breast. Another... more
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Separated and contracture breast implants

Dear cn2013 for my point of view you have many points that we should address first is the gap between your breast I think is due to the capsular contracture developed in your breast , I just don't see the tubular breast maybe it was corrected with the first surgery and the baby , your areolas are uneven , inthink the best option would be to remove those implants , fix your areolas place new implants with silicon 5th generations texture implants under the muscle and give you a cleavage... more
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Considering Breast Implant Revision/Tubular Deformity?

There are too many issues for which photos alone are not satisfactory, so an in-person consultation will be much more useful in terms of giving you the right recommendations. That said....... I think you would be well served by switching to silicone gel implants, placed under the muscle, with an areolar reduction on the right side. I do think that you can use larger implants if that is your preference. You may get a little more central fill, but less that you and your surgeon... more
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Comments (1)

CN2013 7 Feb 2013
I have my surgery scheduled with a board certified PS on 2/15/13. He thinks it's best for me to stay over the muscle. I'm going with silicone gel implants, moderate profile, somewhere between 430cc-480cc. He's ordering 3-4 sizes and deciding what will work best once in the OR. He's scoring my breast tissue if needed from the tubular deformity, reducing the size of my aerolas and moving them towards the middle so they don't stick out on the sides of breast. I'm extremely happy with everything he has said so far. The only thing that is still a concern of mine is staying over the muscle. He thinks that I have a nice pocket over the muscle and that the implant size we are going with would have an issue fitting under the muscle. I'm not worried about ripples as much as maybe I should right now. I'm just worried more about all the other risks I've been reading online having them over the muscle. Any thoughts on this?

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