Breast Implant Revision: Q&A
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Breast Implant Revision Surgery - How to Explain to Doctor What I Want?
I had a breast lift with saline implants on 5/25/10. I specifically wanted my fuller breast with my nipples more in the center of my breast and more fullness on top. I didn't come out of surgery with the look I expected. I was 38DD and only had R250/270cc and L225/240cc and am still a 36-38DD. Now having redo because of no fullness Doc says I have to go with a larger round implant not a higher profile. How do I make him understand what I want and I don't want to be huge just full w/ cleavage.
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10 Doctor Answers |
Asked by
rudybaby
in Palm City, FL
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Revisionary breast surgery
Based on your pictures it seems that you would benefit from bilateral inferior capsulorrhaphy (use of permanent internal sutures to correct inferior displacement of the breast implants).
If revisionary surgery is decided upon, it will be very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of...
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Revision Needed
Consult with your Board Certified Plastic Surgeon to discuss your concerns. Perhaps you can view photos together in order to make certain you are providing a 'visual" of what it is you are looking to achieve. You definitely need to have a revision. best wishes!
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Larger implants will worsen bottoming out
Bottoming out is a condition where the breast implants drop, increasing the amount of breast between the bottom fold and the nipple as compared to the upper half. The photo here shows a fairly dramatic example. Larger implants will add more weight and make it worse over time not better. I do agree with new implants but smaller, with careful attention to matching the base diameter, and possibly adding a Strattice graft as an internal bra for more support.
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Say No to bigger implants
Evaluation of your photo demonstrates a very common occurrence.... bottoming out. Your photo shows that your nipples are "star gazing" and that the lower pole (from nipple to fold under breast) is very long. These issues can easily be corrected by revision of your previous surgery to remove some of the lower pole skin as well as placing Strattice or Alloderm (I prefer Strattice) in the breast to provide better lower pole support and decrease the likelihood of this recurring.
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Larger implants are not the solution
Larger implants are not the solution and generally speaking are more likely to make your condition worse. I would recommend a procedure to correct the bottoming out of the breasts and consider conversion to a horizontal scar.
see video
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Breast Implant Revision and Bottoming Out
I would not recommend going larger with the breast implants. You have bottoming out of both of your implants. This makes your nipples look too high and flattens the upper pole of your breast. The first instinct is to go to a larger implant. But this can lead to more problems. One reason you may have bottomed out is because your tissues could not support the current implants you have. And although there are other causes of bottoming out, if skin elasticity is the reason, then going to...
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Reduce the nipple to fold distance
You certainly dont need larger implants. The distance from your nipple to the fold needs to be reduced and the volume of your implants displaced upward for increased fullness. I suggest that you also consider changing to a textured silicone gel implant and a neosubpectoral pocket.
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Breast revision
Breast revision I think is the way to go for you. It looks like yoiu have bottoming out and alot of excess skin below. You should discuss your concerns with your surgeon.
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Communicating with your plastic surgeon
Unfortunately you discovered only after your surgery the importance of proper communication with your surgeon. It is paramount for the surgeon to understand patients' expectations prior to surgery, and advise the patient properly as to the realities of their expectations. In our practice we use photos of prior patients' results to help us communicate with pre-surgical patients. In your case, you could have shown your surgeon the type of breast you envisioned for yourself. You...
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Breast implant and lift revisions, how to get what you want
Please post a photo, as it is nearly impossible to give good opinions without them in a case like yours.
DD breasts are inherently full and large, if not shaped how you want them. I would likely not have recommended implants for you at all, given your starting bra size. A good breast lift should get you a better shape without using implants.
Larger implants will only make you larger--they will not give you prolonged upper pole fullnesss. You SKIN quality...
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