Breast Implant Revision Q&A
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Will Strattice Breast Revision Procedure Give Desired Results?

asked 1 year ago by pajamamama in Owego New York
Latest answer by Tom J. Pousti, MD
Question viewed 978 times
Tags: 400-449cc, bottom out, doughnut, drop, internal bra, lower, strattice

Strattice? After 1st BA/BL 3 yrs ago, they sat lower than I would have liked on my chest and were bottoming out. I had revision surgery to correct these issues..as well as gain upper pole fullness. My PS said internal bra & donut lift with larger implants were the answer. I'm 3 mo out from revision surgery and very disappointed. My surgeon's opinion is they look fine. I think they are too low..and the left has dropped too much losing all upper fullness and is sagging. I have 400r/450l mods.

8 answers to Will Strattice Breast Revision Procedure Give Desired Results?

+3

"You can't always get what you want" when it comes to breast revision

You won't want to hear this but your body's tissue elasticity just isn't great and you may never be able to have the upper pole fullness you want.  Right now the left implant looks very normal and the right may settle down to match it.  This might not be what you wanted but it would be an appropriate result once the symmetry is better.  This isn't a lifting issue either as your photo shows a reasonable position of the nipple relative to the creases... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

www.randcosmeticsurgery.com

+2

Breast revision surgery

Revision breast surgery is tricky and difficult. It depends on so many factors including your body's own tissues and the implants themselves. Using larger implants predisposes you to developing early bottoming out and implant descent. Periareolar incisions in general are not a reliable way to produce a sustained lift in my experience. Finally the use of acellular dermal matrices such as strattice may provide patients like yourself extra support. There really isn't long term data on... more
Jeffrey Kenkel, MD

Dallas Plastic Surgeon
+2

Are you ready for a 3rd surgery after breast implants plus donut lift?

Well, I hope your surgeon didn't actually say they "look fine." He successfully decreased areola size, raised both implants to a higher position, and restored fullness to the upper poles of your breasts. But they don't match! No body ever matches exactly, but you are justified in being disappointed with your present appearance. Since you are at 3 months post-op after your second operation, there may be additional changes in both breasts, but you need the right breast to... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+2

Yo will need reision

You are not alone with the problem with the lift and implant. By some publication the revision rate for the lift and implant is 40% -100% . Bigger implants will make your problem worse.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+2

Which Breast Revision Procedure Will Give Desired Results?

Your photos are a bit confusing. Is the first (on the left) after the 1st operation? And the middle and right one after the second operation? If yes than before the second op you looked OK. I would have just increased your size implant and use a textured. Now after 3 months your are correct that things could have been better. Seek a expert in revision breast surgery. 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

Revision breast lift works.

Hi. 1)  Of course, you should not do anything for several more months, but I am afraid you will not get reasonable symmetry without another revision.  You may not get exactly the shape and upper pole fullness you want, but you can do better than this.  You may have poor elasticity, but that is not the reason for the unsatisfactory result. 2)  Just going by your photos, and assuming you don't change significantly in the next few months, the fold under the right... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Breast augmentation and mastopexy revision

Thank you for the question and pictures. I agree with your plastic surgeon's plan; some form of “internal bra" (capsulorraphy) may be very helpful. 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 words such as... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Internal bra procedure should correct bottoming out implants

The internal bra procedure usually refers to the use of an acellular matrix such as Strattice. This is useful when your own tissues have thinned or are otherwise not strong enough to support the implants. I am not sure from your question whether or not you had this done with the revision. From thebpictures it looks to me like the main issue now is symmetry.
Richard Baxter, MD

Seattle Plastic Surgeon

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