TUBA 11-4-10 My doctor said CC at 5/6 month post. Now it seems softer but wont move upward like the other one but hurts on the bottom. no bra hurts. I have to wear at least a tight sports bra but wearing normal bra or push up bra hurts even more. It looks funny with or without a shirt.. Can I please get an opinion. Is it even CC or something else? My Dr says a capsulectomy and reopen the top pocket. Is that all or he is omitting some part of it? What is a cost I can expect?
What Breast Revision Do I Need? (Photos)
Doctor Answers 13
I think that an exam is key to figure out what would benefit you. It doesn look like the right implant is a bit high and the left is a bit low.
Breast aumentation revision following TUBA
Breast asymmetry after TUBA
The left implant looks as though it is too low or bottoming out. Implant malposition (the implants not exactly where you want them to be) is a problem with the TUBA approach. From your belly button, the implant must be placed through the breast fold which can cause it to drop - that's what your left breast looks like. I would recommend repairing this fold, which will leave a scar at your breast crease but will greatly improve your overall results. Good luck!
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Your left breast implant looks too low, down and out. You need a tightening of the implant space (capsulorraphy). If it doesn't move easily up and towards the inner area you will need a capsulotomy to open up the space. You will have better success through an inframammary approach (beneath the breast - in the crease). I sort of think your right implant is a bit too high, and this could be lowered, but that is just personal preference.
What Breast Revision Do I Need? (Photos) Answer:
From your description I can’t tell which breast is painful to you but to me your left breast (the lower one) looks more normal. The nipple is centered pretty well in the middle of the breast and you are not artificially high on that side. My suggestion would be to leave the left side alone (harder to raise an implant anyways) and open the capsule up on the right at the bottom, not the top. I know it’s too late but, this is a problem with TUBA & its difficulty in accurate creation of the pocket.
Breast augmentation revision
Thank you for the question and picture.
Based on your picture and description you may benefit from right sided capsulotomy/capsulectomy and left sided capsulorraphy (internal sutures to repair inferior and lateral breast implant displacement), unless you are pleased with left breast implant position.
Please make sure your surgeon is a board certified plastic surgeon.
I hope this helps.
Revision for both breasts best option
There is likely a pocket issue with both breasts with the pocket being under released at the bottom on the right and the pocket over released at the bottom and side on the left. It would be ideal to address both issues as opposed to making the right breast over dissected to match the left breast. A right breast capsulotomy/capsulectomy will be needed via an open approach and a left breast capsullorhaphy (repair) will be needed via an open approach as well.
All the best,
What Breast Revision Do I Need? (Photos)
This demonstrates the risks of the TUBA operation, almost a "blind" operation. You need "open revision" exposure to correct the many issues you have. See Dr Steven Cohen in San Diego.
You will need revision through breast crease incision
TUBA & Post-OP Implant Problems...
I agree with my colleague and others who steer away from TUBA because of the limited access and control it offers when something goes wrong.
Not knowing without examining you, there is a possibility of capsular contracture on your right causing slight elevation of that implant. The more obvious problem is the "bottoming-out" you're experiencing on your left. This, in itself, will require correction using an approach other than your original TUBA.
Contemplating a capsulectomy for your right breast, a capsulorrhaphy for your left breast and, perhaps, new implants, you may be exposed to a cost equal to or even greater than your original cost. I would urge you to seek a second opinion from another board certified plastic surgeon.