Breast Implant Revision: Q&A
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Had Revision Surgery (Capsulectomy Left and Capsuloraphy Right) Same Doctor, Results Worse? (photo)
I have 425 Mentor Silicone HP. Revision -muscle released medially and tightened laterally on left. Finally some relief of one yr of chronic pain and tightness. Right side medially and laterally tightened. Right breast now sits much higher (feels attached to armpit & shoulder) than left and is completely distorted with concaved shape on outside of breast. Opinions, bad surgical technique? Or improper implant selection? Can it be fixed? Yes, how? How do I address this @ postop? $15K spent
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10 Doctor Answers |
Asked by
Geno75
in Chandler, AZ
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Had Revision Surgery (Capsulectomy Left and Capsuloraphy Right) Same Doctor, Results Worse? (photo)
I think your implants are in the right place but that you still have an excess of tissue that is falling off your implants. The last operation may have moved your implants up, but your breast tissue did not go with them! I would approach this now as needing a reduction and tightening of the tissue at the bottom of your breast and possible a lifting of your nipples as well...
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Breast Augmentation Revision
You should wait for several months before considering a revision. Then find the 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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High profile implants in augmentation have high rate of asymmetry
Thanks for your question and submission of pre and post pictures. Like others have said, it is difficult to accurately comment without doing an exam and reviewing everything that has been done. Looking at your preoperative pictures, you had an appreciable asymmetry. Hopefully the complexity of this was conveyed to you. In anyone's hands this would have been tough. I'm not sure why there was a need to use HP implants. There is a lot of data to show that these not only have higher rates of...
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Concerns after Breast Augmentation/Lifting and Revisionary Surgery?
Thank you for the question and pictures.
Although online consultants may be tempted to provide you with advice, I think that your situation is far too complex to do so adequately. Good advice would necessitate in-person consultation; this process would allow review of your past surgical history, your current physical examination, and your overall goals when it comes to size/shape of breasts.
Unfortunately, anything less than in-person consultation cannot be precise...
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Augmentation mastopexy
Hi Geno75,
Your current shape is less than ideal. Both implants are sitting too high. It appears you have excessive tightness in your right breast pocket, both visually, and as you described it, symptomatically. You are still fairly early though, only six weeks from your last surgery. These findings may still improve over time. Therefore, a final judgement can not be made at this time. A six month period would be adequate to make a...
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Had Revision Surgery (Capsulectomy Left and Capsuloraphy Right) Same Doctor, Results Worse? (photo)
Very hard to respond over the internet. Best to seek in person second opinions. To me your size of implant too large. But you might have wanted that large of implant I do not know. Again seek in person opinions.
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Unhappy Results After Capsule Results
Although I can see a number of aesthetic problems with your result at this point, it is yet too early at 6 weeks to tell how the final result will be.
If the result is still not favorable to you in a few months, it can not only be salvaged, but I am sure greatly improved (depending on the starting point at the time).
Depending on physical findings, you will likely need capsule revision (otomy, ectomy, etc.). I am not sure if the implant should be changed without an exam and and...
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Implants and lift
I think the biggest problem you may have is that your implants are probably too big for you and they are causing distortion., but an exam in person would be essential.
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Revision Surgery Results
Hello,
We really can't say if capsulorrhaphy and capsulectomy was the 'right thing to do' without photos from before revision. However, I have three comments I can make regarding your situation.
Evidence from clinical data suggest that HP implants have the highest rate of complications compared to intermediate and low profile implants. The reasons for this are many, and go beyond the scope of this forum.
Merely based on photographs, your implant size appears too...
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Revision Surgery
Thanks for your question and for the photos. It would really be helpful to see an intermediate photo just before the most recent surgery to see what was being treated. It is hard to comment otherwise on what was done. You have likely described all that was done, but it would help know if the implant size was changed and if the position (above or below the muscle) was altered.
There is obviously a problem on the right side that is visible on the second photo, and it seems likely...
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