Breast Reconstruction: Q&A
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Why Do I Look Flat Chested with a 750cc Implant?
I had a double mastectomy and expanders. The expanders were filled to 850cc. I had them replaced with 750cc high profile silicone implants a few days ago. My chest looks really small. My chest is about 37", I am 5'7" 155lbs (gained about 15lbs during chemo). I also had fat grafting done. The implants don't look high or low, just not there. What does this mean/ Should I get a revision, or is this normal for 3 days post-op?
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7 Doctor Answers |
Asked by
beccab
in Atlanta, GA
+3
Why Do I Look Flat Chested with a 750cc Implant?
It is very earl in your post operative period to determine the shape and projection of the implants due to swelling. You should have a good idea on how they are going to appear at about 6 weeks after surgery! According to your height and weight in general 750 cc high profile implants should give a good projection.
A picture of your self would be helpful as well to determine the width of your chest!
As described before use of a acellular dermal matrix may help as an internal bra to...
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Flat appearance to breast reconstruction.
There are many factors which contribute to the shape of a reconstructed breast.. 750cc High Profile silicone implants typically give good projection, however, the surrounding soft tissue can mask this projection if not properly shaped. In your situation you state your expanders had 850cc. The volume and shape of those expanders would definitely give a different look than the 750cc HP implants. Expanders always appear more projecting because they are essentially fixed devices....
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# days post-op Wait
It is very common poat op to see a globular shape to the breast. It will take time for the swelling to resolve and the implants to achieve their final shape. I am curious if you had an acellular matrix such as alloderm at the time of the expansion. Very often this helps give more projection. If you are unhappy in the end you may want to wait until the shaped implants become available. Good luck.
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3 days post op
First of all, 3 days post op is way to soon to discuss adjustment. I will not even consider it for 6-8 weeks. Projection can be affected by the with of the pocket . If the pocket is wider than the replacement implant then the implant will fall into the wider implant and projection will be lost. I would recommend giving your procedure time to settle and discuss your concern with your PS . Give him a chance to help you reach your goal. But remember this is not cosmetic surgery. Reconstruction...
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750 cc implants for breast reconstruction
750 cc implants are almost the max. You should give it a few months to settle down before being overly concerned about the shape and size.
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High profile silicone gel expanders
Will project further than moderate profile ones, but they will tend to be softer and flatter than saline ones. The first weeks/months after implants will see definition of the breast implants into softer more natural looking and separate breast mounds. Do not be in a hurry to start changing things until you are through healing and your skin has had time to conform to the new implants.
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Breast reconstruction
The appearance could seem flat in comparison to then over inflated expanders. Also silicone implants tend to project less than saline. You should find out what profile implants were used, that may need to be changed
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