Breast Implant Removal: Q&A
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Explant and Pec Muscle? (photo)
I can't believe I paid to be this uncomfortable and caused this much destruction to my pec muscle. 43yrs old, athletic, hypertrophic scar, BWD 11.7, 450cc silicone, HP, crease, 05/12: PS range 300-400. All options keep me from making a decision; however, I think explant and poss re implant in 6mos is best option even tho I have scarring condition. At 450, the muscle distortion is significant. Is it true that the pec never reattaches and I will always suffer muscle distortion? Please elaborate
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7 Doctor Answers |
Asked by
Hart2Catch
in Fresno, California
+2
Submuscular implants and distortion
I'm not exactly clear on what your tentative plan is, but I agree that decreasing the size of your implants is a good idea, but like the other surgeons who answered here, I do not see why you need to wait 6 months to replace them. Implants are commonly placed under the muscle for a number of beneficial reasons, but one of the downsides is that muscle contraction can cause movement or distortion. Significant distortion can occur if the fibers have not been released enough (or too...
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Explant and Pec Muscle?
Thanks for your question and for going to the trouble to include photos. They definitely help. The implants are very large on your frame and are further accentuated by the High Profile shape. You should easily be able to go to a smaller medium profile device with better proportions. The pectoralis functions normally after subpectoral placement but there are certain fibers that must be properly released to prevent the distortion that occurs with muscle activity. That needs to be done when the...
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Explant and Pec Muscle?
I am quite certain that I don't understand some of your concerns.
As to the pectoralis muscle not reattaching, it is actually not detached from anything save a few slips of insertion into the ribs. Its original in the arm and its insertion into the sternum are not disturbed, and it has not been possible to measure loss of shoulder strength (even in patients in whom this muscle is completely detached to use in reconstructive surgery of the head and neck).
I think a smaller...
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Explant and Pec Muscle? (photo)
The pectoral muscle can be replaced back to it normal position .By saving the fascia,the new implant can be place above the muscle , under the fascia.Additional mesh support may be necessary for the lower pole
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Muscle Distortion after Breast Implants
Muscle pain and distortion after breast augmentation in the submuscular plane can be helped to some extent by reducing the size of the implants. The implant plane can be transitioned to subglandular, but this may compromise the aesthetic result if there is little native breast tissue. Kenneth Hughes, MD Los Angeles, CA
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Implant issues
It is not clear when you had surgery. Removing the implants can occur at almost anytime. As for exchange to a smaller that may be a good idea if you think that they are too big. The muscle will not reattach and animation issues can occur with submuscular implants but it often is better than being in a subglandualr plane.
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Removal of Breast Implants and Re-augmentation?
I'm sorry to hear about the problems you are experiencing. I think that your plan to downsize breast implant is probably a good one; however, if you are certain that you do wish to downsize there is no need to the “implant free” for a period of time. Although your plastic surgeon may be able to release the pectoralis major muscle to some degree during the revisionary breast surgery, complete elimination of the “flexion deformity” is not usually possible. Generally...
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