Breast Implant Revision: Q&A
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Having BA Revision With Lift, Is There a Way to Tighten the Bottom Without the Vertical Scar? (photo)
Opinions re: the TYPE of lift recommended? I have large HP implants bottomed out about year ago, the skin BELOW my areola is stretched at least 1-2 cup sizes, however I and my dr. also agrees, do NOT need a full lift with respect to the upper pole. I will be having smaller implants put in with a lift, but what TYPE of lift would be recommended for my situation where only the bottom tissue needs to be tightened up? I don't feel it will retract on it's own due to stretch marks/volume of extra tissue?
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14 Doctor Answers |
Asked by
droopyDD
in NJ
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Breast implant revision
Thank you for the pictures, they are very helpful. I would recommend downsizing to a smaller implant and closing the capsule from the inside along the inframammary fold to reverse the bottoming out appearance. This repair would also bring your nipple position closer to where you started. I hope this helps you.
Kindest regards,
Neil J. Zemmel
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Bottoming out and a lift
A lift is completely unnecessary in your case. The answer is to put in a smaller implant and tighten the breast pocket internally to elevate the implant into a normal position. The skin will retract in the overwhelming majority of cases.
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Breast augmentation revision
Thank you for you question as well as your pictures. Based on the history is well as your pictures, do not have the typical droopiness that requires a lift with the associated scars. Instead, you will benefit from an implant exchange with reshaping of the pocket to accommodate smaller implants using your excisting incisions. I prefer the anatomical round base cohesive gel (gummy bear) implants made by Sientra. Breast of luck. :)
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BA Revision With Lift,
What you photos show is "bottoming out" and not ptosis.
Using smaller implants is very sensible in terms of decreasing the likelihood of recurrence. If you need some skin resection it would only be necessary to remove skin through a breast fold incision.
Something will need to be done to recreate a sturdy breast fold. Sometimes that can be done with your own tissue, (including the "excess" in the lower pole), and sometimes using Strattice, an acellular dermal matrix may be a...
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Bottoming out, not ptosi
I agree with those who recommend restoring the inframammary arc, not trying to "lift" the breast. Smaller implants usually increase the reliability of the procedure. Acellular dermal matrices often help as well. Best of luck to you.
Dr. Chappell
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Bottoming Out after Breast Augmentation Treatment
Bottoming Out after Breast Augmentation Treatment
Although an exam would be required to offer a specific opinion in your case, it would appear the the main issue you face is bottoming out and not drooping (ptosis). Therefore the appropriate treatment would be to reconstruct you inframammary crease in its original position (for example using an internal Ryan procedure). That would not require a breast lift incision. Also helpful would be textured implants and placing them in a submuscular...
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BA revison and lift?
Without an exam it is very difficult to say what you need. Most of the time if the implants have bottomed out, an internal procedure can be performed to raise the implants. If the tissues are falling off and the skin is very loose, then more than likely a lift is required.
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Having BA Revision With Lift, Is There a Way to Tighten the Bottom Without the Vertical Scar?
Thanks for the posted photos. In my opinion limited by no in person examination I would recommend a "full" lift or anchor type mastopexy.
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Having BA Revision With Lift, Is There a Way to Tighten the Bottom Without the Vertical Scar?
You do not need a breast lift
The lower pole can be elevated internally with ADM or mesh support
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Breast augmentation revision in Beverly Hills
From your pictures it seems that you don't need a lift to fix your breast implant descent. the appropirate treatment is to do an internal repair of the inframammary fold in order to raise your fold.
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