Keeping Pockets Open After Breast Implants Revision?

asked 3 years ago by imadvice in New York
Latest answer by Brooke R. Seckel, MD
Question viewed 584 times
Tags: bottom out, pocket

I recently had a bottomed out breast implant revision where my surgeon also cut a larger pocket superiorly. I have been trying to push the implant upwards in an attempt to keep the pocket open, however, it still does not go up as far as the other side (the good side). I am 3 1/2 weeks post-op. Any suggestions would be appreciated. Also, everytime after the displacement practice, my breast feels warmer. Is that normal?

5 answers to Keeping Pockets Open After Breast Implants Revision?

Keep Breast Implant Pocket Open with Displacement Exercises

Thank you for your question. I do understand your concern and you should see your surgeon to discuss this. I do have my patients do Breast Implant Displacement Exercises to try to keep their Breast Implant pocket open. It sounds as though you are doing this, be sure your surgeon approves. Displacement exercises are your best option. If the implant was "bottomed out" meaning that the implant was too low, and the position after your revision looks good, I would not be... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

Breast Implant Position

The term "bottoming out" can be applied to a variety of conditions. Usually, this means an elongated distance between the nipple and the base of the breast, which makes the nipples point upwards. This condition could result from the accumulation of scar (capsule) around the implant, which effectively "closes" off the space, which was made. Alternatively, it could be a function of a mismatch between the size and weight of the implant and your breast skin's ability to... more

Lavinia Chong, MD
Orange County Plastic Surgeon

What does your surgeon think?

Ima, I'd see what you surgeon has to say. If you don't think the implant that was raised still looks too low, it might be a little worrisome. I have a hard time believing that the portion of the implant pocket that was released has already scarred closed if you've been doing your exercises, so don't be too worried. Did your plastic surgeon do anything down low to support the bottomed out breast? One usually needs to do so. Good question about the warmth. Shouldn't mean anything beyond you... more

Brian K. Brzowski, MD
Salt Lake City Plastic Surgeon

Persistent capsule after breast implants

Hello, You probably have some persistent capsule/scarring preventing your implant from moving as far on the one side. A revision cannot always make things as soft as the non-affected side. I would have your surgeon take a look to evaluate this. Keep the massage going as he directed as well.

John P. Di Saia, MD
Orange Plastic Surgeon

Scarring in capsule

WIthout being in the operating room, I do not know exactly what your surgeon did. If he has you doing displacement exercises then continue as he recommends.

Steven Wallach, MD
Manhattan Plastic Surgeon

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