Best Option for Mild Symmastia/Bottoming out Repair?
- Asked by guest12
- 1 year ago
Hi, I have 700cc sub-pectoral, mod-plus smooth round silicone. Flat chested pre-op. Early 20s, no kids. Bottoming out (R) and mild symmastia. Should I explant with internal bra for repairs, then wait one year for tissue shrinkage/healing before placing a smaller implant (around 350cc). Will I be able to go back under muscle? Should I have repairs and implant replacement at once...(450cc is smallest i have been told i can go). I would address lift later on. What should I do?
Symmastia and large implants
It sounds like from your description that your implants are probably too large. It is difficult to answer your concerns without an exam.
Synmastia and Bottoming Out Repair
Without a physical exam, I am guessing that your large 700cc implants are likely contributing to your "mild synmastia" and bottoming out. Downsizing your implants with internal repair techniques to control your pockets will help achieve your goals. Depending on the severity of your synmastia and bottoming out, I may recommend use of a dermal matrix product (collagen sheet) known as strattice to help reconstruct/re-define your pocket. I do not think you need to undergo an implant removal. Please see a board certified plastic surgeon to learn more about your options. Best wishes!
Web reference: http://www.basuplasticsurgery.com
#BreastImplant Malposition and Bottoming Out with Large Implants
From your description, it is likely that the oversized implant is contributing to your issues. Downsizing with internal repair would be the normal course, but waiting a year without an implant isn't necessarily needed. Without photos or an exam, it is impossible to tell you more, but it is likely that you will be very unhappy with the cosmetic result after removing 700 cc and not replacing an implant.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
Web reference: http://www.marinaesthetics.com/breast-revision/
Recent Breast Implant Revision Reviews
Breast Implant Revision Photos
Would I Need a Capsulorraphy
The key is to go with a smaller implant.
Without at least photos, iI am very reluctant to offer a suggestion. I think you are best taking the suggestion of your surgeon, hopefully one experienced with these issues. If you can add some photos to your question, you may get more useful responses.
Thanks and best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.