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How Can a Patient Minimize the Risk of Rotation After Surgery with Anatomical Implants?

asked 1 year ago by Brandy1121 in St. Louis, MO
Latest answer by Peter A. Aldea, MD
Question viewed 299 times
Tags: anatomical, risk, rotation

8 answers to How Can a Patient Minimize the Risk of Rotation After Surgery with Anatomical Implants?

+1

How Can a Patient Minimize the Risk of Rotation After Surgery with Anatomical Implants?

Regarding: "How Can a Patient Minimize the Risk of Rotation After Surgery with Anatomical Implants? " The short answer is - you can't. The follow up question is WHY are you having Anatomical Breast Implants?   All Anatomical breast implant come in a textured (rough) surface which was meant to increase their adherence to the tissues, lower the incidence of capsular contracture and prevent rotation. Unfortunately, while there IS a higher adherence by Anatomical... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Anatomic implants and minimizing rotation

This is a great question and one reason why I no longer use these implants. Generally speaking most of these implants have a textured surface to minimize this tendencsy. Contrary to smooth implants where we seek a soft supple generous capsule to minimize contracture, we prefer an intimately adherent capsule with anatomic implant to minimize rotation in pocket. In some instances surgeons may use drains and limit post-operative activity and employ the use of compressive dressings to ensure... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Polyurethane covered implants prevent rotation

Unfortunately these implants are not available in the US. I have over 10 years of experience with cohesive silicone gel implants with a coverage of polyurethane, which not only prevents rotation of the implants, but also delivers a significant decrease of the risk of capsular contracture (= the becoming hard of implants over time). These implants have been used in the US for a number of years, but were taken off the market in the early 90ies as a consequence of the anti-silicone hype... more
Alexis Verpaele, MD

Belgium Plastic Surgeon
+1

How Can a Patient Minimize the Risk of Rotation After Surgery with Anatomical Implants?

Even with GREAT dissection of the pocket these, anatomic implants, still have a very high risk of rotation. That is one of the reasons they are seldom used in the States. They also have a slight, slight higher risk of deflation. From MIAMI Dr. Darryl j. Blinski
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Rotation of implants

Precise pocket development is critical to avoid implant rotation.  If the pocket is too wide, there is an increased risk of rotation.  Experience matters.
David A. Lickstein, MD

Miami Plastic Surgeon
+1

Rotation of Anatomic Implants

The only thing you can do is assure that the surgeon you see has significant experience with these implants. Though seldom used in the US, they are very popular in Europe. I really like these, but, unfortunately, they are only generally available in saline. To prevent rotation, the surgical procedure has to be modified. I also do not believe one manufacturer's implants adhere where put as well as the other. Since figuring this out, I have had no rotation. I do believe they provide... more
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

"Anatomic" implants are not truly anatomic

Rotation is only one potential problem with the so-called anatomic implants. For most patients, the profile is identical to round implants in the upright position (so they are not more anatomic) but the round implants will change shape when lying down (like a natural breast) while the shaped implants don't. There are circumstances where the shaped implants (as they should be called) are a better choice but this is a small percentage. 
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Minimizing rotation of anatomic implants

Unfortunately there is no way to minimize the risk of the anatomic implants from rotating on you.  That is why I am not a fan of them.
Steven Wallach, MD

Manhattan Plastic Surgeon

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