My doctor wants to use a Sientra teardrop shaped implant in one of my breasts. This will be my 3rd surgery since May. I have a mild case of pectus and had an implant rupture. First surgery, he used Mentor Gel implants of the same CC's (405 moderate/Classic profile), so asymmetry wasn't corrected. Second surgery, he used a 550cc High profile implant in just the left breast. He now wants to use a Sientra implant to try and correct symmetry. He has never used them and I'm worried about outcome. Help!
Do You Think Sientra Implant Would Help Correct Asymmetry? Should Both Breasts Be Re-done? I Want to Look Better!
Doctor Answers (6)
Sientra Breast Implants: Safe and More Shape Choices
First of all, I think the difference between the preoperative and postoperative photos indicate that you are more symmetical than before and your plastic surgeon has made some significant accomplishments. Most important are the measurements and physical exam in determing implants. Sientra implants have a much wider range of choices and is an excellent company that makes a safe product. Based on the results I see presently, and if you have continued trust in your surgeon I would take his recommendations. If not seek a second opinion from a board certiied plastic surgeon. It is important to know that the goal is improvement and it is rare to have two completely symmetric breasts even without a pectus deformity.
As you have already seen, I don't think there will be any magic in the choice of devices, rather I would recommend having a lift with acellular dermal matrix (Strattice) and smaller round, low profile devices.
It is very hard to say or give you adequate advice without knowing your complete history. Whether you’re using Sentra, Mentor or Allergan asymmetry can be improved but, it will never be perfect. Every woman has asymmetrical breast, your breast will never be 100% perfect.
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Assymetry of breasts
Whether you use a sientra implant or some other companies, there still may be asymmetry. Mild asymmetry is normal.
The major cause of your current asymmetry may be related to having a narrow (high profile) implant on the left and a flatter, wider (moderate profile) implant on the right. I have found that using different profiles for each breast often gives unsatisfactory symmetry. A teardrop (contoured) implant is unlikely to correct your problem unless the profile is lower. I find tear drop shapes make little difference overall. Your problem may be somewhat complex because it appears you may need your right pocket narrowed medially (on the inner side) which is called capsulorraphy. Discuss thoroughly with your PS. Best of luck to you.
Breast Asymmetry Revision After Two Failed Attempts
Having had two surgeries in the past 5 months is alot, and you want to make sure that you are adequately healed before undergoing a third revision in such a short time span. It is common to have patients wait at least three months between surgeries to allow everything to soften, settle, and become stable. At that point, you have a good idea of how the previous surgery has done, and can then make an informed decision. That being said, anytime someone has a chest wall deformity and natural breast asymmetry, there is always going to be some degree of post-operative asymmetry. Based on your pictures, it appears that you could use a lift on the breast that sits lower, since your left nipple appears to sit about 1-2 cm lower than the right. With regards to implants, it is very hard to say based on these photographs. It would be worth going for a second opinion in your area, just to have another pair of eyes examine you and give you some direct feedback. I hope this helps.
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.
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