Strattice for Breast Augmentation Revision

asked 1 year ago by runnermomof3
Latest answer by Lavinia Chong, MD
Question viewed 1,198 times
Tags: 090-109 lbs, 5 ft 8 in to 6 ft 0 in, safety, shifting, smaller, strattice

I have 10yr saline, under muscle(325ccs)implants. 5'1, 99lbs, AA before surgery. Shortly after surgery they began to move into my armpits and its gotten worse over the yrs. New PS says go with smaller silicone implants and use strattice.

Do you all agree? It's quite expensive and I dont want any regrets. How long is drain necessary with strattice? Also, I want a little smaller, but not too much. Is it safe to go close to the original size?

11 answers to Strattice for Breast Augmentation Revision

Strattice Can be Helpful for Breast Surgery Revision

Strattice can be helpful in breast revision surgery: The Strattice can help by creating an internal support to prevent a recurrence of the displacement of your implants toward the armpits. It can also be helpful in minimizing wrinkles from an implant in slender women. There is some evidence that Strattice may lower the incidence or recurrence of capsule contracture. It is a significant added expense in revision surgery, but may be well worthwhile if it prevents a... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Strattice in breast implant revision

Strattice is an 'allograft' actually pig skin and the role in breast augmentation revision is controversial. Don't expect surgeons to be on the same page on this one. Our feeling is that the role, possible in reduction of capsular contracture is not defined. It has been marketed to hold implants in position and prevent 'bottoming out' though again has several drawbacks, and for most may be unnecessary. Get additional opinions. My vote would be to focus and revising the... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Strattice and breast reconstruction

While material like Strattice is in vogue, it is definitely not always necessary, not helpful. All procedures, surgical manuveurs, and products must be used judiciously, not indiscriminately or by rote. Robin T.W. Yuan, M. D.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast Augmentation Revision -- Consult is Critical

Strattice for Breast Augmentation Revision -- to use or not to use -- is that the question? Other surgeons here have given varying opinions about using a material such as Strattice. The reality is that there is not a single answer. While purported benefits of using Strattice include situations such as yours (thin tissues and need for additional reinforcement of the implant pocket), it really comes down to an assessment of your own tissues to determine what we are working with... more

Nick Slenkovich, MD
Denver Plastic Surgeon

Strattice and Breast Augmentation revision

In my practice we have used Strattice to help with capsular contracture, thin skin issues and implant displacement. It is expensive but if you consider it over the long haul, and the fact that it corrects the problem ... it is worth it. There are no other options at this point for these issues. Pictures would help in your case to determine the most appropriate treatment for you. A good board certified plastic surgeon will be able to assist you in your... more

Kimberly A. Henry, MD
Greenbrae Plastic Surgeon

Strattice helps breast implant revision if tissue reinforcement is needed

Without personally examining you and discussing your goals, no one can give you definitive advice. It sounds like you are thin and the implants are large for your size, which can lead to stretching and thinning of the tissues around the implant and loss of support. If this is the case then the tissues would need to be reinforced and Strattice is a very good way to do that. On the other hand, if an revision is attempted and it fails, that can lead to even more thinning and a worse problem,... more

Richard Baxter, MD
Seattle Plastic Surgeon

Strattice for Breast Augmentation Revision

Very difficult to advise without an in person evaluation. Yes it is $2,000 more expensive and there are no guarantees. I use drains for 4 days to a week on average. Size is between you and your chosen surgeon.

Darryl J. Blinski, MD
Miami Plastic Surgeon

BREAST REVISION

I agree Strattice is expensive. For your type of revision it may be unnecessary. If you are considering switching to gel implants, you can place them subfascial and not have to be concerned with the submuscular pocket. The other choice is to create a new pocket under the muscle and between the old capsule referred to as a neopocket. Finally, you can use the old pocket and close off the area where the implants displace. You have lots of surgical options. ... more

Todd B. Koch, MD
Buffalo Plastic Surgeon

Strattice can be helpful for breast augmentation revisions

It is very difficult to comment on your case without at least seeing photos. Strattice is very helpful for many types of breast implant revisions and at this point i wont do certain cases without it (recurrent capsular contracture or fold displacements). Get a few consults from experienced revision surgeons. Disclosure - i am a speaker for lifecell - company that makes strattice.

Jason Pozner, MD
Boca Raton Plastic Surgeon

www.spsboca.com

Revisional breast in a runner

Runnermomof3: I agree that choosing a silicone gel implant, which has a base diameter or "footprint" which is similar to yours, will produce a result which approximates the one you have now. If your implants are 10 years old, I'll bet they were "standard" profile, which will overwhelm your frame. You might ask your PS whether the intermediate or high profiles would be preferable. The space or pocket, in which your implant resides, must be made... more

Lavinia Chong, MD
Orange County Plastic Surgeon

Go to a surgeon you trust.

If you pick an experienced surgeon that you trust, he or she should be able to explain to you your options, and the best choice for you. Every surgeon will have a technique or approach that works the best in their hands. Strattice is definitely one option that can be used to bolster the implant pocket, which in your case sounds like it has extended unfavorable towards the side. With regards to implant size, you certainly want to select an implant that is appropriately sized for... more