Breast Implant Removal: Q&A
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What Needs to Be Done when Submuscular Saline Implants Are Removed?
32AA to 300 cc saline submuscular-1 year post-op. Need revision surgery(for symmastia)-For now I would just like to remove my implants before going through another possible nightmare.What happens to the released muscle & the pocket created? May want future revision surgery-Could a new pocket be formed submuscular after healing, or would I have to go subgladular (because of the symmastia and/or previous surgery)? Any advice is much appreciated. Thank you!
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12 Doctor Answers |
Asked by
Detroit1152
in Detroit, MI
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What happens after breast implant removal
It 's hard to give you an exact answer without examining you. However, you'll most likely need to change pockets for the next surgery, and you may need Strattice to fully treat your symmastia.
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Breast implant removal for symmastia
The repair of breast implants which have run together in the center of the chest, symmastia, can be an expensive process. The simple solution is to remove the implants and leave them out for at least a year. If you are certain implants are in your future then removal of the breast capsules will increase the odds that the new pocket will not open up into the same one as before.
Best of luck,
peterejohnsonmd
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Removing Implants after Symmastia
Removing implants with removal of the implant capsule will give your body a chance to heal, and replacing the implants in submuscular position could be done:.
Allow at least 6 months before replacing implants
Select implant size(width) carefully to fit your frame
Implants that are too big can recreate the problem
Ask your surgeon about the use of Acellular Dermal Matrix to add support and prevent recurrence of symmastia.
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Symmastia revision
It is possible to correct symmastia and replace implants in one stage. However, if you and your surgeon elect to remove the implants initially and replace them in a second stage there are several options including changing to a sub glandular pocket and the potential for recurrence of the symmastia may be less.
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New techniques in correction of symmastia
Symmastia is a difficult problem to fix but with novel acellular dermal matrix, it is made much simpler. The reason being that your initial operation ended up releasing tissues (either at the time of surgery or afterwards with your tissue relaxation) that almost connect. Introducing new, stronger tissues can repair/replace what is deficient. The surgery is technically somewhat complex but extremely effective once the concept is understood. It is today's gold...
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Implant removal
When an implant is removed, often the pocket just closes down. The muscle stays the way it is partially detached from the chest.
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Breast Implant Revision Process When Implant Is Removed
Yes this is a difficult problem, a very difficult problem. You could have a closure and implant replacement immediate or you could simply remove the implants, leave them out , and come bace in one year. I would likely choose the removal only. You will heal and in all likelyhood return to very near you pre op status by 6 months. Possibly sooner. Then if you wish another implant can be tried. I...
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Symmastia correction--just remove implants?
Actually, removal of the implants is not necessary, and IMHO does not really increase your chances for success (or decrease your potential for the surgical correction "not working"). BUT, it does guarantee two operations when one (properly-performed one) may be all that is necessary.
Your symmastia may be due to any of a number of reasons; your surgeon knows if, for example, the pockets were created too close to the midline, too many inferomedial pectoralis fibers were...
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Symmastia
In treating symmastia you have multiple options.
However you seem not to want replacing the implant now. The most important part for the future is REMOVAL OF THE IMPLANTS AND COMPLETE CAPSULECTOMIES. Suture the symmastia connection. A special Bra with a small "pillow' in the center to keep pressure where the two breasts connect .
wait 6 months before doing any thing else.
Baltimore Plastic Surgeon
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Submuscular implant removal procedure
Since you have symmastia, I would recommend removal of most of the capsules around the implants and closure of the symmastia. When implants are in place, symmastia can be very difficult to treat. While the implants are out, the symmastia will have time to heal. I do not think you need to do anything to the skin at this time - it will shrink down. You may be able to go back under the muscle for new saline implant placement in a year. With your size, you...
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Removing Implants
What happens to the pockets depends to some degree on what the surgeon does at the time of implant removal. I have operated on breast 5 or more years after implant removal and still found some degree of the old pocket along with other areas of just scar tissue. Removing at least some portions of the capsule increases the chances of the pocket closing off completely.
You will need to talk to your surgeon about the condition of the muscle at the time of implant removal...
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Pocket after implant removal
I remove the implants and cauterize the pocket es[ecially where I want it to close off. In the future, you can try to go in the same area but if it hasn't closed over, you need to go to another pocket.
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