Tracey Cook, MD

Hello! As you stated, textured implants are shown to be linked with ALCL. Motiva are the recently FDA approved breast implants in the US, however they have been used outside the US for over 10 years now. They have a special surface that is neither exactly textured nor smooth. Its surface has a uniform roughness of 4 microns which is a modification of a smooth surface. Implants with surface roughness of 10 microns or above are considered to be textured. Motiva implants have underwent certain modifications of silicone implants to increase biocompatibility leading to less risk of rupture and capsular contracture.

Hello! Swelling following blepharoplasty is typically resolved by almost a year from your surgery. Although it is difficult to assess from the photo - perhaps the fullness in your medial eyelid is due to herniated fat that was not removed during your procedure. If your blepharoplasty was skin only, the fat is left in its original position and as we age can be visible as increased fullness as it begins to fall forward. Talk to your surgeon about determining if this is a possibility based on details of your surgery.

Hello! Although your surgeon may have secured the pectoralis muscle back to the chest wall following removal of your implants, several things could have occurred. Depending of the type and number of sutures placed, perhaps the repair could have been jeopardized at some point during your recovery and are no longer in place. Also, because the pectoralis muscle becomes disconnected during your original surgery it is allowed to retract upwards - this may have shortened the muscle overtime making it difficult to place the muscle back in its exact original position. Depending on how much ptosis you have in your breast tissue, you may have also needed a lift to recentralize your breast tissue over your chest.

Hi Lexie, this is a great question! Sub glandular placement of breast implants have been shown to have higher rates of capsular contracture when compared to placement under the muscle. Several other factors play into this as well, including the type of incision to place your implants (under your breasts vs. around your areola) and the technique used to place the implant. Recently, more surgeons have started placing the implant below the muscle fascia - also known as subfascial. This is beneficial because the implant is not directly under the glandular breast tissue and instead has a protected layer of the fascia. It also has the added benefit of not lifting up your muscle which can cause animation deformity of your implant.
There has also recently been FDA approval of a new implant on the US market known as Motiva. This implant has a smooth silk surface which is more biocompatible and reduces the risk of a capsular contracture. The risk of capcon when using this implant is reduced to less than 1% which is very exciting for patients who may have a history of this or are concerned about developing capcon. Many factors play into the risk of capsular contracture, however make sure to discuss ways to reduce this risk with your surgeon.

Hello! Although may be uncomfortable the first day following the injections, getting filler to the lips is safe while having braces. I recommend changing your elastics just prior to the injection so you will not need another elastic change several hours afterwards or the rest of the day following injection. Stay gentle while changing your elastics for the following weeks after your injection and it should not disrupt the filler. A touch-up can always be performed if needed. Best of luck!