TLKM Plastic Surgery

I have done a few thousand impact surgeries and in my strong opinion, although Motiva implants may reduce rippling it will still be an issue in a thin patient over time. A careful partial dual plane dissection will not weaken the muscle and I have never had complaints about animation deformity even in body builders and thin patients competing in competitions. There is some increased motion of the implant but it is not visible in clothing and patients do not fond it disturbing. Although Motova implants are excellent implants so are others from the two leading implant manufacturers.

The bump can be greatly improved if not totally eliminated by a closed procedure I sometimes do as an office procedure with oral sedatives and local anesthesia. It takes a few minutes in my hand with just a couple of days of downtime. However many surgeons would do so this as a formal surgery.

At this time the only solution to his the scar is to excise it and do some lifting of the underlying SMAS ( superficial muscle layer) to bro g the scar up under rather the earlobe and take all tension off the skin so it heals with a hairline scar. This can be done in the office under local anesthesia.

With evidence of implant rupture there will be small amounts of silicone oil that have been absorbed I to the capsule. Unkess the capsule is removed there is a high chance of capsular co tracker. Although the surgery is more involved a capsulectomy at the time of surgery will on average give a better long term outcome.

Fat transfer will reliably improve that area and in 20 plus years and over 1000 cases I have not seen festoons, but definitely have with filler. For the most complete result lifting the muscle off of the bony rim surgically through a transconjuctival all lack combined with fat transfer has had the most success in my experience but fat grafting by itself will improve it