23 years ago had McGhan implants. Size B & saggy. Had 320cc implanted. Contracture grade 3 & 4. Weighed 120 now weigh 145. Breasts went from C to DD. Would like to be full C or small D. Surgeons will not remove them without a lift. Wanted them exchanged because I am not concerned about saggy breasts. Would consider removing them but I am concerned about psychological problems. One surgeon suggested having them lifted and removed , leaving me with a B cup. I don't like that idea.
November 18, 2011
Answer: Options for replacement of implants I am in agreement with your surgeon that, without a lift, the result will not be aesthetically pleasing and will look worse than if you removed the implants and went down to a B cup. The capsular contracture is severe and you will be at risk for capsules from any reoperation, although the risk is lower if the implants are under the muscle. As breast augmentation patients age and reach Medicare age, it is time to re-evaluate how to deal with implants, particularly if complications such as contracture develop.
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November 18, 2011
Answer: Options for replacement of implants I am in agreement with your surgeon that, without a lift, the result will not be aesthetically pleasing and will look worse than if you removed the implants and went down to a B cup. The capsular contracture is severe and you will be at risk for capsules from any reoperation, although the risk is lower if the implants are under the muscle. As breast augmentation patients age and reach Medicare age, it is time to re-evaluate how to deal with implants, particularly if complications such as contracture develop.
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November 17, 2011
Answer: Choose the option which is compatible with your aesthetic ideals and health
VAW: Thanks for the photo & question. I assume that your silicone gel implants were placed on top of the pectoralis muscles because this plane was associated with a higher rate of capsular contracture, which you have experienced. Do consult with a PS and discuss implant exchange (subglandular to subpectoral) for several reasons: a) improved superior pole coverage; b) more natural appearance; c) greater resistance to capsular contracture. However if you agree to the subpectoral plane, you should inclue a mastopexy (breast lift) because the breast skin has been stretched out and the nipples are on different levels. Even if you are not concerned about saggy breasts, removing the old implants and the surrounding scar capsule as well as reinserting silicone gel implants above the muscle will not significantly change your appearance, as there is a relative excess of breast skin to contain your implant. Good luck
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November 17, 2011
Answer: Choose the option which is compatible with your aesthetic ideals and health
VAW: Thanks for the photo & question. I assume that your silicone gel implants were placed on top of the pectoralis muscles because this plane was associated with a higher rate of capsular contracture, which you have experienced. Do consult with a PS and discuss implant exchange (subglandular to subpectoral) for several reasons: a) improved superior pole coverage; b) more natural appearance; c) greater resistance to capsular contracture. However if you agree to the subpectoral plane, you should inclue a mastopexy (breast lift) because the breast skin has been stretched out and the nipples are on different levels. Even if you are not concerned about saggy breasts, removing the old implants and the surrounding scar capsule as well as reinserting silicone gel implants above the muscle will not significantly change your appearance, as there is a relative excess of breast skin to contain your implant. Good luck
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